PSGP IJ Template_03032021.xlsx

XLSX spreadsheet 87 KB Posted Feb 26, 2021

Attached to: Fiscal Year (FY) 2021 Port Security Grant Program (PSGP)
Opportunity number: DHS-21-GPD-056-00-01
Issued by: Federal Emergency Management Agency

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PSGP IJ Template_03032021.xlsx

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File	Type	Posted
PSGP IJ Template.xlsx	XLSX spreadsheet	Feb 26, 2021
FY_2021_PSGP_Sample_MOU.pdf	PDF	Feb 25, 2021
FY_2021_PSGP_Sample_Budget_Detail_Worksheet_.doc	DOC document	Feb 25, 2021
FEMA_FY2021-PSGP-NOFO_02-19-21.pdf	PDF	Feb 25, 2021
FEMA Form 089-5 Final PSGP InvestmentJustification_Form.pdf	PDF	Feb 25, 2021

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IJ 1

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB Control Number 1660-0114
PORT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION Expiration: 11/30/2023
Warning: Please follow the Notice of Funding Opportunity Guidance and Preparedness Grants Manual while completing this form.
PART I - INVESTMENT HEADING
1) ORGANIZATION NAME (Legal Name Listed On The SF-424):	2) STATE OR TERRITORY IN WHICH THE PROJECT WILL BE IMPLEMENTED:

3) TYPE OF ORGANIZATION: 4) CLASSIFICATION OF ORGANIZATION: 5) CAPTAIN OF THE PORT ZONE:

PART II - BASIC PROJECT INFORMATION

6) PROJECT TITLE:

7) PROJECT DESCRIPTION

(SERVICE(S)/EQUIPMENT SUMMARY):

8) HAS THIS PROJECT BEEN FUNDED BY PSGP OR ANOTHER FEDERAL ASSISTANCE PROGRAM IN THE LAST 3 YEARS?
9) IF SO, WHEN WAS THE LAST TIME IT WAS FUNDED?		10) WHICH PROGRAM FUNDED THIS CAPABILITY?
11) PROVIDE JUSTIFICATION THAT SUPPORTS FUNDING THIS PROJECT AGAIN:
12) PROJECT CATEGORY:		13) NEW CAPABILITY OR MAINTENANCE/SUSTAINMENT:
14) IS THIS PROJECT EXEMPT FROM THE REQUIRED COST SHARE OUTLINED IN 46 U.S.C. 70107?
15) IF YES, IDENTIFY COST SHARE EXEMPTION
16) FEDERAL SHARE:		17) COST SHARE:		18) TOTAL PROJECT COST:
PART III - ELIGIBILITY INFORMATION
PLEASE REVIEW THE NOTICE OF FUNDING OPPORTUNITY AND 46 U.S.C. 70107
19) WHICH PLAN(S) APPLIES TO YOUR ORGANIZATION?	AREA MARITIME SECURITY PLAN:			FACILITY SECURITY PLAN:
20) STATE AND LOCAL AGENCIES – IS YOUR AGENCY REQUIRED TO PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES?
21) IF YES, HOW MANY MTSA REGULATED FACILITIES IS YOUR ORGANIZATION REQUIRED TO PROVIDE SERVICES?
PART IV - ORGANIZATIONAL INFORMATION
22) IS YOUR ORGANIZATION AN ACTIVE PARTICIPANT OF AN AREA MARITIME SECURITY COMMITTEE?			23) IS THIS APPLICATION ON BEHALF OF ANOTHER ENTITY OR SUBMITTED AS A CONSORTIUM?
24) IS THE PROJECT SITE OWNED BY YOUR ORGANIZATION?			25) IS THE PROJECT SITE OPERATED BY YOUR ORGANIZATION?
26) IF THE PROJECT SITE IS NOT OWNED OR OPERATED BY YOUR ORGANIZATON, PLEASE EXPLAIN YOUR ORGANIZATION’S RELATION TO THE PROJECT SITE:

27) IS THE PROJECT SITE A FACILITY OR VESSEL THAT IS REGULATED UNDER THE MARITIME TRANSPORTATION SECURITY ACT OF 2002, AS AMENDED?
28) STATE AND LOCAL AGENCIES – IS YOUR AGENCY THE PRIMARY RESPONDER TO MTSA REGULATED FACILITIES?
PART V - POINT(S) OF CONTACT FOR ORGANIZATION
29) SIGNATORY AUTHORITY FOR ENTERING INTO A GRANT AGREEMENT			30) AUTHORIZED REPRESENTATIVE FOR THE MANAGEMENT OF THE PROJECT
NAME:			NAME:
ORGANIZATION:			ORGANIZATION:
ADDRESS:			ADDRESS:
PHONE:			PHONE:
EMAIL:			EMAIL:
PART VI - PHYSICAL LOCATION OF PROJECT
31) PHYSICAL ADDRESS OF THE PROJECT LOCATION:		32) BRIEF DESCRIPTION OF THE PROJECT LOCATION:
Street Address:
City:
State:	Zip:
LATITUDE & LONGITUDE:
STATE AND LOCAL AGENCIES ONLY – ROLE IN PROVIDING LAYERED PROTECTION OF MTSA REGULATED ENTITIES
33) DESCRIBE YOUR ORGANIZATION’S SPECIFIC ROLES, RESPONSIBILITIES AND ACTIVITIES IN DELIVERING LAYERED PROTECTION, AND IDENTIFY THE FACILITIES TO WHICH YOUR AGENCY IS REQUIRED TO PROVIDE SECURITY SERVICES.

PART VII MARITIME SECURITY MOU, MOA AND/OR MUTUAL AID AGREEMENTS

34) IF YOUR AGENCY PROVIDES SECURITY SERVICES TO MTSA REGULATED FACILITIES, IDENTIFY AND DESCRIBE THE TYPE(S) OF AGREEMENT(S) THAT REQUIRES YOUR AGENCY TO DIRECTLY PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES.

PART VIII - ALL AGENCIES/ORGANIZATION – IMPORTANT FEATURES

35) DESCRIBE ANY OPERATIONAL ISSUES YOU DEEM IMPORTANT TO THE CONSIDERATION OF YOUR APPLICATION, SUCH AS LACKING OR INADEQUATE CAPABILITIES OR ASSETS WITHIN THE PORT AREA TO MITIGATE MARITIME SECURITY VULNERABILITIES BEING ADDRESSED BY THIS PROJECT.

