plains first responder grant program · i plains stakeholder relations: 866-724-5465 i nyse: paa /...

Supporting First RespondersAt Plains All American Pipeline, L.P., we strive to live by the core values of safety, accountability, ethics and integrity, respect and fairness every day. One of the ways we demonstrate our commitment to these values is to seek out opportunities to be a good neighbor by supporting the local first responder community. Plains offers a First Responder Grant Program aimed at supporting the training and resource needs of responders in U.S. communities where Plains operates.

www.plainsallamerican.com I Plains Stakeholder Relations: 866-724-5465 I NYSE: PAA / PAGP

How It WorksWe encourage first responders in direct proximity of a Plains asset to fill out and submit a brief application to help us understand your organization and how it would use a grant. In order for your grant application to be considered, first responder organizations must:

• Fill out the attached grant application

• Provide a written estimate, quote or other supporting documentation

• Share a W-9 for the organization that includes the employer identification number

•

A signed media permission form (provided)

Grant applications will be reviewed on a quarterly basis with the following deadlines:• March 15, 2018• June 15, 2018• September 15, 2018• December 5, 2018

Incomplete applications will only be held for one year before they are rescinded. It’s anticipated that most grant awards will range from $500 to $5,000, although applications for larger awards may be seleced based on need. An organization is eligible to receive a grant from Plains once every three years.

Plains First Responder Grant Program

Revised Jan 2018


To apply, please complete the Plains First Responder Grant Program Request Form and return to [email protected] or mail to:

First Responder Grant ProgramPlains All American Pipeline, L.P.

ATTN: Crisis Management Services333 Clay St. Ste 1600

Houston, TX 77002

Please direct questions about the grant program to [email protected] or (866) 724-5465

The Plains First Responder Grant Program is not designed to provide support to:• Individuals or families• Ongoing annual funding for an organization• Organizations located in communities where Plains does not have a business presence• Political, labor, fraternal organizations or civic clubs and any organization that distributes

political messages or otherwise attempts to influence legislation• Athletic or sporting event sponsorships unless directly related to supporting community

public safety and emergency preparedness, and for charitable purposes

Selection CriteriaIn determining eligibility for making a charitable donation, Plains considers the following:• Status as a U.S. 501(c)3 organization, such as a volunteer fire

department, or municipal public safety organization, engaged in emergency response activities

• Direct impact or benefit to communities in the United States where Plains has active assets or assets under development

Exceptions may be made at Plains’ sole discretion.

Requests should demonstrate: • A lasting, measurable impact to the community and/or requesting organization • Direct benefit to the safety or preparedness of first responders and the surrounding

community • Priorty will be given to grants that help to ensure first responders are properly

equipped and trained to respond to a pipeline incident


Revised Jan 2018

Plains First Responder Grant Program Request Form (1 of 2)

Legal Entity (Agency) Name:

Date:

Mailing Address:

County:

Contact Person and Title:

Email:

Phone:

Number of people in department: Volunteer: Paid employees:

Number of people in community: Annual department or organization budget:

Average number of responses per year:

Value of grant request:

What will the funds support?



Please return completed forms to [email protected] or mail to:First Responder Grant Program

Plains All American Pipeline, L.P. ATTN: Crisis Management Services

333 Clay St. Ste 1600Houston, TX 77002


Revised Jan 2018

Plains First Responder Grant Program Request Form (2 of 2)

How will the requested grant improve your department’s ability to respond and/or protect life and property?

Timeline for implementation:

Has your organization applied for a Plains First Responder Grant previously? Yes No

If so, when? Did you receive a grant? Yes No

Other relevant details:

Please include a written estimate and other supporting documentation of the requested equipment, material or training.


Please return completed forms to [email protected] or mail to:First Responder Grant Program

Plains All American Pipeline, L.P. ATTN: Crisis Management Services

333 Clay St. Ste 1600Houston, TX 77002


Revised Jan 2018


I, _________________________________ (name), with authority to sign this permission form, and on behalf of __________________________________ (organization) grant Plains All American permission to use the name of my organization and any related image, likeness, voice and/or appearance as such that may be embodied in any pictures, photos, video recordings, audiotapes, digital images and the like taken or made on behalf of the Plains All American First Responder Grant Program. I understand that images may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product. Additionally, I waive any right my organization may have to royalties or other compensation arising or related to the use of an image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

Photographic, audio or video recordings may be used for the following purposes: • promotional materials • conference presentations • external handouts • informational presentations • educational videos

By signing this release I understand this permission signifies that photographic or video recordings may be electronically displayed via the Internet or in a public educational setting.

I will be consulted about the use of photographs or video recording for any purpose other than those listed above.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected as part of the Plains All American First Responder Grant Program only.

By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.

Full name ______________________________________________________________________________

Organization ____________________________________________________________________________

On behalf of_____________________________(name) ______________________________________ (title)

Mailing Address ____________________________________________________________________

City ____________________________________ State ________Zip __________ County________________

Phone __________________________________

Email Address ____________________________________________________________________________

Signature ______________________________________ Date ______________________



plains first responder grant program · i plains stakeholder relations: 866-724-5465 i nyse: paa /...

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