HomeMy WebLinkAbout972538.tiffLOCAL LAW ENFORCEMENT BLOCK GRANTS PROGRAM
LOCAL APPLICATION FORM
Vendor Number Or E.I.N...: 846000813 E -Mail
2. Locality Type : County
3. Applicant's Starting Fiscal Year..: January
4. Name Of Organization.:
WELD COUNTY
5. County : WELD
6. Street Address : 915 10th STREET
7. Additional Address:
8. City: Greeley
11. Grantee Type: NONE
12. C.E.O. Prefix.
13. First Name
14. Initial
15. Last Name
16. Title
17. PHONE
18. FAX
19. LOCES NUMBER
.: MRS.
: BRABARA
CEO DATA
• KIRKMEYER
COMMISSIONER
• (970) 356-4000
• (970) 353-8551
CONTACT DATA
20. PREFIX : MR.
. FIRST NAME : KIM
22. INITIAL NAME:
23. LAST NAME : FLIETHMAN
24. PHONE : (970) 356-4015
25. FAX : (970) 353-8551
Addr.:
9.State: CO
10.ZipCode: 80631-
26. Payment Contact
27. Payment Code
28. Federal Congnizant
KIM FLIETHMAN
• CHECK
Agency...: HHS
29. Award Amount A.Federal:$ 27,038.00
30. Date Sent To State: 08/07/96 31.
32. PURPOSE AREAS
A.LAW ENFORCEMENT FUNDS
a.HIRING :$ 0.00
b.OVERTIME:$ 0.00
c.EQUIPEMNT:$ 27,038
[
Date
B.Match:$ 3,004.00
sent S.P.O.C: 08/07/96
d.CURRENT OFFICERS...:
e.OFFICERS TO HIRE...:
00 f.SUPPORT PERSONNEL..:
(1) SWORN [ ] (2) CIVILIAN
B.CRIME PREVENTION :$ 0.00
C.ENHANCING SEC :$ 0.00
D.DRUG COURTS :$ 0.00
E.ENHANCING ADJUDICATION:$ 0.00
_ MULTI-JURIS.TASK FORCE:$ 0.00
INSURANCE :$ 0.00
33.Matching Funds Source: State and local
0
0
0
[ ] (1) SCHOOLS [ ] (2) OTHER
[ ] (1)ESTABLISH [ ] (2)SUPPORT
[ ] (1)ADULTS [ ] (2)JUVENILES
] RURAL AREA
units of government
v5000/5-
972538
OMB APPROVAL NO. 1121-0140
EXPIRES: 1/31/96
ASSURANCES
the Applicant hereby assures and certifies compliance with all Federal statutes, regulations, policies, guidelines and requirements,
including OMB Circulars No. A-21, A-110, A-122, A-128, A-87; E.O. 12372 and Uniform Administrative Requirements for Grants and
Cooperative Agreements -28 CFR, Part 66, Common Rule, that govern the application, acceptance and use of Federal funds for
this federally -assisted project. Also the Applicant assures and certifies that:
1. It possesses legal authority to apply for the grant; that a reso-
lution, motion or similar action has been duly adopted or
passed as an official act of the applicant's governing body,
authorizing the tiling of the application, including all under-
standings and assurances contained therein, and directing
and authorizing the person identified as the official repre-
sentative of the applicant to act in connection with the appli-
cation and to provide such additional information as may be
required.
2. It will comply with requirements of the provisions of the Uni-
form Relocation Assistance and Real Property Acquisitions
Act of 1970 P.L. 91-646) which provides for fair and equi-
table treatment of persons displaced as a result of Federal
and federally -assisted programs.
3. It will comply with provisions of Federal law which limit cer-
tain political activities of employees of a State or local unit
of government whose principal employment is in connection
with an activity financed in whole or in part by Federal grants.
(5 USC 1501, et seq.)
4. It will comply with the minimum wage and maximum hours pro-
visions of the Federal Fair Labor Standards Act if applicable.
5. It will establish safeguards to prohibit employees from using
their positions for a purpose that is or give the appearance of
being motivated by a desire for private gain for themselves or
others, particularly those with whom they have family, busi-
ness, or other ties.
6. It will give the sponsoring agency or the Comptroller General,
through any authorized representative, access to and the right
to examine all records, books, papers, or documents related
to the grant.
7. It will comply with all requirements imposed by the Federal
Sponsoring agency concerning special requirements of law,
program requirements, and other administrative requirements.
