EOPSS-MEMA

C&CB/Planning/Scoping/Building Code/Advance Assistance Statement of Interest (SOI)

Statements of interest are submitted via the MEMA website to determine basic eligibility. No registration is required for the SOI; simply fill out the information in the online form. Statements of Interest can be submitted and are accepted on MEMA’s website for Hazard Mitigation Assistance (HMA) Grants on a rolling basis. See questions in the form for information needed in this statement of interest submission.

Community/Organization Name(Required)

Eligible entities may include: State Agencies, Federally Recognized Tribal organizations, Municipal/Local Governments/Special Districts, and certain PNPs [HMGP only]. Businesses and Individuals must have eligible entity apply on their behalf.

What is the current status of your local Hazard Mitigation Plan (HMP)?(Required)

FEMA Approved

Currently FEMA-approved and in the process of updating

Expired, and currently in the process of updating

Expired

No Plan

I don't know

Title of Capability & Capacity Building/Planning/Scoping Activity(Required)

(Your project name, i.e. Mountain Street Culvert Upgrade - Project Scoping)

Activity Type(Required)

Scope of Work(Required)

What are the expected outcomes and deliverables?(Required)

Identify, if known, a specific neighborhood, environmental justice or other priority population, floodplain/watershed, regional habitat, repetitive loss property, etc. that will benefit from this project.(Required)

(If unknown, please write unknown. See previous intro screen for links to information on EJ populations and FEMA flood map data.)

Additional Project Details

Does this project directly support an infrastructure project? If yes, please describe.(Required)

Is this project a building code activity? If yes, please describe.(Required)

What is the total cost estimate for the project?(Required)

(Rough estimate is acceptable.)

How many months would the project take to complete?(Required)

(Rough estimate is acceptable. Note: typical Period of Performance is up to 36 months; extensions are allowed if requested, justified and approved.)

Please provide anticipated source of non-Federal cost share (typically 25% minimum)(Required)

(Sources may include: cash, in-kind labor and/or equipment/materials (directly related to the project/activity), combination of cash/in-kind, and other non-Federal source such as state grants. Note if source is unknown at this time. ARPA funds cannot be used as match. Identify, as well, any partnerships – either financial or in-kind. Cost share varies depending on the activity type, Centers for Disease Control and Prevention (CDC) Social Vulnerability Index (SVI) score, and individual property’s repetitive loss status. Available cost shares include: 75% federal/25% non-federal, 90%/10%, and 100%/0%. MEMA will help determine the applicable cost share for each project.)

Has the Chief Elected or Appointed Official of Jurisdiction Approved this C&CB/Planning/Advance Assistance application?(Required)

Have you applied for and/or received any funding from another agency/source for the project?(Required)

(If yes, please describe source and when funds are available/when funds expire.)(Required)

Authorized Applicant Representative Information

This section is for the Unique Entity Identification (UEID) and authorized applicant representative information. The following requirements must be met in order for the UEID to be valid and accepted for Federal funding: 1) Sub-applications must be filed in the legal name of the municipality or entity [i.e. Town of ________ ]; 2) The municipality must have a W-9 and Vendor Code with the State that matches the city/town legal name and legal address for place of business [i.e. city or town hall]; 3) The UEID registered name must match the legal name of the municipality; 4) The UEID physical address must match the legal business address of the municipality; 5) The UEID must be an "Active Registration" for the purpose of "Federal Assistance Awards" and must not be expired.

UEID Number(Required)

UEID Number Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Authorized Applicant Representative (Chief Elected or Appointed Official – This is the individual who will be required to sign formal grant application and state contract.)(Required)

First Last

Title (Authorized Applicant Representative)(Required)

Email (Authorized Applicant Representative)(Required)

Phone (Authorized Applicant Representative)(Required)

Statement of Interest Preparer Information

This section is for the statement of interest preparer's contact information.

Applicant Information (Statement of Interest Preparer)(Required)

First Last

Title (Statement of Interest Preparer)(Required)

Email (Statement of Interest Preparer)(Required)

Phone (Statement of Interest Preparer)(Required)

Do you currently have access to FEMA GO?(Required)

(Currently only pertains to BRIC and FMA grants. Note: for L-PDM grants and Swift Current, eGrants may be required by FEMA depending on grant cycle. MEMA will advise.)

Is there any other information you wish to include?(Required)(Required)

(N/A if answer is “no”)

Thank you for your interest in the Hazard Mitigation Assistance (HMA) grant programs.

This statement of interest will be reviewed to determine basic eligibility of your proposal. If you need assistance, please contact a member of the Hazard Mitigation Unit at mitigation@mass.gov.