Agenda 06/23/2015 Item #16J16/23/2015 16.J.1.
EXECUTIVE SUMMARY
Recommendation that the Board of County Commissioners provide after the fact approval
for the Sheriffs Office FY 2016 -2019 COPS Hiring Program grant.
OBJECTIVE: To request after the fact approval from the Board of County Commissioners to
accept the FY 2016 -2019 grant application under the COPS Hiring Program.
CONSIDERATION: The COPS Hiring Program provides federal funding to hire entry -level law
enforcement officers or rehire deputies who have been laid off or scheduled for lay -off as a result
of budget cuts.
There have been some modifications to the COPS Hiring guidelines including the eligibility
requirement that stated that all local, state, and tribal law enforcement agencies that have
primarily law enforcement authority were eligible to apply. CCSO applied for the grant to add
four entry -level school law enforcement officers.
FISCAL IMPACT: The COPS Hiring application requested the following funding:
Federal funding FY2016- FY2019: $500,000
Local match required FY16 -FY19: $390,733
TOTAL grant: $890,733
The 25% local match will come from Crime Prevention Funds, Confiscated Trust Funds, or other
CCSO funding sources. The CCSO will need to provide 100% of the salaries and benefits for
the four law enforcement positions for a minimum of 12- months in FY20.
GROWTH MANAGEMENT: None
LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the funds
if the grant is approved. Accordingly, this Office has no issue with respect to the legality of this
request, which is appropriate for Board action and requires a majority vote for Board action. —
JAB
RECOMMENDATION: To request after the fact approval from the Board of County
Commissioners to accept the grant application under the COPS Hiring Program
PREPARED BY: Andrea Marsh, Finance Director
APPROVED BY: Kevin Rambosk, Sheriff
DATE: Tune 10, 2015
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.1611611.
Item Summary: Recommendation that the Board of County Commissioners provide after
the fact approval for the Sheriff's Office FY 2016 -2016 COPS Hiring Program grant.
Meeting Date: 6/23/2015
Prepared By
Approved By
Name: KlatzkowJeff
Title: County Attorney,
Date: 6/16/2015 9:36:32 PM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
Date: 6/17/2015 10:30:09 AM
Name: StanleyTherese
Title: Manager - Grants Compliance, Grants Management Office
Date: 6/17/2015 11:10:22 AM
Name: OchsLeo
Title: County Manager, County Managers Office
Date: 6/17/2015 11:35:36 AM
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6/23/2015 16.J.1.
FLO1100
Collier County Sheriff's Department
COP49
COMMUNITY ORIENTED POLICING SERVICES
U.S. DEPARTMENT OF JUSTICE
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Federal assistance is being requested under the following COPS program:
Verify the COPS grant program for which you are requesting federal assistance. A separate application must be completed for each
COPS program for which you are applying. Please ensure that you read, understand, and agree to comply with the applicable grant
�ls and conditions as outlined in the COPS Application Guide before finalizing your selection.
e program you have selected is: COPS Hiring Program
SECTION 2: AGENCY ELIGIBILITY INFORMATION
A. Type of Agency (select one)
Law Enforcement
Non -Law Enforcement
From the list below, please select the type of agency which best describes the applicant.
Law Enforcement Entities
Sheriff
2A. CHP Eligibility Questions
In this section, we will ask you several questions about your law enforcement agency operations and authority to determine your
eligibility to apply for a COPS Hiring Program (CHP) grant. Please note that CHP applicants must have a police department which is
operational as of June 19, 2015, or receive services through a new or existing contract for law enforcement services. Applicants
must also maintain primary law enforcement authority for the population to be served.
Additionally, if funds under this program are to be used as part of a written contracting arrangement for law enforcement services
(e.g., a town which contracts with a neighboring sheriff's department to receive services), the government agency wishing to receive
law enforcement services must be the legal applicant in this application (although we will ask you to supply some information about
the contract service provider later).
Part I. Law Enforcement Agency Operations
A law enforcement agency is established and operational if the jurisdiction has passed authorizing legislation and it has a current
operating budget.
Is your agency established and currently operational?
Part II. Contracting to Receive Law Enforcement Services
Q1) If awarded, does your agency plan to use funds awarded under this grant to establish or supplement a written contract for law
enforcement services (e.g., a town contracting for services with a nearby sheriffs department)?
nj
Part lll. Law Enforcement Agency Authority
An agency with primary law enforcement authority is defined as the first responder to calls for service for all types of criminal
incidents within its jurisdiction. Agencies are not considered to have primary law enforcement authority if they on!_y: respond to or
investigate specific type(s) of crime(s)' respond to or investigate crimes within a correctional institution; serve warrants; provide
courthouse security; transport prisoners; and /or have cases referred to them for investigation or investigational support.
Q1) Based on the definition above, does your agency have primary law enforcement authority? [Or, if contracting to receive
services, does the agency that will be providing law enforcement services have primary law enforcement authority for the population
to be served ?]
Q2) Is your agency the first responder to all types of criminal incidents within your jurisdiction?
03) Agencies with jurisdiction limited only to correctional institutes and /or courthouse settings are not eligible under this program. Is
your agency the first responder to citizen - initiated calls for service outside of a correctional institute and /or courthouse setting?
yes
7CTION 3: GENERAL AGENCY INFORMATION
A. Applicant ORI Number FLO1100
The ORI number is assigned by the FBI and is your agency's unique identifier. The COPS Office uses the first seven characters of
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this number. The first two letters are your state abbreviation, the next three numbers are your county's code, a „u L „C „VA< ivvv
numbers identify your jurisdiction within your county. If you do not currently have an ORI number, the COPS Office will assign one
to your agency for the purpose of tracking your grant. ORl numbers assigned to agencies by the COPS Office may end in "ZZ.”
B. Applicant Data Universal Numbering System (DUNS) Number:
A Data Universal Numbering System (DUNS) number is required prior to submitting this application. A DUNS number is a unique
nine or thirteen digit sequence recognized as the universal standard for identifying and keeping track of entities receiving federal
funds. For more information about how to obtain a DUNS number, please refer to the "How to Apply” section of the COPS
Application Guide.
C. System for Award Management (SAM)
The System for Award Management (SAM) replaces the Central Contractor Registration (CCR) database as the repository for
standard information about federal financial assistance applicants, recipients, and sub - recipients. DOJ requires that all applicants
(other than individuals) for federal financial assistance maintain current registrations in the SAM database. Please note that
applicants must update or renew their SAM registration at least once a year to maintain active status.
Applicants that were previously registered in the CCR database must, at a minimum:
Create a SAM account
Log into SAM and migrate permissions to the SAM account (all the entity registrations and records should already have been
migrated).
Applicants that were not previously registered in the CCR database must register in SAM prior to registering in Grants.gov.
Information about SAM Registration procedures can be accessed at http.//www.sam.gov.
For more infonnation about how to register with SAM, please refer to the "How to Apply" section of the COPS Application Guide.
Your SAM Registration is set to expire on:
Please enter date in MM/DD/YYYY format.
Note: if your SAM registration is set to expire prior to September 30, 2015, please renew your SAM Registration prior to completing
this application. Contact the SAM Service Desk at 866 - 606 -8220 or view /update your registration information at http : / /www.sam.gov
D. Geographic Names Information System (GNIS) ID:
Please enter your Geographic Names Information System (GNIS) identification Number. This is a unique ID assigned to all
geographic entities by the U.S. Geological Survey. To look up your GNiS Feature ID, please go to the website:
http : / /geonames.usgs.gov /domestic /index.html. For more information about how to obtain a GNiS number, please refer to the "How
to Apply" section of the COPS Application Guide.
E. Cognizant Federal Agency: tiepa-munf of Iu#,',
Select the legal applicant's Cognizant Federal Agency. A Cognizant Federal Agency, generally, is the federal agency from which
your jurisdiction receives the most federal funding. Your Cognizant Federal Agency also may have been previously designated by
the Office of Management and Budget. Applicants that have never received federal funding should select the "Department of
Justice" as the Cognizant Federal Agency.
F. Fiscal Year: From to
Please enter date in MM/DD/YYYY format.
G. Law Enforcement Agency Sworn Force Information
1. Enter the Fiscal Year Budgeted Sworn Force Strength for the current fiscal year below. The budgeted number of sworn officer
positions is the number of sworn positions funded in your agency's budget, including funded but frozen positions, as well as state,
Bureau of Indian Affairs, and /or locally funded vacancies. Do not include unfunded vacancies or unpaid /reserve officers.
a. Number of officers funded in agency's current fiscal year budget:
Full -Time:
Part-Time:
H. Civilian Staffing
1. Enter the number of civilian positions funded in agency's current fiscal year budget:
a. Number of civilian positions funded in agency's current fiscal year budget:
Full -Time:
Part-Time:
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I. U.S. Department of Justice and Other Federal Funding
Applicants are required to disclose whether they have pending applications for federally funded assistance or active federal grants
that support the same or similar activities or services for which grant funding is being requested under this application.
advised that as a general rule COPS grant funding may not be used for the same item or service funded through another funding
ce. However, leveraging multiple funding sources in a complementary manner to implement comprehensive programs or
projects is encouraged and is not seen as inappropriate. To aid the COPS Office in the prevention of awarding potentially duplicative
funding, please indicate whether your agency has a pending application and /or an active grant with any other federal funding source
(e.g. direct federal funding or indirect federal funding through State sub - awarded federal funds) which supports the same or similar
activities or services as being proposed in this COPS application. (check all that apply):
Bureau of Justice Assistance (BJA)
Pending Application
Active Grant
Office of Justice Programs (OJP)
Pending Application
Active Grant
Office of Juvenile Justice and Delinquency Prevention (OJJDP)
Pending Application
Active Grant
Office on Violence Against Women (OVW)
Pending Application
Active Grant
National Institute of Justice (NIJ)
Pending Application
Active Grant
uaice for Victims of Crime (OVC)
Pending Application
Active Grant
Other Department of Justice Funding
Pending Application
Active Grant
Other Federal or State Sub - awarded Funding
Pending Application
Active Grant
Please specify the other Federal or State sub - awarded funding source(s)
No Federal or State Sub - awarded Funding
RM
Al -te: Listing individuals without ultimate programmatic and financial authority for the grant could delay the review of your
cation, or remove your application from consideration.
