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Home My WebLink AboutAgreement A-15-119 - Office of National Drug Control Policy.pdfAGREEMENT NO. 15-119 Pane I ot'5 0 Executive Office of the President Office of National Drug Control Policy Grant Agreement I. Recipient Name and Address 4. Award Number: G15CV0004A Ms. Margaret Mims County ofFresno 5. Grant Period: From 01/01/2015 to 12/31/2016 2200 Fresno Street Fresno, CA 93721 lA. Recipient IRSNendor No.: I 9460005 12AI 6. Date: 12/15/2014 7. Action Subrecipient Name and Address 8. Supplement Number 0Initial Supplemental 2A. Subrecipient IRSNendor No.: 9. Previous Award Amount: 3. Project Title I 0. Amount of This Award: $169,239 Multiple 11. Total Award: $169,239 --- 12. The above Grant is approved subject to such conditions or limitations as are set forth on the five attached pages. Consistent with P.L. 113-164, the Continuing Appropriations Resolution, 2015, this document provides a total budget and spending ceiling as reflected in Block 10 of the Grant Award document, which represents funding at a rate of 19.7% of the fiscal year 2014 funding level. Accordingly, the sum of all budgets cannot exceed the award amount reflected in Block I 0 of the Grant Award document. The Office of National Drug Control Policy notes that the aforementioned funding level is below requested budget requirements. Additional funding is expected per standard full funding requirements, will be subject to the terms and conditions of this award, and will be made available when enacted. 13. Statutory Authority for Grant: Public Law 113-164 \[!tC~:;::~::;.::,~::J:ir~{;l:~cY·Ali~JtQV:AI2-~;~~;>;::;\::~·::.: • · .. :>:~,:.:,_;.:.:•)?':~J:JE~~D,l!@~t;.~~Pi.:· ·~·:r; ~-~~:-:::-~. 14. Typed Name and Title of Approving Official 15. Typed Name and Title of Authorized Official Michael K. Gottlieb Margaret Mims National HIDT A Director County of Fresno 16. Signature of Approving ONDCP Official 17. Signature of Authorized Recipient/Date ) M\ CM.ae..~ 1(. J..~--lie~ '--1\~LIW:> I'G/31 N -~i~tt.~!.~~~it~~-:j~~-:i~:~~::;~:~~J;~t:~:;~}~ :·.A¢~~~~'f1i~:9N~X~~~-~~\~: .. ::·~~·-:;·JJ~·:tt~~&i::i~;~:¥~~~!-~:~J;u;f~:rf.:~2:~1r~1.~~~\·\~;::-~~~:~;~~~-;.·:·:· 18. Accounting Classification Code 19.HIDTAAWARD DUNS: 613665769 OND1070DB1516XX OND6113 EIN: 1946000512A I OND2000000000 oc 410001 Grant G 15CV0004A Page 2 of 5 GRANT CONDITIONS A. General Provisions I. This grant is subject to Title 2 of the Code of Federal Regulations, as well as the following: • • • • • • • • • • • by reference, the provisions of the Office of Management and Budget (OMB) circulars and government-wide common rules applicable to grants and cooperative agreements. These circulars and common rules include the following: OMB Circular A-21 "Cost Principles for Educational Institutions." (Codified at 2 CFR Part 220) OMB Circular A-87 "Cost Principles for State, Local, and Indian Tribal Governments." (Codified at 2 CPR Part 225) OMB Circular A-1 02 "Grants and Cooperative Agreements with State and Local Governments." (Codified at 21 CFR 1403) OMB Circular A-110 "Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations." (Codified at 2 CFR Part 215) OMB Circular A-122 "Cost Principles for Nonprofit Organizations." (Codified at 2 CFR Part 230) "Uniform Administrative Requirements for Grants and Cooperative Agreements with State and Local Units of Governments," (Codified at 21 CFR Part 1403) Grants Management Common Rule for State and Local Units of Governments," (Codified at 21 CFR Part 1404) "Government-wide Debarment and Suspension (Nonprocurement)," (Codified at 21 CFR Part 1404) "Government-wide Requirements for Drug-free Workplace (Financial Assistance)" (Codified at 21 CFR Part 1405) "New Restrictions on Lobbying" (Codified at 28 CPR Part 69) 2. Audits conducted pursuant to OMB Circular A-133, "Audits of State and Local Governments", must be submitted no later than 9 months after the close of the grantee's audited fiscal year. A copy of the audit report and management letter must be sent to: EOP/ONDCP Attention: Lisa Newton lnewton@ondcp.eop.gov Grant G 15CV0004A Page 3 of 5 3. Grantees are required to submit Federal Financial Reports (FFR) to the Department of Health and Human Services, Division of Payment Management (HHS/DPM). Other reporting requirements are specified in the HIDT A Program Policy and Budget Guidance. 4. The recipient gives the awarding agency or the Government Accountability Office, through any authorized representative, access to, and the right to examine, all paper or electronic records related to the grant. 5. Recipients ofHIDTA funds are not agents ofONDCP. Accordingly, the HIDTA, its fiscal agent (s), HIDT A employees, HIDT A contractors, as well as state, local, and federal HOT A participants, either on a collective basis or on a personal level, shall not hold themselves out as being part of, or representing, the Executive Office of the President or ONDCP. 6. The award date ofthis grant is December 15,2014. Costs incurred by the grantee between the stated "award date" and starting date of the "grant period," the latter tracking to the more standard full calendar year(s), may be charged by the grantee to this award, if costs were incurred in furtherance of this grant and allowable under applicable cost principles. Such costs should not be charged as "pre-award costs." 7. Grantees and subgrantees are advised of the new OMB grants "supercircular," Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, some provisions of which may begin to supersede the provisions of pre-existing OMB grants circulars over the term of this grant. ONDCP will also be adopting conforming regulations in 2014. ONDCP will provide you with updates moving forward. For more information about the supercircular, please visit www.cfo.gov/COFAR, which includes links to related online training and F AQs. In any case, ONDCP will also accept grants management and administration by "non- federal entities" (the new term for organizations receiving Federal assistance) that conforms to the Omni-Circular requirements from entities that have adopted the Omni- Circular for their programs. B. Special Conditions HIDT A Grants The following special conditions are incorporated into each award document. 1. This grant is awarded for the initiative(s) named above. Variation from the description of activities approved by ONDCP and/or from the budget attached to this Jetter must comply with the reprogramming requirements as set forth in ONDCP's HIDT A Program Policy and Budget Guidance. 2. This award is subject to the requirements in ONDCP's HIDT A Program Policy and Budget Guidance. 