GOHSEP Elected_Officials_Manual_2015

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Application for Insurance Commissioner’s Certification (ICC) Application for Insurance Commissioner’s Certification (ICC) Applicant Name________________________________________________ FIPS # ______________________ Mailing Address _____________________________________________________________________________ Primary Contact _____________________________________________________________________________ Phone ________________________________________ Email ______________________________________ Organization Type (check below) Local Governmental Elementary and Secondary Education Post-‐Secondary Education Health Care Non-‐Profit Association Non-‐Profit Trust Non-‐Profit Religious 0.33% 0.29% 0.17% 0.26% 2.91% 1.41% 2.61% Applicant Name________________________________________________ FIPS # ______________________ Mailing Address _____________________________________________________________________________ Primary Contact _____________________________________________________________________________ Phone ________________________________________ Email ______________________________________ Organization Type (check below) Local Governmental 0.33% Elementary and Secondary Education 0.29% Post-‐Secondary Education 0.17% Health Care 0.26% Non-‐Profit Association 2.91% Non-‐Profit Trust 1.41% Non-‐Profit Religious 2.61% Disaster(s): Katrina Rita Gustav Ike MS River TS Lee Flooding Peril: Wind Flood Other (Select all that apply) Operating Budget (Please attach documentation.) $_________________ Current Operating Budget OR Last Year’s Audited Financial Statement (Identify portion of Audited Financial Statement representing Operating Budget.) Current Total Insurance Expenditure (Excluding Business Interruption) (NFIP + Property Coverage + Wind + Excess Flood) (Identify specifically where these costs are reflected in the Operating Budget.) Percentage of Budget Expended on Insurance (Divide total insurance expenditure by Operating Budget.) Disaster(s): Katrina Rita Gustav Ike MS River TOTAL INSURED VALUE TS Lee (TIV) Flooding PROPERTY DEDUCTIBLE Peril: Wind Flood Other (Select all that apply) • Property Deductible Percentage [Divide Property deductible by Total Insured Value (TIV).] NAMED WINDSTORM DEDUCTIBLE $_________________ _________________% $_________________ $_________________ _________________% $_________________ • Named Windstorm Deductible Percentage Operating Budget (Please attach documentation.) $_________________ [Divide Named Windstorm deductible by Total Insured Value (TIV).] Current Operating Budget OR Last Year’s Audited Financial Statement (Identify portion of Audited Financial Statement representing Operating Budget.) to learn more about the icc and application process download this gohsep-produced brochure at gohsep.la.gov/publications.aspx. Current Total Insurance Expenditure (Excluding Business Interruption) $_________________ (NFIP + Property Coverage + Wind + Excess Flood) (Identify specifically where these costs are reflected in the Operating Budget.) _________________% Percentage of Budget ICCs certify Expended that on Applicants Insurance for FEMA PA funding have _________________% It is important to know that an ICC does not exempt (Divide total insurance met their expenditure O & M by insurance Operating Budget.) requirements using reduced an Applicant from procuring insurance coverage. TOTAL INSURED coverage VALUE (TIV) when full-coverage requirements are not $_________________ Applicants must still carry insurance to the extent that reasonably available. If the required levels of insurance it is reasonably available. ICCs are disaster-specific. PROPERTY DEDUCTIBLE $_________________ are not obtained and maintained on a previously Should another disaster strike, resulting in a need for • Property damaged Deductible facility, Percentage that facility will receive no FEMA PA _________________% additional Stafford Act assistance, a new application for [Divide Property deductible by Total Insured Value (TIV).] funding in a future event of the same type unless the a certification applicable to that disaster is required. NAMED WINDSTORM Applicant DEDUCTIBLE has both applied for and received an ICC. $_________________ • Named Windstorm Deductible Percentage [Divide Named Windstorm deductible by Total Insured Value (TIV).] _________________% 5.4.1 ICC Page 2 of 3
GOHSEP Louisiana Elected Officials Emergency Management Manual Prepare + Prevent + Respond + Recover + mitigate Important Terms Insurance Commissioner’s Certification (ICC) – Certification that an Applicant for FEMA PA funding has met the O & M insurance requirements using reduced coverage when full-coverage requirements are not reasonably available. Obtain and Maintain (O & M) – Insurance requirement that FEMA PA Applicants must meet to be eligible for FEMA PA funding. Stafford Act: ICC Process – Publication produced by GOHSEP intended to raise awareness regarding the availability of ICCs, what they are, why they are needed and how to apply. Resources state 2010 Letter to the President from the Louisiana Department of Insurance (LDI) Commissioner gohsep.la.gov/publications.aspx ICC application gohsep.la.gov/publications.aspx Stafford Act ICC Process Brochure gohsep.la.gov/publications.aspx Louisiana Department of Insurance (LDI) ldi.louisiana.gov Louisiana Public Assistance (LAPA) LouisianaPA.com federal Stafford Act fema.gov/about/stafact.shtm 5.4.1 ICC Page 3 of 3 Publication Date: April 2, 2013
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Louisiana Elected Officials Emergen
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Table of Contents [4] RESPOND • S
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GOHSEP Louisiana Elected Officials
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Threats + Hazards Identification +
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Resources State Louisiana Departmen
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Best Practices in Emergency Operati
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inventory must be provided to the P
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planning best practices Best practi
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Important Terms managers and for ex
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GOHSEP also offers numerous trainin
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3,000 instruments issued to first r
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Louisiana Wireless Information Netw
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IMPORTANT TERMS Communications Inte
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FEMA Guidance for Purchasing Critic
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important terms WebEOC - WebEOC is
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HOMELAND SECURITY GRANT PROGRAM (HS
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IMPORTANT TERMS State Preparedness
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For disasters declared or Federal g
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Small Purchase Procedures - Relativ
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The SEOC is activated at the discre
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Resources state GOHSEP gohsep.la.go
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REQUEST TO THE STATE FOR SUPPORT Re
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Important Terms Incident Command Sy
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WebEOC is customizable. A Parish or
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Intrastate mutual aid subcommittee
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Resource state The Louisiana Homela
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Page 117 and 118: Overview of Stafford Act Support to
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Page 189 and 190: Plan Updates A local jurisdiction m
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Page 193 and 194: NON-DISASTER ANNUAL HM GRANTS: POST
Page 195 and 196: how to Apply To apply for HMA grant
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EXECUTIVE STAFF Communications Dire
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REGION 3 Assumption John Boudreaux
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Bossier Ian Snellgrove 318-425-5351
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Contact Person Email Phone • Requ
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Contact Person Email Phone »» FEM
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LSA-R.S. 29:721- 739 Page 1 West's
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LSA-R.S. 29:721 - 739 Page 3 storm,
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LSA-R.S. 29:721 - 739 Page 5 (iii)
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LSA-R.S. 29:721 - 739 Page 9 B. The
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LSA-R.S. 29:721 - 739 Page 11 CREDI
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LSA-R.S. 29:721 - 739 Page 13 A. Th
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LSA-R.S. 29:721 - 739 Page 29 resou
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LSA-R.S. 29:721 - 739 Page 43 state
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LSA-R.S. 29:721 - 739 Page 45 CREDI
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LSA-R.S. 29:721 - 739 Page 51 Artic
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LSA-R.S. 29:721 - 739 Page 53 (v) E
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Prepare + Prevent + Respond + Recov
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