A. Law Enforcement Executive /Agency Executive Information:
For Law Enforcement Agencies: This is the highest ranking law enforcement official within your jurisdiction (e.g., Chief of Police.
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Sheriff, or equivalent). The section below has been pre - populated from the information listed in your COPS G,l,uc; . Vt7l luy V, Lai
Account. If this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary
corrections before proceeding with this application. For assistance. please call the COPS Office Response Center at 800- 421 -6770.
For Non -Law Enforcement Agencies: This is the highest ranking individual in the applicant agency (e.g., CEO. President,
Chairperson, Director, etc.) who has the authority to apply for this grant on behalf of the applicant agency. if the grant is awarded,
this position ::could ultimately be responsible for the programmatic Implementation of the award. The section below has been pre-
populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct, please log
in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this application. For
assistance, please call the COPS Office Response Center at 800 - 421 -6770.
Title: Sheriff
First Name: Kevin MI: Last Name: Rambosk Suffix:
Agency Name: Collier County Sheriffs Department
Streetl: 3319 Tamiami Trail East
Street2:
City: Naples State: FL Zip / Postal Code: 34112
Telephone Number: 2392529203 Fax: 2397939333 Email: hq @colliersheriff.org
Edit Contact Information
If your agency previously indicated in Section 2, that if awarded, this grant would be used in a written contracting arrangement to
receive law enforcement services (e.g., a town which is contracting with a neighboring sheriff's department to receive services), then
question 4A, should display the executive information for the agency which will be providing the law enforcement services under this
grant (e.g., Sheriff). Question 4B should display the executive information for the government agency which will be receiving the law
enforcement services under this grant (i.e., Mayor, City Manager, etc.). Before proceeding with this application, we ask that you
please log onto the COPS Office Agency Portal to update the agency providing law enforcement services as your Law Enforcement
ExecutiveiAgency Executive information. This information will be used to populate Section 4 of this application, so please ensure its
accuracy.
B. Government Executive /Financial Official Information:
For Government Agencies: This is the highest ranking government official within your jurisdiction (e.g., Mayor, City Administrator, or
equivalent). The section below has been pre - populated from the information listed in your COPS Office Agency Portal Account. If
this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary corrections
before proceeding with this application. For assistance, please call the COPS Office Response Center at 800 - 421 -6770. For Non -
Government Agencies: This is the financial official who has the authority to apply for this grant on behalf of the applicant agency
(e.g., CFO, Treasurer, etc.). If the grant is awarded, this position would ultimately be responsible for the financial management of the
award. Please note that information for non - executive positions (e.g.. clerks, trustees, etc.) is not acceptable. The section below has
been pre - populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct,
please log in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this
application. For assistance, please call the COPS Office Response Center at 800 -421 -6770.
Title: Commissioner
First Name: Tim MI: Last Name: Nance Suffix:
Agency Name: Collier County Sheriffs Department
Streetl: 3299 Tamiami Trial East
Street2:
City: Naples State: FL Zip / Postal Code: 34112
Telephone Number: 2392528604 Fax: Email: TimNance @colliergov.net
Edit Contact Information
C. Application Contact Information:
Application Contact: Enter the application, contact's name and contact information.
Title:
First Name: MI: Last Name:
Agency Name:
Streetl:
Street2:
City: State: Zip / Postal Code:
Telephone Number: Fax: Email:
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SECTION 5A: COPS HIRING PROGRAM OFFICER REQUEST
Part I
sr the Fiscal Year Actual Sworn Force Strength as of the date of this application. The actual number of sworn officer positions is
the actual number of sworn positions employed by your agency as of the date of this application. Do not include funded but currently
vacant positions or unpaid positions.
Number of officers employed by your agency as of the date of this application:
Full -Time:
Part-Time:
What is the actual population your department serves as the primary law enforcement entity?
This may or may not be the same as your census population. For example, a service population may be the census population
minus incorporated towns and cities that have their own police department within your geographic boundaries or estimates of
ridership (e.g., transit police) or visitors (e.g., park police). An agency with primary law enforcement authority is defined as having
first responder responsibility to calls for service for all types of criminal incidents within its jurisdiction.
For FY 2015 COPS Hiring Program (CHP) applicants are eligible to apply for the number of officers equal to 5% of their actual
sworn force strength up to a maximum of 25 officers. Agencies with a sworn force of twenty or fewer officers may apply for one (1)
officer position. Agencies with a service population of 1 million or above may apply for up to 25 officer positions; however, agencies
with a service population less than 1 million may apply for up to 15 officer positions.
FY 2015 CHP grant funds cover 75 percent of the approved entry-level salary and fringe benefits of each newly -hired and /or
rehired, full -time sworn career law enforcement officer for three years (36 months) up to $125,000 per officer position. CHP grant
funding will be based on your agency's current entry-level salaries and fringe benefits for full -time sworn officers.
If your agency requests officers to be deployed as School Resource Officers (SRO), ALL OF THE OFFICER POSITIONS
-)UESTED BELOW MUST BE USED TO DEPLOY FULL -TIME SCHOOL RESOURCE OFFICERS. Applicants in this focus area
encouraged to refer to Recommendation 4.6 in the Interim Report of the President's Task Force on 21 st Century Policing for
suggested actions to incorporate into your proposed community policing strategy.
[http: // cops. usdoj. gov/ pdf/ taskforce /interim_TF_Report.pdf] Do not request more officer positions than your agency can expect to
deploy in this capacity. A "school resource officer" is a career law enforcement officer, with sworn authority, who is engaged in
community policing activities and is assigned by the employing agency to work in collaboration with schools. If awarded a grant for
SRO position(s), please note that the COPS Office requires that the officer(s) deployed into the SRO position(s) spend a minimum
of 75 percent of their time in and around primary and secondary schools working on school and youth - related activities.The
placement of law enforcement officers in school carries a risk of contributing to a ''school -to- prison pipeline" process where students
are arrested or cited for minor, non - violent behavioral violations and then diverted to the juvenile court system. This pipeline wastes
community resources and can lead to academic failure and greater recidivism rates for these students. If awarded, the grantee will
agree that any officers deployed while implementing School -based Policing under the COPS Hiring grant cannot be involved in the
administrative discipline of the students.
There must be an increase in the level of community policing activities performed in and around primary or secondary schools in the
agency's jurisdiction as a result of the grant. The time commitment of the funded officers must be above and beyond the amount of
time that the agency devoted to the schools before receiving the grant. Grantees using CHP funding to hire and /or deploy School
Resource Officers into schools agree that a signed Memorandum of Understanding (MOU) between the law enforcement agency
and the school partner(s) must be submitted to the COPS Office before obligating or drawing down funds under this award. An
MOU is not required at time of application; however, if the law enforcement agency already has an MOU in place that is applicable
to the partnership, the MOU can be submitted as an attachment in Section 13 of the grant application. The MOU must contain the
following; the purpose of the MOU, clearly defined roles and responsibilities of the school district and the law enforcement agency;
focusing officers' roles on safety, information sharing, supervision responsibility and chain of command for the SRO and signatures.
If awarded, grantee will agree that the MOU must be submitted and accepted by the COPS Office 90 days from the award start date
which is located on the Award Document. The implementation of the COPS Hiring Grant without submission and acceptance of the
required MOU within the 90 day timeframe may result in expenditures not being reimbursed by the COPS Office and /or award de-
obligation.
In addition, in Section 6B, you must select "School Based Policing through School Resource Officers" under "Child and Youth Safety
is" as your focus area.
Is your agency requesting that all of these officer positions be deployed as School Resource Officers (SROs)?
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Based on the information provided in this application:
Your agency is eligible to apply for up to the number of officer position(s) shown below.
How many entry- level, full -time officer positions is your agency requesting in this application?
IMPORTANT: If you later return to this section of the application and change the above number of officers you are requesting, you
must then go to Section 14A, Part 1 to allow the application to recalculate your budget figures. You will also need to adjust your
projection of your Federal /Local share costs in the chart located in Section 14A, Part 3. Failure to do this will cause a conflict in your
budget submission. Next, your agency must allocate the number of positions requested under each of the three hiring categories
described below based on your agency's current needs at the time of this application. Please be mindful of the initial three -year
grant period, and your agency's ability to fill and retain the officer positions awarded, while following your agency's established hiring
policies and procedures. CHP grant awards will be made for officer positions requested in each of the three hiring categories, and
grantees are required to use awarded funds for the specific categories awarded.
It is imperative that your agency understand that the COPS statutory nonsupplanting requirement mandates that grant funds may
only be used to supplement (increase) a grantee's law enforcement budget for sworn officer positions and may not supplant
(replace) state, local, or tribal funds that a grantee otherwise would have spent on officer positions if it had not received a grant
award. This means that if your agency plans to:
(a) Hire new officer positions (including filling existing vacancies that are no longer funded in your agency's budget): It must hire
these new additional positions on or after the official grant award start date, above its current budgeted (funded) level of sworn
officer positions, and otherwise comply with the nonsupplanting requirement as described in detail in the Grant Owner's Manual.
(b) Rehire officers who have been laid off by any jurisdiction as a result of state, local, or tribal budget cuts: It must rehire the
officers on or after the official grant award start date, maintain documentation showing the date(s) that the positions were laid off
and rehired, and otherwise comply with the nonsupplanting requirement as described in detail in the Grant Owner's Manual.
(c) Rehire officers who are (at the time of application) currently scheduled to be laid off (by your jurisdiction) on a specific future date
as a result of state, local, or tribal budget cuts: It must continue to fund the officers with its own funds from the grant award start date
until the date of the scheduled lay -off (for example, if the CHP award start date is September 1 and the lay -offs are scheduled for
November 1, then the CHP funds may not be used to fund the officers until November 1, the date of the scheduled lay -off); identify
the number and date(s) of the scheduled lay -off(s) in this application (see below); maintain documentation showing the date(s) and
reason(s) for the lay -off; and otherwise comply with the nonsupplanting requirement as described in detail in the Grant Owner's
Manual. [Please note that as long as your agency can document the date that the lay - off(s) would occur if CHP funds were not
available, it may transfer the officers to the CHP funding on or immediately after the date of the lay -off without formally completing
the administrative steps associated with a lay -off for each individual officer.]