8. It will insure that the facilities under its ownership, lease or
supervision which shall be utilized in the accomplishment of
the project are not listed in the Environmental protection
Agency's (EPA -list of Violating Facilities and that it will notify
the Federal grantor agency of the receipt of any communica-
tion from the Director of the EPA Office of Federal Activities
indicating that a facility to be used in the project is under con-
sideration for listing by the EPA.
9. It will comply with the flood insurance purchase requirements
of Section 102(a) of the Flood Disaster Protection Act of 1973,
Public Law 93-234, 87 Stat. 975, approved December 31,
1976. Section 102(a) requires, on and after March 2, 1975,
the purchase of flood insurance in communities where such
insurance is available as a condition for the receipt of any
Federal financial assistance for construction or acquisition
purposes for use in any area that had been identified by the
Secretary of the Department of Housing and Urban Develop-
ment as an area having special flood hazards. The phrase
'Federal financial assistance' includes any form of loan,
grant, guaranty, insurance payment, rebate, subsidy, disas-
ter assistance loan or grant, or any other form of direct or
indirect Federal assistance_
10. It will assist the Federal grantor agency in its compliance
with Section 106 of the National Historic Preservation Act of
1966 as amended (16 USC 470), Executive Order 11593, and
the Archeological and Historical Preservation Act of 1966 (16
USC 569a-1 et seq.) by (a) consulting with the State Historic
Preservation Officer on the conduct of investigations, as nec-
essary, to identify properties listed in or eligible for inclusion
in the National Register of Historic Places that are subject to
adverse effects (see 36 CFR Part 800.8) by the activity, and
notifying the Federal grantor agency of the existence of any
such properties, and by (b) complying with all requirements
established by the Federal grantor agency to avoid or miti-
gate adverse effects upon such properties.
11. It will comply, and assure the compliance of all its
subgrantees and contractors, with the applicable provisions
of Title I of the Omnibus Crime Control and Safe Streets Act
of 1968, as amended, the Juvenile Justice and Delinquency
Prevention Act, or the Victims of Crime Act, as appropriate;
the provisions of the current edition of the Office of Justice
Programs Financial and Administrative Guide for Grants,
M7100.1; and all other applicable Federal laws, orders,
circulars, or regulations.
12. It will comply with the provisions of 28 CFR applicable to grants
and cooperative agreements including Part 18, Administrative
Review Procedure; Part 20, Criminal Justice Information Sys-
tems; Part 22, Confidentiality of Identifiable Research and Sta-
tistical Information; Part 23, Criminal Intelligence Systems
Operating Policies; Part 30, Intergovernmental Review of De-
partment of Justice Programs and Activities; Part 42, Nondis-
crimination/Equal Employment Opportunity Policies and Pro-
cedures; Part 61, Procedures for Implementing the National
Environmental Policy Act; Part 63, Floodplain Management and
Wetland Protection Procedures; and Federal laws or regula-
tions applicable to Federal Assistance Programs.
13. It will comply, and all its contractors will comply, with the non-
discrimination requirements of the Omnibus Crime Control
and Safe Streets Act of 1968, as amended, 42 USC 3789(d),
or Victims of Crime Act (as appropriate); Title VI of the Civil
Rights Act of 1964, as amended; Section 504 of the Reha-
bilitation Act of 1973, as amended; Subtitle A, Title II of the
Americans With Disabilities Act (ADA) (1990); Title IX of the
Education Amendments of 1972; the Age Discrimination Act
of 1975; Department of Justice Non -Discrimination Regula-
tions, 28 CFR Part 42, Subparts C, D, E, and G; and Depart-
ment of Justice regulations on disability discrimination, 28
CFR Part 35 and Part 39.
14. In the event a Federal or State court or Federal or State ad-
ministrative agency makes a finding of discrimination after a
due process hearing on the grounds of race, color, religion,
national origin, sex, or disability against a recipient of funds,
the recipient will forward a copy of the finding to the Office
for Civil Rights, Office of Justice Programs.
15. It will provide an Equal Employment Opportunity Program if
required to maintain one, where the application is for -
$500,000 or more.
16. It will comply with the provisions -of the Coastal Barrier Re-
sources Act (EL. 97-348) dated October 19, 1982 (16 USC
3501 et seq.) which prohibits the expenditure of most new
Federal funds within the units of the Coastal Barrier Re-
sources System.