PART IX - INVESTMENT JUSTIFICATION ABSTRACT

36) WHAT ASSET(S) OR SERVICE(S) WOULD THIS PROJECT INVESTMENT FUND (i.e. vessels, radios, cameras, construction, service contracts, fencing etc.)? * For training requests, a course number and title are required.

37) IDENTIFY SIMILAR ASSETS THAT ALREADY EXIST:

38) SPECIFY VULNERABILITIES IDENTIFIED WITHIN AN AREA MARITIME SECURITY PLAN, FACILITY SECURITY PLAN, VESSEL SECURITY PLAN, OR OTHER IDENTIFIED PLAN(S) THAT THIS PROJECT CLOSES/MITIGATES.

39) SUMMARIZE THE PROPOSED INVESTMENT JUSTIFICATION.

THE FOLLOWING MUST BE INCLUDED:

• DESCRIBE HOW THIS INVESTMENT ADDRESSES THE CAPTAIN OF THE PORT’S PRIORITIES

• EXPLAIN HOW THIS INVESTMENT WILL ACHIEVE A MORE SECURE AND RESILIENT PORT AREA

• IF SIMILAR CAPABILITIES ALREADY EXIST, EXPLAIN WHY ADDITIONAL ASSETS/SERVICES ARE NEEDED.

PART X - NATIONAL PRIORITIES

40) IDENTIFY ONE PROGRAM PRIORITY THIS INVESTMENT MOST CLOSELY SUPPORTS (Program Priorities are identified in the NOFO):

41) DESCRIBE HOW, AND THE EXTENT THIS INVESTMENT JUSTIFICATION MEETS ONE OR MORE OF THE NATIONAL PRIORITIES.

PART XI - IMPLEMENTATION PLAN

42) PROVIDE A HIGH-LEVEL TIMELINE OF MILESTONES FOR THE IMPLEMENTATION OF THIS INVESTMENT, SUCH AS PLANNING, TRAINING, EXERCISES, AND MAJOR ACQUISITIONS OR PURCHASES. UP TO 10 MILESTONES MAY BE SUBMITTED.

THE FOLLOWING MUST BE INCLUDED:

• MAJOR MILESTONES OR RELEVANT INFORMATION THAT IS CRITICAL TO THE SUCCESS OF THE INVESTMENT

• MAJOR TASKS THAT WILL NEED TO OCCUR (E.G. DESIGN AND DEVELOPMENT, CONTRACTUAL AGREEMENTS, PROCUREMENT, DELIVERY, INSTALLATION AND PROJECT COMPLETION)

• ESTIMATED PERCENTAGE FOR EACH MILESTONE BASED ON COMPLEXITY AND SIGNIFICANCE (MILESTONES MUST COLLECTIVELY EQUAL 100%)

Milestones	Start Date (mm/yyyy)	Completion Date (mm/yyyy)	Percentage of Project
1.
2.				0
3.
4.				0
5.
6.				0
7.
8.				0
9.
10.				0
		Total Percentage of Project

Budget 1

PSGP Budget Detail Worksheet
A. Personnel. List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization.
Name/Position	Description of Project Work Activities	Computation	Cost

Name/Position for Management and Administration Description of Management and Administration Activities Computation Cost

		Total Personnel
B. Fringe Benefits. Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project.
Name/Position	Description of Fringe Benefits	Computation	Cost

Name/Position for Management and Administration Description of Fringe Benefits Computation Cost

		Total Fringe Benefits
C. Travel. Itemize travel expenses of project personnel by purpose (e.g., staff to training, field interviews, advisory group meeting, etc.). Show the basis of computation (e.g., six people to three-day training at $X airfare, $X lodging, $X subsistence). In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the location of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations.
Purpose of Travel	Location	Computation	Cost

Purpose of Travel for Management and Administration Location Computation Cost

	Total Travel
D. Equipment. List non-expendable items that are to be purchased. Non-expendable equipment is tangible property having a useful life of more than one year. (Note: Organization’s own capitalization policy and threshold amount for classification of equipment may be used).

Identify the Authorized Equipment List number (AEL #) for items requested. Expendable items should be included either in the “Supplies” category or in the “Other” category. Applicants should analyze the cost benefits of purchasing versus leasing equipment, especially high cost items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the “Contractual” category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement method to be used. For CBRNE Vessels or Vehicles, list the specific CBRNE equipment that will be installed on the vessel or vehicle, including equipment already owned by the applicant.

Equipment (Type and AEL#) Description and Purpose of Equipment Computation (Quantity x per unit cost) Cost

Equipment for Management and Administration (Type and AEL#) Description and Purpose for Equipment Computation (Quantity x per unit cost) Cost

		Total Equipment
E. Supplies. List items by type (office supplies, postage, training materials, copying paper, and other expendable items such as books, hand held tape recorders) and show the basis for computation. (Note: Organization’s own capitalization policy and threshold amount for classification of supplies may be used). Generally, supplies include any materials that are expendable or consumed during the course of the project.
Supplies	Description and Purpose of Supplies	Computation (Quantity x per unit cost)	Cost

Supplies for Management and Administration Description and Purpose for Supplies Computation (Quantity x per unit cost) Cost

	Total Supplies
F. Consultants/Contracts. Indicate whether applicant’s procurement policy follows standards found in 2 C.F.R. § 200.318(a).

Consultant Fees: For each consultant enter the name, if known, service to be provided, reasonable daily or hourly (8-hour day), and estimated time on the project to include M&A.

