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Okaloosa County BOCC — January 17, 2017 — Sheriff Office Agenda Request — reading text

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contained herein. I certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. I agree to submit proper supporting documentation within ninety (90) days of expending the LETF proceeds, which establishes that such proceeds were expended for the purposes they were approved and in conformity with Florida law. I further agree that should I fail to provide such documentation within the specified time period, I will be responsible for reimbursing Okaloosa County for the amounts received. Virginia Glytir Barr B b s December 6, 2016 Signature of Applicant Date of Application Virginia Glynn Barr Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with Section 932.7055, Florida Statutes. Sheriff Larry B/Ashley Board of County Commissioners: Approved/Disapproved Date: Amount approved: $ OKALOOSA COUNTY LAW ENFORCEMENT TRUST FUND (“LETF %) APPLICATION FROM THE OKALOOSA COUNTY SHERIFF’S OFFICE GENERAL INFORMATION Name of Program to be EhnePeeeniBion funded by LETF: Name/ Title of Contact: | Ron Gay/Major Administration E-mail: rongay(@sheriff-okaloosa.org Phone: (850) 609-3036 Total Program Budget: | N/A . New [_] Renewal [ | lémount . $100.00 equested: LETF CATEGORY (Place an “X” to the left of one program area for which you intend to apply): 1. Crime Prevention 2. Drug Abuse Prevention/Education 3. Safe Neighborhood 4. School Resource Officer 5. Other Law Enforcement Purposes, which include defraying the cost of protracted or complex investigations, providing additional equipment or expertise, purchasing automated external defibrillators for use in law enforcement vehicles, and providing matching funds to obtain federal grants: (specify below) DDDDEL PROPOSED PROGRAM INFORMATION 1. Program Summary and Purpose: Provide an overview of program services, including target population and how many will be served while completing the following statement. The Crime Prevention Program is used to assess crime risk and remove or reduce crime through public education and awareness. Some of these programs include Vehicle Burglary Prevention, Women’s Self Defense Classes, Citizen Firearms Safety Classes, Neighborhood Watch, and various educational programs for our youth and safety programs for our citizens. The target audience for this program will be students and their families. 2. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and specify how it fulfills the statutorily authorized uses set forth in Section 932.7055, Florida Statutes. All supporting documentation necessary to establish such shall be attached to this Application. These proceeds shall not be utilized to meet normal operating expenses. Funds requested will be used to advertise awareness of the Crime Prevention program throughout the school year. The goal is to support educational awareness of the Crime Prevention program through our local youth sports and create a safe learning environment. 3. Have you applied for funding for this program from any other entity or agency? (If yes, identify the source from which the funding was sought, the dollar amount requested from the source and provide the outcome of that application). N/A Upon completing this application in its entirety, please read the following statement and affix your signature accordingly. I have read, fully understand and agree to be bound by Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund (“LETF Policy”) and applicable state statutes. I have completed this application fully and accurately and have not misrepresented any information contained herein. I certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. I agree to submit proper supporting documentation, which estab{ishes that LETF proceeds were expended for the purposes they were approved and in conformity with Florida law. I further agree that should I fail to provide such documentation, I will be responsible for reimbursing Okaloosa County for the amounts received. oz 7] — /0228 Signature of A[fia{fiant N Date of Application Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with WJOSS, Florida Statutes. Sheriff Larry R. Ashley fl Board of County Commissioners: Approved/Disapproved Date: Amount approved: $ CRESTVIEW HIGH SCHOOL 1250 North Ferdon Blvd Crestview, FL 32536 850-689-7177 DEXTER DAY ELLA SHAW PRINCIPAL ASSISTANT PRINCIPAL THOMAS HARVELL HOLLY TEW ASSISTANT PRINCIPAL ASSISTANT PRINCIPAL November 10, 2016 To Whom It May Concern: Crestview Wrestling now has 40+ members! Wrestling is a great individual as well as team sport. Members learn discipline, teamwork, self confidence and honorable work ethics. Our size has tripled in the last 4 years! As our team and reputation have grown, so have our expenses. Types of expenses we incur are officials, travel, uniforms and entry fees. We are seeking business sponsors to help offset our team costs. If your business would consider supporting our CHS Wrestling team for a $100 donation, we would print your name on the back of shirts we wear for practice and fundraisers and we will also verbally announce your business during our home meets at Crestview High School. Thank you in advance for considering this opportunity to support some of the fine athletes at Crestview High School! Sincerely, Coach Andrew Black CHS Wrestling Coach "COMMITMENT TO EXCELLENCE" AFFIDAVIT OF Major Ron Gay STATE OF FLORIDA COUNTY OF OKALOOSA BEFORE ME, the undersigned authority, personally appeared Ron Gay who being first duly sworn, deposes and says: 1. My name is Ron Gay. I currently serve as the Administrative Major for the Okaloosa County Sheriff’s Office. I have personal knowledge of the matters contained within this affidavit. 