Documentation that may be used to prove that scheduled lay -offs are occurring for local economic reasons that are unrelated to the
availability of CHP grant funds may include (but are not limited to) council or departmental meeting minutes, memoranda, notices, or
orders discussing the lay -offs; notices provided to the individual officers regarding the date(s) of the lay -offs; and /or budget
documents ordering departmental and /or jurisdiction -wide budget cuts. These records must be maintained with your agency's CHP
grant records during the grant period and for three years following the official closeout of the CHP grant in the event of an audit,
monitoring, or other evaluation of your grant compliance.
If your agency's request is funded, your agency will have the opportunity after the award announcement to request a grant
modification to move awarded funding into the category or categories that meet your agency's law enforcement needs at that time
(including updating the dates of future scheduled lay -offs).
If you need additional information regarding requesting a modification, please contact the COPS Office Response Center at 1 -800-
421 -6770.
Category A: New, additional officer positions (including filling existing vacancies no longer funded in your agency's budget).
Category A Request:
Category B: Rehire officers laid off (from any jurisdiction) as a result of state or local budget reductions.
Category B Request:
Category C: Rehire officers scheduled to be laid off (at the time of the application) on a specific future date as a result of state or
local budget reductions.
We also need some information about when the layoff of officers in this category is scheduled to occur. In the space below, please
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indicate when the officer(s) specified in this category are scheduled to be laid off.
II Tyr your information, click "Add a New Officer Layoff'. To save your submission, click "Save" before moving to the next
Aud a New Officer Layoff
Total Category C Request: 0
Part 3
As noted previously, the number of officers an applicant can request under the COPS Hiring Program in 2015 is capped. However,
the COPS Office is interested in learning more about the overall need for officer positions within your department. Therefore, if no
officer caps were in place, what is the total number of officers that your agency would be requesting in this application?
Hire
Re -Hires
Lay Off
Part 4
1. Under the 2015 COPS Hiring Program, applicants are not required to hire post- September 11, 2001 military veterans as new
hires. However, the COPS Office supports the Attorney General's commitment to hiring military veterans whenever possible. Please
note that if your agency checks "yes" to the question below, your agency will be required to maintain documentation that it made
every effort possible (consistent with your internal procedures and policies) to hire at least one military veteran.
Does your agency commit to hire and /or rehire at least one post- September 11, 2001 military veteran (as defined in the Application
Guide) for the officer position(s) you have requested?
es
No
SECTION 613: LAW ENFORCEMENT & COMMUNITY POLICING STRATEGY
Community Policing Strategy
COPS Office grants must be used to reorient the mission and activities of law enforcement agencies through initiating community
policing or enhancing their involvement in community policing with the officers hired under this grant program, or an equal number of
veteran officers who have been redeployed to implement this plan after hiring the entry-level COPS - funded officers. If awarded
funds, your responses to sections II(a) and II(b) that follow will constitute your agency's community policing strategy under this
grant. Your organization may be audited or monitored to ensure that it is initiating or enhancing community policing in accordance
with this strategy. The COPS Office may also use this information to understand the needs of the field, and potentially provide for
training, technical assistance, problem solving and community policing implementation tools. Please note that the COPS Office
recognizes that your COPS - funded officer(s) (or an equal number of veteran officers who are redeployed after hiring the entry -level
COPS - funded officers) will engage in a variety of community policing activities and strategies, including participating in some or all
aspects of your identified community policing strategy. Your community - policing strategy may be influenced and impacted by others
within and outside of your organization; this is considered beneficial to your community policing efforts.
At any time during your grant you should be prepared to demonstrate (1) the community policing activities engaged in prior to the
grant award that are detailed in section I of this application and (2) how the grant funds and grant- funded officers (or an equal
number of redeployed veteran officers) were specifically used to enhance (increase) or initiate community policing activities
according to your community policing strategy contained in sections II (a) and II (b) of this application
Finally, we also understand that your community policing needs may change during the life of your grant. Minor changes
to this strategy may be made without prior approval of the COPS Office; however, grantees will be required to report on
progress and /or changes to the community policing strategy (if any) through required progress reports. If your agency's
community policing strategy changes significantly, you must submit those changes to the COPS Office for approval.
-nges are "significant" if they deviate from the specific crime probiems(s) originally identified and approved in the
,munity policing strategy submitted with the application. In some cases, changes to the approved community policing
approaches may also be deemed significant and may require approval of a modified community policing strategy by the
COPS Office, depending on the scope and nature of those changes as identified in the quarterly progress reports.
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The following is the COPS Office definition of community policing that emphasizes the primary components of community
partnerships, organizational transformation, and problem solving. Please refer to the COPS Office web site
(http: / /www.cops.usdoj.gov) for further information regarding this definition.
Community policing is a philosophy that promotes organizational strategies, which support the systematic use of partnerships and
problem solving techniques, to proactively address the immediate conditions that give rise to public safety issues, such as crime,
social disorder, and fear of crime.
The COPS Office has completed the development of a comprehensive community policing self- assessment tool for use by law
enforcement agencies. Based on this work, we have developed the following list of primary sub - elements of community policing.
Please refer to the COPS Office web site (http: / /www.cops.usdoj.gov) for further information regarding these sub - elements.
Community Partnerships:
Collaborative partnerships between the law enforcement agency and the individuals and organizations they serve to both develop
solutions to problems and increase trust in police.
Other Government Agencies
Community Members /Groups
Non - Profits /Service Providers
Private Businesses
Media
Organizational Transformation:
The alignment of organizational management, structure, personnel and information systems to support community partnerships and
proactive problem - solving efforts.
Agency Management
Climate and culture
Leadership
Labor relations
Decision - making
Strategic planning
Policies
Organizational evaluations
Transparency
Organizational Structure
Geographic assignment of officers
Despecialization
Resources and finances
Personnel
Recruitment, hiring and selection
Personnel supervision /evaluations
Training
Information Systems (Technology)
Communication /access to data
Quality and accuracy of data
Problem Solving:
The process of engaging in the proactive and systematic examination of identified problems to develop effective responses that are
rigorously evaluated.
Scanning: Identifying and prioritizing problems
Analysis: Analyzing problems
Response: Responding to problems
Assessment: Assessing problem - solving initiatives
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Using the Crime Triangle to focus on immediate conditions (Victim /Offender /Location)
I. Current Organizational Commitment to Community Policing
1) For each of the following statements, please answer in terms of existing agency policies and practices as they relate to
'aborative partnerships and problem solving activities. Please check all that apply.
rIVITY
Community
Partnerships
Problem Solving
Q1 a. The agency mission statement, vision, and /or goals
includes references to:
Q1b. The agency strategic plan includes specific goals
and /or objectives relating to:
Q1c. The agency recruitment, selection and hiring
processes include elements relating to:
Q1d. Annual line officers evaluations assess performance
in:
Q1 e. Line officers receive regular (at least once every two
years) training in:
2) Which of the following internal management practices does your agency currently employ? Please check all that apply.
Assignment of officers to specific neighborhoods or areas for longer periods of time to enhance customer service and facilitate
more contact between police and citizens
Assignment of officers to geographic hot spots that are defined statistically by creating incident maps to identify geographic
clustering of crime and disorder
In- service training for officers on basic and advanced community policing principles
Early Intervention Systems that help identify officers who may be showing signs of stress, personal problem, and questionable
work conduct
Alternatives to formal disciplinary practices that encourage ethical behavior
None of the above
1hich of the following do you count/measure to annually assess your agency's overall performance? Please check all that apply.
Response times
Reported crimes
Reported incidents
Arrests and citations
Problem solving outcomes
Department employee satisfaction
Clearance rates
Complaints of officer behavior
Reduction of crime in identified hot spots
Repeat calls for service
Social disorder /nuisance problems (e.g. graffiti, panhandling, loitering, etc.)
Satisfaction with police services
Fear of crime
Victimization (i.e. non - reported crime)
Community meetings held /attended
Use of force incidents
Meeting the priorities as identified in your agency strategic plan
My agency does not conduct annual assessments of overall performance
4) Through which of the following does your agency routinely share information with community members? Please check all that
apply.
Neighborhood, beat, and /or school meetings
Local media outlets
Agency newsletter
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Agency website
Social networking (Blogs, Twitter feeds, Facebook pages, etc.)
Citizen alert system (telephone, email, text, etc.)
Citizen alert system that is geographically targeted, based on updated hot spots
Public access television /radio
Community organization board membership
Public forums with Chief /Sheriff /Command staff
Posters, billboards, flyers
None of the above
5) Through which of the following ways does your agency formally involve community members in influencing agency practices and
operations? Please check all that apply.
Citizen police academies
Volunteer activities
Auxiliary police programs
Civilian review boards (e.g. disciplinary review boards)
Citizen advisory groups (Le. informal advisory function)
Involvement in hiring decisions (i.e. interview panels, selection boards, etc.)
Involvement in contributing to annual line officer performance reviews
Representation on promotional boards
Participation in accountability and performance reporting and tracking meetings
Participation in complaint resolution process (i.e. formal mediation, disciplinary boards, etc.)
None of the above
II(a) Proposed Community Policing Strategy: Problem Solving and Partnerships
COPS grants must be used to initiate or enhance community policing activities with either the newly -hired officers funded by this
grant program, or an equivalent number of veteran officers who are redeployed to implement this community policing strategy after
hiring the additional entry -level officers with COPS grant funds. In this section you will be asked to identify the crime and disorder
problem /focus area and the partners to be engaged through your requested COPS funding. Identifying the specific problem /focus
area and partnerships that your agency plans to focus on is important to ensure that you satisfy the requirements for COPS funding
under this program and to ensure that ultimately the additional grant- funded officers (or equivalent number of redeployed veteran
officers) will initiate or enhance your agency's capacity to implement community policing strategies and approaches.
