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401K Record Keeping Fees document sample
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FEMA APPLICANT FORMS FOR THE FMAG PROGRAM
IN EXCEL 97 FORMAT
ALL SHEETS ARE PRINTABLE
CLICK THE "TABLE OF CONTENTS" TAB ON THE BOTTOM LEFT CORNER
OF SHEET
Note only the blocks that are in Yellow need to be filled out.
The white boxes are automatically filled from previous sheets.
FMAGP FORMS / TABLE OF CONTENTS
Title of Form FEMA Form No.
REQUEST FOR FIRE MANAGEMENT ASSISTANCE SUBGRANT FEMA Form 90-133, Nov 2004
PROJECT WORKSHEET FEMA Form 90-91, Sept 2005
PROJECT WORKSHEET INSTRUCTION PAGE (BACK PAGE) 90-91 INSTRUCTION PAGE
PROJECT WORKSHEET - MAP AND SKETCHES FEMA Form 90-91C, Sept 2005
SPECIAL CONSIDERATION FEMA Form 90-120, Sept 2005
APPLICANT RECORD-KEEPING GUIDELINES RECORD KEEPING GUIDELINES
FORCE ACCOUNT LABOR SUMMARY RECORD FEMA Form 90-123, Sept 2005
FORCE ACCOUNT LABOR SUMMARY INSTRUCTION SHEET 90-123 INSTRUCTIONS
MATERIAL SUMMARY SHEET FEMA Form 90-124, Sept 2005
MATERIAL SUMMARY INSTRUCTION SHEET 90-124 INSTRUCTION SHEET
RENTED EQUIPMENT SUMMARY RECORD FEMA Form 90-125, Sept 2005
RENTED EQUIPMENT INSTRUCTION SHEET 90-125 INSTRUCTION SHEET
CONTRACT WORK SUMMARY RECORD FEMA Form 90-126, Sept 2005
CONTRACT WORK SUMMARY INSTRUCTION SHEET 90-126 INSTRUCTION SHEET
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD FEMA Form 90-127, Sept 2005
FORCE ACCOUNT EQUIPMENT SUMMARY INSTRUCTION SHEET 90-127 INSTRUCTION SHEET
FRINGE BENEFITS CALCULATION WORKSHEET FEMA Form 90-128, Sept 2005
FRINGE BENEFITS CALCULATION WORKSHEET (This one does the calculation for you) 90-128 AUTO CALCULATIONS
FRINGE BENEFITS CALCULATION WORKSHEET INSTRUCTION SHEET 90-128 BENEFITS INSTRUCTION SHEET
The dark blue tabs are the forms to be filled out. The white tabs are the instruction sheets.
The green tab is used to calculated the fringe benefits and auto fills form 90-128.
2cc47036-d979-4505-97de-f59c3e600358.xls, Table of Contents
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 3067-0290
REQUEST FOR FIRE MANAGEMENT ASSISTANCE SUBGRANT Expires November 30 2004
PAPERWORK BURDEN DISCLOSURE NOTICE
DISCLOSURE OF BURDEN-Public reporting burden for the collection of information entitled “Request for Fire Management Assistance Declaration”
using FEMA Form 90-133 is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the needed data and financial resources expended by persons, and completing and submitting the form. You are not required
to complete this collection of information unless a valid OMB control number appears in the upper right hand corner on this form. Send comments
regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden, to: Information Collections Management,
Federal Emergency Management Agency, 500 C Street, SW, Washington, D.C. 20472, Paperwork Reduction Project (3067-0290). NOTE: Do not send
your completed form to the above address.
1. APPLICANT (Political subdivision or eligible applicant) 2. DATE SUBMITTED
3. COUNTY (location of firefighting activities. If located in multiple counties, please indicate)
APPLICANT PHYSICAL LOCATION
FEMA
2. CITY 3. COUNTY 4. STATE 5. ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL LOCATION)
1. STREET ADDRESS
2. POST OFFICE BOX 3. CITY 4. STATE 5. ZIP CODE
Primary Contact/Applicant’s Authorized Agent Alternate Contact
1. NAME 1. NAME
2. TITLE 2. TITLE
3. BUSINESS PHONE 3. BUSINESS PHONE
4. FAX NUMBER 4. FAX NUMBER
5. HOME PHONE 5. HOME PHONE
6. CELL PHONE 6. CELL PHONE
7. E-MAIL ADDRESS 7. E-MAIL ADDRESS
8. PAGER & PIN NUMBER 8. PAGER & PIN NUMBER
Title 44 CFR Part 204.41 defines Fire Management Assistance eligibility criteria as: (a) The following entities are eligible to apply through a State grantee
for a subgrant under an approved fire management assistance grant: 1) State agencies; 2) Local governments; and 3) Indian Tribal Governments. (b)
Entities that are not eligible to apply for a subgrant as identified in (a), such as privately owned entities and volunteer firefighting organizations, may be
reimbursed through a contract or compact with an eligible applicant for eligible cost associated with the fire or fire complex. (c) Eligibility is contingent
upon the finding that the applicant’s resources were requested by the Incident Commander or comparable State official. (d) The activities performed must
be the legal responsibility of the applying entity, required as a result of the fire or fire complex for which a fire management assistance declaration was
approved, and located within the declared area.
FEMA Form 90-133, NOV 02
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
PROJECT WORKSHEET Expires September 30, 2005
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 90 minutes per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right hand corner of this form. Send comments regarding
the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Federal Emergency Management
Agency, 500 C Street SW, Washington, DC 20472, Paperwork Reduction Project (3067-0151). Submission of the form is required to obtain benefits under
the Public Assistance Program. NOTE: Do not send your completed form to the above address.
