FY15 LINC PROJ010213 AWARD CONTRACTr
,AUG 2 6 2014
orth Carolina Department of Public Safety
Pat McCrory, Governor
Frank L. Perry, Secretary
August 20, 2014
Frankie Roberts, Project Director
County of New Hanover
230 Government Center Drive, Suite 165
Wilmington, North Carolina 28403-1732
Christopher E. Swecker, Chair
L. David Huffman, Executive Director
SUBJECT: Project Name: 2014 — Leading Into New Communities (LILAC) Inc. Reentry Day
Treatment
Project Number: PROJO 10213
Implementing Agency: Leading Into New Communities (ZINC), Inc.
Congratulations on receipt • your recent grant award from the Governor's Crime Commission. Attached
you will find the Governor's Crime Commission's Qrant award checkli • ward document-and-svecial
conditions documents.
This grant award does not become effective until it has been signed by the Authorizing Official and
Project Director listed above and is returned to the Governor's Crime Commission. The signed grant award must
be returned within thirty days of the date the award is mailed. You will be authorized to make expenditures under
the grant or receive reimbursement once we have received the original signed grant award. Extensions beyond this
thirty day period can only be authorized, in writing, by the Governor's Crime Commission.
This grant award is subject to all administrative and financial requirements, including the timely
submission of all financial and programmatic reports, resolution of any audit or site-visit findings, and match
requirements. Should you not adhere to these requirements, you will be in violation of the terms of this agreement
and the award will be subject to termination for cause or other administrative action as appropriate. To assist you,
attached is a checklist of what you need to do in order for your Grants Management Specialist to receive your file.
Any incomplete items will cause a delay in this process.
As always, please contact our office if you have any questions or need additional assistance.
Best wishes to you for successful program outcomes!
w-
"
L. David Huffman
Executive Director
CC: Chris Coudriet, Authorizing Official
MAILING ADDRESS: OFFICE LOCATION:
4234 Mail Service Center 1201 Front St.
Raleigh, NC 27699-4234 Raleigh, NC 27609
www.ncgecd.org Telephone: (919) 733-4564
www.ncdps.gov Fax: (919) 7334625
An Equal Opportunity Employer
N.C. DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET
RALEIGH, NORTH CAROLINA 27609 GRANT
CRIMINAL JUSTICE SYSTEM IMPROVEMENT COMMITTEE
GRANT AWARD
SPECIAL CONDITIONS
BYRNE JUSTICE ASSISTANCE GRANT FUNDING
SUBRECIPIENT: County of New Hanover
PROJECT NAME: 2014 - Leading Into New Communities (LILAC) Inc. - Reentry Day Treatment
PROJECT NUMBER: PROJO10213
1. The recipient agrees to comply with the financial and administraive requirements set forth in
the current edition of the Office of Justice Programs (OJP) Financial Guide and the current edition of
Governor's Crime Commission Grant Award Packet,
The OJP Financial Guide can be viewed online at:www.ojp.usdoj,gov/financialguide
2, The recipient acknowledges that failure to submit an acceptable Equal Employment Opportunity Plan
(if recipient is required to submit one pursuant to 28 C.F.R. Section 42.302), that is approved by the
Office for Civil Rights, is a violation of its Certified Assurances and may result in suspension or
termination of funding, until such time as the recipient is in compliance.
3. This recipient agrees to comply with the organizational audit requirements of OMB Circular A-133,
Audits of States, Local Governments, and NonProf it Organizations, and further understands and agrees
that funds may be withheld, or other related requiremiats may be imposed, if outstanding audit issues
(if any) from OMB Circular A-133 audits (and any other audits of OJP grant funds) are not
satisfactorily and promptly addressed, as further described in the current edition of the OJP Financial
Guide.
4. The recipient understands and agrees that it cannot use any federal funds, either directly or
indirectly, in support of the enactment, repeal, modification or adoption of any law, regulation or
policy, at any level of government, without the express priorwritten approval of OJP.
