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Attachment B <br />FYO5 Santa Ana UASI Allowable Purchase Pre -Approval Form <br />FY05 UASI Grant # 2005-15, OES # 59-69000 <br />Page 2 of 2 <br />Description Page <br />Provide a detailed description of the item(s), services(s) or training being requested. This <br />description should include a detailed list of the costs associated with the request. <br />This is a formal request for FY05 UASI reimbursement funds allocated to the City of <br />Fountain Valley in an amount not to exceed $19,992. This amount will reimburse training <br />costs including but not limited to tuition, overtime, and backfill for pre -approved Office of <br />Domestic Preparedness approved training for Police, Fire, and City personnel in accordance <br />with the "Agreement for Transfer or Purchase of Equipment/Services or for Reimbursement <br />of Training Costs" and all attachments. <br />The following is a suggested breakdown for Police, Fire, and City personnel training based <br />on a standardized formula: Police $9,996, Fire $5,998, and City $3,998. This division of <br />the total $19,992 allocation is a suggestion only, and can be used by the Police, Fire, and <br />City in any manner agreed upon by the three disciplines and in accordance with the <br />agreement. <br />A meeting with the FY04 training points of contact will be forthcoming, and will outline <br />FY05 training reimbursement protocol. <br />Page 2 <br />