DISASTER PROJECT NO. PA ID NO. DATE CATEGORY
FEMA -XXXX -DR - XX
DAMAGED FACILITY WORK COMPLETE AS OF
________ : ________ %
APPLICANT COUNTY
0
LOCATION LATITUDE LONGITUDE
DAMAGE DESCRIPTION AND DIMENSIONS
SCOPE OF WORK
Does the Scope of Work change the pre-disaster conditions at the site? Yes No
Special Considerations included? Yes No Hazard Mitigation proposal included? Yes No
Is there insurance coverage on this facility? Yes No
PROJECT COST
ITEM CODE NARRATIVE QUANTITY UNIT UNIT PRICE COST
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL COST $0.00
PREPARED BY TITLE SIGNATURE
APPLICANT REP. TITLE SIGNATURE
FEMA Form 90-91, OCT 02 REPLACES ALL PREVIOUS EDITIONS.
PROJECT WORKSHEET
INSTRUCTIONS
The Project Worksheet must be completed for each identified damaged project. A project may include damages more than one site.
After completing all Project Worksheets, submit the worksheets to your Public Assistance Coordinator.
Identifying Information
Disaster: Indicate the disaster declaration number as established by FEMA (i.e. "FEMA 1136-DR-TN", etc.).
Project No: Indicate the project designation number you established to track the project in your system (i.e. 1,2,3, etc.).
PA ID No.: Indicate your Public Assistance identification number on this space. This is optional.
Date: Indicate the date the worksheet was prepared in MM/DD/YY format.
Category: Indicate the category of the project according to FEMA specified work categories (i.e.,A,B,C,D,E,F,G). This is optional.
Applicant: Name of the government or other legal entity to which the funds will be awarded.
County: Name of the county where the damaged facility is located. If located in multiple counties, indicate "Multi-County."
Damage Facility: Identify the facility and describe its basic function and pre-disaster condition.
Work Complete as of: Indicate the date the work was assessed in the format of MM/DD/YY and the percentage of work completed to that date.
Location: This item can range anywhere from an "address," intersection of…," "1 mile south of …on…" to "county wide." If damages are in
different locations or different counties please list each location. Include latitude and longitude of the project if known.
Damage Description and Dimensions: Describe the disaster-related damage to the facility, including the cause of the damage and the area or
components affected.
Scope of Work: List work that has been completed, and work to be completed, which, is necessary to repair disaster-related damage.
Does the Scope of Work change the pre-disaster conditions of the site: If the work described under the Scope of Work changes the site
conditions (i.e. increases/decreases the size or function of the facility or does not replace damage components in kind with like materials), check (x)
yes. If the Scope of Work returns the site to its pre-disaster configuration, capacity and dimensions check (x) no.
Special Considerations: If the project includes insurable work, and/or is affected by environmental (NEPA) or historic concerns, check (x) either
the Yes or No box so that appropriate action can be initiated to avoid delays in funding. Refer to Applicant Handbook for further information.
Hazard Mitigation: If the pre-disaster conditions at the site can be changed to prevent or reduce the disaster-related damage, check (x) Yes. If no
opportunities for hazard mitigation exist check (x) no. Appropriate action will be initiated and avoid delays in funding. Refer to Applicant
Handbook for further information.
Is there insurance coverage on this facility: Federal law requires that FEMA be notified of any entitlement for proceeds to repair disaster-related
damages from insurance or any other source. Check (x) yes if any funding or proceeds can be received for the work within the Scope of Work from
any source besides FEMA.
Project Cost
Item: Indicate the item number on the column (i.e. 1, 2, 3, etc.). Use additional forms as necessary to include all items.
Code: If using the FEMA cost codes, place the appropriate number here.
Narrative: Indicate the work, material or service that best describes the work (i.e. "force account labor overtime", "42 in. RCP", "sheet rock
replacement", etc.).
Quantity/Unit: List the amount of units and the unit of measure (48/cy", "32/lf', "6/ea", etc.).
Unit Price: Indicate the price per unit.
Cost: This item can be developed from cost to date, contracts, bids, applicant's experience in that particular repair work, books which lend
themselves to work estimates, such as RS Means, or by using cost codes supplied by FEMA.
Total Cost: Record total cost of the project.
Prepared By: Record the name, title, and signature of the person completing the Project Worksheet.
Applicant Rep.: Record the name, title, and signature of Applicant's representative.
Records Requirements
Please review the Applicant Handbook, FEMA 323 for detailed instructions and examples.
For all completed work, the applicant must keep the following records:
*Force account labor documentation sheets identifying the employee, hours worked, date and location;
*Force account equipment documentation sheets identifying specific equipment, operator, usage by hour/mile and cost used;
*Material documentation sheets identifying the type of material, quantity used and costs;
*Copies of all contracts for work and any lease/rental equipment costs.
For all estimated work, keep calculations, quantity estimates, pricing information, etc. as part of the records to document the "cost/estimate" for
which funding is being requested.
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
Expires September 30, 2005
PROJECT WORKSHEET - Maps and Sketches Sheet
DISASTER PROJECT NO. PA ID NO. DATE CATEGORY
FEMA ___ - DR - ______ 0
APPLICANT COUNTY
0
FEMA Form 90-91C, OCT 02
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
SPECIAL CONSIDERATION QUESTION Expires September 30, 2005
APPLICANT'S NAME PA ID NO. DATE
PROJECT NAME LOCATION
Form must be filled out - for each project.
1. Does the damaged facility or item of work have insurance and/or is it an insurable risk? (e.g., buildings, equipment, vehicles, etc.)