Signature
OJP FORM 40063 (Rey. 93) PREVIOUS EDITIONS ARE OBSOLETE.
ATTACHMENT TO SF -424.
Date
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 (Nonpro-curement) 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 in-
fluencing 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 con-
nection 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 at-
tempting 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 cer-
tification 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)
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 28 CFR Part 67, for prospec-
tive 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 debar-
ment, 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 applica-
tion been convicted of or had a civil judgment rendered against
them for commission of fraud or a criminal offense in connec-
tion 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 applica-
tion 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 shall 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 state-
ment 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—
OJP FORM 4061/5 (3-91) REPLACES OJP FORMS 4061/2.4061/3 AND 4061/4 WHICH ARE OBSOLETE.
Application Identification Page
ID Number: 0107
Password: 80107WE2
U.S. Department of Justice
Office of Justice Programs
Bureau of Justice Assistance
Office of the Director
September 30, 1996
Barbara Kirkmeyer
Commissioner
County of Weld
915 Tenth Street
Greeley, CO 80631
Washington, U.C. 20531
RE: Local Law Enforcement Block Grants Program
Dear Mrs. Kirkmeyer:
I am pleased to inform you that the Bureau of Justice
Assistance (BJA) has approved the County of Weld's application
for funding under the Local Law Enforcement Block Grants Program
(LLEBG), in the amount of $27,038. The purpose of the LLEBG
Program is to reduce crime and improve public safety. This
Block Grant Award may be used for any of the Purpose Areas
described in the statute.
Enclosed you will find the Grant Award and Special
Conditions documents. Please sign these forms and return a copy
to the LLEBG Control Desk, Room 304-C, Financial Management
Division, Office of the Comptroller, Office of Justice Programs,
633 Indiana Avenue, NW, Washington, D.C. 20531. If you have any
questions in regard to this award, or if BJA can be of further
assistance to you, please do not hesitate to contact the Grants
Administration Branch, Local Law Enforcement Block Grants
Program Division at (202) 305-2088.
I look forward to a continuing partnership with the County
of Weld in furtherance of this important criminal justice
program.
Enclosures
Sincerely,
42
Nancy E. Gist
Director
)J1
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
❑ OJP Q BJA ❑ OJJDP
❑ BJS D NIJ a OVC
CHECK APPROPRIATE BOX
1. GRANTEE NAME AND ADDRESS (Including Zip Code)
County of Weld
915 Tenth Street
Greeley, CO 80631
1A. GRANTEE IRS/VENDOR NO. 846000813
AWARD
GRANT
COOPERATIVE AGREEMENT
4. AWARD NUMBER 96-LB-VX-3843
PAGE 1 OF 6
5. PROJECT PERIOD: FROM 10/01/96 TO 09/30/98
BUDGET PERIOD: FROM 10/01/96 TO 09/30/98
6. AWARD DATE: 09/30/96
2. SUBGRANTEE NAME AND ADDRESS (Including Zip Code)
8. SUPPLEMENT NUMBER
7. ACTION
aINITIAL
❑ SUPPLEMENTAL
2A. SUBGRANTEE IRS/VENDOR NO.
9.
PREVIOUS AWARD AMOUNT $ 0.00
3. PROJECT TITLE
Local Law Enforcement Block Grants Program
10. AMOUNT OF THIS AWARD $ 27,038.00
3.1.
TOTAL AWARD
$ 27,038.00
12. SPECIAL CONDITIONS (Check, if applicable)
TEE ABOVE GRANT PROJECT IS APPROVED SUBJECT TO SUCH CONDITIONS OR LIMITATIONS AS ARE SET FORTH
ON THE ATTACHED 05 PAGE(S).
13. STATUTORY AUTHORITY FOR GRANT
❑ TITLE I OP THE OMNIBUS CRIME CONTROL AND SAFE STREETS ACT OF 1968.
42 U.S.C. 3701, ET. SEQ., AS AMENDED.
U
TITLE II OF THE JUVENILE JUSTICE AND DELINQUENCY PREVENTION ACT OF 1974.
42 U.S.C. 5601, ET. SEQ., AS AMENDED
VICTIMS OF CRIME ACT OF 1984, 42 U.S.C. 10601, ET. SEQ., PUBLIC LAW 98-473, AS AMENDED.