3. No HIDT A funds shall be used to supplant state or local funds that would otherwise be made available for the same purposes. Grant G 15CV0004A Page 4 of 5 4. The requirements of28 CFR Part 23, which pertain to information collection and management of criminal intelligence systems, shall apply to any such systems supported by this award. 5. Special accounting and control procedures must govern the use and handling ofHIDTA Program funds for confidential expenditures; i.e. the purchase of information, evidence, and services for undercover operations. Those procedures are described in Section 6-12 of the HIDTA Program Policy and Budget Guidance. 6. The grant recipient agrees to account for and use program income in accordance with the "Common Rule" and the HIDT A Program Policy and Budget Guidance. Asset forfeiture proceeds generated by the HIDTA-funded initiatives shall not be considered as program income earned by HIDT A grantees. 7. Property acquired with these HIDT A grant funds is to be used for activities of the Central Valley-California. If your agency acquires property with these funds and then ceases to participate in the HIDTA, this equipment must be made available to the HIDT A's Executive Board for use by other HIDT A participants. 8. All law enforcement entities that receive funds from this grant must report all methamphetamine laboratory seizure data to the National Clandestine Laboratory Database/National Seizure System at the El Paso Intelligence Center. C. Payment Basis l. A request for Advance or Reimbursement shall be made using the HHS/DPM system (www.dpm.psc.gov). Copies of invoices or payroll registers must accompany the payment confirmation number to provide documentation for the reimbursement request. Requests for advances must be accompanied by details specifying the need for the advance. Documentation of how the advance was spent must be submitted within 21 days and before another advance or reimbursement will be approved. 2. The HIDT As, or their respective grantees, must utilize the HIDT A program Financial Management System's (FMS) Disbursement module each time they submit a disbursement request to the NHAC. Requests for payment in the DPM system will not be approved unless the required disbursements have been entered into the FMS. Payments will be made via Electronic Fund Transfer to the award recipient's bank account. The bank must be FDIC insured. The account must be interest bearing. 3. Except for interest earned on advances of funds exempt under the Intergovernmental Cooperation Act (31 U.S.C. 6501 et seq.) and the Indian Self-Determination Act (23 U.S.C. 450), grantees and subgrantees shall promptly, but at least quarterly, remit interest earned on advances to HHS/DPM at the address provided below. When submitting your checks, please provide a detailed explanation which should include: reason for check (remittance of interest earned on HIDT A advance payments), check number, grantee name, grant number, interest period covered, and contact name and number. Ms. Regenia Mitchell Division of Payment Management Department of Health and Human Services Via U.S. Postal Mail: P.O. Box 6021 Rockville, MD 20852 Via FedEx: Grant GI5CV0004A Page 5 of 5 7700 Wisconsin Avenue lOth Floor Bethesda, MD 20814 4. The grantee or sub grantee may keep interest amounts up to $100 per year for administrative purposes. RECIPIENT ACCEPTANCE OF GRANT CONDITIONS Signature: Date\~ Name: Margaret 1 Organization: County of Fresno Ms. Margaret Mims County of Fresno 2200 Fresno Street Fresno, CA 93721 Dear Sheriff Mims: February 9, 2015 Grant number G 15CV0004A has been increased and now totals $859,080.00. The original of Modification 1 is enclosed. Ifyou accept this Modification, sign the Modification and return a copy to the Assistance Center in Miami. Keep the original Modification for your file. All terms and conditions of the original award apply to the Modification. If you have any questions pertaining to this grant award, please feel free to contact Lisa Newton at (202) 395-6639. Enclosures Sincerely, Michael K. Gottlieb National HIDTA Director Executive Office of the President AWARD Page 1 of 1 Office of National Drug Control Policy Grant 1. Recipient Name and Address 4. Award Number: G15CV0004A Ms. Margaret Mims County of Fresno 5. Grant Period: From 01/01/2015 to 12/31/2016 2200 Fresno Street Fresno, CA 93 721 lA. Subrecipient IRSNendor No. 6. Date: 2/9/2015 7. Action Subrecipient Name and Address 8. Supplement Number 1 Initial ~Supplemental 2A. Subrecipient IRSNendor No.: 9. Previous A ward Amount: $169,239.00 3. Project Title 10. Amount of This Award: $689,841.00 Multiple 11. Total Award: $859,080.00 12. • The above grant is approved subject to such conditions or limitation as are set forth in the original Grant. • Consistent with P.L. 113-235 I H.R. 83, Consolidated and Further Continuing Appropriations Act, 2015, this Grant Award document provides additional funding in the amount indicated in Block 10. This amount, together with the amount equivalent to 19.7% of the fiscal year 2014 funding level previously made available, as indicated in Block 9, represent the total FY 2015 budget and ..l~. ceilino-for this grant, as indicated in Block ll. 13. Statutory Authority for Grant: Public Law 113-235/ H.R. 83 ~ ;0:. ·i..T -:t:· 4:1'"1. 0 °~ ..... '!~. ,;:_ .. ··~ ~--:;:c· ; ~·.:. ~. 14. Typed Name and Title of Approving Official 15. Typed Name and Title of Authorized Official Michael K. Gottlieb Margaret Mims National HIDTA Director County of Fresno 16. Signature of Approving ONDCP Official 17. Signature of Authorized Recipient/Date J'-A ( Wta e..l k:. . ~tJo+t-l i e ·b '-1'~~~2\-fY\l'l~ ~,y; .• ~~,~L·. ·.6;. *USEONL¥ .. 18. Accounting Classification Code 19.HIDTA AWARD DUNS: 613665769 OND1070DB1516XX OND6113 BIN: 1946000512B3 OND2000000000 oc 410001 Initiative Cash by HIDTA FY 2015 Current Budget (net of reprogrammed funds) HIDTA Agency Name Initiative ~---Central Valley • County of Fresno Administration 76,310.00 Administration G15CV0004A California Fresno Methamphetamine Task 301,700.00 Investigation G15CV0004A Force Merced County HIDTA Task 189,656.00 Investigation G15CV0004A Force Southern Tri-County 291,414.00 Investigation G15CV0004A Agency Total: County of Fresno 859,080.00 Total 859,080.00 2/4/2015 8:04:52 AM Budget Detail 2015 -Central Valley -California Initiative -Administration Award Recipient -County of Fresno (G15CV0004A) Resource Recipient -Fresno County Sheriff's Office Cu~rent Budget (net of reprogrammed funds) $859,080.00 Personnel Quantity Amount Financial Staff Total Personnel 1 $41,522.00 $41,522.00 Fringe Quantity Amount Financial staff Total Fringe Total Budget Page 1 of 4 1 $34,788.00 $34,788.00 $76,310.00 2/4/2015 8:04:53 AM Budget Detail 2015 -Central Valley -California Initiative-Fresno