Name of Consultant Description of Services Provided Computation Cost

Name of Consultant for Management and Administration Description of Services for Management and Administration Computation Cost

		Subtotal – Consultant Fees
Consultant Expenses: List all expenses to be paid from the grant to the individual consultant in addition to their fees (i.e., travel, meals, lodging, etc.)
Item	Location and/or Purpose	Computation	Cost

Item for Management and Administration Location and/or Purpose Computation Cost

		Subtotal – Consultant Expenses
Contracts: Provide a description of the product or services to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. Any sole source contracts must follow the requirements set forth in in applicable state and local laws and regulations, as well as applicable Federal regulations at 2 CFR Part 200.
Item	Description of Services Provided	Computation	Cost

Item for Management and Administration Description of Services for Management and Administration Computation Cost

Subtotal – Contracts

		Total Consultants/Contracts
G. Other Costs. List items (e.g., reproduction, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, and provide a monthly rental cost and how many months to rent.
Item	Description and Purpose	Computation	Cost

Item for Management and Administration Description and Purpose Computation Cost

		Other Costs
H. Indirect Costs. Indirect costs are allowable only as described in 2 C.F.R. § 200.414. With the exception of recipients who have never received a negotiated indirect cost rate as described in 2 C.F.R. § 200.414(f), recipients must have an approved indirect cost rate agreement with their cognizant Federal agency to charge indirect costs to this award. A copy of the approved rate (a fully executed, agreement negotiated with the applicant’s cognizant Federal agency) must be attached.
Cognizant Federal Agency	Description and Purpose	Computation	Cost

Cognizant Federal Agency for Management and Administration Description and Purpose Computation Cost

Budget Category	Federal Amount	Non-Federal Amount	Total
A. Personnel
B. Fringe Benefits
C. Travel
D. Equipment
E. Supplies
F. Consultants/Contracts
G. Other
H. Indirect Costs
Total

IJ 2

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB Control Number 1660-0114
PORT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION Expiration: 11/30/2023
Warning: Please follow the Notice of Funding Opportunity Guidance and Preparedness Grants Manual while completing this form.
PART I - INVESTMENT HEADING
1) ORGANIZATION NAME (Legal Name Listed On The SF-424):	2) STATE OR TERRITORY IN WHICH THE PROJECT WILL BE IMPLEMENTED:

3) TYPE OF ORGANIZATION: 4) CLASSIFICATION OF ORGANIZATION: 5) CAPTAIN OF THE PORT ZONE:

PART II - BASIC PROJECT INFORMATION

6) PROJECT TITLE:

7) PROJECT DESCRIPTION

(SERVICE(S)/EQUIPMENT SUMMARY):

8) HAS THIS PROJECT BEEN FUNDED BY PSGP OR ANOTHER FEDERAL ASSISTANCE PROGRAM IN THE LAST 3 YEARS?
9) IF SO, WHEN WAS THE LAST TIME IT WAS FUNDED?		10) WHICH PROGRAM FUNDED THIS CAPABILITY?
11) PROVIDE JUSTIFICATION THAT SUPPORTS FUNDING THIS PROJECT AGAIN:
12) PROJECT CATEGORY:		13) NEW CAPABILITY OR MAINTENANCE/SUSTAINMENT:
14) IS THIS PROJECT EXEMPT FROM THE REQUIRED COST SHARE OUTLINED IN 46 U.S.C. 70107?
15) IF YES, IDENTIFY COST SHARE EXEMPTION
16) FEDERAL SHARE:		17) COST SHARE:		18) TOTAL PROJECT COST:
PART III - ELIGIBILITY INFORMATION
PLEASE REVIEW THE NOTICE OF FUNDING OPPORTUNITY AND 46 U.S.C. 70107
19) WHICH PLAN(S) APPLIES TO YOUR ORGANIZATION?	AREA MARITIME SECURITY PLAN:			FACILITY SECURITY PLAN:
20) STATE AND LOCAL AGENCIES – IS YOUR AGENCY REQUIRED TO PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES?
21) IF YES, HOW MANY MTSA REGULATED FACILITIES IS YOUR ORGANIZATION REQUIRED TO PROVIDE SERVICES?
PART IV - ORGANIZATIONAL INFORMATION
22) IS YOUR ORGANIZATION AN ACTIVE PARTICIPANT OF AN AREA MARITIME SECURITY COMMITTEE?			23) IS THIS APPLICATION ON BEHALF OF ANOTHER ENTITY OR SUBMITTED AS A CONSORTIUM?
24) IS THE PROJECT SITE OWNED BY YOUR ORGANIZATION?			25) IS THE PROJECT SITE OPERATED BY YOUR ORGANIZATION?
26) IF THE PROJECT SITE IS NOT OWNED OR OPERATED BY YOUR ORGANIZATON, PLEASE EXPLAIN YOUR ORGANIZATION’S RELATION TO THE PROJECT SITE:

27) IS THE PROJECT SITE A FACILITY OR VESSEL THAT IS REGULATED UNDER THE MARITIME TRANSPORTATION SECURITY ACT OF 2002, AS AMENDED?
28) STATE AND LOCAL AGENCIES – IS YOUR AGENCY THE PRIMARY RESPONDER TO MTSA REGULATED FACILITIES?
PART V - POINT(S) OF CONTACT FOR ORGANIZATION
29) SIGNATORY AUTHORITY FOR ENTERING INTO A GRANT AGREEMENT			30) AUTHORIZED REPRESENTATIVE FOR THE MANAGEMENT OF THE PROJECT
NAME:			NAME:
ORGANIZATION:			ORGANIZATION:
ADDRESS:			ADDRESS:
PHONE:			PHONE:
EMAIL:			EMAIL:
PART VI - PHYSICAL LOCATION OF PROJECT
31) PHYSICAL ADDRESS OF THE PROJECT LOCATION:		32) BRIEF DESCRIPTION OF THE PROJECT LOCATION:
Street Address:
City:
State:	Zip:
LATITUDE & LONGITUDE:
STATE AND LOCAL AGENCIES ONLY – ROLE IN PROVIDING LAYERED PROTECTION OF MTSA REGULATED ENTITIES
33) DESCRIBE YOUR ORGANIZATION’S SPECIFIC ROLES, RESPONSIBILITIES AND ACTIVITIES IN DELIVERING LAYERED PROTECTION, AND IDENTIFY THE FACILITIES TO WHICH YOUR AGENCY IS REQUIRED TO PROVIDE SECURITY SERVICES.

PART VII MARITIME SECURITY MOU, MOA AND/OR MUTUAL AID AGREEMENTS

PART VIII - ALL AGENCIES/ORGANIZATION – IMPORTANT FEATURES

PART IX - INVESTMENT JUSTIFICATION ABSTRACT

37) IDENTIFY SIMILAR ASSETS THAT ALREADY EXIST:

38) SPECIFY VULNERABILITIES IDENTIFIED WITHIN AN AREA MARITIME SECURITY PLAN, FACILITY SECURITY PLAN, VESSEL SECURITY PLAN, OR OTHER IDENTIFIED PLAN(S) THAT THIS PROJECT CLOSES/MITIGATES.

39) SUMMARIZE THE PROPOSED INVESTMENT JUSTIFICATION.

• DESCRIBE HOW THIS INVESTMENT ADDRESSES THE CAPTAIN OF THE PORT’S PRIORITIES

PART X - NATIONAL PRIORITIES

40) IDENTIFY ONE PROGRAM PRIORITY THIS INVESTMENT MOST CLOSELY SUPPORTS (Program Priorities are identified in the NOFO):

41) DESCRIBE HOW, AND THE EXTENT THIS INVESTMENT JUSTIFICATION MEETS ONE OR MORE OF THE NATIONAL PRIORITIES.

PART XI - IMPLEMENTATION PLAN

THE FOLLOWING MUST BE INCLUDED:

• MAJOR MILESTONES OR RELEVANT INFORMATION THAT IS CRITICAL TO THE SUCCESS OF THE INVESTMENT

• MAJOR TASKS THAT WILL NEED TO OCCUR (E.G. DESIGN AND DEVELOPMENT, CONTRACTUAL AGREEMENTS, PROCUREMENT, DELIVERY, INSTALLATION AND PROJECT COMPLETION)

• ESTIMATED PERCENTAGE FOR EACH MILESTONE BASED ON COMPLEXITY AND SIGNIFICANCE (MILESTONES MUST COLLECTIVELY EQUAL 100%)

Milestones	Start Date (mm/yyyy)	Completion Date (mm/yyyy)	Percentage of Project
1.
2.				0
3.
4.				0
5.
6.				0
7.
8.				0
9.
10.				0
		Total Percentage of Project

Budget 2

PSGP Budget Detail Worksheet
A. Personnel. List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization.
Name/Position	Description of Project Work Activities	Computation	Cost

Name/Position for Management and Administration Description of Management and Administration Activities Computation Cost

		Total Personnel
B. Fringe Benefits. Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project.
Name/Position	Description of Fringe Benefits	Computation	Cost

Name/Position for Management and Administration Description of Fringe Benefits Computation Cost

		Total Fringe Benefits
C. Travel. Itemize travel expenses of project personnel by purpose (e.g., staff to training, field interviews, advisory group meeting, etc.). Show the basis of computation (e.g., six people to three-day training at $X airfare, $X lodging, $X subsistence). In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the location of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations.
Purpose of Travel	Location	Computation	Cost

Purpose of Travel for Management and Administration Location Computation Cost

	Total Travel
D. Equipment. List non-expendable items that are to be purchased. Non-expendable equipment is tangible property having a useful life of more than one year. (Note: Organization’s own capitalization policy and threshold amount for classification of equipment may be used).

Equipment (Type and AEL#) Description and Purpose of Equipment Computation (Quantity x per unit cost) Cost

Equipment for Management and Administration (Type and AEL#) Description and Purpose for Equipment Computation (Quantity x per unit cost) Cost

		Total Equipment
E. Supplies. List items by type (office supplies, postage, training materials, copying paper, and other expendable items such as books, hand held tape recorders) and show the basis for computation. (Note: Organization’s own capitalization policy and threshold amount for classification of supplies may be used). Generally, supplies include any materials that are expendable or consumed during the course of the project.
Supplies	Description and Purpose of Supplies	Computation (Quantity x per unit cost)	Cost

Supplies for Management and Administration Description and Purpose for Supplies Computation (Quantity x per unit cost) Cost

	Total Supplies
F. Consultants/Contracts. Indicate whether applicant’s procurement policy follows standards found in 2 C.F.R. § 200.318(a).

Consultant Fees: For each consultant enter the name, if known, service to be provided, reasonable daily or hourly (8-hour day), and estimated time on the project to include M&A.

Name of Consultant Description of Services Provided Computation Cost

Name of Consultant for Management and Administration Description of Services for Management and Administration Computation Cost

		Subtotal – Consultant Fees
Consultant Expenses: List all expenses to be paid from the grant to the individual consultant in addition to their fees (i.e., travel, meals, lodging, etc.)
Item	Location and/or Purpose	Computation	Cost

Item for Management and Administration Location and/or Purpose Computation Cost

		Subtotal – Consultant Expenses
Contracts: Provide a description of the product or services to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. Any sole source contracts must follow the requirements set forth in in applicable state and local laws and regulations, as well as applicable Federal regulations at 2 CFR Part 200.
Item	Description of Services Provided	Computation	Cost

Item for Management and Administration Description of Services for Management and Administration Computation Cost

Subtotal – Contracts

		Total Consultants/Contracts
G. Other Costs. List items (e.g., reproduction, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, and provide a monthly rental cost and how many months to rent.
Item	Description and Purpose	Computation	Cost

Item for Management and Administration Description and Purpose Computation Cost

		Other Costs
H. Indirect Costs. Indirect costs are allowable only as described in 2 C.F.R. § 200.414. With the exception of recipients who have never received a negotiated indirect cost rate as described in 2 C.F.R. § 200.414(f), recipients must have an approved indirect cost rate agreement with their cognizant Federal agency to charge indirect costs to this award. A copy of the approved rate (a fully executed, agreement negotiated with the applicant’s cognizant Federal agency) must be attached.
Cognizant Federal Agency	Description and Purpose	Computation	Cost

Cognizant Federal Agency for Management and Administration Description and Purpose Computation Cost

Budget Category	Federal Amount	Non-Federal Amount	Total
A. Personnel
B. Fringe Benefits
C. Travel
D. Equipment
E. Supplies
F. Consultants/Contracts
G. Other
H. Indirect Costs
Total

IJ 3

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB Control Number 1660-0114
PORT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION Expiration: 11/30/2023
Warning: Please follow the Notice of Funding Opportunity Guidance and Preparedness Grants Manual while completing this form.
PART I - INVESTMENT HEADING
1) ORGANIZATION NAME (Legal Name Listed On The SF-424):	2) STATE OR TERRITORY IN WHICH THE PROJECT WILL BE IMPLEMENTED:

3) TYPE OF ORGANIZATION: 4) CLASSIFICATION OF ORGANIZATION: 5) CAPTAIN OF THE PORT ZONE:

PART II - BASIC PROJECT INFORMATION

6) PROJECT TITLE:

7) PROJECT DESCRIPTION

(SERVICE(S)/EQUIPMENT SUMMARY):

