HomeMy WebLinkAboutEquipment GrantEquipment Grant - Coversheet
State Domestic Preparedness Needs Assessment and
Equipment Program
Local Jurisdiction Applicant: City of Seal Beach
Operational Area: Orange County
Applicant Address: 211 8* Street
Seal Beach. CA 90740-6379
Name and telephone number of the person to be contacted on matters involving this application:
Name:"- John B. Bahorski Telephone (562) 431-2527
Applicant Funding Request: $ 4 0Z_i5
I hereby certify that the attached application represents a
component of the Operational Area consensus on terrorism
equipment needs to improve the Operational Area's capability to
respond to terrorism incidents. This jurisdiction agrees to carry
out its responsibilities as defined In the State Domestic
Preparedness Needs Assessment and Equipment Program
Ap cio Wilance.
V - 1) ., City Manager nJune., 2001
Sigga" of Authorized Representative Tide Date
Checklist
X Cover Sheet X Assurances
X Budget _X Certifications (2)
X Budget Detail Worksheet X Signature Authority
X Disclosures
Equipment
BUDGET
How does the Operational Area (orjurisdiction) propose to use the money?
ITEM S ITEM DESCRIPTION QUANTITY UNIT I TOTAL
COST
1 Chem/Bio Response Pack With Respirators 23 $175 $4,025
TOTAL $4,025
Equipment Budget Detail - Worksheet
Page 1 of 1
City of Seal Beach
JURISDICTION
Provide detail on equipment items m be omchased.
Equipment Category: X Personal Protective —Detection
Decontamination Communication
ITEM: Chem/Bio Response Pack With Respirators
Description: Chem/Bio Response Pack With Respirators
Discipline(s)/Quantity: (e.g. PireA) Pobce/23
Procurement Plan: Pro acre as soon as approved.
Unit Cost: sn5 Quantity: za Total Cost: $4,025
Equipment Category: _Personal Protective _ Detection
Decontamination Communication
ITEM:
Description:
Discipline(s)/Quantity: (e.g. Fire/3)
Procurement Plan:
Unit Cost: Quantity: Total Cost: