WELCOME TO THE NEW YORK STATE EMERGENCY MANAGEMENT OFFICE HELP PAGE FOR USERS OF "PROJECT WORKSHEET MANAGER"

FEMA - 19XX -NY

THIS FILE IS A TEMPLATE, YOU SHOULD SAVE AS A DIFFERENT NAME BEFORE ENTERING ANY DATA INTRODUCTION:
Please bring a copy of this Spread Sheet on Floppy or CD when meeting with SEMO and FEMA. This program is designed to facilitate the documentation requirements of the Federal Emergency Management Agency Public Assistance Program. The spreadsheets found here will help document costs expended by your municipality or Private non Profit as a result of a presidential declared disaster. The "Applicants Hand Book" given to you at an applicants briefing should be your guide to eligibility and documentation. This program will simply provide administrative assistance of recording costs. A general guideline of how to use this program can be found immediately below: A) Complete a Project Worksheet for each site or project. If you think in terms of "work complete" and "work to be done, or estimated" it will help keep things clear. The Benefits, Labor, Equipment, Contract, Material, and Rented Equipment sheet should be utilized to document "WORK COMPLETE". When estimating "work to be done", one can utilize the "Estimator" sheet. This sheet uses FEMA cost codes to value a wide range of scopes of work. This sheet can also receive user input for unusual or local cost variations. (for details, click hyperlink at right) There may be sites or projects where you will have both work complete and work to be done. Detail the actual work complete, estimate the work to be done, and include on the site detail sheet, with supporting sheets attached. B) Summarize all Project Worksheet on one (or more if required) "All site summary sheet".
C) Generally one may enter data only when a cell is colored green. Many cells are "locked" to protect the formulas and print formats. NOTE: When all documentation is complete one should have the following: 1Summary sheet which summarizes all Project Worksheets. The labor, equip, material, and estimator sheets should "back up" the Project Worksheet.

Estimator

HYPERLINKS TO PROGRAM TIPS

DATA SUMMARY PROJECT WORKSHEET BENEFIT LABOR EQUIPMENT CONTRACT MATERIALS RENTED EQUIPMENT ESTIMATOR

GENERAL EXCEL PROGRAM TIPS:

Words or phrases with colored fonts on this help sheet are hyperlinks, if clicked on with mouse, you will be "hyperlinked" to an example of what is being described on this help sheet. Once clicked, a "web toolbar" will appear on your screen, directly below your existing toolbar. Use of the blue back arrow will return you to this page again.

The tabs on the bottom of your screen, (help, benefits, labor, etc.) name the different sheets in this program. Clicking on them with a mouse will turn their color white and allow viewing and data entry into the activated sheet. Holding the control key depressed and clicking on multiple sheet tabs will activate all sheets selected. This is very useful for printing, say, five sheets at the same time. WARNING: When more than one sheet is activated at the same time, all commands will affect all open sheets. Activating all the labor sheets and entering employees names, titles, and pay rates would be another excellent use of this command. After you have entered that data, you simply click on any other sheet to deactivate the "group" of sheets. Now each labor sheet can be worked on individually, enter dates and hours worked, without having to reenter names and pay again. You may also copy and paste throughout the workbook as you would with a word processor. However, many cells are "protected" and may not be altered by a user. This is done to protect formulas. Generally, if the cell is colored green, you may enter data. If it is any other color, you may not enter data. If you have several projects that you wish to create files for, simply save this program with another name. Several cells will have a red triangle located in the upper right hand corner of the cell. Holding the mouse indicator over a cell with a red triangle will give "comments" to assist the user in what type of data to enter.

LABOR SHEET

COMMENT CELLS

DATA SHEET TIPS:

DATA SHEET TIPS:

Enter respective data in all prompted fields. This sheet will "send" all general data such as applicant name and location to the headings of all sheets in this program, eliminating repetitive data entry.

BENEFIT SHEET TIPS:

This sheets importance should not be under estimated. When providing force account documentation to FEMA, different percentage rates are allowed for straight time labor costs and overtime labor costs. This sheet will detail your costs associated with respective labor hours.

You will be prompted by comment boxes to enter data primarily on the left hand side of the sheet. The first entry required is the total amount of payroll in dollars.

1) Payroll Dollars Enter the amount of TOTAL payroll for the department you are trying to calculate benefits for. Example: Highway Department -- enter all wages paid for last fiscal year including the highway superintendent, excluding taxes, insurance or any other contribution, just payroll dollars. 2) Holidays, Vacation Leave and Sick Leave Enter in the respective cells, the total hours per year of paid holidays, vacation and sick time per employee.(this total represents a single employee!!! not the total department!!) Note: An average will suffice, you are not required to complete this sheet for every employee due to varying benefit levels. Example: Six employees receive five days each for holidays, vacation, and sick time per year. Therefore: 5 days times 8 hours per day = 40 hours a year for holidays 40 hours a year for vacation 40 hours a year for sick time

PAYROLL DOLLARS

Holidays, Vacation and Sick time

3) Social Security and Medicare These are known percentages and no data entry is required.

4) Unemployment, Workers Compensation, Retirement, Health Benefits and Life Insurance. Enter into the respective cells TOTAL dollar contributions for the ENTIRE department for the same fiscal year used to calculate payroll costs. NOTE: If you are self insured for any of these categories and you have no costs ----Enter "0"

5) Confirm that excel entered the results of this sheet into cell F35 and F36 on the "LABOR" sheet. Once you have completed the benefit sheet, you may then make several copies of the labor sheet as required and the program will copy the benefit rate on those sheets.

Unemployment Workers comp Retirement Health benefits Life Insurance

Result should go here automaticly

LABOR SHEET TIPS:

1) Begin by entering applicant name, scope of work, disaster number etc. on the DATA sheet.(this will "send" all general info where appropriate throughout this program) 2) Enter employees names and titles. 3) Enter regular time pay rates, (excel will compute the overtime rates automatically at 1.5 times the regular pay rate) 4) Enter the dates of work. 5) Enter the number of hours worked for each date for each employee. Remember to document regular and overtime regardless of eligibility as regular time hours also justify equipment usage and must be shown. 6) Don't forget to enter check that the correct fringe benefit percentage that was calculated on the "BENEFITS" work sheet has been applied by excel. Once entered, it will apply correct rates to regular and overtime totals respectively for all data on that labor sheet.

Heading information

Employee names Pay rates

Dates of work

Hours worked each day

Fringe percentage

SUGGESTION: ENTER ALL HEADER, EMPLOYEE NAME AND TITLE, PAY RATES, BENEFIT PERCENTAGE, CERTIFYING TITLE, AND DATE. THEN COPY THE SHEET SEVERAL TIMES TO PROVIDE NEW SHEETS WITH ALL THE BASIC INFO ALREADY IN-PLACE. THEN ALL ONE HAS TO DO IS ENTER DATES AND HOURS WORKED. TO DO THIS, FIRST ENTER THE GENERAL DATA ON THE "DATA" SHEET, THEN WHILE HOLDING THE CONTROL KEY DEPRESSED, CLICK ON THE LABOR SHEET AND DRAG IT TO THE RIGHT, WHEN YOU RELEASE THE MOUSE AND CONTROL KEY, A NEW SHEET WILL BE CREATED NAMED "LABOR (2)". REPEAT THESE STEPS AS REQUIRED. IF FURTHER HELP IS REQUIRED FOR THIS COMMAND USE EXCEL HELP AND TYPE IN THE QUESTION "HOW DO I COPY SHEETS?".

NOTE: THERE ARE TWO LABOR SHEETS, ONE COMPUTES STRAIGHT AND OVERTIME (time and a half), ONE COMPUTES STAIGHT AND DOUBLE TIME. Use the appropriate sheet!!!

NOTE: A new equipment sheet has been added, (another one, in addition to the one described on the left). It is titled "EQUIP-MANUAL ENTRY".

(another one, in addition to the one described on the left). It is titled "EQUIP-MANUAL ENTRY".

EQUIPMENT SHEET TIPS:

1) Enter general information on DATA sheet. 2) Enter a description of the equipment used. Be specific, include year, make and model, and horse power rating, or capacity.
Examples:

Its purpose is to allow the user to enter plow and sander rates not found in the cost code listing. Describe your plows etc., use cost code 9999 and then enter an amount in the rate fields.

Describe equipment

1995 Ford E350 Dump Truck/2 CY Honda generator/200 Watt 1978 Ford Backhoe/.75 CY loader bucket

3) Enter the FEMA four digit cost code from your Applicant Briefing Book which corresponds closest to the equipment referenced.

Cost code entry

Note: If you are looking for the rate of a 6 CY dump truck and you find in the FEMA cost code listing a 4 CY truck and an 8 CY truck, use the rate for the 8 CY truck. This logic can be applied for all equipment listings. 4) Once a correct FEMA four digit cost code is entered the value will automatically appear in the RATE column. NOTE: If you enter an incorrect code, the corresponding Rate cell for that entry will return "#N/A". If this happens, check your four digit code for accuracy. 5) Enter the dates and hours that the equipment was operated. Remember that "stand by time" is not eligible, and that you can never have more equipment time than labor hours.

Rate cell is automatically computed from the cost code entry

MATERIAL SHEET TIPS:

Data entry on this sheet is very straight forward. Give complete descriptions of what each material is. If you are providing a long receipt for food, for example, simply enter 1 for the unit price, and the total of the receipt in the quantity column. It is not necessary to detail every item on a receipt such as that. More complex materials however, should be detailed. Items like crusher run, bank run gravel and other road construction materials should be itemized.

Material sheet

CONTRACT SHEET TIPS:

This sheet is very straight forward. Again, be complete in the "description of activity" cell. Describe in detail what type of work was completed.

Contract Sheet

SUMMARY SHEET TIPS:

This sheet is designed to summarize ALL your damage sites. This information will assist the FEMA team in coordinating the proper personnel to assist with your claim.

1) List all sites by category.

Categories: A = Debris B = Emergency measures C = Roads and bridges D = Water control facilities E = Buildings and equipment F = Utilities G = Other facilities, including parks

Summary Sheet

2) Assign site numbers to each site or project.

3) Give a brief description of the damages.

4) Record your damage estimate in dollars. 5) Identify any special considerations. 6) Add any comments about the projects. 7) Answer the two questions on the bottom of the sheet about other sites or projects not included on this sheet.

ESTIMATOR TIPS:

1) Enter a detailed scope of work where prompted.

2) Enter the appropriate FEMA four digit cost code found in the applicants hand book.

NOTE: The worksheet will "lookup" the material description, unit cost and unit of measure for the item you enter and fill in the appropriate cells. If a cell returns a "#N/A" , you have entered an unknown cost code. Check your code and reenter. 3) Quantify the item by entering appropriate dimensions in the length width and depth cells. NOTE: If the unit for a cost code is Cubic Yards, one would need to enter a dimension for length width and depth. If the unit is Lineal Feet, one would only have to enter data in the length cell. If the unit is square feet, one would have to enter data in the length and the width cell, and so on. 4) Enter "1" in the Quantity cell. NOTE: If you are estimating guide rail, for example, you may have two areas that require repair. They may have identical lengths, this is an instance when one could enter "2" in this cell and complete the calculations for two areas of work with one line item on the sheet. 7) If one requires a cost code which is not found in the FEMA cost codes, a basis sheet could be completed documenting the method of estimating. Then one could enter this item into the sheet using cost code "9999", = "item specific to this site or project, see detail attached". The default unit cost is one dollar. Enter a lump sum amount in the "quantity or factor" cell. Don't forget to attach a sheet showing your methodology and calculations for arriving at the value.

PROJECT WORKSHEET TIPS:

PROJECT WORKSHEET TIPS:

Project small area This sheet is designed to detail location, damage, and costs of any ONE site. The site may be a Worksheet of a single road, or it may be a large area such as debris removal for an entire road system in a town.
One may have many sites, or projects, or one may have only one (1) project. When one has completed site detail sheets for all sites, one would then summarize the data onto a Summary Sheet.

1) Location information should be specific! Example: .8 miles south of Main Street junction on Maple Avenue. (Enter longitude and latitude if known) 2) Estimate amount of work that has been completed as of the date you are filling out this form. Example: 12/12/99 = 50%

3) Describe the damage. Example: Flood waters overtopped the culvert and road resulting in outlet side of culvert embankment failures.

4) Describe the scope of work required to restore the facility to its pre-disaster condition. Example: Replace lost embankment.

5) Answer the four questions with a "Y" for yes or a "N" for no. 6) Itemize the costs you have expended so far, and estimate the costs for the remaining scope of work not yet completed. The project cost area of this sheet works like the Estimator sheet found elsewhere in this program. One substantial difference is that it will not compute quantities. Enter quantities from your own calculations or have the Estimator sheet do it for you, then transfer the results to this sheet.
Remember, enter data in the green areas only. Once one has totals for labor, equipment, and so on, (work complete) and estimates of work to be done; enter all line items on the project worksheet.

FEMA FOUR DIGIT COST CODES FOR FORCE ACCOUNT ARE AS FOLLOWS: LABOR 9007 EQUIPMENT 9008 MATERIALS 9009 CONTRACT 9003 RENTED EQUIP 9004 ENTER THESE CODES ON THE PROJECT WORKSHEET AND THEIR DESCRIPTIONS WILL "POP UP".

Estimator sheet

RENTED EQUIPMENT SHEET TIPS:

This sheet will allow one to document costs for rented equipment with or without an operator. The sheet is self explanatory. Be sure to give complete information regarding the "type of equipment". There are instances when one may consider equipment use that is not owned by the applicant, a contract instead of rented equipment. Example: If a company was hired to perform work without supervision, or very little supervision, and the company provided their own operators, one could claim that cost as a contractor.

Rented Equipment Sheet

FREQUENTLY ASKED QUESTIONS

How do I determine the benefit rate for employees? Use the Benefit sheet tab found in this program, detailed instructions can be found on the HELP sheet.

Why do I have to detail straight and overtime labor hours if straight time is not eligible for temporary work? Because equipment use is eligible for all work, temporary and permanent.

Who is eligible to receive the volunteer labor credit? The eligible applicant who benefited from the labor.

How is volunteer labor valued? Generally, the applicants applicable pay rates should be used for inkind job descriptions, i.e.: volunteers performing laborer duties would be valued at the highway departments laborer scale, volunteers performing heavy equipment duties should be valued at the highway departments HEO rate, etc.

How is the volunteer labor credit applied in "real dollars"? The applicants' category A and B damage survey reports are reviewed, and totaled collectively. The volunteer labor credit is applied to the non-federal share. Therefore, the volunteer labor credit damage survey report may have a total of $10,000 for example, but if the non-federal share when totaled only equals $5,000 then the applicant will only receive $5,000

DATA ENTRY SHEET

APPLICANT NAME COUNTY DAMAGED FACILITY PROJECT NUMBER FEMA DECLARATION NUMBER 19XX CATEGORY LOCATION SCOPE OF WORK APPLICANTS REPRESENTATIVE APPLICANTS REPRESENTATIVE TITLE TELEPHONE NUMBER DATE FIPS NUMBER/(applicant identification number)

FEDERAL EMERGENCY MANAGEMENT AGENCY

SPECIAL CONSIDERATIONS QUESTIONS

1, APPLICANT'S NAME 2. FIPS NUMBER 3. DATE

0
4. PROJECT NUMBER

0
5. LOCATION

1/0/1900 FEMA 19XX

Form must be filled outfor 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 more, 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, NOV 98

FEDERAL EMERGENCY MANAGEMENT AGENCY

O.M.B. No. 3067-0151 Expires April 30, 2001

PROJECT WORKSHEET
PAPERWORK BURDEN DISCLOSURE NOTICE

Public reporting burden for this form is estimated to average 30 minutes. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the forms. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right comer of the forms. 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). NOTE: Do not send your completed form to this address. DECLARATION NO. FEMA- 19XX DAMAGED FACILITY 0 APPLICANT 0 LOCATION 0 DAMAGE DESCRIPTION AND DIMENSIONS COUNTY 0 LATITUDE LONGITUDE -NY PROJECT NO. 0 FIPS NO. 0 DATE 1/0/1900 WORK COMPLETE AS OF: : % CATEGORY 0

SCOPE OF WORK

Does the scope of work change the pre-disaster conditions at the site? Special Considerations issues included? Hazard Mitigation proposal included? Is there insurance coverage on this facility?