8) HAS THIS PROJECT BEEN FUNDED BY PSGP OR ANOTHER FEDERAL ASSISTANCE PROGRAM IN THE LAST 3 YEARS?
9) IF SO, WHEN WAS THE LAST TIME IT WAS FUNDED?		10) WHICH PROGRAM FUNDED THIS CAPABILITY?
11) PROVIDE JUSTIFICATION THAT SUPPORTS FUNDING THIS PROJECT AGAIN:
12) PROJECT CATEGORY:		13) NEW CAPABILITY OR MAINTENANCE/SUSTAINMENT:
14) IS THIS PROJECT EXEMPT FROM THE REQUIRED COST SHARE OUTLINED IN 46 U.S.C. 70107?
15) IF YES, IDENTIFY COST SHARE EXEMPTION
16) FEDERAL SHARE:		17) COST SHARE:		18) TOTAL PROJECT COST:
PART III - ELIGIBILITY INFORMATION
PLEASE REVIEW THE NOTICE OF FUNDING OPPORTUNITY AND 46 U.S.C. 70107
19) WHICH PLAN(S) APPLIES TO YOUR ORGANIZATION?	AREA MARITIME SECURITY PLAN:			FACILITY SECURITY PLAN:
20) STATE AND LOCAL AGENCIES – IS YOUR AGENCY REQUIRED TO PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES?
21) IF YES, HOW MANY MTSA REGULATED FACILITIES IS YOUR ORGANIZATION REQUIRED TO PROVIDE SERVICES?
PART IV - ORGANIZATIONAL INFORMATION
22) IS YOUR ORGANIZATION AN ACTIVE PARTICIPANT OF AN AREA MARITIME SECURITY COMMITTEE?			23) IS THIS APPLICATION ON BEHALF OF ANOTHER ENTITY OR SUBMITTED AS A CONSORTIUM?
24) IS THE PROJECT SITE OWNED BY YOUR ORGANIZATION?			25) IS THE PROJECT SITE OPERATED BY YOUR ORGANIZATION?
26) IF THE PROJECT SITE IS NOT OWNED OR OPERATED BY YOUR ORGANIZATON, PLEASE EXPLAIN YOUR ORGANIZATION’S RELATION TO THE PROJECT SITE:

27) IS THE PROJECT SITE A FACILITY OR VESSEL THAT IS REGULATED UNDER THE MARITIME TRANSPORTATION SECURITY ACT OF 2002, AS AMENDED?
28) STATE AND LOCAL AGENCIES – IS YOUR AGENCY THE PRIMARY RESPONDER TO MTSA REGULATED FACILITIES?
PART V - POINT(S) OF CONTACT FOR ORGANIZATION
29) SIGNATORY AUTHORITY FOR ENTERING INTO A GRANT AGREEMENT			30) AUTHORIZED REPRESENTATIVE FOR THE MANAGEMENT OF THE PROJECT
NAME:			NAME:
ORGANIZATION:			ORGANIZATION:
ADDRESS:			ADDRESS:
PHONE:			PHONE:
EMAIL:			EMAIL:
PART VI - PHYSICAL LOCATION OF PROJECT
31) PHYSICAL ADDRESS OF THE PROJECT LOCATION:		32) BRIEF DESCRIPTION OF THE PROJECT LOCATION:
Street Address:
City:
State:	Zip:
LATITUDE & LONGITUDE:
STATE AND LOCAL AGENCIES ONLY – ROLE IN PROVIDING LAYERED PROTECTION OF MTSA REGULATED ENTITIES
33) DESCRIBE YOUR ORGANIZATION’S SPECIFIC ROLES, RESPONSIBILITIES AND ACTIVITIES IN DELIVERING LAYERED PROTECTION, AND IDENTIFY THE FACILITIES TO WHICH YOUR AGENCY IS REQUIRED TO PROVIDE SECURITY SERVICES.

PART VII MARITIME SECURITY MOU, MOA AND/OR MUTUAL AID AGREEMENTS

PART VIII - ALL AGENCIES/ORGANIZATION – IMPORTANT FEATURES

PART IX - INVESTMENT JUSTIFICATION ABSTRACT

37) IDENTIFY SIMILAR ASSETS THAT ALREADY EXIST:

38) SPECIFY VULNERABILITIES IDENTIFIED WITHIN AN AREA MARITIME SECURITY PLAN, FACILITY SECURITY PLAN, VESSEL SECURITY PLAN, OR OTHER IDENTIFIED PLAN(S) THAT THIS PROJECT CLOSES/MITIGATES.

39) SUMMARIZE THE PROPOSED INVESTMENT JUSTIFICATION.

• DESCRIBE HOW THIS INVESTMENT ADDRESSES THE CAPTAIN OF THE PORT’S PRIORITIES

PART X - NATIONAL PRIORITIES

40) IDENTIFY ONE PROGRAM PRIORITY THIS INVESTMENT MOST CLOSELY SUPPORTS (Program Priorities are identified in the NOFO):

41) DESCRIBE HOW, AND THE EXTENT THIS INVESTMENT JUSTIFICATION MEETS ONE OR MORE OF THE NATIONAL PRIORITIES.

PART XI - IMPLEMENTATION PLAN

THE FOLLOWING MUST BE INCLUDED:

• MAJOR MILESTONES OR RELEVANT INFORMATION THAT IS CRITICAL TO THE SUCCESS OF THE INVESTMENT

• MAJOR TASKS THAT WILL NEED TO OCCUR (E.G. DESIGN AND DEVELOPMENT, CONTRACTUAL AGREEMENTS, PROCUREMENT, DELIVERY, INSTALLATION AND PROJECT COMPLETION)

• ESTIMATED PERCENTAGE FOR EACH MILESTONE BASED ON COMPLEXITY AND SIGNIFICANCE (MILESTONES MUST COLLECTIVELY EQUAL 100%)

Milestones	Start Date (mm/yyyy)	Completion Date (mm/yyyy)	Percentage of Project
1.
2.				0
3.
4.				0
5.
6.				0
7.
8.				0
9.
10.				0
		Total Percentage of Project

Budget 3

PSGP Budget Detail Worksheet
A. Personnel. List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization.
Name/Position	Description of Project Work Activities	Computation	Cost

Name/Position for Management and Administration Description of Management and Administration Activities Computation Cost

		Total Personnel
B. Fringe Benefits. Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project.
Name/Position	Description of Fringe Benefits	Computation	Cost

Name/Position for Management and Administration Description of Fringe Benefits Computation Cost

		Total Fringe Benefits
C. Travel. Itemize travel expenses of project personnel by purpose (e.g., staff to training, field interviews, advisory group meeting, etc.). Show the basis of computation (e.g., six people to three-day training at $X airfare, $X lodging, $X subsistence). In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the location of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations.
Purpose of Travel	Location	Computation	Cost

Purpose of Travel for Management and Administration Location Computation Cost

	Total Travel
D. Equipment. List non-expendable items that are to be purchased. Non-expendable equipment is tangible property having a useful life of more than one year. (Note: Organization’s own capitalization policy and threshold amount for classification of equipment may be used).