Yes No Unsure Comments
2. Is the damaged facility located within a floodplain or coastal high hazard area/or does it have an impact on a floodplain or wetland?
Yes No Unsure Comments
3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System Unit or an Otherwise Protected Area?
Yes No Unsure Comments
4. Will the proposed facility repairs/reconstruction change the pre-disaster condition? (e.g., footprint, material, location, capacity, use or function)
Yes No Unsure Comments
5. Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance for a hazard mitigation proposal?
Yes No Unsure Comments
6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older than 50 years? Are there
other, similar buildings near the site?
Yes No Unsure Comments
7. Are there any pristine or undisturbed areas on, or near, the project site? Are there large tracts of forestland?
Yes No Unsure Comments
8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work?
Yes No Unsure Comments
9. Are there any other environmentally or controversial issues associated with the damaged facility and/or item of work?
Yes No Unsure Comments
FEMA Form 90-120, OCT 02
APPLICANT RECORD-KEEPING GUIDELINES
GENERAL INFORMATION:
It is essential that you accurately document the expenses incurred during the Fire Management Assistance Grant Program, incident
period.
In the event that a federal declaration occurs, accurate documentation will help you to:
* Recover all eligible costs.
* Be prepared to provide information for the Project Officer to prepare the FEMA Project Worksheet.
* Have source documents and summaries readily available for validation by the Project Officer.
* Assist the state and FEMA to review project worksheet(s) for approval.
* Provide a brief narrative describing the eligible work performed by the applicant.
* Be ready for future audits or other financial reviews.
FORMS AND REPORTS:
While there are many ways to organize records, it is important the information is readily available and in a useable format; i.e.,
spreadsheets, invoices, financial reports, etc. Important: FEMA has a set of five Summary Record form available an applicant may
use to summarize project costs. If your agency can provide the same or similar summaries from an existing accounting system
it is not necessary to use FEMA forms. The FEMA forms are available in Excel format.
The summary record forms are:
1) Force Account Labor Summary Record (90-123) -- To record agency permanent or temporary labor costs.
2) Material Summary Record (90-124) -- Used to record the supplies and materials that is used out of stock or purchased.
3) Rented Equipment Summary Record (90-125) -- Used to record the costs of rented or leased equipment.
4) Contract Work Summary Record (90-126) -- Used to record the costs of work done by contract.
5) Force Account Equipment Summary Record (90-127) -- To record applicant-owned equipment costs.
DOCUMENTATION SAMPLES:
Types of documentation the state and FEMA will review during the site visit:
1) A sampling of your permanent or temporary staff timesheets, vendor or contractor invoices, and other documentation.
2) A spreadsheet or report to compare timesheets, invoices and other documentation that needs to be reviewed.
3) Access to source documents which will remain on file at the agency (time reports, vehicle records, purchase receipts, etc.).
4) Definition of personal classification groups for example: permanent, seasonal, career, and temporary personnel.
5) Sample copies of pertinent contracts, cooperative agreements, mutual aid or cost-share agreements etc.
6) Complete "Applicants Benefit Calculation Worksheet" for each classification.
7) Other documentation determined to be needed by the Project Officer.
8) A map of the fire area showing agency jurisdiction.
Documentation required for Donated Resources:
1) Provide copies of sign-in and sign-out logs showing dates and hours of service for each person.
2) Provide any call or dispatch logs that document donated resources.
3) For donated supplies or equipment, provide an invoice or letter from the vendor or other party showing the date of use and
customary charges for the resource.
4) For personnel - a copy of an invoice or letter from an organization that shows the cost for the use of the organizations personnel.
PROJECT WORKSHEETS:
Project Worksheets are written for each category of work. Cost claimed are separated into the following categories:
1) B – Emergency Protective Measures
2) H – Firefighting Activities
3) Z – Grants Management Costs
2cc47036-d979-4505-97de-f59c3e600358.xls, Record-Keeping Guidelines updated 5/18/05
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067-0151
PAGE ____ OF ____
FORCE ACCOUNT LABOR SUMMARY RECORD Expires September 30, 2005
APPLICANT PA ID NO. PROJECT NO. DISASTER
0 0
LOCATION/SITE CATEGORY PERIOD COVERING
0 0 TO
DESCRIPTION OF WORK PERFORMED
Dates and Hours Worked Each Week Costs
TOTAL
TOTAL HOURLY BENEFIT TOTAL
DATE HOURLY
HOURS RATE RATE/HR COSTS
RATE
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
NAME
0.00 $0.00 $0.00
REG.
JOB TITLE
0.00 $0.00 $0.00
O.T.
TOTAL COST FOR FORCE ACCOUNT LABOR REGULAR TIME $0.00
TOTAL COST FOR FORCE ACCOUNT LABOR OVERTIME $0.00
CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FEMA Form 90-123, OCT
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 30 minutes per response. The burden includes the time for reviewing instruction, searching existing data sources,
gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information unless a
valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing
this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project
(3067-0151). Submission of the form is required to obtain or retain benefits under the Public Assistance Program. Please do not send your completed form to the
above address.
FORCE ACCOUNT LABOR SUMMARY RECORD
INSTRUCTIONS
Force account is the term used to define labor performed and equipment owned by the applicant.
•► Record regular and overtime hours separately.
•► Record the benefits separately for regular and overtime hours. Most overtime hours include fewer benefits than regular
hours.
•► Attach a Fringe Benefit Rate Sheet giving a breakdown of what is included in your benefits, by percentages, e.g.,
social security----15.2%, worker's compensation----4.3%, insurance----18.5%, etc. You can use an average
rate if you have different benefit rates for different employees.
Complete the Record as Follows:
* Applicant: Enter organization's name.