OTHER (Specify): Omnibus Appropriations Act of 1996
14. FUTURE FISCAL YEAR(S) SUPPORT:
SECOND YEAR'S BUDGET PERIOD:
AMOUNT OF FUNDS:
N/A
N/A TYPE OF FUNDS:
THIRD YEAR'S BUDGET PERIOD: N/A
AMOUNT OF FUNDS:
N/A TYPE OF FUNDS:
15. METHOD OF PAYMENT
THE GRANTEE WILL RECEIVE CASH VIA A LETTER OF CREDIT [] YES a NO
gifEBIMMEMNRRE AGENCY APPROVAL INIMEIMMIMOIN
16. TYPED NAME AND TITLE OF APPROVING OJP OFFICIAL
Nancy E. Gist, Director
Bureau of Justice Assistance
17. SIGNATURE OF APPROVING OJP OFFICIAL
e
20. ACCOUNTING CLASSIFICATION CODE
FISCAL FUND BUD. DIV.
YEAR CODE ACT. OFC. REG. SUB. PONS AMOUNT
Sf'
X V L1 80 00 00
ittagnifaMMTIMM GRANTEE ACCEPTANCE ofifeggENUMEN
18. TYPED NAME AND TITLE OF AUTHORIZED GRANTEE OFFICIAL
Barbara Kirkmeyer
Commissioner
19. SIGNATURE OF AUTH013YLED GRANTEE
AGENCY AGENCY USE ONLY
OJP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
19A. DATE
/S/ 94
21. L16G69
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OJP ❑X BJA
❑ HJS ❑ NIJ
CHECK APPROPRIATE BOX
OJJDP
OVC
AWARD CONTINUATION
SHEET
❑X GRANT ❑ COOPERATIVE AGREEMENT
PAGE 2 OF 6
PROJECT NUMBER 96-LB-VX-3843
AWARD DATE 09/30/96
SPECIAL CONDITIONS
1. The recipient agrees to comply with the financial and
administrative requirements set forth in the current edition
of the Office of Justice Programs (OJP) Financial Guide.
2. The recipient agrees to comply with the organizational audit
requirements of OMB Circular A-128, "Audits of State and
Local Governments". In conjunction with the beginning date
of the award, the audit report period of the state or local
governmental entity to be audited under the single audit
requirement is January 1, 1996 to December 31, 1996. The
audit report must be submitted no later than February 1,
1998 and for each audit cycle thereafter covering the entire
award period as originally approved or amended. The
management letter must be submitted with the audit report.
Subsequent audits must be submitted no later than thirteen
(13) months after the close of the recipient organization's
audited fiscal year. The submission of the audit report
shall be as follows:
An original and one copy of the audit report shall be sent
to the U.S. Department of Health and Human Services. Also,
a copy of the audit report shall be sent to:
George W. Stendell
Dallas Regional Audit Manager
c/o David Sheeren
Assistant Regional Audit Manager
Colonnade Center Federal Building
1244 Speer Boulevard - Suite 640
Denver, CO 80204
and a copy of your audit transmittal letter addressed to the
Federal Regional Inspector General's office shall be sent
to:
Audit Services
Office of the Comptroller
Office of Justice Programs
Department of Justice
Room 942
633 Indiana Avenue, N.W.
Washington, D.C. 20531.
OSP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGFwMS
❑ C1/4Th
❑ BJS
❑X BJA
❑ NIJ
CHECK APPROPRIATE BOX
OJJDP
OVC
AWARD CONTINUATION
SHEET
❑X GRANT ❑ COOPERATIVE AGREEMENT
PAGE 3 OF 6
PROJECT NUMBER 96-LB-VX-3843
AWARD DATE 09/30/96
SPECIAL CONDITIONS
3. The recipient agrees to submit its corrective action plan
with the audit report to the DOJ Regional Inspector General
for Audit, when there are findings/recommendations disclosed
in the audit report. The corrective action plan should
include: (1) specific steps taken to comply with the
recommendations; (2) timetable for performance and/or
implementation date for each recommendation; and (3)
description of monitoring to be conducted to ensure
implementation.
4. The recipient shall submit one copy of all reports and
proposed publications resulting from this agreement twenty
(20) days prior to public release. Any publications
(written, visual, or sound), whether published at the
recipient's or government's expense, shall contain the
following statement: (NOTE: This excludes press releases,
newsletters, and issue analyses.)