5. The recipient must promptly refer to the DOJ OIG any credible evidence that a principal,
employee, agent, contractor, subgrantee, subcontractor, or other person has either 1) submitted a false
claim for grant funds under the False Claims Act; or 2) committed a criminal or civil violation of laws
pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant
funds. This condition also applies to any subrecipients.Potential fraud, waste, abuse, or misconduct
should be reported to the OIG and the Governor's Crime Commissionby -
Mail:
Office of the Inspector General
U.S. Department of Justice
Investigations Division AND
950 Pennsylvania Avenue, N.W.
Room 4706
Washington, DC 20530
e-mail: oig,hotline@usdoJ.qov
NC Governor's Crime Commission
1201 Front Street
Raleigh, NC 27609
e-mail: (your Grants Mgmt. Specialist)
hotline: (contact information in English and Spanish) : (800) 869-4499
or hotline fax: (202) 616 -9881
Additional information is available from the DOJ OIG website atwww.usdoj.aov//oiq.
6. The recipient agrees to assist BJA in complying with the National Environmental Policy Act
(NEPA), the National Historic Preservation Act, and other related federal environmental impact analyses
requirements in the use of these grant funds, either directly by the grantee or by a subgrantee.
Accordingly, the recipient agrees to first determine if any of the following activities will be funded
by the grant, prior to obligating funds for any of these purposes. If it is determined that any of the
following activities will be funded by the grant, the grantee agrees to contact BJA.
A
Authorizing Official Project Director:
Chris Coudriet Frankie Roberts
N.C. DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET - 2
RALEIGH, NORTH CAROLINA 27609 GRANT
The recipient understands that this special condition appies to its following new activities whether
or not they are being specifically funded with these grain funds. That is, as long as the activity is
being conducted by the grantee, a subgrantee, or any third party and the activity needs to be
undertaken in order to use these grant funds, this special condition must first be met. The activities
covered by the special condition are:
a. New construction;
b. Minor renovation or remodeling of a property located in an environmentally or historically sensitive
area, including properties located within a 100-year flood plain, a wetland, or habitat for endangered
species, or a property listed on or eligible for listingon the National Register of Historic Places;
c. A renovation, lease, or any proposed use of a building or facility that will either (a) result in a
change in its basic prior use or (b) significantly change its size;,and
d. Implementation of a new program involving the use of chemicals other than chemicals that are (a)
purchased as an incidental component of a funded activityand (b) traditionally used, for example, in
office, household, recreational, or education environments and
e. Implementation of a program relating to clandestine methamphetamine laboratory operations, including
the identification, seizure, or closure of clandestine methamphetamine laboratories.
The grantee understands and agrees that complying with NEPA may require the preparation of an
Environmental Assessment and/or an Environmental Impact Statement, as directed by BJA. The grantee
further understands and agrees to the requirements for implementation of a Mitigation Plan, as detailed
at h�tt ://www.ojp.usdoj . gov/BJA/ resource /nepa, html, for programs relating to methamphetamine laboratory
operations.
Application of the Special Condition to Grantee's Existing Programs or Activities: For any of the
grantee's or its subgrantees' existing programs or activities that will be funded by these grant funds,
the grantee, upon specific request from BJA, agrees to cooperate with BJA in any preparation by BJA of
a national or program environmental assessment of that funded program or activity.
7. To avoid duplicating existing networks or IT systems in any initiatives funded by BJA for law
enforcement information sharing systems which involve interstate connectivity between jurisdictions,
such systems shall employ, to the extent possible, exisbig networks as the communication backbone to
achieve interstate connectivity, unless the grantee can demonstrate to the satisfaction of BJA that
this requirement would not be cost effective or would impair the functionality of an existing or
proposed IT system.