* PA ID No.: Enter the computer tracking number that FEMA assigns to applicant organization. Your Public Assistance Coordinator can
provide you with this number.
* Project No.: Enter the number assigned to this project.
* Disaster: Enter the declaration number for this disaster. The Public Assistance Coordinator can also provide you with this information.
* Location/Site: This item can range anywhere from an "address," intersection of…/" "1 mile south of …on…" to "county wide." If
damages are in different locations or different counties please list each location. Include latitude and longitude of the project if known.
* Category: Indicate the category of the project according to FEMA specified work categories (i.e., B, H, Z). This is optional.
* Period Covering: This is auto filled from the "Dates & Hours Worked Each Week / Date."
* Description of Work Performed: Describe the type of work performed.
* Dates & Hours Used Each Week / Date: Enter the days of the week.
* Name: Enter the names of each employee who worked on the project.
* Job Title: Enter the title or occupation of each employee who worked on the project.
* REG: Enter the regular hours that each employee worked on the project.
* O.T.: Enter overtime hours that each employee worked on the project. REMINDER: Only overtime is eligible
for reimbursement for emergency work. Record both regular and overtime hours, so that personnel
hours can be compared with equipment use hours, if necessary.
* Costs / Total Hours: Calculates the total hours for the week and auto fills "Total Hours" block.
* Costs / Hourly Rate: Enter each employee's hourly rate.
* Costs / Benefit Rate/Hr: Enter each employee's hourly benefit rate. Their should be different percentages for benefits
pertaining to regular and overtime wages.
* Costs / Total Hourly Rate: Excel will add the employee's hourly rate in the "Hourly Rate" block and the hourly benefits rate in the
"Benefit Rate/HR" block and auto fills "Total Hourly Rate" block.
* Costs / Total Cost: Multiply the entries in the "Total Hrs" and "Total Hourly Rate" blocks and auto fills "Total Costs" block.
* Total Cost for Force Account Labor Regular Time: Add the entries in the "Total Costs", "REG" block for each employee and the
results in the "Total Cost for Force Account Labor Regular Time" block.
* Total Cost for Force Account Labor Overtime: Add the entries in the "Total Costs", "O.T." block for each employee and the results in
the "Total Cost for Force Account Labor Overtime" block.
* Certified: Record the name, title, and date of the person certifying the Force Account Labor Summary Record.
updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 8
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
Page ____ OF ______
MATERIAL SUMMARY SHEET Expires September 30, 2005
APPLICANT PA ID NO. PROJECT NO. DISASTER
0
LOCATION/SITE CATEGORY PERIOD COVERING
0 TO
DESCRIPTION OF WORK PERFORMED
INFO FROM
TOTAL DATE DATE
VENDOR DESCRIPTION QUAN. UNIT PRICE (CHECK ONE)
PRICE PURCHASED USED
INVOICE STOCK
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
GRAND TOTAL $0.00
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FEMA Form 90-124, OCT 02
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 15 minutes per response. The burden includes the time for reviewing instruction, searching existing data sources,
gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information
unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions
for reducing this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork
Reduction Project (3067-0151). Submission of the form is required to obtain or retain benefits under the Public Assistance Program. Please do not send your
completed form to the above address.
THE MATERIAL RECORD SUMMARY
INSTRUCTIONS
This form is used to record the costs of supplies and materials purchased in response to the disaster or used to repair
damages caused by the disaster.
Complete the Record as Follows:
* Applicant: Enter organization's name.
* PA ID No.: Enter the computer tracking number that FEMA assigns to applicant organization. Your Public
Assistance Coordinator can provide you with this number.
* Project No.: Enter the number assigned to this project.
* Disaster: Enter the declaration number for this disaster. The Public Assistance Coordinator can also provide you
with this information.
* Location/Site: This item can range from an "address," "intersection of…," "1 mile south of…on…" to "county
wide." If damages are in different locations or different counties please list each location. Include latitude and
longitude of the project if known.
* Category: Indicate the category of the project according to FEMA specified work categories (i.e., B, H, Z). This
is optional.
* Period Covering: Enter the dates that this period covers.
* Description of Work Performed: Describe the type of work that was performed.
* Vendor: Enter the name of the supplier if the material was bought specifically as a result of the disaster.
* Description: Enter a brief description of the supplies or materials used or purchased.
* Quan.: Enter the number purchased.
* Unit Price: Enter the price per unit.
* Total Price: Calculates the "Quan." times the "Unit Price" and auto fills "Total Price" block.
* Date Purchased: Enter the date item was purchased.
* Date Used: Enter the date item was used.
* Info. from (Check One) Invoice or Stock: Place a check (√) in either the "Invoice" or "Stock" block.
* Grand Total: Adds the costs from "Total Price" blocks and auto fills "Grant Total" block.
* Certified: Record the name, title, and date of the person certifying the Material Summary Record.
Updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 10
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
PAGE ____ OF _____
RENTED EQUIPMENT SUMMARY RECORD Expires September 30, 2005
APPLICANT PA ID NO. PROJECT NO. DISASTER
0 0
LOCATION/SITE CATEGORY PERIOD COVERING
0 0 TO
DESCRIPTION OF WORK PERFORMED
TYPE OF EQUIPMENT RATE PER HOUR
DATES AND
TOTAL INVOICE DATE AND
Indicate size, Capacity, Horsepower, HOURS W/OUT VENDOR CHECK NO.