6) Using the following list, select a problem /focus area that will be addressed by the officers requested in this application. Please
choose the option that best fits your problem. You may select one problem /focus area to address through this grant funding.
When identifying a problem, it is important to think about the nature of similar incidents that taken together comprise the problem,
and accordingly describe it in precise, specific terms (e.g. "burglary of retail establishments ", rather than just "burglary "). In doing
this, it can be helpful to consider all aspects of the problem, including the likely offenders, the suitable targets /victims, and how
these come together in time and space.
Child and Youth Safety Focus
Child Sexual Predators and Internet Safety
Children Exposed to Violence
Youth Crime and Delinquency
Child and Youth Safety Focus
School Based Policing through School Resource Officers
By selecting this focus area, your agency is committing that if awarded, all officer positions requested in this application (or an
equivalent number of redeployed veteran officers) will be used to deploy School Resource officers and address problems in and
around primary and secondary schools.
Please specify the areas the School Resource Officers) would address (check all that apply):
Address crime problems, gangs, and drug activities affecting or occurring in or around an elementary or secondary school:
Develop or expand crime prevention efforts for students;
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Educate youth in crime prevention and safety;
Develop or expand community justice initiatives for students;
Train students in conflict resolution, restorative justice, and crime awareness;
Assist in the identification of physical changes in the environment that may reduce crime in or around the school;
Assist in developing school policy that addresses crime and to recommend procedural changes to enhance school safety.
Other Area
(Please Specify Other Area)
Other Child and Youth Safety Focus (please specify)
Drug Related Problems
Drug Manufacturing /Trafficking
Drug Dealing
Drug Abuse
Other Drug Related Problem (please specify)
Homeland Security Problems
Protecting Critical Infrastructure Problems
Information or Intelligence Problems
Other Homeland Security Problem (please specify)
Non - Violent Crime Problems
Burglary elected: Please specify your burglary problem; for example, burglary of single family houses, burglary of retail establishments,
jlary of construction sites etc.
Fraud
Larceny/Theft (Non -Motor Vehicle)
Motor Vehicle Theft /Theft from Motor Vehicle
Vandalism
Social Disorder
Quality of Life Problem
Prostitution
Other Non - Violent Crime Problem (please specify)
Building Trust Applicants selecting any of the following Building Trust Focus Areas are encouraged to refer to the Interim
Report of the President's Task Force on 21st Century Policing for suggested actions to incorporate into your proposed
community policing strategy.[ http: // cops. usdoj. gov/ pdf( taskforce /interim_TF_Report.pdf]
Impartial Policing
Transparency
Fairness and Respect
Community Engagement
Diversifying Police Departments
Other Building Trust Focus (please specify)
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Traffic /Pedestrian Safety Problems
Traffic Congestion
Pedestrian Safety
Driver Safety
Traffic Accidents
Other Traffic /Pedestrian Safety Problem (please specify)
Violent Crime Problems
Assault
Homicide
Rape
Robbery
,Domestic /Family Violence
Gun Violence
Other Violent Crime Problem (please specify)
6a) Briefly describe the problem /focus area that you will address with these grant funds and your approach to the problem. [4,000
characters or less]
6b) Will the problem /focus area described above be addressed with an explicit place -based strategy (e.g. hot -spot policing) that
targets specific addresses or locations with a disproportionate share of crime or disorder?
Yes
No
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7) Which of the following information sources did you use to prioritize this problem /focus area as a problem /focus area to address
through this grant program (please check all that apply):
Police department data (e.g. police reports, calls for service, crime data, citizen complaints)
Agency personnel (e.g. officer feedback, command staff priorities)
Other local non law enforcement government agency data
Community based organizations (e.g. faith based, non - profits, social service providers)
Local businesses
Individual community members /community meetings
Community survey
Local government officials
The media
None of the above
8) If awarded funds, my agency will improve our understanding of this problem /focus area by examining (please check all that
apply):
Routinely collected law enforcement data /information related to the problem (e.g. arrest, incident reports, calls for service)
The location and /or time aspects of the problem /focus area(e.g. mapping)
The conditions and environmental factors related to the problem /focus area
The strengths and limitations of current responses to the problem /focus area
Non -law enforcement data /information related to the problem /focus area (e.g. insurance crash data, other government agency
data, census data, survey data)
Existing research and best practices related to the problem /focus area
Data /information from the community related to the problem /focus area (e.g. resident associations, business groups, non - profit
community service organizations)
Information about offenders contributing to the problem /focus area (e.g. offender interview, arrest records)
Information about victims affected by the problem /focus area(e.g. crime reports, victim interviews)
Strengths and weaknesses of previous responses to the problem /focus area
None of the above
9) If awarded funds my agency will use the following information sources to assess our response to this problem /focus area to
determine whether the response was implemented and achieved the desired outcomes(please check all that apply):
Routinely collected law enforcement data /information related to the problem /focus area (e.g. arrests, incident reports, calls for
service)
Data /information regarding whether the response was implemented as planned
Police data collected for this specific problem /focus area (e.g. problem - specific surveys, field interview contact cards, etc.)
Non - police data /information related to the problem /focus area(e.g. insurance crash data, other government agency data,
census data, survey data)
Data /information from the community related to the problem /focus area (e.g. resident associations, business groups, non - profit
community service organizations)
Information about offenders contributing to the problem /focus area (e.g. offender interview, arrest records, probation /parole
data)
Information about victims and /or stake holders affected by the problem /focus area(e.g. crime reports, victim interviews)
None of the above
10) To the best of your ability at this time, please select from the below list what your primary goals are in responding to your
selected problem /focus area (please select up to 3):
Eliminating the problem /focus area
Reducing the number of incidents
Increasing public trust in your agency
Reducing the seriousness of the incidents or the amount of harm
Reducing the number of victims and /or repeat victims
Reducing the number of offenders and/or repeat offenders
Moving the problem /focus area to another area
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Getting other agencies and /or stake holders to assume responsibility for the problem /focus area
Improving the response to the problem /focus area (i.e., more comprehensive and coordinated way of dealing with the
problem /focus area, providing better services to victims, or greater efficiency in dealing with the problem /focus area)
Improving citizen perceptions of the problem /focus area
Increasing the number of arrests /citations
Reducing the number of calls for service
None of the above
11) An important part of a comprehensive community policing strategy is the formation of partnerships, such as working with other
public agencies, private organizations, or participation in regional law enforcement partnerships. If awarded funds, will your agency
and the grant funded officers (or an equivalent number of redeployed veteran officers) initiate or enhance a partnership with an
external group /organization to develop responses to this problem /focus area?
Yes
No
11a) If awarded funds, how many external groups /organizations will your agency initiate or enhance a partnership with to
develop responses to this problem /focus area?
11 b) Name the most important external groups /organizations that your agency will initiate or enhance a partnership with to develop
responses to this problem /focus area (maximum of three partners). Note: you may attach optional letters of this support from any or
all of these prospective partners in Section 13 of the application. You will be limited to listing no more than three partners per public
safety problem /focus area.
PaitnertName
III
11 c) For this partner, please indicate the statement that best
characterizes this partner:
Local goverment agencies (non -law enforcment, e.g.
probation /parole, parks and recreation, code enforcement, etc.)
Community based organiztions (e.g. faith based, community
redevelopment groups, social service providers, resident
associations)
Businesses operating in the community chit Deieie
Tribal law enforcement agencies
Federal, state, or local law enforcement agencies (non - tribal)
including through multi - jurisdictional /regional partnerships
Local educational institutions (schools /colleges /universities)
Individual stake holders (persons residing, working, or with an
interest in the community or problem
11c) For this partner, please indicate the statement that best
characterizes this partner:
Local goverment agencies (non -law enforcment, e.g.
probation /parole, parks and recreation, code enforcement, etc.)
Community based organiztions (e.g. faith based, community
redevelopment groups, social service providers, resident
associations)
Businesses operating in the community Delete
Tribal law enforcement agencies
Federal, state, or local law enforcement agencies (non - tribal)
including through multi - jurisdictional /regional partnerships
Local educational institutions ( schools /colleges /universities)
Individual stake holders (persons residing, working, or with an
interest in the community or problem
11c) For this partner, please indicate the statement that best
characterizes this partner:
Local goverment agencies (non -law enforcment, e.g.
probation /parole, parks and recreation, code enforcement, etc.)
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Community based organiztions (e.g. faith based, commU ,,y
redevelopment groups, social service providers, resident
associations)
Businesses operating in the community :Edit Deiete
Tribal law enforcement agencies
Federal, state, or local law enforcement agencies (non - tribal)
including through multi - jurisdictional /regional partnerships
Local educational institutions (schools /colleges /universities)
Individual stake holders (persons residing, working, or with an
interest in the community or problem
II(b) Proposed Community Policing Strategy: Organizational Transformation
COPS grants must be used to initiate or enhance community policing activities. In this section you will be asked to identify the
organizational change(s) that your agency plans to focus on through your requested COPS funding. Identifying the specific
organizational change(s) that your agency plans to focus on is important to ensure that you satisfy the requirements for COPS
funding under this program, and to ensure that ultimately the use of these funds will initiate or enhance your agency's capacity to
implement community policing approaches.
12) If awarded funds, will your agency initiate or enhance any of the following internal changes to personnel management? (Select
no more than 2 internal changes to personnel management that will be addressed with these grant funds.)
Flexibility in officer shift assignments to facilitate addressing specific problems
Please provide a narrative for each internal change to personnel management identified (2,000 characters or less)
Assignment of officers to specific neighborhoods or areas for longer periods of time to enhance customer service and facilitate
more contact between police and citizens
Please provide a narrative for each internal change to personnel management identified (2,000 characters or less)
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Recruitment and hiring practices that reflect an orientation towards problem solving and community engagement
In- service training for officers on basic and advanced community policing principles
Field training officer (FTO) programs that teach and test problem solving, community engagement, and critical thinking skills
Further define and clarify community policing roles and expectations for officers
Personnel evaluation systems that assess officer activities, accomplishments, and performance related to problem solving and
community engagement
Early intervention systems that help identify officers who may be showing early signs of stress, personal problems, and
questionable work conduct
First -line supervisory skills to support officer problem solving and community engagement activities
Career development and /or promotional processes that reinforce problem solving and community engagement
None of the above
13) If awarded funds, will your agency initiate or enhance any of the following internal changes to agency management? (Select up
to 2 internal changes to agency management that will be addressed with these grant funds.)