"This project was supported by Grant No. 96-LB-VX-3843
awarded by the Bureau of Justice Assistance, Office of
Justice Programs, U.S. Department of Justice. Points of
view in this document are those of the author and do not
necessarily represent the official position or policies of
the U.S. Department of Justice."
5. The recipient agrees to provide information required for the
evaluation or assessment of any activities within this
project.
6. The recipient agrees to provide $3,004 over the grant period
in a cash match. The recipient is reminded that the match
funds are auditable under Special Condition #2 and will be
binding to the recipient.
7. The recipient agrees to submit, at a minimum, semi-annual
reports on its programmatic activities. The first
programmatic report will be due on January 30, 1997,
covering the period of October - December, 1996. The next
report will be due on July 31, 1997 and cover the period of
January - June, 1997. The next report should cover the next
six month period and is due thirty (30) days after the end
of the six month period for the life of the grant. A final
report on the programmatic activities is due 120 days
following the end of the grant period.
OJP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
O.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
❑ OJP ❑X BJA D OJJDP
❑ 8JS ❑ NIJ ❑ OVC
CHECK APPROPRIATE BOX
AWARD CONTINUATION
SHEET
❑X GRANT ❑ COOPERATIVE AGREEMENT
PAGE 4 OF 6
PROJECT NUMBER 96-I.B-VX-3843
AWARD DATE 09/30/96
SPECIAL CONDITIONS
8. The recipient agrees to establish a trust fund in which the
Bureau of Justice Assistance will deposit all payments
received under this award. For the purposes of this grant,
a trust fund is an interest bearing account that is
specifically designated for this Program. Only allowable
program expenses can be paid from this account. This fund
may not be utilized to pay debts incurred by other
activities beyond the scope of the Local Law Enforcement
Block Grants Program.
The recipient also agrees to use the grant amount in the
trust fund (including interest) during the period not to
exceed 24 months from the date of the first Federal payment.
9. The recipient agrees to submit quarterly financial reports.
The financial report is due 45 days after the end of each
calendar quarter. A final financial report is due 120 days
following the end of the grant period.
10. No funds shall be used to supplant state or local funds that
would otherwise be made available for such purposes.
11. The recipient acknowledges that failure to submit an
acceptable Equal Employment Opportunity Plan (if recipient
is required to submit one pursuant to 28 CFR 42.302), that
is approved by the Office for Civil Rights, is a violation
of its Certified Assurances and may result in the suspension
of the drawdown of funds.
12. The recipient agrees, if the funds are used for the hiring
and employing of new, additional law enforcement officers
and support personnel, as described in the applicable
purpose area of Subpart A section 101 (a)(2), that the
recipient and/or unit of local government will achieve a net
gain in the number of law enforcement officers who perform
nonadministrative public safety service.
13. The recipient agrees, if the funds are used for the hiring
and employing of new, additional law enforcement officers
and support personnel, that the recipient or units of local
government will establish procedures to give members of the
Armed Forces who, on or after October 1, 1990, were or are
selected for involuntary separation (as described in section
1141 of title 10, United States Code), approved for
separation under section 1174a or 1175 of such title, or
retired pursuant to the authority provided under section,
OJP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
D.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRaMS
❑ OJp X BSA ❑ OJJDP
❑ BJS NIJ OVC
CHECK APPROPRIATE BOX
AWARD CONTINUATION
SHEET
❑X GRANT
COOPERATIVE AGREEMENT
PAGE 5 OF 6
PROJECT NUMBER 96-LE-VX-3843
AWARD DATE 09/30/96
SPECIAL CONDITIONS
4403 of the Defense Conversion, Reinvestment, and Transition
Assistance Act of 1992 (division D of Public Law 102-484; 10
U.S.C. 1923 note), a suitable preference in the employment
of persons as additional law enforcement officers or support
personnel using funds made available under this Program.
14. The recipient agrees if funds are used for enhancing
security or crime prevention, that the unit of local
government --
(a) has an adequate process to assess the impact of any
enhancement of a school security measure that is undertaken
under subparagraph (B) of section 101(a)(2), or any crime
prevention programs that are established under subparagraphs
(C) and (E) of section 101(a)(2), on the incidence of crime
in the geographic area where the enhancement is undertaken
or the program is established;
(b) will conduct such an assessment with respect to each
such enhancement or program; and
(c) will submit to the Bureau of Justice Assistance an
annual written assessment report.