8. In order to promote information sharing and enable interoperability among disparate systems
across the justice and public safety community, OJP requires the grantee to comply with DOJ's Global
Justice Information Sharing initiative (DOJ's Global) guidelines and recommendations for this
particular grant. The grantee shall conform to the GlobalStandards Package (GSP) and all constituent
elements, where applicable, as described at: http://www.it.2ip. Tov/gsp grantcondition The grantee
shall document planned approaches to information sharing and describe compliance to the GSP and
appropriate privacy policy that protects shared information, or provide detailed justification for why
an alternative approach is recommended.
9. The recipient agrees to comply with all reporting, data collection and evaluation requirements,
as prescribed by law and detailed by the BJA in program guidance for the Justice Assistance Grant (JAG)
Program. Compliance with these requirements will be monitord by BJA.
10. The recipient agrees that any information technology system funded or supported by OJP funds will
comply with 28 C.F.R. Part 23, Criminal Intelligence Systems Operating Policies, if OJP determines this
regulation to by applicable. Should OJPdetermine 28 C.F.R. Part 23 to be applicable, OJP may, at its
discretion, perform audits of the system, as per the regulation. Should any violation of 28 C.F.R. Part
23 occur, the recipient may be fined as per 42 U.S.C. 3789g(c-(d) . Recipient may not satisfy such a
fine with federal funds.
11. The recipient agrees to ensure that the State Information Techncdgy Point of Contact receives
written notification regarding any information technology project funded by this grant during the
obligation and expenditure period. This is to facilitate communication among local and state
governmental entities regarding various information technology projects being conducted with these
grant funds. In addition, the recipient agrees to maintain an administrative file documenting the
meeting of this requirement. For a list of State Information Technology Points of Contact, go to
01
Authorizing officia
Project Director:
Chris Coudriet Frankie Roberts
rZ N.C. DEPARTMENT OF PUBLIC SAFETY
AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET - 3
RALEIGH, NORTH CAROLINA 27609 GRANT
http: //www, it. ojp. gov/def ault.aspx?area=policyAndPractice&]2agcl046.
12. The recipient agrees to comply with the applicable requirements of 28 C.F.R. Part 38, the
Department of Justice regulation governing "Equal Treatment for Faith-Based Organizations" (the "Equal
Treatment Regulation"). The Equal Treatment Regulation provides in part that Department of Justice
grant awards of direct funding may not be used to fund any inherently religious activities, such as
worship, religious instruction, or proselytization. Recipients of direct grants may still engage in
inherently religious activities, but such activities must be separate in time or place from the
Department of Justice funded program, and participation in such activities by individuals receiving
services from grantee or a sub-grantee must be voluntary. The Equal Treatment Regulation also makes
clear that organizations participating in programs directly funded by the Department of Justice are not
permitted to discriminate in the provision of services on the basis of a beneficiary's religion.
Notwithstanding any other special condition of this award, faith-based organizations may, in some
circumstances, consider religion as a basis for employment. See
h�./Jwww.o �.oy�/abou�t/ocr/�eal _fbo.htm
13. The recipient acknowledges that all programs funded through suba ds, whether at the state or
local levels, must conform to the grant program requirements as stated in BJA program guidance.
14. The recipient agrees to comply with the requirements of 28 C.F.R. Part 46 and all Office of
Justice Programs policies and procedures regarding the protection of human research subjects, including
obtainment of Institutional Review Board approval, if appropriate, and subject informed consent.
15. The recipient agrees to comply with all confidentiality requirements of 42 U.S.C. section 3789g
and 28 C.F.R. Part 22 that are applicable to collection, use, and revelation of data or information.
Grantee further agrees, as a condition of grant approval, to submit a Privacy Certitjite that is in
accord with requirements of 28 C.F.R. Part 22 and, in particular, section 22.23.
16, The recipient agrees that funds received under this award will not be used to supplant State or
local funds, but will be used to increase the amounts of such funds that would, in the absence of
Federal funds, be made available for law enforcement activities.