ITEM CODE
9007 9008 9009 9003 9004

DESCRIPTION
LABOR EQUIPMENT MATERIAL CONTRACT COSTS RENTED EQUIPMENT <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES

PROJECT COST UNIT QUANTITY

LS LS LS LS LS $ $ $ $ $

UNIT PRICE
-

COST

TOTAL COST

$0.00

PREPARED BY:
0
FEMA Form 90-91, SEP 98

TITLE: 0

REPLACES ALL PREVIOUS EDITIONS.

FORCE ACCOUNT CONTRACTS

LOCATION OF WORK: 0 SCOPE OF WORK: 0

FOR

0 CATEGORY 0 PROJECT NO. 0

(applicant) FEMA 19XX

VENDOR

DESCRIPTION OF ACTIVITY

CONTRACT NUMBER

PERIOD OF CONTRACT

CONTRACT COST

CHECK NUMBER

TOTAL
I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

CERTIFIED BY
0

TITLE 0

DATE 1/0/1900

FEDERAL EMERGENCY MANAGEMENT AGENCY

APPLICANT'S BENEFITS CALCULATION WORKSHEET

APPLICANT: DISASTER NUMBER: P.A. ID: PROJECT NUMBER: 0 19XX 0 0

TOTAL PAYROLL IN DOLLARS

DOLLARS & HOURS Holidays Vacation Leave Sick Leave * Social Security * Medicare * Umemployment * Worker's Comp ** Retirement Health Benefits Life Insurance Benefits / total payroll = / total payroll = / total payroll = / total payroll = / total payroll = / 2080 = / 2080 = / 2080 =

REGULAR TIME % 0.00% 0.00% 0.00% 6.20% 1.45% * * * * **

OVERTIME %

6.20% 1.45%

Total (in % of annual salary)

7.65%

7.65%

(FIGURES IN YELLOW AUTOMATICLY "GO" TO THE FORCE ACCOUNT LABOR SHEETS)

I CERTIFY THAT THE INFORMATION ABOVE WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER DOCUMENTS WHICH ARE AVAILABLE FOR AUDIT. CERTIFIED:
0

TITLE: 0 DATE: 1/0/1900

* Only categories for overtime fringe benefits. ** Only when supported by employee contract

FORCE ACCOUNT EQUIPMENT

LOCATION OF WORK: 0 SCOPE OF WORK: 0 TYPE OF EQUIPMENT
CAPACITY & HP AS APPROPRIATE

FOR 0

(applicant) CATEGORY
0 0

FEMA

1827

PROJECT NO. FEMA CODE DATE AND HOURS WORKED

TOTAL HOURS

HOURLY RATE

TOTAL COST

TOTAL HOURS I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

TOTAL COST

CERTIFIED BY
0

TITLE 0

DATE

1/0/1900

FORCE ACCOUNT EQUIPMENT #2

LOCATION OF WORK: 0 SCOPE OF WORK: 0 TYPE OF EQUIPMENT
CAPACITY & HP AS APPROPRIATE

FOR 0

(applicant) CATEGORY
0 0

FEMA

19XX

PROJECT NO. FEMA CODE DATE AND HOURS WORKED

TOTAL HOURS

HOURLY RATE

TOTAL COST

TOTAL HOURS I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

TOTAL COST

CERTIFIED BY
0

TITLE 0

DATE

1/0/1900

FORCE ACCOUNT EQUIPMENT #3

LOCATION OF WORK: 0 SCOPE OF WORK: 0 TYPE OF EQUIPMENT
CAPACITY & HP AS APPROPRIATE

FOR 0

(applicant) CATEGORY
0 0

FEMA

19XX

PROJECT NO. FEMA CODE DATE AND HOURS WORKED

TOTAL HOURS

HOURLY RATE

TOTAL COST

TOTAL HOURS I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

TOTAL COST

CERTIFIED BY
0

TITLE 0

DATE

1/0/1900

FORCE ACCOUNT LABOR RECORD

LOCATION OF WORK: SCOPE OF WORK: EMPLOYEE NAME AND JOB DESCRIPTION
0 0

FOR 0

(APPLICANT)

CATEGORY PROJECT NO. DATE AND HOURS WORKED EACH DAY

0 0

FEMA

19XX

DATE REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T REGULAR O/T
X FRINGE RATE OF X FRINGE RATE OF 7.65% = 7.65% = $ $ TOTAL HOURS

TOTAL HOURS $ $ $ $ $ $ $ $ $ $ $ $

HOURLY RATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

TOTAL PAY 01/00/00

REG PAY O/T PAY

$ $

TOTAL REG TOTAL O/T TOTAL ALL REG FRINGE

TOTAL OT (ONLY) WITH FRINGE

O/T FRINGE TOTAL LABOR WITH FRINGES

CERTIFIED BY
0

TITLE

DATE

I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

FORCE ACCOUNT LABOR RECORD

LOCATION OF WORK: SCOPE OF WORK: EMPLOYEE NAME AND JOB DESCRIPTION
0 0

FOR 0

(APPLICANT)

CATEGORY PROJECT NO. DATE AND HOURS WORKED EACH DAY

0 0

FEMA

19XX

DATE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE REGULAR DOUBLE
X FRINGE RATE OF X FRINGE RATE OF 7.65% = 7.65% = $ $ TOTAL HOURS

TOTAL HOURS $ $ $ $ $ $ $ $ $ $ $ $

HOURLY RATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

TOTAL PAY 01/00/00

REG PAY

TOTAL REG TOTAL DOUBLE TOTAL ALL REG FRINGE

DOUBLE PAY $

DOUBLE TIME (ONLY) WITH FRINGE

COWBELL FRINGE

TOTAL LABOR WITH FRINGES

CERTIFIED BY
0

TITLE

DATE

I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

FORCE ACCOUNT EQUIPMENT

LOCATION OF WORK: 0 SCOPE OF WORK: 0 TYPE OF EQUIPMENT
CAPACITY & HP AS APPROPRIATE

FOR 0

(applicant) CATEGORY
0 0

FEMA

19XX

PROJECT NO. FEMA CODE DATE AND HOURS WORKED

TOTAL HOURS

HOURLY RATE

TOTAL COST

TOTAL HOURS I CERTIFY THAT THE DATA PROVIDED HERE WAS TRANSCRIBED FROM DOCUMENTS AND RECORDS AVAILABLE FOR AUDIT.

TOTAL COST

CERTIFIED BY
0

TITLE 0

DATE

1/0/1900

FORCE ACCOUNT MATERIALS

LOCATION OF WORK: SCOPE OF WORK: VENDOR
0 0

FOR 0

(applicant)
0 0

CATEGORY PROJECT NO. QUANTITY UNIT PRICE TOTAL COST DATE CHECK BOUGHT NUMBER

FEMA

19XX

DESCRIPTION

DATE USED

SOURCE OF DATA INVOICE STOCK

TOTAL COST

I certify that the above information was transcribed from daily logs,vendor invoices, stock cards, or other documents which are available for audit. CERTIFIED BY
0

TITLE

DATE

1/0/1900

FORCE ACCOUNT MATERIALS #2

LOCATION OF WORK: SCOPE OF WORK: VENDOR
0 0

FOR 0

(applicant)
0 0

CATEGORY PROJECT NO. QUANTITY UNIT PRICE TOTAL COST DATE CHECK BOUGHT NUMBER

FEMA

19XX

DESCRIPTION

DATE USED

SOURCE OF DATA INVOICE STOCK

TOTAL COST

I certify that the above information was transcribed from daily logs,vendor invoices, stock cards, or other documents which are available for audit. CERTIFIED BY
0

TITLE

DATE

1/0/1900

RENTED EQUIPMENT RECORD

LOCATION OF WORK: 0 SCOPE OF WORK: 0 Rate p/hour Type of Equipment
make, model, size, capacity, HP

FOR 0

(applicant)

CATEGORY PROJECT NO.

