FY22 NSGP Investment Justification_FF-207-FY-21-115_FINAL.pdf

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Fiscal Year (FY) 2022 Nonprofit Security Grant Program (NSGP)
Opportunity number
DHS-22-GPD-008-00-01
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Investment Justification

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Page of FEMA Form FF-207-FY-21-115 (formerly 089-25) (5/22) FEMA Form FF-207-FY-21-115

IAI

6.3.0.20170316.1.928536

NONPROFIT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION

PAPERWORK REDUCTION ACT STATEMENT

PART I. NONPROFIT ORGANIZATION SUBAPPLICANT INFORMATION

As part of the Nonprofit Security Grant Program (NSGP) application, eligible 501(c)(3) organizations must develop a formal Investment Justification (IJ) that addresses each initiative proposed for funding. These IJs must demonstrate how proposed projects address gaps and deficiencies in current programs and capabilities. Additionally, the IJ must demonstrate the ability to provide enhancements consistent with the purpose of the program and guidance provided by the Federal Emergency Management Agency (FEMA). Nonprofit subapplicants must ensure that the IJ is consistent with all applicable requirements outlined below. Each IJ must be for one facility/location.

FEMA has developed guidelines that establish the required IJ content and helps ensure that submissions are organized in a consistent manner while addressing key data requirements. This form (Office of Management and [OMB] Number: 1660-011/FEMA Form Number: 089-25) may be used by nonprofit subapplicants to complete and submit their IJ. Failure to address these data elements in the prescribed format could potentially result in the rejection of the IJ from review consideration.

Nonprofit subapplicants must use the following naming convention when submitting required documents for the NSGP-UA: “FY2022_NSGP_UA_<State Abbreviation>_<Urban Area>_<Nonprofit Name>; and NSGP-S: “FY2022_NSGP_S_<State Abbreviation>_<Nonprofit Name>”.

Applications should be submitted by the nonprofit organization to the State Administrative Agency (SAA). Nonprofit subapplicants should contact their respective SAA to get information on the application deadline and other SAA requirements. If an extension to the deadline is required, nonprofit organizations must consult with their respective SAA.

Public reporting burden for this form is estimated to average 84 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction Project (1660-0110) NOTE: Do not send your completed form to this address.

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

NONPROFIT SECURITY GRANT PROGRAM

INVESTMENT JUSTIFICATION

Identify the following:

LEGAL NAME OF THE ORGANIZATION

STREET

CITY

STATE

ZIP CODE

Please list the physical address of the facility.

One investment justification per facility.

COUNTY

Is the building owned, or are you leasing/renting?

Please enter the year the facility listed above was constructed:

If leasing or renting, do you have the owner’s permission to make the proposed security enhancements?

What year did you begin operating in/from this facility/building?

Are you the only nonprofit operating in/from this facility/building?

Note: Only one nonprofit can apply per building/facility/physical structure/address. However, the request and subsequent security enhancements may benefit nonprofits who cohabitate/operate in/from the same location. Multiple requests for federal assistance from the same physical address/building/facility/structure will all be deemed ineligible.

What is the primary organization type?

Please select the organization’s primary affiliation:

Eligible organizations are registered 501(c)(3) nonprofits or otherwise are organizations as described under 501(c)(3) of the Internal Revenue Code (IRC) and tax-exempt under section 501(a) of the IRC. More information on tax-exempt organizations can be found at: https://www.irs.gov/charities-non-profits/charitable-organizations.

Does the organization have a Unique Entity ID (UEI) Number?

Is the organization eligible under the IRC to receive NSGP funds?

Applications can only be submitted with a current and valid UEI number; pending UEI numbers will not be accepted.

If “Yes,” please enter the UEI Number for the organization:

If “Yes,” select the designated urban area from the list Are you physically located in a current Urban Area Security Initiative designated urban area?

Total federal funding requested under the NSGP (will automatically populate based on entries in Section IV-B):

PART II. BACKGROUND INFORMATION (5 POSSIBLE POINTS OUT OF 40)

Please select (if applicable) the current, ongoing, or recent (last 3 years) event(s) in which your organization has been involved in prevention, protection, response, and/or recovery:

PART III. RISK (15 POSSIBLE POINTS OUT OF 40)

Department of Homeland Security defines risk as the product of three principal variables: Threat, Vulnerability, and Consequence. In the space below, describe the risk(s) faced by your organization specifically in terms of the A) Threats, B) Vulnerabilities, and C) Potential Consequences of an attack.

