HomeMy WebLinkAbout32542Cal OES# I
Agreement No. 16-155
(Gal OES Use Only}
I FIPS# I lvs# I I Subaward # I
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
GRANT SUBAWARO FACE SHEET
The California Governor's Office of Emergency Services (Cal OES), makes a Grant Subaward of funds set forth to the following:
1. Subntciplent County of Fresno 1a. DUNS.: 004969341
2.1mplementing Agency: Probation Department 2a. DUNS#: 932953037
3.1mplementing Agency Address: 3333 E. American Ave, Ste B Fresno 93725-9248
Street
4. Location of Project: 2233 Kern Street Fresno
Clly Zip•4
93721-2613 --------------------------------City County Zip->4
5. Disaster/Program Title: UnseNed/Uilderserved Victim Advocacy & Outreach 6. Perfonnance Period: 04/01/16 to 03/31/17
7 Indirect Cost Rate· IZJ N/A-O 10°,(, de minimis· 0 Federally Approved ICR % . . ..
Grant Fund Source A. State B. federal C. Total D. Cash I E. In-Kind F. Total I <['fatal Project I
Year Match Match Match Cost 1
2015 a. VOCA. s 175.000 $ 30.6.40 s 13,110 $ 43,750 $218,750
Select 9. Select so 1 so
Select 10. Selecl so $0
Select 11 se1ecr s 0. so
Selecl 12. Select $0 so
$30.640 $13,110 $43.750
12. a TGUI PftljKt Coat:
TOTALS $0 s 175,000 s 175.000 s 218,750
~'-~-=
13. This Grant Sublward consists of this title page, the application for the grant, which is attached and made a part hereof, and the
Aseuranci$/Certifications.l hereby certify I am vested with the authOrity to ent&r into this Grant Subaward, and have the approval of lhe City/County
Financiel Officer, City Manager, County Administrator, Governing Board Chair, or other Approving Body. Tho Subtvclpient ceftifle&that ell funds
ntceived pursuant to this agrMmenl Will be a pent exeluaivoly on the purpoaes spociflad In tho Grant Sub.award. Tho Subroc.ipient accepts this Grant
Subaward and agreea to admlniater the grant project in accordance with the Grant Su~rd u -lias all applicable state and federal Ia-, audit
raqulhlmen!ll, Ieete !'III program guldetine:a, and Cal OES policy and prosram 1111id.lnce. The Subrecipient further agrees that the allocation of lunda may
be cOI'Iting&nt on t/le enactment of the State Budget.
14. Official Authorized to Sign for Subrecipient: 15. Federal Employer 10 Number: 94-6000512
Name: Ernest Buddy Mendes Tille: Chairman. Board of Supervisors
Telephone: (559) 600-4000 FAX: (559) 600-1609 Email· District4@co.fresno.ca.us
(area oode) (area COde)
Payment Ma11ing Address: 3333 E. American Ave. Ste B City: Fresno -----------------------Zip+-4: 93725-9248
Signature: & :;.L J3 1 L.L_ ~ Dale: LJ -/l. :-:-/6,
===tE=-WOR Cal OEa uae ONLY]
I hereby ce~fy upon my own personal kno\Medge that budgeted funds are available for I he period and purposes of this expendilure slated above.
Cal OES Fiscal Officer
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
~.r. , n t* By~ ;..£A.... >-C.-v=
e uty
Date
Grant Subaward Faea Sheet-Cal OES 2-101 (R~vised 7/2015)
Cal OES Director (or designee) Date
All appropriate documentation must be maintained on file by the project and available for Cal OES
or public scrutiny upon request. Failure to comply with these requirements may result in
suspension of payments under the grant or termination of the grant or both and the Subrecipient
may be ineligible for subaward of any future grants if the Cal OES determines that any of the
following has occurred: (1) the Subrecipient has made false certification, or (2) violates the
certification by failing to carry out the requirements as noted above.
CERTIFICATION
I. the official named below, am the same individual authorized to sign the Subaward [Section 14 on
Grant Subaward Face Sheet]. and hereby swear that I am duly authorized legally to bind the
contractor or grant Subrecipient to the above described certification. I am fully aware that this
certification, executed on the date and in the county below. is made under penalty of perjury under
the laws of the State of California.
Authorized Official's Signature: E
Authorized Official's Typed Name: Ernest Buddy Mendes
----------------------------~------------
Authorized Official's Title: Chairman. Board of SupeNisors
Date Executed: 'f -IL-/_~=----------------
Federal Employer ID #: 94-6000512 Federal DUNS# _1_88_2_1_5_18_0 ___ _
Current Central Contractor Registration Expiration Date: _0_91_2_01_2_0_16 _______ _
Fresno/Fresno Executed in the City/County of:
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
B(f\W,_ f ~~ AUTHORIZED BY: (not applicable to State agencies)
0 City Financial Officer
0 City Manager
0 Governing Board Chair
Signature:
Typed Name: Vicki Crow
[ZJ County Financial Officer
0 County Manager
' ; ' \.· Deputy
----------------------------------------------
Title: Auditor-Controller/Treasurer-Tax Collector
Certifteation of Assurance of Compliance-VOCA Cal OES 2-104t {Rev. 712015) 5