Methamphetamine Tas!t Force Award Recipient-County of Fresno (G15CV0004A) Resource Recipient-Fresno County Sheriff's Office -------------------------------------CutTent Budget (net oF reprogrammed Funds) $859,080.00 Overtime Quantity Amount Investigative -Law Enforcement Officer Total Overtime $172,000.00 $172,000.00 Services Quantity Amount Aviation Communications -mobile phones & pagers Equipment rentals Service contracts Total Setvices $10,000.00 $19,800.00 $1,200.00 $24,000.00 $55,000.00 Equipment Quantity Amount Computers-desktop, laptop & notebook Technical investigative equipment Total Equipment $13,000.00 $4,900.00 $17,900.00 Supplies Quantity Amount Investigative/ Operational Office Total Supplies $6,000.00 $5,800.00 $11,800.00 Other Quantity Amount PE/PI/PS Total Other Total Budget Page 2 of 4 $45,000.00 $45,000.00 $301,700.00 2/4/2015 8:04:53 AM Budget Detail 2015 -Central Valley -California Initiative-Merced County HIDTA Task Force Award Recipient -County of Fresno (G15CV0004Jl,) Resource Recipient-Merced County Sheriff's Office Cutrent Budget (net of reprogrammed funds) $859,080.00 Overtime Quantity Amount Investigative -Law Enforcement Officer Total Overtime $95,000.00 $95,000.00 Facilities Quantity Amount Utilities Total Facilities $5,000.00 $5,000.00 Services Quantity Amount Communications -data lines Contractor-Analyst-Intelligence Service contracts Total Services $20,000.00 $43,000.00 $4,000.00 $67,000.00 Equipment Quantity Amount Technical investigative equipment Total Equipment $7,000.00 $7,000.00 Supplies Quantity Amount Investigative/Operational Total Supplies $3,000.00 $3,000.00 Other Quantity Amount PE/PI/PS Total Other Total Budget Page 3 of 4 $12,656.00 $12,656.00 $189,656.00 2/4/2015 8:04:53 AM Budget Detail 2015 -Central Valley -California Initiative -Southern Tri-County Award Recipient-County of Fresno (G15CV0004A) Resource Recipient-Kern County Sheriff's Office CuJTent Budget (net of reprogrammed funds) $859,080.00 Overtime Quantity Amount Investigative -Law Enforcement Officer Total Overtime $120,414.00 $120,414.00 Facilities Quantity Amount Lease Support Utilities Total Facilities $54,500.00 $4,988.00 $15,512.00 $75,000.00 Services Quantity Amount Communications -data lines Communications -mobile phones & pagers Service contracts Total Services $6,250.00 $14,000.00 $5,000.00 $25,250.00 Equipment Quantity Amount Technical investigative equipment Total Equipment $16,750.00 $16,750.00 Supplies Quantity Amount Investigative/Operational Office Total Supplies $10,000.00 $4,000.00 $14,000.00 Other Quantity Amount PE/PI/PS Total Other Total Budget Page 4 of 4 $40,000.00 $40,000.00 $291,414.00 2/4/2015 8:04:53 AM MEMORANDUM OF UNDERSTANDING BETWEEN THE FRESNO COUNTY SHERIFF- CORONER'S OFFICE AND THE MERCED COUNTY SHERIFF'S DEPARTMENT The purpose of this memorandum of understanding (MOU) shall be to facilitate the transfer of funds between the Fresno County Sheriff-Coroner's Office, Central Valley, California High Intensity Drug Trafficking Area (HIDTA) Fiduciary Facilitator and the Merced County Sheriffs Department HIDTA Operational Unit. The CV HIDT A program provides specified funding to the Fresno Sheriff-Coroner's Office to disperse upon justification, to other CV HIDT A Operational Units, in accordance with the intent of the Office of National Drug Control Policy (ONDCP) grant and in conformance with the program description. Any such transfer of funds between the Fresno County Sheriff-Coroner's Office and the Merced County Sheriffs Department shall be in furtherance of the CV HIDT A program. Such transfer offunds shall be reimbursed in accordance with ONDCP rules and regulations for expenditures by invoicing Fresno County Sheriff-Coroner's Office with proper documentation. If an item is found to have not followed ONDCP's purchasing rules or not enough of your budget covers the cost, the burden of the cost will be at the expense of the Merced County Sheriffs Department. Each party shall assume the responsibility and liability of the acts and omissions of its own elected representatives, officers, agents, volunteers, or employees in connection with the performance of their official duties under this MOU. For tort liability purposes, no participating agency shall be considered the agent of the other participating agencies. Each participating agency shall be liable (if at all) only for the torts of its own personnel that occur within the scope of their official duties. It is the intent of the parties, where negligence is determined to have been contributory, principles of comparative negligence will be followed and each party shall bear the proportionate cost of any loss, damage, expense, and liability attributable to that party's negligence. This agreement shall remain in effect unless revoked by the Fresno County Sheriff-Coroner's Office CV HIDT A Fiduciary Facilitator, or until expiration of funds or the grant itself. MIMS, Sheriff-Coroner Fresno County Sheriffs Office Date: ___________ _ APRROVED AS TO FORM VERN WARNKE, Sheriff-Coroner Merced County Sheriffs Department Date: ___________ _ Date: ___________ _ MEMORANDUM OF UNDERSTANDING BETWEEN THE FRESNO COUNTY SHERIFF- CORONER'S OFFICE AND THE KERN COUNTY SHERIFF'S DEPARTMENT The purpose of this memorandum of understanding (MOU) shall be to facilitate the transfer of funds between the Fresno County Sheriff-Coroner's Office, Central Valley, California High Intensity Drug Trafficking Area (HIDTA) Fiduciary Facilitator and the Kern County Sheriffs Department HIDTA Operational Unit. The CV HIDT A program provides specified funding to the Fresno Sheriff-Coroner's Office to disperse upon justification, to other CV HIDT A Operational Units, in accordance with the intent of the Office of National Drug Control Policy (ONDCP) grant and in conformance with the program description. Any such transfer of funds between the Fresno County Sheriff-Coroner's Office and the Kern County Sheriffs Department shall be in furtherance of the CV HIDTA program. Such transfer of funds shall be reimbursed in accordance with ONDCP rules and regulations for expenditures by invoicing Fresno County Sheriff-Coroner's Office with proper documentation. If an item is found to have not followed ONDCP's purchasing rules or not enough of your budget covers the cost, the burden of the cost will be at the expense of the Kern County Sheriffs Department. Each party shall assume the responsibility and liability ofthe acts and omissions of its own elected representatives, officers, agents, volunteers, or employees in connection with the performance of their official duties under this MOU. For tort liability purposes, no participating agency shall be considered the agent of the other participating