PART IV. FACILITY HARDENING (9 POSSIBLE POINTS OUT OF 40)

Section IV-A: In this section, describe each proposed activity or investment (as selected in Section IV-B), identify the vulnerability that it addresses, and detail the cost associated with the activity or investment. For each activity/investment, include the quantity, estimated hourly rate or estimated price per unit, and proposed usage.

Section IV-B: In this section, list all proposed facility hardening equipment, projects, or activities as allowable per the Authorized Equipment List (AEL), NSGP Notice of Funding Opportunity (NOFO), and Preparedness Grants Manual (PGM). Select the AEL number and title, list the vulnerability the equipment/project/activity addresses, and enter the estimated funding requested (round up to the nearest dollar).

AEL NUMBER & TITLE – EQUIPMENT, PROJECT, OR ACTIVITY

ESTIMATED FUNDING REQUESTED (Round to nearest dollar)

VULNERABILITY TO BE ADDRESSED

Total Funding Requested:

PART V. MILESTONE (5 POSSIBLE POINTS OUT OF 40)

Start dates should reflect the start of the associated key activities and end dates should reflect when the milestone event will occur. Milestones should reflect considerations to Environmental Planning and Historic Preservation reviews when applicable.(10 milestones maximum) Provide descriptions and associated key activities that lead to the milestone event over the NSGP period of performance.

COMPLETION DATE

START DATE

KEY ACTIVITIES & CORRESPONDING MILESTONES

PART VI. PROJECT MANAGEMENT (2 POSSIBLE POINTS OUT OF 40)

PART VII. IMPACT (4 POSSIBLE POINTS OUT OF 40)

FUNDING HISTORY

If the nonprofit organization has received NSGP funding in the past, provide the funding amount, funding year, and the investment type.

Has the organization received NSGP funding in the past?

NONPROFIT SUBAPPLICANT CONTACT INFORMATION

FULL NAME

EMAIL

WORK PHONE

POSITION/TITLE

By clicking this box, I certify that I am an employee or affiliated volunteer on behalf of the nonprofit organization or have been hired by the nonprofit organization to apply on their behalf for the Nonprofit Security Grant Program.

This application was written by:

CurrentPageNumber:
NumberofPages:
PART 1. NONPROFIT ORGANIZATION SUBAPPLICANT INFORMATION. Identify the following. LEGAL NAME OF THE ORGANIZATION.:
Please list the physical address of the facility. One investment justification per facility. Street.:
City.:
City.:
County.:
State. Enter 2 character abbreviation.:
Is the building owned, or are you leasing / renting? Select from drop-down list.:
Please enter the year the facility listed above was constructed. Enter 4 digit year.:
What year did you begin operating in / from this facility / building? Enter 4 digit year.:
If leasing or renting, do you have the owner’s permission to make the proposed security enhancements? Yes.: 0
Are you the only nonprofit operating in / from this facility / building? Yes.: 0
If “No,” please explain how the proposed security enhancements benefit both you and the other organization(s).:
Based on your mission statement, please summarize your organization's mission, ideology, and / or beliefs.:
What is the primary organization type? Select from drop-down list.:
If “Other,” please describe the type of organization.:
Please select the organization’s primary affiliation. Select from drop-down list.:
If “Other,” please describe affiliation.:
Is the organization eligible under the I R C to receive N S G P funds? No.: 0
If “Yes,” please enter the U E I Number for the organization.:
Does the organization have a Unique Entity I D (U E I) Number? Yes.: 0
Are you physically located in a current Urban Area Security Initiative designated urban area? No.: 0
If “Yes,” select the designated urban area from the list. Select from drop-down list.:
Total federal funding requested under the N S G P (will automatically populate based on entries in Section 4-B). This is a read only, calculated field. It is calculated from Page 5.:
PART 2. BACKGROUND INFORMATION (5 POSSIBLE POINTS OUT OF 40). Please describe (if applicable) this location’s symbolic value as a highly recognized national or historic institution / landmark that renders the site as a possible target of terrorism.:
Please select (if applicable) the current, ongoing, or recent (last 3 years) event(s) in which your organization has been involved in prevention, protection, response, and / or recovery. Select from drop-down list.:
Please describe the organization’s role in prevention, protection, response, and / or recovery, specifically highlighting the efforts that demonstrate integration of nonprofit preparedness with broader state and local preparedness efforts.:
PART 3. RISK (15 POSSIBLE POINTS OUT OF 40). A. Threat: In considering a threat, please describe the identification and substantiation of specific threats or attacks against the nonprofit organization or a closely related organization, network, or cell. Description can include findings from a threat or risk assessment, police report(s), and/or insurance claims specific to the location being applied for including dates of specific threats.:
B. Vulnerabilities: Please describe the organization’s susceptibility to destruction, incapacitation, or exploitation by a terrorist attack.:
C. Potential Consequences: Please describe the potential negative effects on the organization's assets, systems, and / or function if damaged, destroyed, or disrupted by a terrorist attack.:
PART 4. FACILITY HARDENING (9 POSSIBLE POINTS OUT OF 40). Section 4. A. In this section, describe each proposed activity or investment (as selected in Section 4. B), identify the vulnerability that it addresses, and detail the cost associated with the activity or investment. For each activity / investment, include the quantity, estimated hourly rate or estimated price per unit, and proposed usage. Allowable costs include facility hardening activities, such as planning and exercise related costs, contracted security personnel, and security-related training courses and programs limited to the protection of critical infrastructure key resources. Funding can also be used for the acquisition and installation of security equipment on real property (including buildings and surrounding property) owned or leased by the nonprofit organization, specifically in prevention of and / or in protection against the risk of terrorist attack.:
VULNERABILITY TO BE ADDRESSED.:
A. E L NUMBER AND TITLE – EQUIPMENT, PROJECT, OR ACTIVITY. Select from drop-down list. Line 10 of 10.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