W/OPR COST NO. AMOUNT PAID
Make and Models as Appropriate USED OPR
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
GRAND TOTAL $0.00
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FEMA Form 90-125, OCT 02
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 15 minutes per response. The burden includes the time for reviewing instruction, searching existing data sources,
gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information unless
a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for
reducing this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork
Reduction Project (3067-0151). Submission of the form is required to obtain or retain benefits under the Public Assistance Program. Please do not send your
completed form to the above address.
RENTED EQUIPMENT SUMMARY RECORD
INSTRUCTIONS
This form is used to record the costs of equipment that rented or leased to respond to the disaster or be used in making
repairs to damages caused by the disaster.
Complete the Record as Follows:
* Applicant: Enter your organization's name.
* PA ID No.: Enter the computer tracking number that FEMA assigns to applicant organization. Your Public
Assistance Coordinator can provide you with this number.
* Project No.: Enter the number assigned to this project.
* Disaster: Enter the declaration number for this disaster here. The Public Assistance
Coordinator can also provide you with this information.
* Location/Site: This item can range from an "address," "intersection of…," "1 mile south of…on…" to "county
wide." If damages are in different locations or different counties please list each location. Include latitude and
longitude of the project if known.
Category: Indicate the category of the project according to FEMA specified work categories (i.e., B, H, Z).
* This is optional.
* Period Covering: Enter the dates that this period covers.
* Type of Equipment: Enter a brief description of the equipment that was leased or rented. Indicate if the
equipment was rented on a daily, weekly, or monthly rate, instead of an hourly rate.
* Date and Hours Used: Enter the dates for each day the project was worked in the top box and the hours the
equipment was used in the bottom box.
* Rate Per Hour With or Without Operator: Enter the hourly rental or lease cost of the equipment with or
without operator. NOTE: Determine that the rental rate is fair and reasonable and has not been raised to
an unacceptable rate because of the disaster.
* Total Cost: Multiplies the entries in the second box under "Dates & Hours Used" and times it by the "Rate Per
Hour - W/OPR or W/OUT OPR" and auto fills "Total Cost" block.
* Vendor: Enter the name of the vendor.
* Invoice No.: Enter the invoice number.
* Date & Amount Paid: Enter the date of invoice in the top box and the usage cost based on the renter's
agreement in the bottom box.
* Check No.: Enter the check number.
* Grand Total: Calculates the "Total Cost" blocks and auto fills the "Grand Total" block.
* Certified: Record the name, title, and date of the person certifying the Rent Equipment Summary Record.
Updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 12
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
PAGE ____ OF _____
CONTRACT WORK SUMMARY RECORD Expires September 30, 2005
APPLICANT PA ID NO. PROJECT NO. DISASTER
0
LOCATION/SITE CATEGORY PERIOD COVERING
0 0 TO
DESCRIPTION OF WORK PERFORMED
BILLING/INVOICE
DATES WORKED CONTRACTOR AMOUNT COMMENTS - SCOPE
NUMBER
GRAND TOTAL $0.00
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FEMA Form 90-126, OCT 02
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 15 minutes per response. The burden includes the time for reviewing instruction, searching existing data sources,
gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information unless
a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for
reducing this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork
Reduction Project (3067-0151). Submission of the form is required to obtain or retain benefits under the Public Assistance Program. Please do not send your
completed form to the above address.
CONTRACT WORK SUMMARY RECORD
INSTRUCTIONS
This form is used to record the costs of contracts awarded to respond to the disaster.
Complete the Record as Follows:
* Applicant: Enter organization's name.
* PA ID No.: Enter the computer tracking number that FEMA assigns to applicant organization.
Your Public Assistance Coordinator can provide you with this number.
* Project No.: Enter the number assigned to this project.
* Disaster: Enter the declaration number for this disaster here. The Public Assistance
Coordinator can also provide you with this information.
* Location/Site: This item can range from an "address," "intersection of…," "1 mile south of…on…" to "county
wide." If damages are in different locations or different counties please list each location. Include latitude and
longitude of the project if known.
* Category: Indicate the category of the project according to FEMA specified work categories (i.e., B, H,
Z). This is optional.
* Period Covering: Enter the dates that this period covers.
* Description of Work Performed: Enter a brief description of the work performed.
* Date Worked: Enter the date on the invoice.
* Contractor: Enter the name of the contractor receiving the contract.
* Billing/Invoice Number: Enter the invoice number.
* Amount: Enter the total dollar figure listed for each invoice.
* Comments - Scope: Enter a brief description of the type of work that was performed on each invoice.
* Grand Total: Calculates the "Amount" blocks and auto fills the "Grand Total" block.
* Certified: Record the name, title, and date of the person certifying the Contract Work Summary Record.
Updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 14
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD PAGE ___ OF ______ Expires September 30, 2005
APPLICANT PA ID NO. PROJECT NO. DISASTER
0
LOCATION/SITE CATEGORY PERIOD COVERING
0 0 TO
DESCRIPTION OF WORK PERFORMED
Type of Equipment Dates and Hours Used Each Day Costs
INDICATE SIZE, CAPACITY, EQUIPMENT OPERATOR'S
TOTAL EQUIPMENT TOTAL
HORSEPOWER, MAKE AND CODE NAME DATE
HOURS RATE COST
MODEL AS APPROPRIATE NUMBER
Hours
0.0 $0.00
Hours
0.0 $0.00
Hours
0.0 $0.00
Hours
0.0 $0.00
Hours
0.0 $0.00
Hours
0.0 $0.00
Hours
0.0 $0.00
GRAND TOTALS 0.0 $0.00
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FEMA Form 90-127, OCT 02
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 15 minutes per response. The burden includes the time for reviewing instruction, searching existing data sources, gathering and
maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information unless a valid OMB control number
appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections
Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0151). Submission of the form is required to
obtain or retain benefits under the Public Assistance Program. Please do not send your completed form to the above address.
