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FY16 SHERIFF GCC BODY CAMERA GRANT CONTRACTNOV 12 2015 I it . JImn North Carolina Department of Public Safety Governor's Crime Commission Pat McCrory, Governor Frank L Perry, Secretary November 4, 2015 Fonda Sykes, Project Director County of New Hanover 230 Government Center Drive, Suite 165 Wilmington, North Carolina 28403 -1732 Christopher E. Swecker, Chair L. David Huffinan, Executive Director SUBJECT: Project Name: 2015 New Hanover- Enhancing the Safety of Law Enforcement Project Number: PROM 10980 Implementing Agency: New Hanover County Sheriffs Office Dear: Ms. Sykes: Congratulations on receipt of your recent grant award from the Governor's Crime Commission. Attached you will find the Governor's Crime Commission's grant award checklist, your grant award document, and special 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! Cordially, L. David Huffman Executive Director MAILING ADDRESS: - OFFICE LOCATION: 4234 Mail Service Center r s3 i 1201 Front St. �: Raleigh, NC 27699 -4234 .; Raleigh, NC 27609 www.ncgccd.org Telephone: (919) 733 -4564 www.ncdps.gov 0� 'r Fax: (919) 733 -4625 An Equal Opportunity Employer Applicant: Authorizing Official Address: Vendor Number: STATE OF NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY GOVERNOR'S CRIME COMMISSION 1201 Front Street, Suite 200 Raleigh, NC 27609 Telephone:(919) 733 -4564 Fax:(919) 733 -4625 http: / /www.ncgccd.org County of New Hanover Chris Coudriet County Manager 230 Government Center Drive Suite 165 Wilmington, North Carolina 28403 -1732 566000324 Grant Period: 07/01/2015 - 06130/2016 GRANT AWARD Project Name: Implementing Agency: Project Director: Project Number: Account Manager: 2015 - New Hanover - Enhancing the Saftey of Law Enforcement and Community New Hanover County Sheriff's Office Fonda Sykes Grants Manager PROJO10980 Tonisha Lockley Budgets Period Personnel Contractual Travel Supplies Equipment Total Year 1 $0.00 $0.00 $0.00 $60,000.00 $0.00 $60.000.00 Grant Budget Total $60,000.00 Source Federal Grant # CFDA # % Funding Federal Award 2015::Byrne Justice Assistance Grants 2015 -DJ -BX -1076 16.738 75% $45,000.00 In accordance with the laws and regulations of the United States and the State Of North Carolina. and on the basis of the grantee's appl c ,,tion, the Department of Public Safety hereby awards to the foregoing grantee an award in the amount above. This grant is subject to the conditions listed in the approved grant application as well as all applicable rules, regulations and conditions, as may be described by the Department of Public Safety. Special conditions are attached to this award. This grant shall become effective. as of the start date of the grant period listed, once this original grant award has been properly executeo on behalf of the grantee and returned to the Governor's Crime Commission, attention of the Grants Management Director. The grant award -nust be returned within 30 days of the date the award is mailed from the Governor's Crime Commission. No alterations of any kind may be made on this grant award. A izin ff' ial o'` overnor's Crime Commission Signature of Authorizing Official Date Signature of Director ale Chris Coudriet, County Manager Name and Title of Authorizing Official Project Director . ;A— —16 — 9 VIS- Signature of Project Director Date Fonda Sykes, Grants Manager Name and Title of Project Director L. David Huffman, Executive Director Name and Title of Director ❑ This award is subject to the attached conditions, which must be signed by both the authorizing official and the project director, and returned along with this Grant award. No alterations of any kind may be made on this grant award. IMPORTANT!! !!!!!!!!! TO! TO! Isle TO! !!!! Is! TO! Is! TO! 19! IMPORTANT INFORMATION FOR ALL SUB - GRANTEES AWARDED UNDER THE 2015 JUSTICE ASSISTANCE GRANT FUND. ALL SUBGRANTEES WHO ARE GRANTED AN AWARD BY THE NORTH CAROLINA GOVERNOR'S CRIME COMMISSION THAT IS FUNDED OUT OF THE 2015 EDWARD BYRNE - JUSTICE ASSISTANCE GRANT FUND WILL NOT HAVE THEIR ACCOUNT SET UP IN THE BJA PERFORMANCE TOOLS WEBSITE UNTIL JANUARY 2016. THIS IS DUE TO A MAJOR REVISION THAT IS BEING DONE TO THAT WEBSITE. ANY GRANTS FUNDED WITH JUSTICE ASSISTANCE GRANT FUNDS PRIOR TO THE 2015 FUNDS (2014, 2013, 2012) WILL NOT BE IMPACTED BY THIS CHANGE AND THEIR REPORTING REQUIREMENTS WILL NOT CHANGE. THE BUREAU OF JUSTICE ASSISTANCE AND THE GOVERNOR'S CRIME COMMISSION REALIZE THAT THE IMPLICATION OF THIS CIRCUMSTANCE WILL AUTOMATIC PUT ALL SUBGRANTEES WITH A START DATE OF JULY 19 2015 DELINQUENT BY TWO REPORTING PERIODS. THE GOVERNOR'S CRIME COMMISSION WILL WORK WITH SUBGRANTEES TO ENSURE THAT THEY WILL REMAIN IN COMPLIANCE WITH BOTH THE GOVERNOR'S CRIME COMMISSION AND THE BUREAU OF JUSTICE ASSISTANCE. IMPORTANT! !! tr!!! !►t!!!!!!!!!!!►!!!!!!!!!!!!!!!! sire DEPARTMENT OF PUBLIC SAFETY -- AWARD CONTINUATION SHEET GOVERNOR'S CRIME COMMISSION i 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 DUNS NUMBER: 040029563 PROJECT NAME: 2015 - New Hanover - Enhancing the Saftey of Law Enforcement and Community PROJECT NUMBER: PROJO10980 1. The recipient agrees to comply with the f"i.nanci.al and administrative requirements set forth in the current edition of r_he Office of Justicc 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 /financiaigu = de 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 Non- Profit Organizatiors, and further understands and agrees that funds may be withheld, or other related requirement: 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, Chapter 19. 