VULNERABILITY TO BE ADDRESSED.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

VULNERABILITY TO BE ADDRESSED.:
VULNERABILITY TO BE ADDRESSED.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

VULNERABILITY TO BE ADDRESSED.:
VULNERABILITY TO BE ADDRESSED.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

VULNERABILITY TO BE ADDRESSED.:
VULNERABILITY TO BE ADDRESSED.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

VULNERABILITY TO BE ADDRESSED.:
VULNERABILITY TO BE ADDRESSED.:
ESTIMATED FUNDING REQUESTED

(Round to nearest dollar). Enter dollar amount.:

Total Funding Requested. This is a read only, calculated field. :
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
START DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
COMPLETION DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
PART 5. MILESTONE (5 POSSIBLE POINTS OUT OF 40). Provide descriptions and associated key activities that lead to the milestone event over the N S G P period of performance. Start dates should reflect the start of the associated key activities and end dates should reflect when the milestone event will occur. Milestones should reflect considerations to Environmental Planning and Historic Preservation reviews when applicable. (10 milestones maximum). KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 1 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 2 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 3 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 4 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 6 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 5 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 8 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 9 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 10 of 10.:
KEY ACTIVITIES AND CORRESPONDING MILESTONES. Line 7 of 10.:
PART 6. PROJECT MANAGEMENT (2 POSSIBLE POINTS OUT OF 40). Who will manage the project? Include the name, phone number, email address, and experience of the project manager(s).:
Please assess your project management plan / approach. Assessment could include challenges to the effective implementation of this project and the coordination of the project with State and local homeland security partners.:
PART 7. IMPACT (4 POSSIBLE POINTS OUT OF 40). Please describe the measurable outputs and outcomes that will indicate that this Investment is successful at the end of the period of performance.:
FUNDING HISTORY. Has the organization received N S G P funding in the past? Yes.: 0
If “Yes,” select the time frame funding was received. Select from drop-down list.:
If “Yes,” please list the year(s), amount(s), and Project(s) / Investment(s). (Example: F Y 20 / $150K / C C D Camera System and Lighting.):
By clicking this box, I certify that I am an employee or volunteer of the aforementioned nonprofit organization or have been hired by the nonprofit organization to apply on their behalf for the Nonprofit Security Grant Program.: 0
FULL NAME.:
EMAIL.:
POSITION / TITLE.:
NONPROFIT SUBAPPLICANT CONTACT INFORMATION. This application was written by. Select from drop-down list.:
WORK PHONE. Enter 10 digit telephone number including area code.:

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