agencies. Each participating agency shall be liable (if at all) only for the torts of its own personnel that occur within the scope of their official duties. It is the intent of the parties, where negligence is determined to have been contributory, principles of comparative negligence will be followed and each party shall bear the proportionate cost of any loss, damage, expense, and liability attributable to that party's negligence. This agreement shall remain in effect unless revoked by the Fresno County Sheriff-Coroner's Office CV HIDT A Fiduciary Facilitator, or until expiration of funds or the grant itself. ~ (\,. " \~ /,\_ •· -i Cl 'f1'-\ -~·~-.J ~~{~ MAkGARET MIMS, Sheriff-Coroner Fresno County Sheriffs Office Date: ___________ _ APRROVEDASTOFORM DONNY YOUNGBLOOD, Sheriff-Coroner Kern County Sheriffs Department Date: ___________ _ Date: ------------ 1 Central Valley High Intensity Drug Trafficking Area C$859,080) FY 2014-15 2 3 REVIEWED & RECOMMENDED FOR APPROVAL 4 5 6 7 8 9 10 11 12 13 14 15 16 17 'l~~M~~ MAGARET MIMS, Sheriff-Coroner APPROVED AS TO LEGAL FORM: Daniel C. Cederberg, County Counsel 18 APPROVED AS TO ACCOUNTING FORM: By: Jiktva. Deborah A. Poochigian, C Board of Supervisors ATTEST: BERNICE E. SEIDEL, Clerk Board of Supervisors By C)t A.s.£Nv-.. ~~ Deputy VICKI CROW, Auditor-Controllerffreasurer-Tax Collector 19 20 21 By &, Sf..<~ 22 23 Fund Subclass 24 ORG Account 25 26 27 28 0001 10000 31116377 4380 1 HIDTA 2015 SF -424 Application Central Valley-California HIDTA G15CV0004A County of Fresno $859,080.00 Generated On: January 5, 2015 OFFICE OF NATIONAL DRUG CONTROL POLICY FY 2015 lllDTA STATE AND LOCAL INITIATIVES INSTRUCTIONS FOR APPLICANTS Attached are the following documents for your FY 15 funding application: • Approved FY 15 Budget to the County of Fresno for the Multiple Initiative(s). • Application for Federal Assistance, SF-424. • Budget Information Non-Construction Programs, SF-424A, Page 2. (Page 1 will not be utilized.) • Assurances Non-Construction Programs, SF-424B. • Budget Information Construction Programs, SF-424C. Certification regarding Lobbying; Debarment, Suspension and other Responsibility Matters; Drug-Free • Workplace Requirements; Federal Debt Status, and Non-Discrimination Statutes and Implementing Regulations. • Disclosure of Lobbying Activities. To submit a grant application for FY 15 HlDT A State and Local Initiative Funding, the following forms must be signed and returned: • Application for Federal Assistance, SF-424. • Budget Information Non-Construction Programs, SF-424A, Page 2. (Page I will not be utilized.) • Assurances Non-Construction Programs, SF-4248. • Budget Information Construction Programs, SF-424C. Certification regarding Lobbying; Debarment, Suspension and other Responsibility Matters; Drug-Free • Workplace Requirements; Federal Debt Status, and Non-Discrimination Statutes and Implementing Regulations. • Disclosure of Lobbying Activities. Each of these documents have been completed based upon information submitted for the FY 15 initiatives. If this information is incorrect, contact the National HIDT A Assistance Center for new forms. These documents must be completed and signed in their entirely and returned with original signatures affixed before the award letter can be initiated. After completion, the forms should be sent to: National HIDTA Assistance Center 11200 NW 20th ST, STE 100 Miami, FL 33172 (305) 715-7600 APPLICATION FOR FEDERAL ASSISTANCE 2. DATE SUBMITIED 01/05/2015 Applicant Identifier: 1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE State Application Identifier Application Pre-application 4. DATE RECEIVED BY FED AGENCY Federal Identifier G15CV0004A Construction Construction -- X Non-Construction -Non-Construction 5. APPLICANT INFORMATION LEGAL NAME: County of Fresno ORGANIZATIONAL UNIT: Organizational DUNS: 613665769 ~DDRESS (Give city, county, State and Zip Code) I;Vame and telephone number of person to be contacted County of Fresno ~m matters involving this application (give area code) 12200 Fresno Street Director William Ruzzamenti Fresno, CA 93721 ~·EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT: (Enter appropriate letters in box) 194600051283 A. State H. Independent School District 8. TYPE OF APPLICATION B. County I. State Controlled Institution of Higher Learning s New Continuation Revisi C. Municipal J. Private University -- If revision, enter appropriate letter(s) in D. Township K. Indian Tribe box(es) (Specify) E. Interstate L. Individual A Increase Award B. Decrease Award F. Inter-municipal M. Profit Organization C. Increase Duration D. Decrease Duration G. Special District N. Other Other (specify) 9. NAME OF FEDERAL AGENCY ONDCP 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE 11. DESCRIPTIVE TITLE OF APPLICANT'S NUMBER (CFDA): PROJECT Multiple 95.001 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF Start Date Ending Date a. Applicant b. Project 1/1/2015 12/31/2016 15. ESTIMATED FUNDING: 16.1S APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $859,080.00 YES. a. This preapplication/application was made b. Applicant available to the State Executive order 12372 c. State process for b. Applicant review on: d. local Date: e. Other b. No. Program is not covered by E.O. 12372 ~. Program Income or program has not been selected by state for review ~· Total $859,080.00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? Yes If 'Yes", attach an explanation X No 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 THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. ~-Type Name of Authorized Representative b. Title c. Telephone Margaret Mims A Sl},eriff"-Coroner d. Signature of Authorized Representat~\ '{ \-l.\f'.AC1\._~ ~\lfv\b. e. Date Signed z.\1,;\\0 '-("J \~ Instructions for the sf424 Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect ofthis collection of information, including suggestions for reducing this burden, to the Office of Management and Budget. Paperwork Reduction Project (0348-0043), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET; SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as a required face sheet for pre applications and application submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and h~ve selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entry: 1. Self -Explanatory. 2. Data application submitted to Federal Agency (or State if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. Enter Date Received by Federal Agency, Federal identification number: if this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Enter a legal name of applicant, name of primary organizational unit (including division is applicable), which will undertake the assistance activity, enter the organization's DUNS number (received from Dun and Bradstreet), enter the complete address of the applicant (including country), and name, telephone number, email and fax of the person to contact on matters related to this application. 