17. The recipient agrees that within 120 days of award, for any law enforcement task force funded
with these funds, the task force commander, agency executive, task force officers, and other task force
members of equivalent rank, will complete required online (internet -based) task force training to be
provided free of charge through BJA's Center for Task Force Integrity and Leadership. This training
will address task force effectiveness as well as other key issues including privacy and civil
liberties/rights, task force performance measurement, personnel selection, and task force oversight and
accountability. Additional information will be provided by BJA regarding the required training and
access methods via BJA's website and the Center for Task Force Integrity and Leadership
(www.ctfli.org).
18. The recipient understands and agrees that it cannot use any federal funds, either directly or
indirectly, in support of any contract or subaward to either the Association of Community Organizations
for Reform Now (ACORN) or its subsidiaries, without the mpress prior written approval of OJP and the
Governor's Crime Commission,
19. Certified Assurances (Non-Discrimination Requirements)
Applicants must assure and certify that they will comply (and will require any subgrantees or
contractors to comply) with any applicable statutorilyimposed nondiscrimination requirements, which
may include those of the omnibus Crime Control and Safe StretEs Act of 1968 (42 U.S.C. § 3789d), the
Victims of Crime Act (42 U. S, C. § 10604 (e) ) , the Juvenile Justice and Delinquency Prevention Act of
2002 (42 U.S.C. § 5672(b)), the Civil Rights Act of 1964 (42 U.S.C. § 2000d) , the Rehabilitation Act of
1973 (29 U.S.C. § 794), the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12131-34), the
Education Amendments of 1972 (20 U.S.C. H 1681, 1683, 1685-86), and the Age Discrimination Act of 1975
(42 U.S.C. §§ 6101-07) . Applicants should also see Exec. Order 13,279 (Equal Protection of the Laws for
Faith-Based and Community Organizations).
In the event that a Federal or State court or Federal or State administrative agency makes a finding of
discrimination after a due proces hearing on the grounds of race, color, religion, age, national
origin, sex, or disability again A recipient of Federal funds, or any subgrantee or contractor of
Authorizing Offici
Chris Coudriet
Project Direc
ankle Roberts
N.C. DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET - 4 -
RALEIGH, NORTH CAROLINA 27609 GRANT
that recipient, a copy of such findings must be forwarded immediately to both the Governor's Crime
Commission and the federal Office for Civil Rights.
Complaints alleging or containing reference to discrimination on the basis of race, color, religion,
age, national origin, sex, or disability by a recipient of federal funds or by any subgrantee or
contractor of that recipient shall be reported to the Discrimination Complaint Coordinator of the
Governor's Crime Commission. Complaints of this type may be reported to the federal Office for Civil
Rights, though such reporting does not relieve the reporter of the duty to also report to the
Discrimination Complaint Coordinator of the Governor's Crime Commission.
In accord with federal civil rights laws, all recipients and subrecipients must refrain from
retaliation against any individuals who take action or participate in action to secure rights protected
by such laws.
All recipients and subrecipients must take reasonable steps to provide meaningful access to programs
and activities for persons who may be LEP (Limited English Proficient).
All recipients and their subrecipients must also provide the office for Civil Rights with an Equal
Employment Opportunity Plan, if required to maintain one, where the award is $500,000 or more.
The Recipient further agrees to post in a conspicuous place, available to all employees and applicants
for employment, notices setting forth the provisions of the ESOP, as shown in the provided Department
of Labor Regulations found at 41 CFR Part 60.
20. The recipient agrees promptly to provide, upon request, financial or programmatic - related
documentation related to this award, including documentation of expenditures and achievements.
21. The recipient understands that it is subject to additional financial and programmatic on-site
monitoring, which may be on short notice, and agrees thatit will cooperate with any such monitoring.
22. The recipient understands and agrees that misuse of award funds may result in a range of
penalties, including suspension of current and future funds, suspension or debarment from federal
grants, recoupment of moniesprovided under an award, and civil and/or criminal penalties.