Equipment (Type and AEL#) Description and Purpose of Equipment Computation (Quantity x per unit cost) Cost

Equipment for Management and Administration (Type and AEL#) Description and Purpose for Equipment Computation (Quantity x per unit cost) Cost

		Total Equipment
E. Supplies. List items by type (office supplies, postage, training materials, copying paper, and other expendable items such as books, hand held tape recorders) and show the basis for computation. (Note: Organization’s own capitalization policy and threshold amount for classification of supplies may be used). Generally, supplies include any materials that are expendable or consumed during the course of the project.
Supplies	Description and Purpose of Supplies	Computation (Quantity x per unit cost)	Cost

Supplies for Management and Administration Description and Purpose for Supplies Computation (Quantity x per unit cost) Cost

	Total Supplies
F. Consultants/Contracts. Indicate whether applicant’s procurement policy follows standards found in 2 C.F.R. § 200.318(a).

Consultant Fees: For each consultant enter the name, if known, service to be provided, reasonable daily or hourly (8-hour day), and estimated time on the project to include M&A.

Name of Consultant Description of Services Provided Computation Cost

Name of Consultant for Management and Administration Description of Services for Management and Administration Computation Cost

		Subtotal – Consultant Fees
Consultant Expenses: List all expenses to be paid from the grant to the individual consultant in addition to their fees (i.e., travel, meals, lodging, etc.)
Item	Location and/or Purpose	Computation	Cost

Item for Management and Administration Location and/or Purpose Computation Cost

		Subtotal – Consultant Expenses
Contracts: Provide a description of the product or services to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. Any sole source contracts must follow the requirements set forth in in applicable state and local laws and regulations, as well as applicable Federal regulations at 2 CFR Part 200.
Item	Description of Services Provided	Computation	Cost

Item for Management and Administration Description of Services for Management and Administration Computation Cost

Subtotal – Contracts

		Total Consultants/Contracts
G. Other Costs. List items (e.g., reproduction, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, and provide a monthly rental cost and how many months to rent.
Item	Description and Purpose	Computation	Cost

Item for Management and Administration Description and Purpose Computation Cost

		Other Costs
H. Indirect Costs. Indirect costs are allowable only as described in 2 C.F.R. § 200.414. With the exception of recipients who have never received a negotiated indirect cost rate as described in 2 C.F.R. § 200.414(f), recipients must have an approved indirect cost rate agreement with their cognizant Federal agency to charge indirect costs to this award. A copy of the approved rate (a fully executed, agreement negotiated with the applicant’s cognizant Federal agency) must be attached.
Cognizant Federal Agency	Description and Purpose	Computation	Cost

Cognizant Federal Agency for Management and Administration Description and Purpose Computation Cost

Budget Category	Federal Amount	Non-Federal Amount	Total
A. Personnel
B. Fringe Benefits
C. Travel
D. Equipment
E. Supplies
F. Consultants/Contracts
G. Other
H. Indirect Costs
Total

IJ 4

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB Control Number 1660-0114
PORT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION Expiration: 11/30/2023
Warning: Please follow the Notice of Funding Opportunity Guidance and Preparedness Grants Manual while completing this form.
PART I - INVESTMENT HEADING
1) ORGANIZATION NAME (Legal Name Listed On The SF-424):	2) STATE OR TERRITORY IN WHICH THE PROJECT WILL BE IMPLEMENTED:

3) TYPE OF ORGANIZATION: 4) CLASSIFICATION OF ORGANIZATION: 5) CAPTAIN OF THE PORT ZONE:

PART II - BASIC PROJECT INFORMATION

6) PROJECT TITLE:

7) PROJECT DESCRIPTION

(SERVICE(S)/EQUIPMENT SUMMARY):

8) HAS THIS PROJECT BEEN FUNDED BY PSGP OR ANOTHER FEDERAL ASSISTANCE PROGRAM IN THE LAST 3 YEARS?
9) IF SO, WHEN WAS THE LAST TIME IT WAS FUNDED?		10) WHICH PROGRAM FUNDED THIS CAPABILITY?
11) PROVIDE JUSTIFICATION THAT SUPPORTS FUNDING THIS PROJECT AGAIN:
12) PROJECT CATEGORY:		13) NEW CAPABILITY OR MAINTENANCE/SUSTAINMENT:
14) IS THIS PROJECT EXEMPT FROM THE REQUIRED COST SHARE OUTLINED IN 46 U.S.C. 70107?
15) IF YES, IDENTIFY COST SHARE EXEMPTION
16) FEDERAL SHARE:		17) COST SHARE:		18) TOTAL PROJECT COST:
PART III - ELIGIBILITY INFORMATION
PLEASE REVIEW THE NOTICE OF FUNDING OPPORTUNITY AND 46 U.S.C. 70107
19) WHICH PLAN(S) APPLIES TO YOUR ORGANIZATION?	AREA MARITIME SECURITY PLAN:			FACILITY SECURITY PLAN:
20) STATE AND LOCAL AGENCIES – IS YOUR AGENCY REQUIRED TO PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES?
21) IF YES, HOW MANY MTSA REGULATED FACILITIES IS YOUR ORGANIZATION REQUIRED TO PROVIDE SERVICES?
PART IV - ORGANIZATIONAL INFORMATION
22) IS YOUR ORGANIZATION AN ACTIVE PARTICIPANT OF AN AREA MARITIME SECURITY COMMITTEE?			23) IS THIS APPLICATION ON BEHALF OF ANOTHER ENTITY OR SUBMITTED AS A CONSORTIUM?
24) IS THE PROJECT SITE OWNED BY YOUR ORGANIZATION?			25) IS THE PROJECT SITE OPERATED BY YOUR ORGANIZATION?
26) IF THE PROJECT SITE IS NOT OWNED OR OPERATED BY YOUR ORGANIZATON, PLEASE EXPLAIN YOUR ORGANIZATION’S RELATION TO THE PROJECT SITE:

27) IS THE PROJECT SITE A FACILITY OR VESSEL THAT IS REGULATED UNDER THE MARITIME TRANSPORTATION SECURITY ACT OF 2002, AS AMENDED?
28) STATE AND LOCAL AGENCIES – IS YOUR AGENCY THE PRIMARY RESPONDER TO MTSA REGULATED FACILITIES?
PART V - POINT(S) OF CONTACT FOR ORGANIZATION
29) SIGNATORY AUTHORITY FOR ENTERING INTO A GRANT AGREEMENT			30) AUTHORIZED REPRESENTATIVE FOR THE MANAGEMENT OF THE PROJECT
NAME:			NAME:
ORGANIZATION:			ORGANIZATION:
ADDRESS:			ADDRESS:
PHONE:			PHONE:
EMAIL:			EMAIL:
PART VI - PHYSICAL LOCATION OF PROJECT
31) PHYSICAL ADDRESS OF THE PROJECT LOCATION:		32) BRIEF DESCRIPTION OF THE PROJECT LOCATION:
Street Address:
City:
State:	Zip:
LATITUDE & LONGITUDE:
STATE AND LOCAL AGENCIES ONLY – ROLE IN PROVIDING LAYERED PROTECTION OF MTSA REGULATED ENTITIES
33) DESCRIBE YOUR ORGANIZATION’S SPECIFIC ROLES, RESPONSIBILITIES AND ACTIVITIES IN DELIVERING LAYERED PROTECTION, AND IDENTIFY THE FACILITIES TO WHICH YOUR AGENCY IS REQUIRED TO PROVIDE SECURITY SERVICES.

PART VII MARITIME SECURITY MOU, MOA AND/OR MUTUAL AID AGREEMENTS

PART VIII - ALL AGENCIES/ORGANIZATION – IMPORTANT FEATURES

PART IX - INVESTMENT JUSTIFICATION ABSTRACT

37) IDENTIFY SIMILAR ASSETS THAT ALREADY EXIST:

38) SPECIFY VULNERABILITIES IDENTIFIED WITHIN AN AREA MARITIME SECURITY PLAN, FACILITY SECURITY PLAN, VESSEL SECURITY PLAN, OR OTHER IDENTIFIED PLAN(S) THAT THIS PROJECT CLOSES/MITIGATES.

39) SUMMARIZE THE PROPOSED INVESTMENT JUSTIFICATION.

• DESCRIBE HOW THIS INVESTMENT ADDRESSES THE CAPTAIN OF THE PORT’S PRIORITIES

PART X - NATIONAL PRIORITIES

40) IDENTIFY ONE PROGRAM PRIORITY THIS INVESTMENT MOST CLOSELY SUPPORTS (Program Priorities are identified in the NOFO):

41) DESCRIBE HOW, AND THE EXTENT THIS INVESTMENT JUSTIFICATION MEETS ONE OR MORE OF THE NATIONAL PRIORITIES.

PART XI - IMPLEMENTATION PLAN

THE FOLLOWING MUST BE INCLUDED:

• MAJOR MILESTONES OR RELEVANT INFORMATION THAT IS CRITICAL TO THE SUCCESS OF THE INVESTMENT

• MAJOR TASKS THAT WILL NEED TO OCCUR (E.G. DESIGN AND DEVELOPMENT, CONTRACTUAL AGREEMENTS, PROCUREMENT, DELIVERY, INSTALLATION AND PROJECT COMPLETION)

• ESTIMATED PERCENTAGE FOR EACH MILESTONE BASED ON COMPLEXITY AND SIGNIFICANCE (MILESTONES MUST COLLECTIVELY EQUAL 100%)

Milestones	Start Date (mm/yyyy)	Completion Date (mm/yyyy)	Percentage of Project
1.
2.				0
3.
4.				0
5.
6.				0
7.
8.				0
9.
10.				0
		Total Percentage of Project

Budget 4

PSGP Budget Detail Worksheet
A. Personnel. List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization.
Name/Position	Description of Project Work Activities	Computation	Cost

Name/Position for Management and Administration Description of Management and Administration Activities Computation Cost

		Total Personnel
B. Fringe Benefits. Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project.
Name/Position	Description of Fringe Benefits	Computation	Cost

Name/Position for Management and Administration Description of Fringe Benefits Computation Cost

		Total Fringe Benefits
C. Travel. Itemize travel expenses of project personnel by purpose (e.g., staff to training, field interviews, advisory group meeting, etc.). Show the basis of computation (e.g., six people to three-day training at $X airfare, $X lodging, $X subsistence). In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the location of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations.
Purpose of Travel	Location	Computation	Cost

Purpose of Travel for Management and Administration Location Computation Cost

	Total Travel
D. Equipment. List non-expendable items that are to be purchased. Non-expendable equipment is tangible property having a useful life of more than one year. (Note: Organization’s own capitalization policy and threshold amount for classification of equipment may be used).

Equipment (Type and AEL#) Description and Purpose of Equipment Computation (Quantity x per unit cost) Cost

Equipment for Management and Administration (Type and AEL#) Description and Purpose for Equipment Computation (Quantity x per unit cost) Cost

		Total Equipment
E. Supplies. List items by type (office supplies, postage, training materials, copying paper, and other expendable items such as books, hand held tape recorders) and show the basis for computation. (Note: Organization’s own capitalization policy and threshold amount for classification of supplies may be used). Generally, supplies include any materials that are expendable or consumed during the course of the project.
Supplies	Description and Purpose of Supplies	Computation (Quantity x per unit cost)	Cost

Supplies for Management and Administration Description and Purpose for Supplies Computation (Quantity x per unit cost) Cost

	Total Supplies
F. Consultants/Contracts. Indicate whether applicant’s procurement policy follows standards found in 2 C.F.R. § 200.318(a).

Consultant Fees: For each consultant enter the name, if known, service to be provided, reasonable daily or hourly (8-hour day), and estimated time on the project to include M&A.