6. Enter employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided; • ''New" means a new assistance award • "Continuation" means any change in the Federal Government's fmancial obligation or contingent liability from an existing obligations • "Revision" means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of project. If more than one program is involved, you should append an explanation on Item: Entry: a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For pre application, use a separate sheet to provide a summary description of this project. 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-Explanatory. 14. List the applicant's Congressional-District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decrease, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item IS. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative ofthe applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application. Section C -Non-federal Resources (a) Grant Program (b) Applicant (c) State (d) Other Resources (e) TOTALS 8 $ $ $ $ 9 ID 1 ~ Total (sum line 8 -11) $ $ $ $ SECTION D-FOR CASTED CASH NEEDS Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 1 Federal $859,080.00 $214,770.00 $214,770.00 $214,770.00 $214,770.00 !I Non-Federal J TOTAL (sum of 13 and 14) $ $ $ $ $ ------L ~ ---SECTION E-BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (b) First (c) Second (d) Third (e) Fourth ' 1 & 9 [l ---·-----SECTION F-OTHER BUDGET INFORMATION 1 Direct Charges 2 Indirect Charges ~ Remarks --~-- INSTRUCTIONS FOR THE SF-424A Public reporting burden for this collection of infonnation is estimated to average 180 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Office of Management and Budget, Paperwork Reduction Project (0348-0044), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT OT THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. General Instruction This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines, which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Section A,B,C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A, B,C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B. Section A. Budget Summary Lines 1-4 column (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b). For application pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog number in column (b). For application pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in column (a) and the respective catalog number on each line in column (b). For application pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, column (c) through (g) For new application, leave columns (c) and (d) blank. For each line entry in Column (a) and (b), enter in Column (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in column (c) and (d) the estimated amounts of funds which will remain not obligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in column (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in column (g) should be the sum of amounts in Column (e) and (f). For supplemental grants and changes to existing grants, do not use column (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in column (f) the amount of the increase of decrease of non-federal funds. In Column (g) enter the new total budgeted amount (Federal and non-federal which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in column (e) and (f). The amount(s) in column (g) should not equal the sum of amounts in column (e) and (f). Line 5-Show the totals for all columns used. Section B Budget Categories In the column headings (I) through (4), enter the titles of the same programs, functions, and activities shown on line 1-4, column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Lines 6a-I-Show the totals of Lines 6a to 6h in each column. Line 6j-Show the amount of indirect cost. Line 6K-Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in column (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, column (e) and (f) on Line 5. Line 7-Enter the estimated amount of income, if any expected to be generated from this project. Do not add or subtract this amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant. Section C. Non-Federal Resources Lines 8-11 Enter amounts of non-federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a) Enter the program titles identical to column (a), Section A. A breakdown by function or activity is not necessary. Column (b) Enter the contribution to be made by the applicant. Column (c) Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d) Enter the amount of cash and in-kind contribution to be made from all other sources. Column (e) Enter total of column (b),(c), and (d). Line 12-Enter the total for each of column (b)-( e). The amount in column (e) should be equal to the amount on Line 5, column (f) section A. Section D. Forecasted Cash Needs Line 13 Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14 -Enter the amount of cash from all other sources needed by quarter during the first year. Line 15-Enter the totals of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16-19-Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding period (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20-Enter the total for each of the Column (b)-(e). When additional schedules are prepared for this section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21-Use this space to explain amounts for individual direct object class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22-Enter the types of indirect rate (provisional, predetermined, fmal or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23-Provide any other explanations or comments deemed necessary. ASSURANCES-NON-CONTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain ofthese assurances may not be applicable to your project or program, if you have questions, please contact the awarding agency. Further, certain Federal-awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: I. Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non- federal share of project cost) to ensure proper planning, management and completion of the project describe in this application. 2. Will give the awarding agency, the Comptroller General of United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all record, books, paper, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U. U. C. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A ofOPM's Standards for a Merit System of Personnel Administration (5 C. F. R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U. S.C. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S. C. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S. C. 61 01-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P. L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P. L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912 (42 U.S. C. 290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 ( 42 U S C. 3601 et seq), as amended, relating to nondiscrimination in the sale, rental or fmancing of housing; (I) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and G) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocations Assistance and Real Property Acquisition Policies Act of 1970 (P. L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assistance programs. These requirements apply to all interest in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply, as applicable, with provisions ofthe Hatch Act (5 U. S.C. 1501-1508 and 7324-7328) which limit the political activities are funded in whole or in part with Federal Funds. 9. 10. II. Will comply, as applicable, with the provisions of the 12. Davis-Bacon Act {40 U.S. C. 276a to 276a-7), the Copeland Act (40 U.S. C. 276c and 18 U.S. C. 874), and the Contract Work Hours and Safety Standards Act (40 U. S.C. 327-333), regarding labor standards for federally assisted construction 13. sub agreements. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) ofthe Flood Disaster Protection Act of 1973 (P.L. 93 234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of 14. insurable construction and acquisition is $10,000 or more. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control 15. measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) I 1514; (b) notification of violating facilities pursuant to EO I 1738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 16. I 1988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et esq.); (f) conformity of Federal 17. actions to State (Clear Air) Implementation Plans under Section 176 (c) if the Clear Air Act ofl955, as amended (42 U.S.C. 7401 et esq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered 18. species under the Endangered Species Act of 1973, as amended, (P.L..93-205). SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL APPLICANT ORGANIZATION County of Fresno Will comply with the Wild and Scenic: Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. Will assist the awarding agency in assuring compliance with section 106 ofthe National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties) and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, hand! ing, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984 or OMB Circular No. A- 133, Audits oflnstitutions of Higher Learning and other Non-profit Institutions. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. Title Sheriff-Coroner Date Submitted 2..-\\D \:~ BUDGET INFORMATION-CONTRUCTION PROGRAMS NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case your will be notified COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for c. Total Allowable Costs (Column Participation a-b) 1. Administrative and legal expenses 2. Land, structures, rights of way, appraisals, etc. 3. Relocation expenses and payments 4. Architectural and engineering fees 5. Other architectural and engineering fees 6. Project inspection fees 7. Site worl< 8. Demolition and removal 9. Construction 10. Equipment 11. Miscellaneous 12. SUBTOTAL (sum oflines 1-11) 13. Contingencies 14. SUBTOTAL 15. Project (program) income 16. TOTAL PROJECT COSTS (subtract# 15 from# 14) -------·---FEDERAL FUNDING 17. Federal assistance requested, calculate as follows Enter eligible costs from line 16c Multiply X __ % (Consult Federal agency for Federal percentage share). Enter resulting Federal share. INSTRUCTION FOR THE SF 424-C Public reporting burden for this collection of information is estimated to average 180 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0041), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This sheet is to be used for the following types of applications: ( 1) "New" (means a new [previous Un-funded] assistance award); (2) "Continuation" (means funding in a succeeding budget which stemmed from a prior agreement to fund); and (3) "Revised" (means any changes in the Federal government's financial obligation or contingent liability from an existing obligation). If there is no change in the award amount there is no need to complete this form. Certain Federal agencies may require only an explanatory letter to the effect minor (no cost) changes. If you have questions please contact the Federal agency. Column a.-If this is an application for a ''New" project, enter the total estimated cost of each of the items listed on lines 1 through 16 (as applicable) under "COST CLASSIFICATIONS." If this application entails a change to an existing award, enter the eligible amounts approved under the previous award for the items under" COST CLASSIFICATION' Column b. If this is an application for a ''New" project, enter that portion of the cost of each item in Column a. which is not allowable for Federal Assistance. Contact the Federal agency for assistance in determining the allowability of specific costs. If this application entails a change to an existing award, enter the adjustment [+or(-)] to the previously approved costs (from column a.) reflected in this application. Column c. This is the net ofline 1 through 16 in columns "a" and "b". Line 1-Enter estimated amounts needed to cover administrative expenses. Do not include costs which are related to the normal functions of government. Allowable legal costs are generally only those associated with the purchase of land which is allowable for Federal participation and certain services in support of construction of the project. Line 2-Enter estimated site and right(s) of way acquisition costs (this includes purchase, lease, and/or easements). Line 3 -Enter estimated cost related to relocation advisory assistance, replacement housing, and relocation payments to displaced persons and businesses, etc. Line 4 -Enter estimate basic engineering fees related to construction (this includes start-up services and preparation of project performance work plan). Line 5 -Enter estimated engineering costs, such as surveys, tests, soil borings, etc. Line 6 -Enter estimated engineering inspection costs. Line 7 -Enter estimated costs of site preparation and restoration which are not included in the basic construction contract. Line 9-Enter estimated cost of the construction contract. Line 10-Enter estimated cost of office, shop, laboratory, safety equipment, etc. to be used at the facility, if such costs are not included in the construction contract. Line II -Enter estimated miscellaneous costs. Line 12-Total of items 1 through II. Line 13-Enter estimated contingency costs. (Consult the Federal agency for the percentage of the estimated construction cost to use.) Line 14 -Enter the total of lines 12 and 13. Line 15-Enter estimated program income to be earned during the grant period, e.g. salvaged materials, etc. Line 16-Subtract line 15 from line 14. Line 17 -This block if for the computation of the Federal share. Multiply the total allowable project costs from line 16, column "c" by the Federal percentage share (this may be up to 100 percent; consult Federal agency for Federal percentage share) and enter the product on line 17. ASSURANCES-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average I 5 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estate or any other aspect of this collection of information, including suggestions for reducing this burden, to the office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certifY that the applicant: I. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non- Federal share of project costs) to ensure proper planning, management and completion ofthe project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regards to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progress reports and such other information as may e required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or present the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of1970 (42 U.S.C. 4728-4763) relating to prescribed standards for merit system for programs funded under one of the nineteen statutes or regulations specified in appendix A ofOPM's Standards for a Merit System of Personnel Administration (5 C.P.R. 900 Subpart F). 9. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88 352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686) which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S. C. 794) which prohibits discrimination of the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107) which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment act of 1972 (P .L. 93-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the comprehensive alcohol Abuse and alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 ofthe Public Health Service Act of1912 (42 U.S.C. 290 dd- 3 and290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient record; (h) Title VIII ofthe Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) any other non-discrimination provisions I the specific statute(s) under which application for Federal assistance is being made and (j) the requirements on any other nondiscrimination Statute(s) which may apply to the application. I I. Will comply, or has already complied, with the requirements of Titles 11 and III of the Uniform Relocation Assistance and real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally assisted programs. These requirements apply to all interest in real property acquired for project purpose regardless of Federal participation in purchases 12. Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-7), the Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874), The contract Work hours and safety Standards Act (40 U.S. C. 327-333) regarding labor standards for federally assisted construction sub-agreements. 14. Will comply with the flood insurance purchase requirements of Section I 02( a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more 15. Will comply with environmental standards which may be prescribe pursuant to the following: (a) institution of environmental quality control measures under the National environmental policy Act of 1969 (P.L. 91 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL \..._.- APPLICANT ORGANIZATION County of Fresno protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazard in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the wild and scenic rivers act of 1968 (16 U.S.C. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-l et seq.). 18. Will cause to be performed the required fmancial and compliance audits in accordance with the single Audit Act of 1984. 19. Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. Title Sheriff-Coroner Date Sub itted ·e-\ \0 \S OFFICE OF NATIONAL DRUG CONTROL POLICY CERTIFICATIONS REGARDING LOBBYING, DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; DRUG-FREE WORKPLACE REQUIREMENTS; FEDERAL DEBT STATUS, AND NONDISCRIMINATION STATUS AND IMPLEMENTING REGULATIONS Instructions for the certifications General Requirements The Office of National Drug Control Policy (ONDCP) is required to obtain from all applicants' certifications regarding federal debt status, debarment and suspension, and a drug free workplace. Applicants requesting monies greater than $100,000 in grants funds must also certify regarding lobbing activities and may be required to submit a Disclosure of Lobbying Activities" (Standard Form LLL). Institutional applicants are required to certify that they will comply with the nondiscrimination statues and implementing regulations. Applicants should refer to the regulations cited below to determine the certifications 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 the form provides for compliance with certification requirements under 21 CFR part 1405, "New Restrictions on Lobbying" and 21 CFR part 1414, Government wide Debarment and Suspension. (Non procurement), Certification Regarding Federal debt Status (OMB Circular A-129), and Certification Regarding the Nondiscrimination Statutes and Implementing Regulations. The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Office ofNational Drug Control Policy determines to award the covered cooperative agreement 1. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented in 21 CFR part 1405, for persons entering into a cooperative agreement over $100,000, as defined at 21 CFR Part 1405, 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, and 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 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 being paid to any person for influencing or attempting to influence 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 document for all sub-awards at all tiers (including sub-grants, contracts under grants and cooperative agreements, and subcontracts) and that all sub-recipients shall certify and disclose accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTER (DIRECT RECIPIENT) As required by Executive Order 12549, Debarment and Suspension and implemented at 21 CFR Part 1404, for prospective participants in primary covered transactions 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 and 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 statures 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 o otherwise criminally or civilly charged by a governmental entity (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 the application. 2. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug Free Workplace Act of 1988, and implemented at 21 CFR Part 1404 Subpart F. 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 applicant's workplace and specifying the actions that will be taken against employees for violations 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 applicant'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 violation occurring in the workplace; (d) 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); (e) 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: (f) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) form an employee or otherwise receiving actual notice of such convictions. Employers of convicted employees must provide notice including position title, to: The Assistance Center, 8401 Northwest 53rd Terrace, suite 200, Miami, Florida 33166. Notice shall include the identification number of each affected grant; (g) 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- ( I) 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; (h) 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 applicant may insert in the space provided below the site( s) for the performance of work done in connection with the specific cooperative agreement: Place of Performance (street address, city, country, state, zip code) County of Fresno Check if there are workplaces on file that are not identified here. The regulations provide that a recipient that is a State may elect of make one certification in each Federal fiscal year. A copy of which should be included with each application for ONDCP Funding. DRUG FREE WORKPLACE (RECIPIENTS WHO ARE INDIVIDUALS) As required by the Drug Free Workplace Act of 1988, and implemented at 21 CFR Part 1404 Subpart F. A. as a condition of the cooperative agreement, I certify that I will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conduction any activity with the grant; and B. If convicted of a criminal drug offense resulting form a violation occurring during the conduct of any grant activity, I will report the conviction in writing, within 10 calendar days ofthe conviction, to: The Assistance Center, 8401 Northwest 53rd Terrace, Suite 208, Miami, Florida 33166. 4. CERTIFICATION REGARDING FEDERAL DEBT STATUS (OMB Circular A-129) The Applicant certifies to the best of its knowledge and belief, that it is not delinquent in the repayment of any federal debt. 5. CERTIFICATION REGARDING THE NONDISCRIMINATIN STATUTES AND IMPLEMENTING REGULATIONS The applicant certifies that it will comply with the following nondiscrimination statues and their implementing regulations: (a) title VI of the Civil right Act of 1964 (42 U.S.C. 2000D et seq.) which provides that no person in the United States shall, on the ground ofrace, color, or national origin, be excluded from participation in, be denied the benefits of or be otherwise subjected to discrimination under any program or activity for which the applicant received federal financial assistance; (b) Section 504 if the rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicap in programs and activities receiving federal financial assistance; (c) title IX of the Education Amendments of l972m as amended (20 U.S.C. 1981 et seq.) which prohibits discrimination on the basis of sex in education programs and activities receiving federal financial assistance; and (d) the Age Discrimination Act of 1975, and amended (42 U.S.C. 6101 et seq.) which prohibits discrimination on the basis of age in programs and activities receiving federal fmancial assistance, except that actions which reasonably take age into account as a factor necessary for the normal operation or achievement of any statutory objective of the project or activity shall not violate this statute As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. Grantee Name and Address: County of Fresno 2200 Fresno Street Fresno, CA 93721 Application Number and/or Project Name: G15CV0004A Multiple Grantee IRSNendor Number: Type Name and Title of Authorized Representative: 5. Signatur:-1\~f{\ ~~ \.:_ 194600051283 Margaret Mims Sheriff-Coroner 6. Date: I 4. Tyne of ~e~eral Action: a em a r b. b. grant c. cooperative agreement d. loan e. loan guarantee f. loan insurance DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) 2. Status of Federal Action b. a. bid/offer/application b. Initial award c . post -award 3. Report Type a. "· '""'"' "''"!> b. material change For Material Change only Year:__ Quarter: __ Date of last report: Name and Address of reporting Entity 5. If reporting entity in No.4 is Subawardee, Enter name and address of Prime: X Prime County of Fresno 2200 Fresno Street Fresno, CA 93721 Subawardee Tter _ ,if unknown: Congressional District, if known Congressional District, if known 6. 8. 10. Federal Department/Agency: ONDCP Federal Action Number, if known G15CV0004A a. Name and Address of Lobbying Entity (if individual, last name, first name, MI) None 7. 9. Federal Program Name/Description: HIDTA Award Amount, if known $859,080.00 b. Individuals Performing Services (including address if (if individual, last name, first name, MI) different from No. 10a) last name, first name, Ml) None (attach Continuation Sheet{s) SF-LLL-A, if necessa_ry) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply): $ N'A --a retainer b. one-time fee -- --c. commission 12. Form of Payment (check all that apply): ---d. contingent fee --e. deferred --f other; specifY: a. cash -b. in-kind; specify: nature value 14. Brief Description of Services Performed or to be Performed and Date(s) of Servite, including officer(s), employee(s), or Member(s) contacted, for Payment indicated in Item 11: 15. 16. HIDTA Related Initiatives (attach Continuation Sheet (s) SF-LLL-A, if necessary) Continuation Sheet(s) SF-LLL-A attached: __ y ____ .:..;X:.....:..N:....:o'- Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure oflobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made o entered into. This disclosure is requested 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 Jess than $10,000 and not more than $100,000 for each such failure. Print Name: Title: Telephone No.: ~ar~etMims Sheriff-Coroner Date: Federal Use Only: Authorized for local reproduction Standard Form-LLL Date: February 11, 2015 To: Doug King From: Brittany James Subject: Overnight delivery request Doug, Please overnight the attached to: National HIDTA Assistance Center 11200 NW 201h St, Ste 1 00 Miami, FL 33172 Inter Office Memo Margaret Mims Sheriff Please charge the costs to cost center 311121 02 and make me a copy too. Thank you for your help.