15. The recipient agrees that prior to the obligation of funds
at least one (1) public hearing will be held regarding the
proposed use of the payment under the Local Law Enforcement
Block Grant in relation to its entire budget. At the
hearing, persons shall be given an opportunity to provide
written and oral views to the unit of local government about
the entire budget and the relation of the Grant to the
entire budget.
The recipient will hold the public hearing at a time and
place that allows and encourages public attendance and
participation.
16. The recipient agrees that prior to the obligation of any
funds received under the Local Law Enforcement Block Grants
Program, it shall establish or designate an advisory board.
While membership on the advisory board may be broader, it
must include a representative from --
(a) the local police department or local sheriff's
department;
(b) the local prosecutor's office;
OJP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
D.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
❑ OJP
❑ HJS NIJ
CHECK APPROPRIATE BOX
❑X HJA
❑ OJJDP
❑ OVC
AWARD CONTINUATION
SHEET
E. GRANT ❑ COOPERATIVE AGREEMENT
PAGE 6 OF 6
PROJECT NUMBER 96-LE-VX-3843
AWARD DATE 09/30/96
SPECIAL CONDITIONS
(c) the local court system;
(d) the local public school system; and
(e) a local nonprofit, educational, religious or community
group active in crime prevention or drug use prevention or
treatment.
The advisory board must review the application for funding
under the Local Law Enforcement Block Grants Program, and it
must be authorized to make nonbinding recommendations to the
recipient/unit of local government for the use of funds
received under the Program.
Grantee Acceptance of Special Conditions
SIGNATURE OF AU ORIZED2OFFICIAL DATE
OJP FORM 4000/2 (REV. 5-87) PREVIOUS EDITIONS ARE OBSOLETE.
U.S. DEPARTMENT OF JUSTICE
GRANT MANAGER'S MEMORANDUM, PT. I:
PROJECT SUMMARY
",yVi OP
J
....6 ,o OFFICE OF JUSTICE PROGRAMS
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X GRANT II
COOPERATIVEAGREEMENT
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BJS NIJ ❑ OVC
CHECK APPROPRIATE BOX
PROJECT NUMBER
96-LB-VX-3843
0
This project is supported under Title I of the Omnibus
USC 3701, as amended.
This project is supported under the Juvenile Justice and
Crime Control and Safe Streets Act, 42
Delinquency Prevention Act of 1974, as amended.
X
Other: Omnibus Appropriations Act of 1996
1.
STAFF CONTACT (Name, address & telephone number)
Grants Administration Branch
LLEBG Division, BJA
633 Indiana Avenue NW, 11th Floor
Washington, DC 20531
(202)305-2088
2. PROJECT DIRECTOR (Name, address
Rim Fliethman
& telephone number)
County of Weld
915 Tenth Street
Greeley, CO 80631
970-356-4015
3a.
TITLE OP THE PROGRAM
Local Law Enforcement Block Grants Program
3b. PONS CODE (SEE INSTRUCTIONS
ON REVERSE)
4.
TITLE OP PROJECT
Local Law Enforcement Block Grants Program
5.
NAME & ADDRESS OF GRANTEE
County of Weld
915 Tenth Street
Greeley, CO 80631
6. NAME & ADDRESS OP SUEGRANTEE
7.
PROGRAM PERIOD
FROM: 10/01/96 TO: 09/30/98
8. BUDGET PERIOD
FROM: 10/01/96 TO: 09/30/98
9.
AMOUNT OF AWARD
$ 27,038.00
10. DATE OF AWARD
09/30/96
11.
SECOND YEAR'S BUDGET
N/A
12. SECOND YEAR'S BUDGET AMOUNT
N/A
13.
THIRD YEAR'S BUDGET PERIOD
N/A
14. THIRD YEAR'S BUDGET AMOUNT
N/A
15.
SUMMARY DESCRIPTION OF PROJECT (See instruction on reverse)
The Local Law Enforcement Block Grants Program is authorized by the Omnibus Fiscal Year 1996 Appropriations Act,
Public Law 104-134 for the purpose of providing units of local government with funds to underwrite projects to
reduce crime and improve public safety. The Bureau of Justice Assistance will make direct awards to units of local
government when award amounts are at least $10,000, to be used consistent with the statutory program purpose areas
specified in section 101(a)(2).