Agency mission statement, vision, and /or goals that reflect the core values of community policing
Agency strategic plan that outlines the goals and objectives around community policing and other departmental priorities
Organizational performance measurement systems that include community policing metrics, and conduct annual assessments of
agency performance
Technology systems that provide officers, analysts, and the community better and more timely access to data and information
Mediation strategies to resolve citizen complaints
Collection, analysis, and use of crime data and information in support of problem solving goals
Please provide a narrative for each internal change to agency management identified (2,000 characters or less)
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Formal accreditation process
System to capture and track problem solving and partnership efforts and activities
An organizational assessment of community policing
Level and frequency of communication with the community on crime problems and agency activities to enhance transparency
,se provide a narrative for each internal change to agency management identified (2.000 characters or less)
,lone of the above
Ill. General Community Support and Engagement
14) Did your agency consult with any of the following groups /organizations on the development of this community policing strategy?
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Please check all that apply.
Local government agencies (non -law enforcement, e.g. probation /parole, parks and recreation, code enforcement, etc.)
Community based organizations (e.g. faith based, community redevelopment groups, social service providers, resident
associations)
Businesses operating in the community
Tribal law enforcement agencies (outside your jurisdiction)
Other Federal, state, or local law enforcement agencies
Multi- jurisdictional or regional task forces /partnerships
Local educational institutions (schools /colleges /universities)
Local government officials
Individual stakeholders residing, working or with an interest in the community and /or problem
None of the above
15) To what extent are there related governmental and /or community initiatives that complement your agency's proposed community
policing strategy?
a) There are a significant number of related initiatives
b) There are a moderate number of related initiatives
c) There are a minimal number of related initiatives
d) There are no related initiatives
16) To what extent is there community support in your jurisdiction for implementing the proposed community policing strategy?
a) High level of support
b) Moderate level of support
c) Minimum level of support
17) If awarded funds, to what extent will the community policing strategy impact the other components of the criminal justice system
in your jurisdiction?
a) Potentially decreased burden
b) No change in burden
c) Potentially increased burden
SECTION 7: NEED FOR FEDERAL ASSISTANCE
A. Explanation of heed for Federal Assistance
All applicants are required to explain their inability to address the need for this award without federal assistance. Please do so in the
space below. [Please limit your response to a maximum of 4,000 characters.]
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B. Service Population
1. Enter the total population of the government entity applying for this grant using the latest census estimate available in the
American Fact Finder at http: / /FactFinder2.census.gov.
2. Check here if the population of the entity applying for this grant is not represented by U.S. Census figures (e.g., colleges,
:ial agencies, school police departments, etc.).
3. What is the actual population your department serves as the primary law enforcement entity? 348777
This may or may not be the same as the population specified above. For example, a service population may be the census
population minus incorporated towns and cities that have their own police department within your geographic boundaries or
estimates of ridership (e.g., transit police) or visitors (e.g.. park police). An agency with primary law enforcement authority is defined
as having first responder responsibility to calls for service for all types of criminal incidents within its jurisdiction.
3a. If applicable, please explain why the service population differs from the census population:
C. Fiscal Health
1) Enter your law enforcement agency's total operating budget for the current AND previous two fiscal years Please note All figures
must be rounded to the nearest whole dollar.
CURRENT FISCAL YEAR (2015) $
PREVIOUS FISCAL YEAR (2014) S
PREVIOUS FISCAL YEAR (2013) $
2) Since January 1, 2014, what percentages of the following employees in your jurisdiction (city, county, state, tribal, university) have
been reduced through lay -offs. Please note: All figures must be rounded to the nearest whole percent.
Civilian Law Enforcement Agency Personnel %0
Sworn Law Enforcement Agency Personnel %
Other Government Agency Personnel %
The U.S. Census Bureau American Community Survey (ACS) provides multi -year poverty rate estimates for communities. Please
the U.S. Census Bureau's American Fact Finder (http: / /FactFinder2.census.gov) to determine the percentage of individuals in
poverty in your jurisdiction. For jurisdictions not included in the census (e.g., schools, universities, transit, parks), please check the
box for "Not Applicable." Please see the program Application Guide for additional information and help in using the American Fact
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Finder. Please note: All figures must be rounded to the nearest whole percent.
Percentage of individuals in poverty %
Not Applicable:
4) The Bureau of Labor Statistics' Local Area Unemployment Statistics (LAUS) program provides monthly estimates of
unemployment for communities. Please go to the Bureau of Labor Statistics' LAUS website ( http : / /www.bis.gov /iau /data.htm) to find
detailed instructions for looking up your local area's unemployment rate. It may be necessary to select the nearest best match to
your jurisdiction (for example, a city of fewer than 25,000 people may report their county level rate). Please see the program
Application Guide for additional information and help in using the LAUS data. For jurisdictions not included in the census (e.g.,
schools, universities, transit, parks), please check the box for "Not Applicable ". Please note: All figures must be rounded to the
nearest whole percent.
Percentage Unemployed for December 2014
Not Applicable:
5) Indicate if your jurisdiction has experienced any of the following events since January 1, 2014 (Check all that apply)
A declaration of natural or other major disaster or emergency has been made pursuant to the Robert T. Stafford Disaster Relief
and Emergency Assistance Act. (42 U.S.C. 5121 et seq.)
A declaration as an economically or financially distressed area by the state in which the applicant is located.
Downgrading of the applicant's bond rating by a major rating agency.
Has filed for or been declared bankrupt by a court of law.
Has been placed in receivership or its functional equivalent by the state or federal government.
Taken on additional law enforcement duties and responsibilities resulting from an agency merger or the disbanding of a
neighboring law enforcement agency (which did not result in a new or supplemented funded contract to provide these law
enforcement services).
6) In addition to the data collected elsewhere in this application, the COPS Office would like to capture information from jurisdictions
that may have faced an unanticipated catastrophic event that had a significant impact on the delivery of law enforcement services or
have experienced an unusually large increase in the number of homicides in the past year. Examples of unanticipated catastrophic
events include mass shootings, terrorist attacks, natural disasters, or other events leading to mass casualties that would not
necessarily be reflected in the UCR crime statistics previously reported. Please note that if your jurisdiction is faced with an
unanticipated catastrophic event (e.g., mass shooting, terrorist attack, other mass casualty event) after submission of this
application, but before the application closing date, you should contact the COPS Office immediately at 800 -421 -6770 to update
your application to include this information.
If your agency experienced has an unanticipated catastrophic event or an unusually large increase in the number of homicides in
the time period from January 1, 2014 to present, check this box.
7) The Promise Zone Initiative is part of the President's plan to create a better bargain for the middle -class by partnering with local
communities and businesses to create jobs, increase economic security, expand educational opportunities, increase access to
quality, affordable housing and improve public safety. In exchange, these designees will receive the resources and flexibility they
need to achieve their goals. The designees have agreed to and must demonstrate a collaborative effort- between private business
and federal, state, tribal and local officials; faith -based and non - profit organizations; children and parents- to ensure that hard work
leads to a decent living for every American, in every community.
To be a Promise Zone, your jurisdiction must have been designated as such by the closing date of this solicitation.
If your agency has a designated Promise Zone within its jurisdiction, check the box.
D. Property/Violent Crime
Please select at least one statement below:
My agency can report crime data for all 3 years (please input in table below:).
My agency cannot report crime data for 2014.
My agency cannot report crime data for 2013.
My agency cannot report crime data for 2012.
1) Using UCR crime definitions, enter the actual number of incidents reported to your agency in the previous three calendar years
(2014, 2013, 2012) for the following crime types. Note that only those incidents for which your agency had primary response
authority should be provided. Please enter 0 (zero) to indicate no incidents in a particular year /type. Leave blanks only where data is
unavailable.
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Forcible Rape
Robbery
Aggravated Assault
Burglary
Larceny (except motor
vehicle theft)
Motor Vehicle Theft
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SECTION 8: CONTINUATION OF PROJECT AFTER FEDERAL FUNDING
ENDS
If you are applying for a COPS grant with a post -award retention plan requirement, please complete A. If you are applying
for a COPS grant without a post -award retention plan requirement, please complete B.
A. Continuation of Project after Federal Funding Ends (for COPS grants with a retention plan requirement)
Applicants must plan to retain all sworn officer positions awarded under your COPS hiring grant for a minimum of 12 months at the
conclusion of 36 months of federal funding for each position. The retained COPS funded positions should be added to your agency's
law enforcement budget with state and /or local funds at the end of grant funding, over and above the number of locally- funded
sworn officer positions that would have existed in the absence of the grant. These additional position(s) must be retained using
state, local, or other non - federal funding only. You may not use funds awarded by other federal grants to cover the costs of
retention. At the time of grant application, applicants must affirm that they plan to retain the positions and identify the planned
source(s) of retention funding. We understand that your agency's source(s) of retention funding may change during the life of the
grant. Your agency should maintain proper documentation of any changes in the event of an audit, monitoring or other evaluation of
your grant compliance. Please refer to the frequently asked questions on retention which can be found here
http://www.cops.usdoj.gov/DefauIt.asp?Item=2367 .
1. Will your agency plan to retain any additional positions awarded under this grant for a minimum of 12 months at the conclusion of
federal funding for each position?
Note: Agencies that do not plan to retain all the positions awarded under this grant are ineligible to receive CHP funding
2. Please identify the source(s) of funding that your agency plans to utilize to cover the costs of retention: (check all that apply)
General funds
Raise bond /tax issue
Private sources /donations
Non - federal asset forfeiture funds (subject to approval from the state or local oversight agency)
Fundraising efforts
State, local, or other non - federal grant funding
Other
If other, please provide a brief description of the source(s) of funding not to exceed 500 characters.
