READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — March 18, 2013 — Smart Policing Initiative Grant Concept Paper — reading text
Part 3 of 7. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 36-Smart Policing Initiative Grant Concept Paper.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
Narrative Filename: budget Narrative - SF424 Smart Policing Initiativel
To add more Budget Narrative attachments, please use the attachment buttons below.
DISCLOSURE OF LOBBYING ACTIVITIES
Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
0348-0046
1.* Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type:
[| a. contract a. bid/offer/application a. initial filing
b. grant C] b. initial award [| b. material change
[ | c. cooperative agreement L] c. post-award
[| d.toan
| e. loan guarantee
[| f. loan insurance
4. Name and Address of Reporting Entity:
[X<]Prime [__|subawardee
*Name | 4 |
Okaloosa County Board of County Commissioners
* Street 7 . | Street 2 | |
1804 Lewis Turner Blvd, Ste 206
City froxt Walton Beach | State [rts Florida | Zip [32547-1285 |
Congressional District, if known: |rt-oo |
§. lf Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency: 7. * Federal Program Name/Description:
U.S, Department of Justice Edward Byrne Memorial Competitive Grant Program
CFDA Number, if applicable: l16 +751
8. Federal Action Number, if known: 9. Award Amount, if known:
BJA-2013-3486 $ | |
10. a. Name and Address of Lobbying Registrant:
Prefix [ * First Name [_, | Middie Name |
Jim
* Last Name | Suffix [
Davenport
Street 1 lnicaide & Fay | Street 2 [aaa Wilson Boulevard, 8th Floor |
“City lariington State [va Virginia 2ip {22201 |
b. Individual Performing Services (including address if different from No. 10a)
Prefix [| *First Name [_. | Micte Name |
Jim
*Last Name | | Suffix [|
Davenport
* Street 7 | | Street 2 | |
* City | State | | Zip | |
411. information requested through this form is authorized by title 34 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 the 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 an ore than $100,000 fopeach such fatture.
( Y Me) ‘wv
* Signature: ssi Vgov
*Name: Prefix [ "First Name | Middle Name
Dave
* Last Name | 5 | Suffix |
Parisot
Title: [vice Chairman, Oka Cty Board of conmissioners| Telephone No.: |350-651-7200 x4381 | Date: [compceaoy bru Py Pants gov
1 for Local
Standard Form - LLL (Rev. 7-97)
Other Attachment File(s)
* Mandatory Other Attachment Filename: jokalcosa SPI Concept Paper.pdf
Project Narrative File(s)
* Mandatory Project Narrative File Filename: jokaloosa SPI Concept Paper.pdf
To add more Project Narrative File attachments, please use the attachment buttons below.
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT,
SUSPENSION AND OTHER RESPONSIBILITY MATTERS
AND
DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to
which they are required to attest. Applicants should also review the instructions for
certification included in the regulations before completing this form. Signature of this
form provides for compliance with certification requirements under 28 CFR Part 69,
"New Restrictions on Lobbying" and 28 CFR Part 67, "Government-wide Debarment
and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free
Workplace (Grants)." 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 transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR
Part 69, for persons entering into a grant or cooperative agreement over $100,000, as
defined at 28 CFR Part 69, 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;
(c) The undersigned shall require that the language of this certification be included in the
award documents for ail 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)
As required by Executive Order 12549, Debarment and Suspension, and implemented at
28 CFR Part 67, for prospective participants in primary covered transactions, as defined
at 28 CFR Part 67, Section 67.510
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) 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 (1)(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; and
B. Where the applicant is unable to certify to any of the statements in this certification,
he or she shail attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part
67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620
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 Seventh 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).
B. The grantee may insert in the space provided below the site(s) for the performance of
work done in connection with the specific grant:
Place of Performance (Street address, city, county, state, zip code)
Check __if there are workplaces on file that are not identified here.
Section 67, 630 of the regulations provides that a grantee that is a State may elect to
make one certification in each Federal fiscal year. A copy of which should be included
with each application for Department of Justice funding. States and State agencies may
elect to use OJP Form 4061/7.
Check ____if the State has elected to complete OJP Form 4061/7.
DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part
67, Subpart F, for grantees, as defined at 28 CFR Part 67; Sections 67.615 and 67.620
A. Asa condition of the grant, | certify that | will not engage in the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled substance in
conducting any activity with the grant; and
B. If convicted of a criminal drug offense resulting from a violation occurring during the
conduct of any grant activity, | will report the conviction, in writing, within 10 calendar
days of the conviction, to:
Department of Justice
Office of Justice Programs
ATTN: Control Desk
810 Seventh Street, N.W.,
Washington, D.C. 20531
As the duly authorized representative of the applicant, | hereby certify that the applicant
will comply with the above certifications.
1. Grantee Name and Address:
Okaloosa County Board of County Commissioners
1804 Lewis Turner Blvd, Ste 206, Fort Walton Beach, FL 32547-1285
2. Application Number and/or Project Name:
Okaloosa County Sheriff's Office, Concept Paper for Smart Policing Initiative --
Economic/Financial Crimes Unit
3. Grantee IRS/Vendor Number
4. Type/Print Name and Title of Authorized Representative
Dave Parisot, Vice-Chairman Okaloosa County Board of County Commissioners
a~l/y-2o/?
5. Signature 6. Date
OJP FORM 4061/6 (3-91) REPLACES OJP FORMS 4061/2, 4061/3 AND 4061/4 WHICH ARE OBSOLETE.
OFFICE OF JUSTICE PROGRAMS BJA NIJ OJJDP BUS OVC
OMB Number: 1894-0010
Expiration Date: 05/31/2012
Survey on Ensuring Equal Opportunity For Applicants
