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Okaloosa County BOCC — May 20, 2014 — BJA FY 14 Edward Byrne Memorial Justice Assistance Grant Application — reading text
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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;
(c) 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, implemented at 2 CFR Part 2867, for prospective participants in
primary covered transactions, as defined at 2 CFR Section 2867.20(a), and other requirements:
A. 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 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) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
(c) Have not within a two-year period preceding this application been convicted of a felony criminal violation under any Federal law,
_ unless such felony criminal conviction has been disclosed in writing to the Office of Justice Programs (OJP) at
Ojpcompliancereporting@usdoj.gov, and, after such disclosure, the applicant has received a specific written determination from
OJP that neither suspension nor debarment of the applicant is necessary to protect the interests of the Government in this case.
(d) 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
(e) 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.
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this
application.
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Certifications Page 2 of 3
3. FEDERAL TAXES
A. lf the applicant is a corporation, the applicant certifies that either (1) the corporation has no unpaid Federal tax liability that has
been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, that is not being paid in a
timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, or (2) the corporation has
provided written notice of such an unpaid tax liability (or liabilities) to OJP at Ojpcompliancereporting@usdoj.gov, and, after such
disclosure, the applicant has received a specific written determination from OJP that neither suspension nor debarment of the
applicant is necessary to protect the interests of the Government in this case.
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this
application.
4, DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 83, Subpart F, for grantees, as defined at
28 CFR Sections 83.620 and 83.650: -
A. The applicant certifies that it will or will continue to provide a drug-free workplace by:
(a) 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;
(b) Establishing an on-going drug-free awareness program to inform employees about
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) 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 (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the
_ employee will
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later
than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or
otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title,
to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 810 7th Street, N.W., Washington, D.C. 20531. Notice
shall include the identification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any
employee who is so convicted
(1) 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
(2) 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;
(g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d),
(e), and (f).
As the duly authorized representative of the applicant, | hereby certify that the applicant will comply with the above certifications.
https://grants.ojp.usdoj.gov/gmsexternal/displayAssurancesTextAction.st?method=certify&status=N&id=2 5/13/2014
Certifications : Page 3 of 3
Charles K. Windes, Jr., Chairman Date
https://grants.ojp.usdoj.gov/gmsexternal/displayAssurancesTextAction.st?method=certify&status=-N&id=2 5/13/2014
BJA FY 14 Edward Byrne Memorial Justice Assistance Grant (JAG) Program: Local
Application
BJA FY 14 Edward Byrne Memorial Justice Assistance Grant (JAG) Program:
Local 2014-H2011-FL-Du
Correspondence
Review SF-424 Print a Copy
Application Handbook
Overview
Applicant
Information
Project Information
Budget and
Program
Attachments
Assurances and
Certifications
Review SF 424
Submit Application
Help/Frequently Asked
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APPLICATION FOR 2. DATE SUBMITTED
FEDERAL ASSISTANCE
Applicant Identifier
1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE
State Application Identifier
Application Non-Construction
AGENCY
4. DATE RECEIVED BY FEDERAL
Federal Identifier
5.APPLICANT INFORMATION
Legal Name
Okaloosa County Board of County Commissioners
Organizational Unit
Okaloosa County Sheriff's Office
Address
c/o Contracts & Grants
1804 Lewis Turner Blvd., Suite 206
Fort Walton Beach, Florida
32547-1285
Name and telephone number of the person
to be contacted on matters involving this
application
Eubanks, Marcella
(850) 651-7200
6. EMPLOYER IDENTIFICATION NUMBER (EIN)
59-6000765
7. TYPE OF APPLICANT
County
Questions
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8. TYPE OF APPLICATION
New
9. NAME OF FEDERAL AGENCY
Bureau of Justice Assistance
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE
NUMBER: 16.738
CFDA EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT
TITLE: PROGRAM
ii. DESCRIPTIVE TITLE OF APPLICANT'S
PROJECT
Significant Incident Response Enhancements
12. AREAS AFFECTED BY PROJECT
Communications, Computer Software/Hardware, Equipment-Tactical, Less-Than-Lethal, Violence-Violent Crime
13. PROPOSED PROJECT
Start Date: October 01, 2013
End Date: September 30, 2017
14. CONGRESSIONAL DISTRICTS OF
a. Applicant
b. Project FLOL
15. ESTIMATED FUNDING
16. IS APPLICATION SUBJECT TO REVIEW
BY STATE EXECUTIVE ORDER 12372
Federal $41,859 PROCESS?
Applicant $0
Program is not covered by E.0. 12372
State £0
Local $0
Other £0
Program Income £0 17. IS THE APPLICANT DELINQUENT ON
ANY FEDERAL DEBT?
TOTAL $41,859
N
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION PREAPPLICATION ARE
TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY GOVERNING BODY OF THE APPLICANT
AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS REQUIRED.
https://grants.ojp.usdoj.gov/gmsexternal/applicationReview.do
5/13/2014
BJA FY 14 Edward Byrne Memorial Justice Assistance Grant (JAG) Program: Local Page 1 of I
BJA FY 14 Edward Byrne Memorial Justice Assistance Grant (JAG)
Program: Local 2014-12011-FL-pJ
Application Correspondence | Switch to ... Vv
Application Handbook Submit Application
Overview You can Submit this application only when the following checklist is complete. Click on the
"Incomplete" link to get more details for the corresponding incomplete item.
Applicant
Information Status Requirement
Project Information Complete Overview
Complete Applicant Information
Budget and
Program Complete Project Information
Attachments
Complete Budget and Program Attachments
Assurances and
Certifications
Certified to the Assurances and Certifications
Regarding Lobbying, Debarment, Suspension and
Other Responsibility Matters; and Drug-Free
Workplace
Incomplete
Review SF 424
Submit Application
You may not submit your application until your user id has been approved and all of the
above conditions are marked as "Completed".
Help/Frequently Asked
Questions
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https://grants.ojp.usdoj.gov/gmsexternal/submitA pplication.do 5/13/2014