23. The recipient assures and certifies that it has the legal authority to apply for federal
assistance and the institutional, managerial, and finanail capability (including funds sufficient to
pay any required non-federal share of the project cost) to ensure proper planning, management, and
completion of the project described in this application.
24. The recipient agrees to establish safeguards to prohibit employees and in the case of non-profit
agencies, board members from using their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or personal gain.
25. The recipient agrees to give the Governor's Crime Commission or he General Accounting Office,
through any authorized representative, access to and the right to examine all paper or electronic
records related to the financial assistance.
26. The recipient agrees that all contracts must be approved by the Governor's Crime Commission
grants management director prior to execution. Any funds incurred will be in violation of the contract
if they are incurred prior to approval. Any rate over $450/day must be justified in writing to the
Governor's Crime Commission. All sole source contracts in excess of $100,000 must receive prior
approval from the Bureau of Justice Assistance.
27, Positions created must be new and increase the agency staff by the number of positions requested.
28. Agencies whose grants include confidential/buy money funds must comply with the confidential fund
requirements as described in the current edition of the OJP Financial Guide, Chapter 8 and sign a
Confidential Funds Certification to abide by the federal guidelines, prior to any use of
confidential/buy money funds.
29. Any Mobile Data Terminal, or 800 MegaHertz Voice, based project or program must have the ability
t
- - - - --- -----
Authorizing official Project Directors — 4 - ------
Chrioudriet Frankie Roberts
STATE N.C. DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET 5
RALEIGH, NORTH CAROLINA 27609 GRANT
to be connected to the North Carolina Highway Patrol's 800 MegaHertz Voice and Data Networks and
applicants must have the ability to share data with other agencies.
Compliance with these general conditions is to ensure that criminal justice agencies continue to
build an integrated statewide network to tie all public safety agencies together.
30. The recipient acknowledges that failure to submit programmatic or financial reports in a timely
manner will result in the termination of this grant. Upon termination, all outstanding reimbursements
will be forfeited by the recipient,
31. All recipients are required to maintain an active registration with the Central Contractor
Registration (CCR) database.
32. The recipient agrees to comply with any additional requirements hat may be imposed during
the grant performance period if the agency (GCC) determines that the recipient is a higlaisk
grantee. Cf. 28 C.F.R. parts 66, 70.
33. Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging while Driving,"
74 Fed. Reg. 51225 (October 1, 2009), the U.S. Department of Justice encourages recipients and
subrecipients to adopt and enforce policies banning employees from text messaging while driving any
vehicle during the course of performing work funded by Itis grant, and to establish workplace safety
policies and conduct education, awareness, and other outreach to decrease crashes caused by distracted
drivers.
34. The recipient agrees to comply with applicable requirements to report first-tier subawards of
$25,000 or more and, in certain circumstances, to reportthe names and total compensation of the five
most highly compensated executives of the recipient and fist tier subrecipients of award funds. Such
data will be submitted to the FFATA Subaward Reporting System (FSRS) . The details of recipient
obligations, which derive from the Federal Funding Accountability and Transparency Act of 2006 (FFATA),
are posted on the Office of Justice Programs web site athttp: / /www.olp.gov /funding /ffata.htm(Award
condition: Reporting Subawards and Executive Compensation), and are incorporated by reference here.
This condition, and its reporting requirement does not apply to grant awards made to an individual who
received the award as a natural person (i.e., unrelated to any business or non-profit organization that
he or she may own operate in his or her nam$.
35. The recipient acknowledges that both the Office of Justice Programs and the Governor's Crime
Commission reserves a royalty-free, non - exclusive, and irrevocable license to reproduce, publish, or
otherwise use, and authorize others to use (in whole or in part, including in connection with
derivative works), for Federal and State purposes: (1) the copyright in any work developed under an
award or subaward; and (2) any rights of copyright to which a recipient or subrecipient purchases
ownership with Federal support.
The recipient acknowledges that both the Office of Justice Programs and the Governor's Crime Commission
has the right to: (1) obtain, reproduce, publish, or otherwise use the data first produced under an
award or subaward; and (2) authorize others to receive, reproduce, publish, or otherwise use such data
for Federal purposes,
It is the responsibility of the recipient (and of each subrecipient, if applicable) to ensure that this
condition is included in any subaward and/or contract under this award.
36. All requests to transfer funds from a Personnel line item to any other budget category will be
subject to a high degree of scrutiny and justification.
The recipient further agrees that ALL personnel (including subrecipient personnel) whose activities are
to be charged to this award will maintain timesheets todocument hours worked for activities related
to this award and non - award - related activities.
37. The recipient agrees to comply with all applicable laws, regulations, policies, and guidance
(including specific cost limits, prior approval, and reporting requirements, where applicable)
governing the use of federal funds for expenses related to conferences, meetings, trainings, and other
events, including the provision of food and/or beverages at such events, and costs of attendance at
Authorizing Official 19
V41P4PrW—W _IV — Project Directorr ,---../--
kxpw-2���
Chris Coudriet I Frankie Roberts
N.C. DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET
GOVERNOR'S CRIME COMMISSION
1201 FRONT STREET
RALEIGH, NORTH CAROLINA 27609 GRANT
such events. Information on pertinent laws, regulations, policies, and guidance is available at
www.ojp.gp /f�undin�/conf�cost,�htm
38. The recipient agrees that all income generated as a direct result of this award shall be deemed
program income. All program income earned must be accounted for and used for the purposes of funds
provided under this award including such use being consi3tent with the conditions of this award, the
effective edition of the OJP Financial Guide and, as applicable, either (1) 28 C.F.R. Part GG or (2) 28
C.F.R. Part 70 and 2 C.F.R. Part 215 (OMB Circular Allo).
39. JAG funds may be used to purchase bulletproof vests for an agency, but may not be used as the 500
match for purposes of the Bulletproof Vest Partnership (BVP) program,
40. The recipient agrees to submit a signed certification that their law enforcement agency has a
written "mandatory wear" policy in effect, if JAG funds are used to purchase bulletproof vests. This
policy must be in place for at least all uniformed officers before any FY 2012 JAG funding can be used
by the agency for bulletproof vests. There are no requirements regarding the nature of the policy other
than it being a mandatory wear policy for all officers while on duty.
41. Bulletproof vests purchased with JAG funds may be purchased at any threat level, make or model,
from any distributor or manufacturer, as long as the vests have been tested and found to comply with
applicable National Institute of Justice ballistic or stab standards. In addition, bulletproof vests
purchased with JAG funds must be American-made. The latest NIJ standard information can be found here:
http://www.nij . gov/topics/technoloqy/bodyarmor/saf ety- initiative. htm.
42. The recipient understands that the awarding of this grant in no way assures or implies
continuation of funding beyond the project duration indicated on the grant award. If a continuation
application is approved, funds available under the current grant and corresponding cash matching funds
must be expended or obligated and documented prior to the implementation of the continuation grant and
expenditure of new funds.
1.
Authorizing official _'___ Vw - W Project Director:../
W
o u 7dr 1 We rt I Frankie Roberts __
(1) Abide by the terms of the statement, and
no later than five calendar days after such conviction;
I f
(c), (d),
S. The grantee may Insert In the space provided Wow the
site(s) for the performance of work done in connection with
the specific grant:
, ffis IR 1 0 ♦
9. Grantee Name and Address:
q k�,
0
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4. Typed Name and Title of Authorized Representative
I
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully the Instructions (see below) and then complete Section A or Section B or Section C, not all three.
Section A—Declaration Claiming Complete Exemption from the EEOP Requirement
Please check all thefollowing boxes that apply.,
• Recipient has less than fifty employees. o Recipient is an Indian tribe. o Recipient is a medical institution.
• Recipient is a nonprofit organization, b Recipient is an educational institution. o Recipient is receiving an award less than $25,000.
L [responsilile officia�,
certify that [recipient] is
not required to prepare an EEOP for the reason(s) checked, above, pursuant to 28 C.F.R
I further certify that [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
cervices.
uaffia� �#
E33r,�
DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB
Complete this form to disclose lobbying
activities pursuant to 31 U.S.C. 1352 0348-0046
(See rave T2for public
burden disclosure.
1. Type of Federal Action:
2. Status of Federal
Action:
3. Report Type:
D
a. contract
Ela. bid/offer/application
a. initial filing
b- grant
b initial award
b. material change
e. cooperative agreement
c. post-award
For Material Change Only:
d. loan
year _ quarter
e. loan guarantee
date of last report
f. loan insurance
Z—Name and Address of Rep o in Entity:
5. If Reporting Entity
in No. 4 Is a Suba rdee, Enter Name
E] Prime [) Subativardee
and Address of Prime:
Tier I if known:
Congressional District, if known:
Congressional District, If known:
Federal Department/Agency:
7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known:
9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant
b. Individuals Performing Services (including address if
(if individual, last name, first name, Ml):
diff erent from No. 10a)
(last name, first name, Ml):
Infortnation requested thnx-gh WS form is authbized by title 31 U.S.C. Section
Signature:
1351 This disclosure of lobbying activifies, is a material represerftfion of fact
upon which reliance was placed by the tier above when this tramaction was made
Print Name:
of stUared Into. This disdoeuts is required pursuant to 31 U.S.C. 1352. This
infawrofflon will be reported to the caroms semi-enrwally and will be avabble for
Title:
public inspection. Any person who fails to file the recluired disclosure shall be
to a cM penalty of nol less thatt 510,000 and not More than $100W0 for
each such fallum.
Telephone No.: Date:
Federal Use Only-
authorized for Local Reproduction
"o'
standard Form LLL (Rev. 7-97)
standard
Grant Award Checklist
"±1 0 1 W-ATI-Al N U 20 1-02 1: 1 ;Ms"T .1 N 0 101 ZW12-41 :4 1 IT, I 29001"T I If, 0
Authorizing Official must sign both the Grant Award (grey sheet) mg the Special Conditions (al'
pages).
Project Director must sign both the Grant Award (grey sheet) and the Special Conditions (all
pages).
If the name of either the Authorizing Official or the Project Director has changed, do not mark
through the pre-printed name. First, the Organizational Administrator must access the project in
GEMS and update the name(s) as instructed during the Program Development Workshops and
in the 2014 GEMS Project Management Training Guide. Once the information has been
updated, then contact the Grant Management Director and request that a new award be issued.
Writing on the Grant Award will render it null and void.
OF i Igo 0 -1 1' 0 1
Complete and Return to GCC and the Office for Civil Rights the EEOP Certification Form
(enclosed). The address of the Office for Civil Rights is on the form.
-- ---- - ----- W
*New Enclose adopted Whistle Blower Policy (all subrecipients).
Attention! For Non-Governmental Applicant Agencies only:
1. Enclose Board approved Conflict of Interest Policy
2. Enclose State Grant Certification - No Overdue Tax Debt
(available on GCC website, www.ncqccd.org, select Grant Management, then Forms)
3. Enclose grantees web URL (if the agency has one)
does, not what the grant is for)
Once completed, all documents should • mailed to the Governor's Crime Commission,
to the attention of Kimberly P. Williams, GCC Assistant Director.
7/;0_14_RT
I
CONFLICT OF INTEREST STATEMENT
LINC, Inc.'s staff persons are obligated to always act in the best interest of the organization. The
obligation requires that any employee, in the performance of LINC, Inc.'s duties, seek only
LINC Inc.'s mission. « :a times, employees are prohibited from using their job title, LINC,
Inc.'s name or property, for private profit or benefit.
A. The officers, employees, or agents of LINC, Inc. should neither solicit nor accept
gratuities, favors, or anything of monetary value from contractors/vendors. This
is not intended to preclude bona-fide LINC, Inc. fundraising activities.
B. No officer, employee, or agent of LINC Inc. shall participate in the selection,
?.t »: a purchase or contract with a vendor where, to his
knowledge, any of the following has a financial interest in that purchase of
contTract.
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501(c)3 nonprofit organization
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C. Disclosure — Any possible conflict of interest shall be disclosed by the person or
persons concerned.
E. Record of Conflict —The official minutes of the Board of Directors shall reflec
that the conflict of interest was disclosed and the interested person(s) was (werl
not present during the final discussion or vote and did not vote on the matter.
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Franke Roberts, Executive Director
' NO 1110i "i "k1p, Opi a'1911 N
Roland C, Draughn, III, Attorney at Law
E.fizabeth HJnesPh D., UNCW` Ojoighi
I OmmurAtie \ \\ acim AptteoUny ivae rLsaitw y
Tracy W. Wilkinson, Attorney at Law
Michael Maume, Ph.D., UNCW Criminology
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501(c)3 nonprofit organization
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Frankie Roberts, Executive Director
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other agents are covered by the scope of this policy and its guidelines.
00
The objectives of the Whistleblower and Fraud Reporting Policy ("Policy") are to establish policies and
procedures for:
Receipt, retention, and treatment of complaints received by the organization regarding such Concerns;
and
It is the responsibility of all those noted in the Scope of the Policy to report questionable or improper accounting
or auditing matters or other Concerns as described above.
...........
501(c) 3 nonprofit organization
to
For matters reported directly to a member of the Audit Committee or the President/CEO, the Audit Committee
shall promptly acknowledge receipt of the complaint to the complainant if the complainant is known. An
investigation will be held to determine if the allegations are true, whether the issue is material and what
corrective action, if any, is necessary. Upon the conclusion of this investigation, the Audit Committee shall
�,romptly report its findings to the Executive Committee of the Board.
The Audit Committee shall have full authority to investigate Concerns raised in accordance with this policy and
may retain outside legal counsel, accountant, private investigators, or any other resource that the committee
reasonably believes is necessary to conduct a full and complete investigation of the allegations.
E. Acting in Good Faith
11IT4811 W1, WIIII
the Agency's policies and procedures or another Concern described above. The act of making allegations that
prove to be unsubstantiated, and that prove to have been made maliciously, recklessly or with the
foreknowledge the that allegations are false, will be viewed as a serious disciplinary offense and may result in
discipline, up to and including dismissal from the volunteer position or termination of employment. Such
conduct may also give rise to other actions, including civil lawsuits.
F. Confidentialitv
Reports of Concerns, and investigations pertaining thereto, shall be kept confidential to the extent possible,
consistent with the need to conduct an adequate investigation. Disclosure of reports of Concern to individuals
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to and including termination of employment. Such conduct may also give rise to other actions, including civil
lawsuits.
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be reported by external parties.
MIT Ell
Recipient Name and Address: Leading Into New Communities, Inc., 222 Division Drive, )h1jhnju&ton, NC 28401
Gram'T'itle: Leading Into New Communities Grant Award Amount: $74,998.32
(LINC), _Inc. — ReentnLD�y Treatment Number: PROJO10213
Contact Person Name and Title: Frankie Roberts, Executive Director
Phone Number: (910)332-1 IRA
IMMEMIMMM0=411 01 i 1 111 1
Recipient has less than 50 employees, El Recipient is an Indian tribe,
Recipient is a non-profit organization, n Recipient is an educational institution, or
Recipient is a medical institution, El Recipient is receiving an award less than $25,000
Section B - Declaration Claiming Exemption from the EEOP Submission Requirement and certifying that an EEOP is on
file for review.
If a recipient agency has 50 or more employees and is receiving a single award or subawardfor $25,000 or more, but less than
f;�r Pwiow ng-1.4.
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OMB Approval No. 1121-0140 Expiration Date: 01/31/06
MPaulUnternet FonnsT.E.O.P. form.doc