0 0

FEMA

19XX

Date & hours used

w/operator

wo/operator

Total Cost

Vendor

Invoice Number

Date paid

Check Number

Total Cost

Certified By:

Title:
0

Date:
1/0/1900

0 I certify that the above information was transcribed from daily logs, vendor invoices, or other documents which are available for audit.

APPLICANT

PROJECT OR SITE NO.

PAGE OF

CALCULATIONS OF WORK TO BE DONE

FEMA SCOPE OF WORK DETAILED ON THIS ESTIMATE SHEET: 19XX

M O NU R S M ITE BE R

EA S

CO DE

NT IT Y

LE NG TH

CO ST

(F T

(F T

OF

DESCRIPTION

ID TH

<- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES

USER USER USER USER

MAY INPUT MAY INPUT MAY INPUT MAY INPUT

OWN DATA HERE OWN DATA HERE OWN DATA HERE OWN DATA HERE GRAND TOTAL: $ -

TO TA

DE PT

UN IT

UN IT

QU A

FE M

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CO ST

(F T)

Federal Emergency Management Agency

HAZARD MITIGATION PROPOSAL (HMP)
APPLICANT

19XX
CATEGORY DATE

PROJECT NUMBER

0
SCOPE OF MITIGATION WORK:

1/0/1900

ESTIMATE OF WORK FEMA COST CODE

MATERIAL AND/OR DESCRIPTION <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES

QUANTITY

UNITS

UNIT PRICE

COST

NET TOTAL COST--------> (IN ADDITION TO PROJECT WORKSHEET TOTAL)

PREPARED BY:
0

TITLE:

FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET Photo Sheet DECLARATION NO. FEMAAPPLICANT PROJECT NO. FIPS NO. DATE

O.M.B. No. 3067-0151 Expires April 30, 2001

19XX

-NY

0
COUNTY

0 0

1/0/1900

FEMA Form 90-91D, SEP 98

67-0151

30, 2001 CATEGORY

FEDERAL EMERGENCY MANAGEMENT AGENCY

APPLICANT SUBMITTAL FORM SUMMARY (ALL SITES)

APPLICANT

DATE TELEPHONE NUMBER

APPLICANTS REPRESENTATIVE0

1/0/1900 0

FEMA 19XX

SITE CAT. NO.

BRIEF DESCRIPTION OF DAMAGE

SPECIAL ESTIMATED COST CONSIDERATION

TOTAL THIS PAGE: $ TOTAL OF ATTACHED PAGES: GRAND TOTAL OF THIS SUBMITTAL $
COMMENTS

TOTAL SITES WITH CONSIDERATIONS

ADDITIONAL DAMAGE SITES REMAIN TO BE ESTIMATED? ALL KNOWN DAMAGE SITES HAVE BEEN ESTIMATED AND THE INFORMATION FORWARDED TO THE FIELD COORDINATOR?
SIGNATURE OF AUTHORIZED REPRESENTATIVE

DATE:

1/0/1900
0

7150 7160 7170 7180 7190 7200 7210 7220

DOCK WOOD PILE SUPPORT (2" DECK) DOCK FLOATING (PREFAB) SOD REPLACEMENT POSTS GUARD (4" WOOD) REPLACEMENT PUMP OUT TOILET VAULTS SIGNS WOOD (PAINTED LETTERS) SIGNS WOOD (ROUTERED LETTERS) STONE DUST (FOR BASEBALL DIAMONDS)

SF SF SY EA EA SF SF CY

31.00 15.40 5.85 4.80 100.00 21.00 31.00 22.00