HomeMy WebLinkAboutAgreement A-18-351 with Cal OES.pdfAgreement No. 18-351
I CalOES# I I FIPS# I
(C.I 0ES U• Only)
ISubawlrc1# jw1e100100
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
GRANTSUBAWARDFACESHEET
The California Governor's Office cl Emergency Services (Cal OES), makes a Grail Subaward offunda eel forth to the following :
1, Subredptent County of Fresno 1 .. DUNN: 030363902
2, Implementing Agency: Dlltr1ct Attorney 2a. DUNU: 030363902
3. lmplemenllng Agency Acld'9N: 2220 Tulere Street, Suite 1000
sireet
'-Location of Project: Fresno
Fresno 93721-2107 -----c1y-----~
Fresno 93721-2107 ------------------Cly -----Colny-----Zlp+4
I. ~rooram Tltle: Violence Against Women Vertical Prosecution e. PMormance Period: 7/1/18 to 6/30/19 ----
7.lndlrectCoetRm: (2:JNIA; Q10%demlnifflla; QFederallyApprovedlCR __ ,r.
Grant FundSoun:e ,,,_ s• B.Fedtral C.Total D.C.h E. In-Kind F.Total G. Total Project
Year Ml1ch Match Match Coet
2018 a.VAWA $202,545 S 67,515 $67,515 $270,060
Select 9. Select $0 $0
Select 10. Select $0 $0
Select ,,. Select $0 so
Select 12. Select $0 $0
11.Q
TOTALS $0 $202,545 1202,545 $67,515 $0 $87,515 $270,060
11. Offlclal Authortzed to Sign for lubredplent: 11. Federal Employw ID Number: _~ ___ 12 _____ _
Name: Sal Quintero
FAX: (559) 600-1609 Telephone: (559) 600-3000
(lfN code) (-code)
Tulare Street, Suite 1000
Cal OES Flscal Officer
ATTEST:
BERNICE E . SEIDEL
C ler!< of the Board of Supervisors
County of Fresno , St at e of Califo rnia
By Su,~sbO{)
Deputy
Grant Subaward Face Sheet-cal OES 2-101 (Reviled 312018)
Date
Title: Chairperson, Fresno County Board of Supervisors
Email: SalQuintero@fresnocountyca .gov
City: Fresno Zlp+4: 93721-2107
Date: J -10 -\'?f
cat OES Director (or delignee) Date
SIGNATURE AUTHORIZATION
Subaward #: W18100100
Subrecipient: County of Fresno
Implementing Agency: District Attorney
,,
*The Project Director and Financial Officer are REQUIRED to sign this form.
*Project Director: Jeff Dupras
Sig~ature: ~---1----~-------
Date: Ct,. /<f· ·zo l ~
usconi
Signature:
Date:
The following persons are authorized to s ign for the
Project Director
The following persons are authorized to sign for the
s~
Stephen Wright
Prin t Name
S ignature
Print Name
S ignature
Prin t Name
Signature
Prin t Name
Signature
Print Name
Signature Authorization -Cal OES 2-103 (Rev. 7/2015)
Fina"z°:cer
Signature
Ruth Falcon
Pri nt Name
Signature
Print Name
Signature
Print Name
Signature
Print Name
Signature
Print Name
I
All appropriate documentation mu st be m aintai ned on file by the project an d av ailable for Cal O ES or publi c
scrutiny upon request. Failure to comply w ith these re quirements may result in suspension o f payments under
the grant or termin ation of the grant or both and the S ubrecipient may be ineligible for su baward of any future
grants If the Cal OES determines that any of the following has occurred: (1) t he Su brecipient has made fal se
certification, or (2) violates the certification by failing to carry out the requirem ents as noted above.
CERTIFICATION
I, the official named below, am the same individual a uthorized t o sign the Grant Subaward [Section 15 on
Grant Subaward Face Sheet], and hereby swear th at I am duly authorized legally to bind the contractor
or grant Subrecipient to the above described certification. I am full y aware that this certification, executed
on th e date and in the county below, is made under penalty of perjury under the laws of the State o f California .
Authorized Offi cial 's Signature: ~-Authorized Of fi ci al's Typed Name:
--~o
A uthorized Official's Title: Cha irperson , Fresno County Board of Supervisors
Date Executed:
Federal Employer ID #: 94-6000512 Federal DUNS # 030363902
Current System for Award Management (SAM) Expiration Date: 10/16/18
Executed in the City/County o f: Fresno
AUTHORIZED BY: (not applicable to State agencies)
• City Fin ancial Officer 0 County F inancial Officer
• City Manager • County Manager
• Governin g Board C hair
Signature: Osca ;:~fl~ T yped Nam e:
T itle: Auditor-Controller/Treasurer-Tax Collector
ATTEST:
BERNICE E. SEIDEL
Clerk of t he B oard of Supervisors
County of F re sno , State of California
By Su~shc-,p
Deput y
I
Certification o f Assurance of Co mpliance -VA W A/V OCA Cal OES 2-104h (Rev. 5/ZU 17) 12