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD
INSTRUCTIONS
Force account is the term used to define labor performed and equipment owned by the applicant.
Complete the Record as Follows:
* Applicant: Enter organization's name.
* PA ID No.: Enter the computer tracking number that FEMA assigns applicant organization. Your Public Assistance
Coordinator can provide you with this number.
* Project No.: Enter the number assigned to this project.
* Disaster: Enter the declaration number for this disaster here. The Public Assistance Coordinator can also provide you
with this information.
* Location/Site: This item can range anywhere from an "address," intersection of…/" "1 mile south of …on…" to "county
wide." If damages are in different locations or different counties please list each location. Include latitude and longitude
of the project if known.
* Category: Indicate the category of the project according to FEMA specified work categories (i.e., B, H, Z). This is
optional.
* Period Covering: It's auto filled from "Dates & Hours Used Each Day / Date" blocks.
* Description of Work Performed: Describe the type of work performed.
* Type of Equipment / Indicate size, capacity, horsepower, make and model as appropriate: Enter a brief description
of the equipment, including the rated horsepower or capacity of the equipment. Be sure to include this information if you
also use a trade name or common name to describe the equipment, e.g., Ditch Witch.
* Equipment Code Number: Enter the FEMA cost code for the equipment.
* Operator's Name: Enter the equipment operators name.
* Dates & Hours Used Each Day / Date: Enter the days of the week.
* Hours: Enter the hours the equipment worked. Notes: Standby time for equipment is not eligible.
* Costs / Total Hours: Adds the total hours for the week and auto fills the Total Hours block.
* Costs / Equipment Rate: Enter the hourly rate for the equipment.
* Costs / Total Cost: Multiply the number in the Total Hours block by the number in the Equipment Rate block and auto
fills the amount in the Total Cost block.
* Grand Totals: Add the numbers in the Total Hours blocks and auto fills into the Grand Total block; Add the numbers in
the Total Cost blocks and auto fills into the Grand Total block.
* Certified: Record the name, title, and date of the person certifying the Force Account Equipment Summary Record.
Updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 16
FEDERAL EMERGENCY MANAGEMENT AGENCY
O.M.B. No. 3067-0151
APPLICANT'S BENEFITS CALCULATION PAGE ____ OF ____ Expires September 30, 2005
WORKSHEET
APPLICANT PA ID NO.
0
DISASTER PROJECT NO.
FRINGE BENEFITS (by %) REGULAR TIME OVERTIME
HOLIDAYS
3.8%
VACATION LEAVE
5.8%
SICK LEAVE
4.6%
SOCIAL SECURITY
7.7% 7.7%
MEDICARE
UNEMPLOYMENT
1.5% 1.5%
WORKER'S COMP.
2.0% 2.0%
RETIREMENT
5.5% 5.5%
HEALTH BENEFITS
23.3%
LIFE INS. BENEFITS
1.2%
OTHER
TOTAL in % of annual salary 55.3% 16.6%
COMMENTS
I CERTIFY THAT THE INFORMATION ABOVE WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER DOCUMENTS WHICH ARE AVAILABLE
CERTIFIED BY TITLE DATE
FEMA Form 90-128, OCT 02
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to 30 minutes per response. The burden includes the time for reviewing
instruction, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting
the form. You are not required to respond to this collection of information unless a valid OMB control number appears in the upper
right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this
burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC
20472, Paperwork Reduction Project (3067-0151). Submission of the form is required to obtain or retain benefits under the Public
Assistance Program. Please do not send your completed form to the above address.
Fringe Benefit Calculations
There are other ways to calculate Fringe Benefits, this is only one.
This is normally done for each employee or each pay grade.
Employee Name:
Applicant:
PA ID No:
Disaster Number:
Department:
All calculations are based on the amount that only the employer pays .
Most figures can be obtained from accounting department.
Blocks that you fill in =
Work hrs per year (2080 hrs is normal work year ) # 2,080
Pay / Hour $ 20.00
Basic Pay Annualized $ 41,600.00
See note 1
Regular Time % Overtime %
Vacation - days/year # 15 days 120.00 5.8 *
Holidays - days/year # 10 days 80.00 3.8 *
Sick - days/year # 12 days 96.00 4.6 *
Retirement (% of annual salary) ) 5.45 5.45 5.5 5.45 5.5
Social Security - fixed rate % 7.65 7.65 7.7 7.65 7.7
Unemployment % 1.50 1.50 1.5 1.50 1.5
Workman’s Comp % 2.00 2.00 2.0 2.00 2.0
Health Insurance $ 800.00 / mo / employee 23.08 23.1 *
Life Insurance $ 40.00 / mo / employee 1.15 1.2 *
Dental $ 5.00 / mo / employee 0.14 0.1 *
Vision $ 3.00 / mo / employee 0.09 0.1 *
*
% *
Total Percent = 55.3 16.6
Transfer to Data Sheet for Employee
Starting at row F35
Typical ranges 20-60 % 3-20 %
I certify that the information above was transcribed from payroll records or other
documents which are available for audit.
Certified by: ________________________________________
Title: ______________________________________________
Note 1: Vacation, Holidays and Insurance are not figured into overtime benefits.
401K plans or similar type plans sometimes are not included in Overtime.
Retirement, Unemployment and Workman's Comp are sometimes included in overtime benefits.
updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, Fringe Benefits
FRINGE BENEFIT RATE SHEET INSTRUCTIONS
Fringe Benefit Calculations
Fringe benefits for force account labor is eligible. Except in extremely unusual cases, fringe benefits for
overtime will be significantly less than regular time.