An official "partner" under the grant may be a governmental, private, school district, or other applicable entity that has established a
legal, contractual, or other agreement with the applicant for the purpose of supporting and working together for mutual benefits of
the grant. Please see the COPS Application Guide for more information on official partners that may be required.
Ts
• • s
Kamela Patton Collier County Public Schools Edit Delete
Title:
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First Name: Middle Name
Suffix:
Name of Partner Agency (e.g.,Smithville High School):
Type of Partner Agency (e.g., School District):
Street1:
Street2:
City: State: select oi,e...
Telephone Number: Fax:
Last Name:
Zip/ Postal Code:
Email:
6/23/2015 16.J.1.
Important! Please click "Add Partner" below to add a partner to the list.
Reminder! If you have modified (gam, update, or delete) the list of partners in any way, please click "Save" to store your
changes before moving to the next section.
SECTION 13: APPLICATION ATTACHMENTS
This section should be used to attach any required or applicable attachments to your grant applications (e.g., Memorandum of
Understanding, etc.)
If awarded, grantees using CHP funding to hire and /or deploy School Resource Officers into schools will agree that a signed
Memorandum of Understanding (MOU) between the law enforcement agency and the school partner(s) must be submitted to the
COPS Office before obligating or drawing down funds under this award. An MOU is not required at time of application; however, if
the law enforcement agency already has an MOU in place that is applicable to the partnership, the MOU can be submitted as an
attachment in Section 13 of the grant application. The MOU must contain the following; the purpose of the MOU, clearly defined
roles and responsibilities of the school district and the law enforcement agency; focusing officers' roles on safety, information
sharing, supervision responsibility and chain of command for the SRO and signatures. If awarded, grantee will agree that the MOU
must be submitted and accepted by the COPS Office 90 days from the award start date which is located on the Award Document.
The implementation of the COPS Hiring Grant without submission and acceptance of the required MOU within the 90 day timeframe
may result in expenditures not being reimbursed by the COPS Office and /or award de- obligation. Please refer to the program -
specific Application Guide to determine if an MOU or other application attachments are required. The Guide will also specify if
optional attachments are permitted for submission. Please use appropriately descriptive file names (e.g., Program Narrative, Budget
Detail Worksheet and Budget Narrative, Timelines, Memoranda of Understanding, Resumes) for all attachments. Please do not
submit executable file types as application attachments. These disallowed file types include, but are not limited to, the following
extensions:.com, .bat, .exe, .vbs, .cfg, .dat, .db, .dbf, All, .ini, .log, .ora, .sys, and .zip. The system may reject applications with files
that use these extensions.
Current Attachments
Upload attachments using "Browse..." and "Upload... ". File names may only contain: a- z0- 9period(.), underscore(_), hyphen(-
)Characters other than these will be replaced by a hyphen( - ).After clicking the "Upload..." button, please wait for the page to refresh.
The uploaded file will automatically appear in the file list.
COPS- ,D O- MOU.pdf
Memorandum of Understanding
I Delete
Form COPS_Sh_ApplicationAttacl , ment 2_2- ','2.2.pdf
SF -424
Delete
Form SF 424_2 12,1'2,1.pdf
SF -424
Delete
no file selected
!_ 1 111
Instructions for Completing the Budget Detail Worksheets
The following Budget Detail Worksheets are designed to allow all COPS grant and cooperative agreement applicants to use the
same budget forms to request funding. Allowable and unallowable costs vary widely and depend upon the type of COPS program.
The maximum federal funds that can be requested and the federal /local share breakdown requirements also vary.
Please refer to the program - specific Application Guide to determine the allowable /unallowable costs, the maximum amount of
federal funds that can be requested, and the federal /local share requirements for the COPS program for which your agency is
applying(See http: / /www. cops. usdoj.gov /Default.asp ?Item =46). To assist you, sample Budget Detail Worksheets are included in
each Application Guide
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Please complete each section of the Budget Detail Worksheets applicable to the program for which you are app,y ,,y
http: / /www. cops .usdoj.gov /DefauIt.asp ?Item =46 for requirements). If you are not requesting anything under a particular budget
category, please check the appropriate box in that category indicating that no positions or items are requested.
Final calculations will be rounded to the nearest whole dollar. Once the budget for your proposal has been completed, a budget
-nary page will reflect the total amounts requested in each category, the total project costs, and the total federal and local
.Fes.
If you need assistance in completing the Budget Detail Worksheets, please call the COPS Office Response Center at 800-
421 -6770.
SECTION 14A: BUDGET DETAIL WORKSHEETS
Instructions: This worksheet will assist your agency in reporting your agency's current entry -level salary and benefits and identifying
the total salary and benefits request per officer position for the length of the grant term. Please list the current entry -level base
salary and fringe benefits rounded to the nearest whole dollar for one full -time sworn officer position within your agency. Do not
include employee contributions. (Please refer to http:/ /www.cops.usdoj.gov /DefauIt.asp ?Item =46 for information on the length of the
grant term for the program under which you are applying.)
Special note regarding sworn officer fringe benefits: For agencies that do not include fringe benefits as part of the base salary costs
and typically calculate these separately, the allowable expenditures may be included under Part 1, Section B. Any fringe benefits
that are already included as part of the agency's base salary (Part 1, Section A of the Sworn Officer Budget Worksheet) should not
also be included in the separate fringe listing (Part 1, Section B). Please refer to http: / /www. cops .usdoj.gov /Default.asp ?Item =46 for
information about allowable and unallowable fringe benefits for sworn officer positions requested under the program to which your
agency is applying.
A. SWORN OFFICER POSITIONS
Full -Time Entry -Level Sworn Officer Base Salary Information
Part 1: Instructions: Please Complete the questions below based on your agency's entry-level salary and benefits package for one
locally- funded officer position. As applicable per the program - specific Application Guide, you may also be required to project Year 2
and Year 3 salaries.
Sworn Officer Position
Base Salary Information
Year i Salary
Enter the first
year entry -level
base salary for
one sworn officer
position.
Please check this
box if base salary
includes vacation
costs.
Please theek this
hnx if the hasp
salary includes sick
leave costs.
B. Fringe Benefit costs should be calculated for each year of the grant term.
FRINGE BENEFITS:
Social security expenses Exempt 6.2 %o Fixed Rate
cannot exceed 6.2 °/o p
Medicare expenses Exempt 1.45% Fixed Rate
cannot exceed 1.45% p
Health Insurance (Family Coverage)
Insurance
Vacation Number of Hours Annually:
Year 2 Salary
Enter the second
year entry -level
base salary for
one sworn officer
position.
Please check this
box if base salary
includes vacation
costs.
Please check this
hnx if the base
salary includes sick
leave costs.
Year 1 Fringe Year 2 Fringe
Benefits Benefits
COST % OF COST a/o OF
BASE SALARY BASE SALARY
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Year 3 Salary
Enter the third
year entry -level
base salary for
one sworn officer
position.
Please check this
box if base salary
includes vacation
costs.
Pease check *,his
hp., if the hake
salary includes sick
leave costs.
Year 3 Fringe
Benefits
COST % OF
BASE SALARY
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Sick Leave Number of Hours Annually:
Retirement
Worker's Compensation
Exempt
Unemployment Insurance
I
Exempt
Other
i
S,eiert :'tne
i
Other
SelecC one
Other
Select Gne
i
i
Benefits Sub -Total Per Year (1 Position)
C. Total Salary + Benefits Per Year (1 Position)
D. Total Salary and Benefits for Years 1, 2, and 3 (1 X # of Positions
Position):
SALARY DETAILS
Part 2 : Sworn Officer Salary Information
1. If your agency's second and /or third -year costs for salaries and /or fringe benefits increase after the first year, check the
reasons(s) why in the space below. If these costs do not increase, please select "Not Applicable ".
Cost of Living Adjustment (COLA)
Step Raises
Change in Benefit Costs
Not Applicable
Part 3: Federal /Local Share Costs (for Hiring Grants)
As part of the local matching requirement for the 2015 COPS Hiring Program, grantees must assume a progressively larger share of
the cost of the grant with local funds over the three -year grant period. This means that your local match must increase each year,
while the federal share must decrease.
Total Salary and Benefits for year 1, 2, & 3 (all positions):
Total Federal Share:
Total Federal Percentage:
Total local share required:
Total Local Percentage:
Please project in the chart below how your agency plans to assume a progressively larger share of the grant costs during each year
of the program. The chart is only a projection of your plans; while your agency may deviate from these specific projections during
the grant period, it must still ensure that the federal share decreases and the local share increases. For more details on local
matching requirements for this program, please refer to http /v11V>?w. cops. usdoj .gov /Oefault.asp ?ltem=46.
Please use the Recalculate button below after any changes to the benefit table above before moving forward.
Percent of the "Total Local Share Required" your agency plans to assume in Year 1
Percent of the "Total Local Share Required" your agency plans to assume in Year 2
Percent of the "Total Local Share Required" your agency plans to assume in Year 3
Percent Total
Federal Share Year 1
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Federal Share Year 2
Federal Share Year 3
F -deral Total
Local Share Year 1
Local Share Year 2
Local Share Year 3
Local Total
Recalculate
S. BUDGET SUMMARY
Instructions: Please review the category totals and the total project costs below. If the category totals and project amounts shown
are correct, please continue with the submission of your application. Should you need to make revisions to a budget category,
please return to the Budget Detail Worksheet.
Section
Budget Category
Category Total
A. Sworn Officer Positions
$890732.96
B. Non -Sworn Personnel
$0.00
" Equipment & Technology
$0.00
Supplies
$0.00
E. Travel & Training
$0.00
F. Contracts & Consultants
$0.00
G. Other Costs
$0.00
H. Indirect Costs
$0.00
Total Project Amount:
$890732.96
Total Federal Share Amount:
(Total Project Amount X Federal Share Percentage Allowable)
$500000.00
56.133546%
Total Local Share Amount(If applicable):
If (Total Project Amount - Total Federal Share Amount)
$390732.96
43.866454%
If your application is funded, but for a reduced number of officer positions, the percentage of the local share provided above will be
applied to the total project cost of the awarded officers.
Waiver of Local Match
The COPS Office may waive some or all of a grantee's local match requirement based on severe fiscal distress. During the
application review process, your agency's waiver request will be evaluated based on the availability of funding, a demonstration of
severe fiscal distress as reflected through the fiscal health data in Section 7 of this application, and a comparison of your fiscal
health data with that of the overall applicant pool.
Q1: Are you requesting a waiver of the local match based on severe fiscal distress?
rjo
tact Information for Budget Questions
Please provide contact information of the financial official that the COPS Office may contact with questions related to your budget
submission.
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First Name:
Last Name:
Title:
Telephone Number:
Fax:
Email Address:
SECTION 15A: ASSURANCES
6/23/2015 16.J.1.
Several provisions of federal law and policy apply to all grant programs. The Office of Community Oriented Policing Services needs
to secure your assurance that the applicant will comply with these provisions. If you would like further information about any of
these assurances, please contact your state's COPS Grant Program Specialist at 800 - 421 -6770.
By signing this form, the applicant assures that it will comply with all legal and administrative requirements that govern the applicant
for acceptance and use of federal grant funds. In particular, the applicant assures us that:
1. It has been legally and officially authorized by the appropriate governing body (for example, mayor or city council) to apply for this
grant and that the persons signing the application and these assurances on its behalf are authorized to do so and to act on its behalf
with respect to any issues that may arise during processing of this application.
2. It will comply with the provisions of federal law, which limit certain political activities of grantee employees whose principal
employment is in connection with an activity financed in whole or in part with this grant. These restrictions are set forth in 5 U.S.C. §
1501, et seq.
3. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act, if applicable.
4. It will establish safeguards, if it has not done so already, to prohibit employees from using their positions for a purpose that is, or
gives the appearance of being. motivated by a desire for private gain for themselves or others, particularly those with whom they
have family, business or other ties.
5. It will give the Department of Justice or the Comptroller General access to and the right to examine records and documents
related to the grant.
6. It will comply with all requirements imposed by the Department of Justice as a condition or administrative requirement of the
grant, including but not limited to: the requirements of 2 C.F.R. Part 200 (Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards) as adopted by the Department of Justice in 2 C.F.R. § 2800.101 ; 48 C.F.R. Part 31 (FAR
Part 31) (Contract Cost Principles and Procedures); the applicable provisions of the Omnibus Crime Control and Safe Streets Act of
1968, as amended; 28 C.F.R. § 38.1; the applicable COPS Application Guide; the applicable COPS Grant Owner's Manuals; and
with all other applicable program requirements, laws. orders, or reaulations.
7. It will, to the extent practicable and consistent with applicable law, seek, recruit and hire qualified members of racial and ethnic
minority groups and qualified women in order to further effective law enforcement by increasing their ranks within the sworn
positions in the agency.
8. It will not (and will require any subgrantees, contractors, successors, transferees. and assignees not to), on the grounds of race,
color, religion, national origin, sex, disability, or age, unlawfully exclude any person from participation in, deny the benefits of or
employment to any person, or subject any person to discrimination in connection with any programs or activities funded in whole or
in part with federal funds. These civil rights requirements are found in the non - discrimination provisions of Title VI of the Civil Rights
Act of 1964, as amended (42 U.S.C. § 2000d); the Omnibus Crime Control and Safe Streets Act of 1968, as amended (42 U.S.C. §
3789d); Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794); the Age Discrimination Act of 1975 (42 U.S.C.
§ 6101, et seq.); Title IX of the Education Amendments of 1972, as amended (20 U.S.C. § 1681, et seq.); and the corresponding
DOJ regulations implementing those statutes at 28 C.F.R. Part 42 (subparts C, D, E, G, and 1). It will also comply with Executive
Order 13279 Equal Treatment for Faith -Based Organizations and its implementing regulations at 28 C.F.R. Part 38, which requires
equal treatment of religious organizations in the funding process and nondiscrimination of beneficiaries by Faith -Based
Organizations on the basis of belief or non- belief.
A. In the event that any court or administrative agency makes a finding of discrimination on grounds of race, color, religion, national
origin, gender, disability or age against the applicant after a due process hearing, it agrees to forward a copy of the finding to the
Office for Civil Rights, Office of Justice Programs, 810 7th Street, NW, Washington, D.C. 20531.
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B. If your organization has received an award for $500,000 or more and has 50 or more employees, then it has to prepare an Equal
Employment Opportunity Plan (ESOP) and submit it to the Office for Civil Rights ( "OCR "), Office of Justice Programs, 810 7th
Street, N.W., Washington, DC 20531, for review within 60 days of the notification of the award. If your organization received an
award between $25,000 and $500,000 and has 50 or more employees, your organization still has to prepare an ESOP, but it does
lave to submit the ESOP to OCR for review. Instead, your organization has to maintain the ESOP on file and make it available
eview on request. In addition, your organization has to complete Section B of the Certification Form and return it to OCR. If your
organization received an award for less than $25,000; or if your organization has less than 50 employees, regardless of the amount
of the award; or if your organization is a medical institution, educational institution, nonprofit organization or Indian tribe, then your
organization is exempt from the ESOP requirement. However, your organization must complete Section A of the Certification Form
and return it to OCR.
9. Pursuant to Department of Justice guidelines (June 18, 2002 Federal Register (Volume 67, Number 117, pages 41455 - 41472)),
under Title VI of the Civil Rights Act of 1964, it will ensure meaningful access to its programs and activities by persons with limited
English proficiency.
10. It will ensure that any facilities under its ownership, lease or supervision which shall be utilized in the accomplishment of the
project are not listed on the Environmental Protection Agency' (EPA) list of Violating Facilities and that it will notify us if advised by
the EPA that a facility to be used in this grant is under consideration for such listing by the EPA..
11. If the applicant's state has established a review and comment procedure under Executive Order 12372 and has selected this
program for review, it has made this application available for review by the state Single Point of Contact.
12. It will submit all surveys, interview protocols, and other information collections to the COPS Office for submission to the Office of
Management and Budget for clearance under the Paperwork Reduction Act of 1995 if required.
13. It will comply with the Human Subjects Research Risk Protections requirements of 28 C.F.R. Part 46 if any part of the funded
project contains non - exempt research or statistical activities which involve human subjects and also with 28 C.F.R. Part 22,
requiring the safeguarding of individually identifiable information collected from research participants.
14. Pursuant to Executive Order 13043, it will enforce on- the -job seat belt policies and programs for employees when operating
agency- owned, rented or personally -owned vehicles.
15. It will not use COPS funds to supplant (replace) state, local, or Bureau of Indian Affairs funds that otherwise would be made
available for the purposes of this grant, as applicable.
16. If the awarded grant contains a retention requirement, it will retain the increased officer staffing level and /or the increased officer
ployment level, as applicable, with state or local funds for a minimum of 12 months following expiration of the grant period.
. It will not use any federal funding directly or indirectly to influence in any manner a Member of Congress, a jurisdiction, or an
official of any government, to favor, adopt, or oppose, by vote or otherwise, any legislation, law ratification, policy or appropriation
whether before or after the introduction of any bill, measure, or resolution proposing such legislation, law. ratification, policy or
appropriation as set forth in the Anti- Lobby Act, 18 U.S.C. § 1913.
18. In the event that a portion of grant reimbursements are seized to pay off delinquent federal debts through the Treasury Offset
Program or other debt collection process, it agrees to increase the non - federal share (or, if the awarded grant does not contain a
cost sharing requirement, contribute a non- federal share) equal to the amount seized in order to fully implement the grant project.
19. None of the funds made available under this award may be distributed to the Association of Community Organizations for
Reform Now (ACORN) or its subsidiaries.
False statements or claims made in connection with COPS grants (including cooperative agreements) may result in fines,
imprisonment, disbarment ent from participating in federal 9.-ants or contracts, and/or any othar remedy available by law. . av,E
I certify that the assurances provided are true and accurate to the best of my knowledge.
Elections or other selections of new officials will not relieve the grantee entity of its obligations under this grant.
Signature of Law Enforcement Executive /Agency Executive (For your electronic signature, please type in your name) Kevin
Rambosk
Date:
Signature of Government Executive /Financial Official (For your electronic signature, please type in your name) Tim Nance
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SECTION 15B: CERTIFICATIONS
Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Federal Taxes and Assessments; Drug -
Free Workplace Requirements; and Coordination with Affected Agencies.
Although the Department of Justice has made every effort to simplify the application process, other provisions of federal law require
us to seek your agency's certification regarding certain matters. Applicants should read the regulations cited below and the
instructions for certification included in the regulations to understand the requirements and whether they apply to a particular
applicant. Signing this form complies with certification requirements under 28 C.F.R. Part 69, "New Restrictions on Lobbying," 2
C.F.R. Part 2867, "Nonprocurement Debarment and Suspension," the applicable appropriations Acts, 28 C.F.R. Part 83,
"Government -Wide Requirements for Drug -Free Workplace (Grants)," and the coordination requirements of the Public Safety
Partnership and Community Policing Act of 1994. The certifications shall be treated as a material representation of fact upon which
reliance will be placed when the Department of Justice determines to award the covered grant.
1. Lobbying
As required by 31 U.S.C. § 1352, implemented at 28 C.F.R. Part 69, for persons entering into a grant or cooperative agreement
over $100,000, and 2 C.F.R. § 200.450 as adopted by the Department of Justice in 2 C.F.R. § 2800.101, the applicant certifies that:
A. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with the making of any federal grant; the entering into of any cooperative
agreement; and the extension, continuation, renewal, amendment or modification of any federal grant or cooperative agreement;
B. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a
member of Congress in connection with this federal grant or cooperative agreement, the undersigned shall complete and submit
Standard Form - LLL, "Disclosure of Lobbying Activities," in accordance with its instructions; and
C. If applicant is a nonprofit organization or an institution of higher education, it will comply with the additional lobbying restrictions
set forth in 2 C.F.R. § 200.450(c) as adopted by the Department of Justice in 2 C.F.R. § 2800.101; and
D. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all
tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all sub- recipients shall
certify and disclose accordingly.