County of Weld has indicated that it intends to distribute its Local Law Enforcement Block Grants funds under the
following purpose area(s):
(1c) Law Enforcement Equipment
NC/NCP
OJP FORM 4000/1 (REV. 4-88)
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
BUREAU OF JUSTICE ASSISTANCE
LOCAL LAW ENFORCEMENT BLOCK GRANTS PROGRAM
REQUEST FOR PAYMENT
GRANT NUMBER: 96LBVX3843
NAME OF GRANTEE: County of Weld, Colorado
VENDOR NUMBER: 846000813
AWARD AMOUNT: $ 27,038.00
As a recipient of a Local Law Enforcement Block Grants Program award, I hereby
request payment. These funds will be placed into a trust fund in accordance with
Public Law 104-134 and LLEBG Program guidance.
I agree not to obligate any funds until Special Conditions #15 - Public Hearing and
#16 - Advisory Board and if applicable, any conditions regarding disparate
allocation and the submission of a joint spending plan, have been met and the
special conditions released by the issuance of a grant adjustment notice.
„
, t "a Gq<
SIGNATURE OF CHIEF EXECUTIVE OFFICER / DATE
OMeAPPn0VA=MD. nzraraEXPIRES 14146
REQUEST FOR ADVANCE
OR REIMBURSEMENT (H3)(Mllonn
(See Instruction on bead
The hfonnetkn provided wR be used by the grantor agency to monitor gamete cash flow to
ensue proper we of Federal hues. No further monks or other benefits rosy be paid out under
Admhkf etke Reoukements for Gents and CoopeatWe Agreements —28 Cart, Pan
66, Common Rub, end OMB Grade A -I tol.
(..)
1. Type of
Payment
Requested
a. "X" one, or both
REIMBURSE
boxes
-
b. "X" the applicable
box
2. Basis of Request
P°g°—of-__Pages
AO-
®VANCE • raw
IX )FINAL (—PARTIAL
) X'CASH ACCRUAL
3. Federal Sponsoring Agency and Organizational Element To Which
Report Is Submitted: -
U.S. Department of Justice, OJP
4. Federal Grant or Other Identify-
Ing No. Assigned by Federal
Agency 96—LB—VX-3843
6. Partial Payment Request Number
ForThls Request
' 6. Employer Identification No.
84-6000813
7. Recipient's Acct. No. or Identi-
. tying No. N/A _
& PERIOD COVERED'
BY THIS REQUEST
FROMBIbreid., 1
10-01-969-30-98
TO dn:ned
9. Recipient Organization
it ne,,c Weld County
'Ante 915 10th Street
bSewt
brS Greelery Code:y, CO 80631
10. Payee (Where check kro b. state Gf.rent then Item Bl
Asa Weld County
"kmbe 915 10th Street
aSewo
5 Greeley, CO 80631
11.
COMPUTATION OF AMOUNT OF FIEIMBURSEMENTS/ADVANCES REQUESTED
PROGRAMS/FUNCTIONS/
ACTIVITIES .
(a)
(hl
TOTAL
a. Total program Mr order&
outlays to date
b. Less: Cumulative program
income
lc. Net program outlays aim.
S
$
d. Estimated net cash outlays for
I advance period
e tal(Sunofkescb6
f. Non -Federal share of amount on
line e
g. Federal share of amount on
line e
h. Federal payments previously
requested
L Federal share noycrequested
pin pnius!'v,eN
). Advances required
by month, when re-
quested by Federal
grantor agency for
use In making pre -
scheduled advances.
12. ALTERNATE COMPUTATION FOR ADVANCES ONLY
1st Month
2nd Month
3rd Month
a. Estimated Federal cash outlays that will be made during period covered by the advance
$ 27,038.00.
b. Less: Estimated balance of Federal cash on hand as of beginning of advance period
I c. Amount requested bi,e. m,nad
27,038.00
13. • CERTIFICATION
I certify that to the best of my
knowledge and belief the data above
are correct and that ell outlays were
made in accordance with the grant
. conditions or other agreement end that
payment is due and has not been
previously requested
SIGNATURE OF AUTHORIZED CERTIFYING/OFFICIAL
DATE REQUEST SUBMITTED
/it:/
TYPED OR PRINTED NAME AND TITLE
TELEPHONE
lAres code
SPACE BELOW IS FOR AGENCY USE ONLY
CC
C
w
C,
V
APPROVED
FOR
PAYMENT
GRANT MANAGER'S SIGNATURE
DATE
NNANCIAL MANAGEMENT OFFICE
DATE
BATCH NUMBER
DATE PROCESSED
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