2 On , the Okaloosa County Board of County Commissioners (the “Board”) approved our organization’s Law Enforcement Trust Fund (“LETF”) Application, which is attached hereto as Exhibit “A.” 3. The Okaloosa County Sheriff’s Office agrees to utilize the LETF funds in accordance with Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund and applicable state statutes. Specifically, the LETF funds will be expended for the following purposes: a. Crime Prevention b. Other Law Enforcement Purposes FURTHER AFFIANT SAYETH NOT. — 7 / ; o /7 & = Ron Gay ‘/}/ CJ Major Okaloosa County Sheriff’s Office Sworn to and subscribed before me this day of oy Printed Name: Notary Public, State of Florida My Commission Expires: Commission No: Affiant personally known or produced Identification Type of identification Produced: OKALOOSA COUNTY LAW ENFORCEMENT TRUST FUND (“LETF”) APPLICATION FROM THE OKALOOSA COUNTY SHERIFF’S OFFICE GENERAL INFORMATION Name of Program to be ’ . ’ ; funded by LETF: Concerns of Police Survivors Capital Campaign Name/ Title of Contact: | Ron Gay/Major Administration E-mail: rongay(@sheriff-okaloosa.org Phone: (850) 609-3036 Total Program Budget: | N/A . New [_] Renewal [ ] Amount Program is: Requested; $2,500.00 LETF CATEGORY (Place an “X” to the left of one program area for which you intend to apply): 1. Crime Prevention 2. Drug Abuse Prevention/Education 3. Safe Neighborhood 4. School Resource Officer 5. Other Law Enforcement Purposes, which include defraying the cost of protracted or complex investigations, providing additional equipment or expertise, purchasing automated external defibrillators for use in law enforcement vehicles, and providing matching funds to obtain federal grants: (specify below) KO0O00 PROPOSED PROGRAM INFORMATION 1. Program Summary and Purpose: Provide an overview of program services, including target population and how many will be served while completing the following statement. Concerns of Police Survivors Capital Campaign (C.O.P.S.) is an outreach program helping surviving families and co-workers of law enforcement officers who have died in the line of duty. They assist in rebuilding the lives of survivors and those affected by line of duty deaths of law enforcement officers. 2. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and specify how it fulfills the statutorily authorized uses set forth in Section 932.7055, Florida Statutes. All supporting documentation necessary to establish such shall be attached to this Application. These proceeds shall not be utilized to meet normal operating expenses. Funds requested will be used towards the support of the survivors of law enforcement officer line of duty deaths through partnerships with law enforcement and the community. Funds will be used to bring public awareness of survivors and law enforcement in line of duty deaths with the purchase of memorial pavers for each Okaloosa County Sheriff’s Office line of duty death. They are: Sheriff John Summerlin; Deputy Sheriff Anthony Forgione; Deputy Sheriff Warren “Skip” York; Deputy Sheriff Burt Lopez; and Deputy Sheriff William “Bill” Myers. 3. Have you applied for funding for this program from any other entity or agency? (If yes, identify the source from which the funding was sought, the dollar amount requested from the source and provide the outcome of that application). N/A Upon completing this application in its entirety, please read the following statement and affix your signature accordingly. I have read, fully understand and agree to be bound by Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund (“LETF Policy”) and applicable state statutes. I have completed this application fully and accurately and have not misrepresented any information contained herein. I certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. I agree to submit proper supporting documentation, which establishes that LETF proceeds were expended for the purposes they were approved and in conformity with Florida law. I further agree that should I fail to provide such documentation, I will be responsible for reimbursing Okaloosa County for the amounts received. it Signature of Kpplica/rf L Date of Application Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with Section 932,7055, Florida Statutes. Sheriff Largy’R. Ashley / Board of County Commissioners: Approved/Disapproved Date: Amount approved: § Rebwilding Shattered Lives BY BUILDING THE Road to Hope A Capital Gampaign for the Expansion and Renovation of the COLS. National Office mm—— Letter Srom the President Never in our wildest dreams did we think that only 15 years after building a National Headquarters for Concerns of Police Survivors (C.O.PS.) in Camdenton, MO, that there would be such an immediate need to increase staff and build additional office space. Attendance at the Hands-On Programs is growing. The number of Hands-On Programs is growing. The National recognition for C.0.PS, is growing. But, National Offices do not grow. They need to be built! As we all know, C.O.PS. is an organization no one wants to join; but the members of C.O.PS. have found healing and a new supportive family that helps them deal with the death of their law enforcement officer. [ became a survivor long before there was a C.0.ps, [n 1966, my father, Rossford (OH) Police Patrolman Clifton Miller, died in the line of duty from injuries sustained in an automobile crash during a vehicle pursuit. 1 was eight-years old. There was no Kids Camp, no Outward Bound® experience and no Adult Children’s Retreat. In fact, I did not learn about C.O.PS. until 2002. What a difference C.O.P.S. has made in my life! It brought healing that

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