The following steps will assist in calculating the percentage of fringe benefits paid on an employee's salary.
Note: items and percentages will vary from one entity to another.
1) The normal year consists of 2080 hours (52 weeks x 5 workdays/week x 8 hours/day). This does not include holidays
and vacations.
2) Determine the employee's basic hourly pay rate (annual salary/2080 hours).
3) Fringe benefit percentage for vacation time: Divide the number of hours of annual vacation time provided to the
employee by 2080 (80 hours (2 weeks)/2080 = 3.85%).
4) Fringe benefit percentage for paid holidays: Divide the number of paid holiday hours by 2080 (64 hours (8
holidays)/2080 = 3.07%).
5) Retirement pay: Because this measure varies widely, use only the percentage of salary matched by the employer.
6) Social Security and Unemployment Insurance: Both are standard percentages of salary.
7) Insurance: This benefit varies by employee. Divide the amount paid by the city or county by the basic pay rate
determined in Step 2.
8) Workman's Compensation: This benefit also varies by employee. Divide the amount paid by the city or county by
the basic pay rate determined in Step 2. Use the rate per $100 to determine the correct percentage.
Note: Typically, you should not be charging the same rate for regular time and overtime. Generally, only FICA
(Social Security) is eligible for overtime; however, some entities may charge retirement tax on all income.
Sample Rates
Although some rates may differ greatly between organizations due to their particular experiences, the table below
provides some general guidelines that can be used as a reasonableness test to review submitted claims. These rates are
based on experience in developing fringe rates for several state departments, the default rate is that used for the state of
Florida, following Hurricane Andrew (August 1992), and the review of several FEMA claims. The rates presented are
determined using the gross wage method applicable to the personnel hourly rate (PHR) method. The net available hours
method would result in higher rates.
Paid Fringe Benefits
HCA Matching 7.65% (or slightly less)
Retirement--Regular 17.00% (or less)
Retirement--Special Risk 25.00% (or slightly more)
Health Insurance 12.00% (or less)
Life & Disability Insurance 1.00% (or less)
Worker's Compensation 3.00% (or less)
Unemployment Insurance 0.25% (or less)
Leave Fringe Benefits
Accrued Annual Leave 7.00% (or less)
Sick Leave 4.00% (or less)
Administrative Leave 0.50% (or less)
Holiday Leave 4.00% (or less)
Compensatory Leave 2.00% (or less)
Rates outside of these ranges are possible, but should be justified during the validation process.
updated 5/18/05 2cc47036-d979-4505-97de-f59c3e600358.xls, 19
Cost Code Listing
The Cost Codes that are in bold and blue are the most commonly used.
Record COST Unit
Type CODE UOM Price DESCRIPTION
Regional 852 LS STATE MANAGEMENT COSTS
Regional 9001 LS CONTRACT
National 9004 LS RENTED EQUIPMENT
National 9005 LS LABOR, O/T W/O BENEFITS
National 9006 LS LABOR, W/O BENEFITS
Regional 9007 LS $0.00 LABOR
National 9008 LS $0.00 EQUIPMENT
National 9009 LS $0.00 MATERIAL
National 9010 HR $0.00 LABORER REGULAR TIME
LABORER OVERTIME, INCLUDE PUMP AND REAR
National 9011 HR $0.00 SPRAY SYSTEM.
EQUIPMENT OPERATOR REGULAR TIME,
National 9012 HR $0.00 INCLUDE PUMP AND REAR SPRAY SYSTEM.
National 9013 HR $0.00 EQUIPMENT OPERATOR OVERTIME
National 9014 HR $0.00 WORKING FOREMAN REGULAR TIME
National 9015 HR $0.00 WORKING FOREMAN OVERTIME
EXTRA HIRE W/PAYROLL ADDITIVES REGULAR
National 9016 HR $0.00 TIME
National 9017 HR $0.00 EXTRA HIRE W/PAYROLL ADDITIVES OVERTIME
National 9018 HR $0.00 FIREFIGHTERS OVERTIME
National 9019 HR $0.00 POLICE OVERTIME
National 9020 HR $0.00 DISPATCHER OVERTIME
National 9021 HR $0.00 CONTRACT LABOR
Regional 9022 LS RENTED EQUIPMENT
Regional 9031 LS CONTRACTOR FEES
Regional 9032 LS CONSTRUCTION PLAN REVIEW / PERMIT FEES
Regional 9050 LS DONATED RESOURCES
Regional 9995 LS SALES TAX
National 8072 MI $0.41 AUTOMOBILE, POLICE - TO 250 HP
National 8073 HR $11.00 AUTOMOBILE, POLICE - TO 250 HP
National 8075 MI $0.29 MOTORCYCLE, POLICE
National 8120 HR $157.00 BOAT, TOW- TO 870 HP, SIZE: 55'X20'X5'
National 8121 HR $248.00 BOAT, TOW- TO 1050 HP, SIZE: 60'X21'X5'
National 8122 HR $369.00 BOAT, TOW- TO 1350 HP, SIZE: 70'X30'X7.5'
National 8123 HR $559.00 BOAT, TOW- TO 2000 HP, SIZE: 120'X34'X8'
National 8130 HR $0.85 BOAT, ROW, HEAVY DUTY.
