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FIRE AND RESCUE\West Glens Falls Fire—PERMA Agreement—Approve Receipt of Grant Funds—7-1-2024
RESOLUTION APPROVING PERMA GRANT DISBURSEMENT
AGREEMENT WITH PERMA REGARDING GRANT FUNDING FOR
WEST GLENS FALLS VOLUNTEER FIRE COMPANY, INC.
RESOLUTION NO.: ,2024
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, fire protection services are provided to the Town of Queensbury in part by the
West Glens Falls Volunteer Fire Co., Inc., (Fire Company) in accordance with the 2024 Fire
Protection Services Agreement between the Town and the Fire Company, and
WHEREAS,the Fire Company applied and received approval for$5,000 in grant funds from
the Public Employer Risk Management Association (PERMA)toward the purchase of a gear washer
and as the Fire Company falls under the Town's membership/policy with PERMA, PERMA has
advised that it will need to issue such grant funds to the Town, with the Town then reimbursing the
Fire Company, with such grant disbursement terms to be as set forth in the PERMA Grant
Disbursement Agreement(Agreement)presented at this meeting, and
WHEREAS, the Town Board wishes to authorize the Fire Company's receipt of such grant
funds and the Agreement providing for the reimbursement of grant funds,
NOW, THEREFORE, BE IT
RESOLVED, that the Queensbury Town Board, on behalf of the Town's Fire Protection
District, hereby approves and authorizes the PERMA Grant Disbursement Agreement between the
Town and PERMA as delineated in the preambles of this Resolution and in substantially the form
presented at this meeting, and
BE IT FURTHER,
RESOLVED,that the Town Board authorizes and directs the Town Supervisor and/or Deputy
Town Supervisor to execute such Agreement and the Town Supervisor, Deputy Town Supervisor
and/or Town Budget Officer to take such other and further actions as may be necessary to effectuate
the terms of this Resolution.
Duly adopted this I"day of July, 2024, by the following vote:
AYES
NOES
ABSENT:
PERMAV"
PERMA Grant Disbursement Agreement
The PERMA Board of Directors has set aside grant funding for the purpose of addressing member
specific issues such as but not limited to remediating a hazardous condition, securing safety
equipment beyond the fiscal means of the member or to advance overall workplace safety in an
effort to improve the overall performance of the PERMA pool.
Grantee: (name) Town of Queensbury (W. Glens Falls VFC)
(address) 742 Bay Road
Queensbury, IVY 12804
Coverage/Number identifier: WC 0001390- 1 d
Amount Awarded: $5, 000a 0 0 Coverage Year(s): FY 2024
Purpose of the Award/Eligible Expenses: (attach copy of applicationtagreement):
Flame of Grant Awarded: Fire Mini-Grant
Disbursement of grant funds are contingent on the following:
• Willingness to consider, if offered, a two-year membership agreement.
All purchases and hazard remediation must be preapproved by PERMA.
The grant shall be used solely for eligible expenses as is stated and in accordance with the
terms and conditions of the application/agreement.
• Must comply with a PERMA risk management assessment within one year of the award, if
not already done so within the prior year of the award.
Not currently in arrears on any payment due PERMA.
• Compliant with all terms and conditions of the membership agreement and service plan.
The Grant program is a reimbursement program or a split invoicing agreement, if applicable, the
Grantee must provide PERMA with a copies of all invoiced equipment, vendor proof of payment
for remediation work and/or training (showing the names and titles of the attendees that
participated in the training) for PERMA to reimburse the member the awarded grant amount.
Funding is provided
via an ACH bank transfer that should be established prior to the member incurring any expense.
If the member should terminate Its membership with PERMA after being awarded this grant, the
member agrees to provide PERMA with access to all claim data for a period of no less than five
years to permit PERMA to measure the long-term impacts of the grant award.
PERMA shall not in any event whatsoever be liable for any injury or damage, cost or expense of
any nature whatsoever that occurs as a result of or in any way in connection with awarding of this
grant and the Grantee hereby agrees to indemnify and hold harmless PERMA and their respective
agents, officers, employees and directors (collectively, the "lndemnitees"-) from and ,against any
and all such liability and any other liability for injury or damage, cost or expense resulting from the
payment of the Grant by PERMA to the Grantee in any manner.
Grant Disbursement Authorization and Acknowledgement
All parties agree that the aforementioned criteria have been reviewed and all contingencies have
been met and agreed to.
Member Permanent Rev: (signature)
(printed name)
(email address)
Member Safety C_ocxdinator: (signature)
(printed name)
(email address)
PERMA Member Services: (signature)
(printed name)
(email address)
PERMA Risk Management: (signature)
(printed name)
(email address)
PERMA Underwriter. (signature)
(printed name)
(email address)
PERMA Executive Director: (signature)
(printed name)
(email address)
Date:
updated 0 1.2023