2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)
Pursuant to Executive Order 12549, Debarment and Suspension, as implemented at 2 C.F.R. Part 2867, for prospective participants
in primary covered transactions, as defined at 2 C.F.R. § 2867.20(a). and other requirements, the applicant certifies that it and its
principals:
A. Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of federal benefits by
a state or federal court, or voluntarily excluded from covered transactions by any federal department or agency;
B. Have not within a three -year period preceding this application been convicted of a felony criminal violation under any Federal
law, or been convicted or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection
with obtaining, attempting to obtain, or performing a public (federal, state or local) or private agreement or transaction; violation of
federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, tax evasion or receiving stolen property, making false claims, or obstruction of justice, or commission of
any offense indicating a lack of business integrity or business honesty that seriously and directly affects your present responsibility;
C. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state or local) with
commission of any of the offenses enumerated in paragraph (B) of this certification; and
D. Have not within a three -year period preceding this application had one or more public transactions (federal, state or local)
terminated for cause or default.
3. Mandatory Disclosure
Pursuant to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 C.F.R. §
200.113 as adopted by the Department of Justice in 2 C.F.R. § 2800.101, the applicant certifies that it:
A. Has not violated any federal criminal law involving fraud, bribery, or gratuity that may potentially affect the federal grant or
cooperative agreement.
B. Shall timely disclose in writing to the federal awarding agency or pass- through entity, as applicable, any violation of federal
criminal law involving fraud, bribery, or gratuity that may potentially affect the federal grant or cooperative agreement.
C. Shall require that the language of this certification be included in the award documents for all subawards (including subgrants and
cooperative agreements) and shall require all subrecipients certify and disclose accordingly.
4. Federal Taxes and Assessments
A. If applicable, an applicant who receives an award in excess of $5,000,000 certifies that, to the best of its knowledge and belief,
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the applicant has filed all Federal tax returns required during the three years preceding the certification, has Itut Utja11 UU VIULCCU U1 d
criminal offense under the Internal Revenue Code of 1986, and has not, more than 90 days prior to certification, been notified of
any unpaid Federal tax assessment for which the liability remains unsatisfied, unless the assessment is the subject of an installment
agreement or offer in compromise that has been approved by the Internal Revenue Service and is not in default, or the assessment
''e subject of a non - frivolous administrative or judicial proceeding.
he applicant certifies that it does not have any unpaid Federal tax liability that has been assessed, for which all judicial and
administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an
agreement with the authority responsible for collecting the tax liability.
5. Drug -Free Workplace (Grantees Other Than Individuals)
As required by the Drug -Free Workplace Act of 1988, and implemented at 28 C.F.R. Part 83, for grantees /recipients, as defined at
28 C.F.R. § 83.660 -
A. The applicant certifies that it will, or will continue to, provide a drug -free workplace by:
(i) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a
controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for
violation of such prohibition;
(ii) Establishing an on -going drug -free awareness program to inform employees about -
(a) The dangers of drug abuse in the workplace;
(b) The grantee's policy of maintaining a drug -free workplace;
(c) Any available drug counseling, rehabilitation and employee assistance programs; and
(d) The penalties that may be imposed upon employees for drug -abuse violations occurring in the workplace;
(iii) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement
required by paragraph (i);
(iv) Notifying the employee in the statement required by paragraph (i) that, as a condition of employment under the grant, the
employee will -
(a) Abide by the terms of the statement; and
(hl Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later
five calendar days after such conviction;
(v) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (iv)(b) from an employee or
otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title,
to: COPS Office, 145 N St, NE, Washington, D.C. 20530. Notice shall include the identification number(s) of each affected grant;
(vi) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (iv)(b), with respect to any
employee who is so convicted -
(a) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements
of the Rehabilitation Act of 1973, as amended; or
(b) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such
purposes by a federal, state or local health, law enforcement or other appropriate agency;
NO Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (i), (ii), (iii), (iv),
(v). and (vi).
B. The applicant further certifies that it will identify all known workplaces under each COPS Office award, keep the identification
documents on file, and make them available for inspection upon request by the Department of Justice officials or their designated
representatives.
6. Coordination
The Public Safety Partnership and Community Policing Act of 1994 requires applicants to certify that there has been appropriate
coordination with all agencies that may be affected by the applicant's grant proposal if approved. Affected agencies may include,
among others. the Office of the United States Attorney, state or local prosecutors, or correctional agencies. The applicant certifies
that there has been appropriate coordination with all affected agencies.
Where the applicant is unable to certify to any of the statements in this Certifications form, he or she shall attach an explanation
to this application regarding the particular statement that cannot be certified. Please check the box if an explanation is attached to
this application. Please note that the applicant is still required to sign the Certifications form to certify to all the other applicable
�ments.
rdise statements or claims made in connection with COPS grants (including cooperative agreements) may result in fines,
imprisonment, disbarment from participating in federal grants or contracts, and /or any other remedy available by law.
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I certify that the assurances provided are true and accurate to the best of my knowledge.
Elections or other selections of new officials will not relieve the grantee entity of its obligations under this grant.
Signature of Law Enforcement Executive /Agency Executive (For your electronic signature, please type in your name) Kevin
Rambosk
Date:
Signature of Government Executive /Financial Official (For your electronic signature, please type in your name) Tim Nance
Date
SECTION 16: DISCLOSURE OF LOBBYING ACTIVITIES
Instructions for Completion of SF -LLL, Disclosure of Lobbying Activities
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or
receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a
form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an
officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change
report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and /or has been secured to influence the outcome of a
covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow -up report caused by a material change to the information
previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report
by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District number, if known.
Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient.
Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to
subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, state and zip code of
the prime Federal recipient. include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below
agency name, if known. For example, Department of Transportation. United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal
Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for
Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number;
the application /proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFPD E -90- 001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal
amount of the award /loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting registrant identified in
item 4 to influence the covered Federal action.
(b) Enter the full name(s) of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name,
First Name, and Middle Initial (MI).
11. The certifying official shall sign and date the form, print his /her name, title and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it
displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348 -0046. Public
reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348 - 0046).
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Washington, DC 20503.
Disclosure of Lobbying Activities
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352.
Not Applicable
'l. Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. Status of Federal Action:
a. bid /offer /application
b. initial award
c. post -award
3. Report Type:
a. initial filing
b. material change
For Material Change Only: if you select "b. material change" above, the following three fields are required.
4. Name and Address of Reporting Entity:
a. Prime
b. Subawardee
Subawardee Tier, if known
Congressional District (number), if known:
5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
Congressional District (number), if known:
6. Federal Department/Agency:
7. Federal Program Name /Description:
-/A Number, if applicable:
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8. Federal Action Number, if known:
9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant (if individual, last name, first name, MI):
10 b. Individuals Performing Services (including address if different from No.1 Oa) (last name, first name, MI):
11. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying
activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was
made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the
Congress semi- annually and will be available for public inspection. Any person who fails to file the required disclosure
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Typed Name:
Title:
Telephone Number:
DATE:
Federal Use Only:
Authorized for Local Reproduction, Standard Form - LLL
SECTION 17: CERTIFICATION OF REVIEW AND REPRESENTATION OF
COMPLIANCE WITH REQUIREMENTS
1) Federal Civil Rights and Grant Reviews:
Please be advised that an application may not be funded and, if awarded, a hold may be placed on the award if it is deemed that the
applicant is not in compliance with federal civil rights laws, and /or is not cooperating with an ongoing federal civil rights investigation,
and /or is not cooperating with a Department of Justice grant review or audit.
2) Certification of Review of 28 C.F.R. Part 23 /Criminal Intelligence Systems:
Please review the COPS Application Guide: Legal Requirements Section for additional information.
Please check one of the following, as applicable to your agency's intended use of this grant:
No, my agency will not use these COPS grant funds (if awarded) to operate an interjurisdictional criminal intelligence system.
Yes, my agency will use these COPS grant funds (if awarded) to operate an interjurisdictional criminal intelligence system. By
signing below, we assure that our agency will comply with the requirements of 28 C.F.R. Part 23.
3) Certification of Review and Representation of Compliance with Requirements:
The signatures of the Law Enforcement Executive /Agency Executive, Government Executive /Financial Official, and the Person
Submitting this Application on the Reviews and Certifications represent to the COPS Office that:
a) the signatories have been legally and officially authorized by the appropriate governing body to submit this application and act on
behalf of the grant applicant entity;
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b) the applicant will comply with all legal, administrative, and programmatic requirements that govern the applicant for acceptance
and use of federal funds as outlined in the applicable COPS Application Guide; the COPS Grant Owner's Manual, Assurances,
Certifications and all other applicable program regulations, laws, orders, and circulars;
rl` the applicant understands that false statements or claims made in connection with COPS programs may result in fines,
isonment, debarment from participating in federal grants, cooperative agreements, or contracts, and /or any other remedy
mailable by law to the federal government;
d) the information provided in this application, including any amendments, shall be treated as material representations of fact upon
which reliance will be placed when the Department of Justice determines to award the covered grant;
e) the applicant understands that as a general rule COPS funding may not be used for the same item or service funded through
another funding source; and
f) the applicant and any required or identified official partner(s) listed in Section 12 are partners in this grant project and mutually
agreed to this partnership prior to this grant application.
The signatures of the Law Enforcement Executive /Agency Executive and the Government Executive /Financial Official on this
application must be the same as those identified in Section 4 of this application. Applications with missing, incomplete, or inaccurate
signatories or responses may not be considered for funding.
Signature of Law Enforcement Executive /Agency Executive (For your electronic signature, please type in your name) Kevin
Rambosk
Date:
Signature of Government Executive /Financial Official (For your electronic signature, please type in your name) Tim Nance
Date
Signature of Person Submitting This Application (For your electronic signature, please type in your name)
Date
By clicking this box, the applicant understands that the use of typed names in this grant application and the required grant
forms, including the Assurances and Certifications, constitute electronic signatures and that the electronic signatures are the legal
equivalent of handwritten signatures.
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