Okaloosa County BOCC — February 11, 2013 — SCAAP - Application Submittal — reading text

State Criminal Alien Assistance Program Page 1 of 3 State Criminal Alien Assistance Program 2013-H1963-FL-AP Application Correspondence Switch to ... Application Handbook OMB Number: 1121-0243 Expires: 02/29/2004 Applicant Application Submittal Information Contact ACH Bank Application Number: 2013-H1963-FL-AP Inmate Use the status chart below to determine when all of your SCAAP application requirements have been met. Any part of the application that is not complete will be indicated, including a list of the missing or invalid information. Once Facility all requirements show a "Complete" in the status column, a "Submit Application" button will appear at the bottom of this form. When you are Submit completely satisfied with your application and all requirements have been met, please submit your application. Once submitted, your application will no longer be available for editing or additional inmate data uploads. SCAAP Help Status Requirement GMS Home GMS/SCAAP User Id Approval - BJA is Complete Log Off responsible for approving the User ID Complete Applicant Complete Contact ACH Bank Incomplete z You must indicate if your jurisdictions ACH information has changed from your last SCAAP disbursement Inmate Incomplete z You must first certify that you have read and agree to the SCAAP Guidelines Facility Incomplete z You must first certify that you have read and agree to the SCAAP Guidelines Complete Submit To the best of my knowledge and belief, all data in this application/preapplication is true and correct, the document has been duly authorized by the applicant and the applicant will comply with the attached assurances if the assistance is awarded. Your typed name, in lieu of your signature, represents your legal binding acceptance of the terms of this application and your statement of the https://grants.ojp.usdoj.gov/gmsexternal/submitSCAAP.do 4/5/2013 State Criminal Alien Assistance Program Page 2 of 3 veracity of the representations made in this application. The document has been duly authorized by the applicant and the applicant will comply with the following: Assurances Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace requirements. SCAAP Program Designee (Note: Hit the TAB key to move between fields) *Prefix: Chairman Prefix Other: *First Name: Don Middle Initial: R *Last Name: Amunds Suffix: Select a Suffix Other Suffix: *Title: Chairman *Phone: ( 850 ) 651 - 7105 Phone Ext: Fax: ( 850 ) 651 - 7142 *Email: grants@clerkofcourts.cc *Address 1: c/o Contracts & Grants Address 2: 1804 Lewis Turner Blvd., Suite 20 *City: Fort Walton Beach *State: Florida *Zip: 32547 - 1285 In submitting this application, I acknowledge that BJA reserves the right to take appropriate administrative action, including intensive monitoring, repayment action, or adjustment to future payments, to resolve any data or application discrepancies discovered now or in the future. Any award resulting from this application will be sent to my jurisdiction's bank account of record, as verified through the on-line registration process and in accordance with applicable E-Government rules and regulations. Formal acceptance of an award through this online Grants Management System is necessary for the electronic transfer of funds to occur. I understand that I will have 45 calendar days to accept any award, once notice is provided. [See Office of Justice Programs Financial Guide, Part II, Chapter 2 at 22 (requiring acceptance/drawdown of awards within 45 days of notice of award) and Part IV, Chapter 2, Sec. 16.606 State Criminal Alien Assistance Program (SCAAP) (requiring expeditious draw- down of payments.)] Certification Affecting the Use of FY 2013 SCAAP Funds As the CEO or authorized designee of this jurisdiction, I understand that https://grants.ojp.usdoj.gov/gmsexternal/submitSCAAP.do 4/5/2013 State Criminal Alien Assistance Program Page 3 of 3 the Department of Justice Reauthorization Act of 2005 (Pub. L. 109-162, Title XI) included a requirement, stipulating that all FY 2013 SCAAP funds must be used for correctional purposes only. I acknowledge that my jurisdiction will be required, during the award acceptance process, to provide basic information on how the FY 2013 SCAAP funds will be expended for correctional purposes. As the CEO or authorized designee of this jurisdiction, I understand the rules and requirements associated with the aforementioned statements and agree to abide by them in all matters dealing with the FY 2013 State Criminal Alien Assistance Program. Save Information Clear _________________________________________________________ Chairman, Okaloosa County Board of County Commissioners ___________________________ Date https://grants.ojp.usdoj.gov/gmsexternal/submitSCAAP.do 4/5/2013