Name of Consultant Description of Services Provided Computation Cost

Name of Consultant for Management and Administration Description of Services for Management and Administration Computation Cost

		Subtotal – Consultant Fees
Consultant Expenses: List all expenses to be paid from the grant to the individual consultant in addition to their fees (i.e., travel, meals, lodging, etc.)
Item	Location and/or Purpose	Computation	Cost

Item for Management and Administration Location and/or Purpose Computation Cost

		Subtotal – Consultant Expenses
Contracts: Provide a description of the product or services to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. Any sole source contracts must follow the requirements set forth in in applicable state and local laws and regulations, as well as applicable Federal regulations at 2 CFR Part 200.
Item	Description of Services Provided	Computation	Cost

Item for Management and Administration Description of Services for Management and Administration Computation Cost

Subtotal – Contracts

		Total Consultants/Contracts
G. Other Costs. List items (e.g., reproduction, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, and provide a monthly rental cost and how many months to rent.
Item	Description and Purpose	Computation	Cost

Item for Management and Administration Description and Purpose Computation Cost

		Other Costs
H. Indirect Costs. Indirect costs are allowable only as described in 2 C.F.R. § 200.414. With the exception of recipients who have never received a negotiated indirect cost rate as described in 2 C.F.R. § 200.414(f), recipients must have an approved indirect cost rate agreement with their cognizant Federal agency to charge indirect costs to this award. A copy of the approved rate (a fully executed, agreement negotiated with the applicant’s cognizant Federal agency) must be attached.
Cognizant Federal Agency	Description and Purpose	Computation	Cost

Cognizant Federal Agency for Management and Administration Description and Purpose Computation Cost

Budget Category	Federal Amount	Non-Federal Amount	Total
A. Personnel
B. Fringe Benefits
C. Travel
D. Equipment
E. Supplies
F. Consultants/Contracts
G. Other
H. Indirect Costs
Total

IJ 5

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB Control Number 1660-0114
PORT SECURITY GRANT PROGRAM INVESTMENT JUSTIFICATION Expiration: 11/30/2023
Warning: Please follow the Notice of Funding Opportunity Guidance and Preparedness Grants Manual while completing this form.
PART I - INVESTMENT HEADING
1) ORGANIZATION NAME (Legal Name Listed On The SF-424):	2) STATE OR TERRITORY IN WHICH THE PROJECT WILL BE IMPLEMENTED:

3) TYPE OF ORGANIZATION: 4) CLASSIFICATION OF ORGANIZATION: 5) CAPTAIN OF THE PORT ZONE:

PART II - BASIC PROJECT INFORMATION

6) PROJECT TITLE:

7) PROJECT DESCRIPTION

(SERVICE(S)/EQUIPMENT SUMMARY):

8) HAS THIS PROJECT BEEN FUNDED BY PSGP OR ANOTHER FEDERAL ASSISTANCE PROGRAM IN THE LAST 3 YEARS?
9) IF SO, WHEN WAS THE LAST TIME IT WAS FUNDED?		10) WHICH PROGRAM FUNDED THIS CAPABILITY?
11) PROVIDE JUSTIFICATION THAT SUPPORTS FUNDING THIS PROJECT AGAIN:
12) PROJECT CATEGORY:		13) NEW CAPABILITY OR MAINTENANCE/SUSTAINMENT:
14) IS THIS PROJECT EXEMPT FROM THE REQUIRED COST SHARE OUTLINED IN 46 U.S.C. 70107?
15) IF YES, IDENTIFY COST SHARE EXEMPTION
16) FEDERAL SHARE:		17) COST SHARE:		18) TOTAL PROJECT COST:
PART III - ELIGIBILITY INFORMATION
PLEASE REVIEW THE NOTICE OF FUNDING OPPORTUNITY AND 46 U.S.C. 70107
19) WHICH PLAN(S) APPLIES TO YOUR ORGANIZATION?	AREA MARITIME SECURITY PLAN:			FACILITY SECURITY PLAN:
20) STATE AND LOCAL AGENCIES – IS YOUR AGENCY REQUIRED TO PROVIDE PORT SECURITY SERVICES TO MTSA REGULATED FACILITIES?
21) IF YES, HOW MANY MTSA REGULATED FACILITIES IS YOUR ORGANIZATION REQUIRED TO PROVIDE SERVICES?
PART IV - ORGANIZATIONAL INFORMATION
22) IS YOUR ORGANIZATION AN ACTIVE PARTICIPANT OF AN AREA MARITIME SECURITY COMMITTEE?			23) IS THIS APPLICATION ON BEHALF OF ANOTHER ENTITY OR SUBMITTED AS A CONSORTIUM?
24) IS THE PROJECT SITE OWNED BY YOUR ORGANIZATION?			25) IS THE PROJECT SITE OPERATED BY YOUR ORGANIZATION?
26) IF THE PROJECT SITE IS NOT OWNED OR OPERATED BY YOUR ORGANIZATON, PLEASE EXPLAIN YOUR ORGANIZATION’S RELATION TO THE PROJECT SITE:

27) IS THE PROJECT SITE A FACILITY OR VESSEL THAT IS REGULATED UNDER THE MARITIME TRANSPORTATION SECURITY ACT OF 2002, AS AMENDED?
28) STATE AND LOCAL AGENCIES – IS YOUR AGENCY THE PRIMARY RESPONDER TO MTSA REGULATED FACILITIES?
PART V - POINT(S) OF CONTACT FOR ORGANIZATION
29) SIGNATORY AUTHORITY FOR ENTERING INTO A GRANT AGREEMENT			30) AUTHORIZED REPRESENTATIVE FOR THE MANAGEMENT OF THE PROJECT
NAME:			NAME:
ORGANIZATION:			ORGANIZATION:
ADDRESS:			ADDRESS:
PHONE:			PHONE:
EMAIL:			EMAIL:
PART VI - PHYSICAL LOCATION OF PROJECT
31) PHYSICAL ADDRESS OF THE PROJECT LOCATION:		32) BRIEF DESCRIPTION OF THE PROJECT LOCATION:
Street Address:
City:
State:	Zip:
LATITUDE & LONGITUDE:
STATE AND LOCAL AGENCIES ONLY – ROLE IN PROVIDING LAYERED PROTECTION OF MTSA REGULATED ENTITIES
33) DESCRIBE YOUR ORGANIZATION’S SPECIFIC ROLES, RESPONSIBILITIES AND ACTIVITIES IN DELIVERING LAYERED PROTECTION, AND IDENTIFY THE FACILITIES TO WHICH YOUR AGENCY IS REQUIRED TO PROVIDE SECURITY SERVICES.

PART VII MARITIME SECURITY MOU, MOA AND/OR MUTUAL AID AGREEMENTS

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File details come from the government source that posted it. Updated Mar 4, 2021.