National 8131 HR $9.30 BOAT, RUNABOUT- TO 50 HP, SIZE: 13'X5'
National 8132 HR $20.50 BOAT, TENDER- TO 100 HP, SIZE: 14'X7'
National 8133 HR $128.00 BOAT, PUSH- TO 435 HP, SIZE: 45'X21'X6'
National 8134 HR $144.00 BOAT, PUSH- TO 525 HP, SIZE: 54'X21'X6'
National 8135 HR $176.00 BOAT, PUSH- TO 705 HP, SIZE: 58'X24'X7.5'
National 8136 HR $206.00 BOAT, PUSH- TO 870 HP, SIZE: 64'X25'X8'
National 8140 HR $23.00 BOAT, TUG- TO 100 HP, LENGTH: 16 FT
National 8141 HR $35.00 BOAT, TUG- TO 175 HP, LENGTH: 18 FT
National 8142 HR $44.00 BOAT, TUG- TO 250 HP, LENGTH: 26 FT
National 8143 HR $109.00 BOAT, TUG- TO 380 HP, LENGTH: 40 FT
National 8144 HR $153.00 BOAT, TUG- TO 700 HP, LENGTH: 51 FT
National 8250 HR $26.50 DOZER, CRAWLER- TO 65 HP
National 8251 HR $34.00 DOZER, CRAWLER- TO 105 HP
National 8252 HR $46.00 DOZER, CRAWLER- TO 160 HP
National 8253 HR $67.00 DOZER, CRAWLER- TO 245 HP
National 8254 HR $104.00 DOZER, CRAWLER- TO 375 HP
National 8255 HR $171.00 DOZER, CRAWLER- TO 565 HP
28 of 30 11/30/2010
Cost Code Listing
The Cost Codes that are in bold and blue are the most commonly used.
Record COST Unit
Type CODE UOM Price DESCRIPTION
National 8256 HR $298.00 DOZER, CRAWLER- TO 850 HP
National 8260 HR $44.00 DOZER, WHEEL- TO 260 HP
National 8261 HR $52.00 DOZER, WHEEL- TO 335 HP, STEEL
National 8262 HR $66.00 DOZER, WHEEL- TO 445 HP, STEEL
National 8263 HR $96.00 DOZER, WHEEL- TO 615 HP, STEEL
National 8690 HR $44.00 TRUCK, FIRE- PUMP CAPACITY: 1000 GPM, STEEL
National 8691 HR $46.00 TRUCK, FIRE- PUMP CAPACITY: 1250 GPM
TRUCK, FIRE- PUMP CAPACITY: 1500 GPM,
National 8692 HR $59.00 OUTBOARD.
TRUCK, FIRE- PUMP CAPACITY: 2000 GPM,
National 8693 HR $64.00 INBOARD WITH 360 DEGREE DRIVE.
TRUCK, FLATBED- TO 150 HP, MAXIMUM GVW:
National 8700 HR $11.25 15000 LBS, FLAT HULL
TRUCK, FLATBED- TO 180 HP, MAXIMUM GVW:
National 8701 HR $13.75 25000 LBS, FLAT FULL
TRUCK, FLATBED- TO 215 HP, MAXIMUM GVW:
National 8702 HR $17.75 30000 LBS, FLAT HULL
TRUCK, FLATBED- TO 250 HP, MAXIMUM GVW:
National 8703 HR $23.00 45000 LBS, FLAT HULL
TRUCK, FLATBED- TO 300 HP, MAXIMUM GVW:
National 8704 HR $28.00 50000 LBS
National 8705 HR $34.00 TRUCK, FLATBED- TO 375 HP
National 8706 HR $40.00 TRUCK, FLATBED- TO 450 HP
TRUCK, WATER- TO 175 HP, TANK CAPACITY:
National 8780 HR $20.50 2500 GAL
TRUCK, WATER- TO 250 HP, TANK CAPACITY: 4000
National 8781 HR $29.00 GAL
National 8790 HR $22.00 TRUCK, TRACTOR- TO 210 HP
National 8791 HR $28.50 TRUCK, TRACTOR- TO 265 HP
National 8792 HR $32.00 TRUCK, TRACTOR- TO 310 HP
National 8793 HR $35.00 TRUCK, TRACTOR- TO 350 HP
TRUCK, PICKUP- TO 130 HP, WHEN
National 8800 MI $0.33 TRANSPORTING PEOPLE.
National 8801 HR $7.40 TRUCK, PICKUP- TO 130 HP
National 8802 HR $9.30 TRUCK, PICKUP- TO 180 HP
National 8803 HR $11.75 TRUCK, PICKUP- TO 230 HP
National 8804 HR $14.75 TRUCK, PICKUP- TO 280 HP
TRUCK, BUCKET, ADD FLATBED TRUCK TO
National 8810 HR TRUCK MOUNTED AERIAL LIFT.
TRUCK, CLEANING, ADD FLATBED TRUCK TO
National 8811 HR SEWER CLEANER.
TRUCK, KNUCKLE BOOM, ADD FLATBED TRUCK
National 8812 HR TO TRUCK MOUNTED CRANE.
TRUCK, LADDER, ADD FLATBED TRUCK TO
National 8813 HR TRUCK MOUNTED AERIAL LIFT.
TRUCK, LINE, ADD FLATBED TRUCK TO
National 8814 HR HYDRAULIC DIGGER DERRICK.
National 2010 HR $0.00 POLICE OVERTIME
FIRE OVERTIME, Same as Codes 2009 and 2010
National 2011 HR $0.00 except applies to firemen.
29 of 30 11/30/2010
Cost Code Listing
The Cost Codes that are in bold and blue are the most commonly used.
Record COST Unit
Type CODE UOM Price DESCRIPTION
TEMPORARY EMPLOYEES, Those employees hired
specifically to perform duties required by the disaster.
Both regular and overtime is eligible. Should include
National 2012 HR $0.00 very small fringe benefits.
Regional 3001 LS MOBILIZATION
30 of 30 11/30/2010
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