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 prior written approval of OJP. 5. The recipient must promptly r_eEer to the DOJ OIG any credible evidence that a principal, employee, agent, contractor, subgrantee, subcontractor, or other person ha: either 1) submitted a false claim for Recovery Act 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 Recovery Act funds. This condition als" applies to any subrecipients. Potential fraud, waste, abuse, or misconduct should be reported to the OIG by - 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.gov NC Governor's Crime Commission 1201 Frcct. 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 websi.te at www-.usdoj.gov/,::­q. 6. The recipient agrees to assist BJh. in complyi.n(, with the National Enviromnental Policy Act (NEPA), the National Historic Preservation Act., and other related federal environmental impact analyses requirements in the use of these grant funds, either Authorizing Officialwst Project Director: Q L ) Chris Coudriet Fonda Sykes e �A DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET L'3 GOVERNOR'S CRIME COMMISSION 1201 FRONT STREET RALEIGH, NORTH CAROLINA 27609 GRANT 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. The recipient understands that this special condition applies to its following new activities whether or not they are being specifically funded with these grant 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 listing on 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 activity and (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 htto: / /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, existing 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. To support public safety and justice information sharing, OJP requires the grantee to use the National Information Exchange Model (NIEM) specifications and guidelines for this particular grant. Recipient shall publish and make available without restriction all schemas generated as a result of this grant to the component registry as specified in the guidelines. For more information on compliance with this special condition, visit. http:// www. niem .gov /implementationguide.php. 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. Compli.ance with these requirements will be monitored 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 OJP determine 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 Authorizing Official: Project Director. Chris Coudriet Fonda Sykes "SAE° AWARD CONTINUATION SHEET DEPARTMENT OF PUBLIC SAFETY GOVERNOR'S CRIME COMMISSION 1201 FRONT STREET - 3 - y RALEIGH, NORTH CAROLINA 27609 GRANT funds. 11. The recipient agrees to ensure that the State Information Technology 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 http : / /www.it.ojp.gov /default.aspx? area= policyAndPractice &page =1046. 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 http:/ /www.ojp.gov /about /ocr /equal fbo.htm. 13. The recipient acknowledges that all programs funded through subawards, 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 al-1 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 Certificate 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 riot be used tc 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 12.0 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 on -Line (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 express: prior written approval of OJP and the Governor's Crime Commission. 19. Certified Assurances (Non- Discrimination Requirements) o•�nR DEPARTMENT OF PUBLIC SAFETY 4 AWARD CONTINUATION SHEET GOVERNOR'S CRIME COMMISSION -- 1201 FRONT STREET — 4 — RALEIGH, NORTH CAROLINA 27609 GRANT Applicants must assure and certify that they will comply (and will require any subgrantees or contractors to comply) with any applicable statutorily- imposed nondiscrimination requirements, which may include those of the Omnibus Crime Control and Safe Streets 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. §§ 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 process hearing on the grounds of race, color, religion, age, national origin, sex, or disability against a recipient of Federal funds, or any subgrantee or contractor of 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 wilt an Equal Employment Opportunity Plan, if required to maintain one, where the award is $500,000 7r m..-. 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 EEOP, 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 anti programmatic on- -site monitoring, which may be on short notice, and agrees that it 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 monies provided 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 financial. capability (includin(f funds sufficient to pay any required non - federal share of the project cost) to ensur( proper planning, management, and completion of the project described in this application. 24. The recipient agrees to 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. •_ 5 � Authorizing Official: Project Director:Q Chri driet -onda Sykes AWARD CONTINUATION SHEET DEPARTMENT OF PUBLIC SAFETY . >� 3 GOVERNOR'S CRIME COMMISSION a 1201 FRONT STREET — 5 — AX RALEIGH, NORTH CAROLINA 27609 GRANT 25. The recipient agrees to give the Governor's Crime Commission or the Genera; 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. Ail sole source contract:; 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 Megaliertz Voice, based project or program must have the abilitv to be connected to the North Carolina Highway Patrol's 800 MegaHert; Voice and Data 'v>.twcrks and applicants must have the abili -ty 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. The recipient agrees to comply with any additional requirements that may be imposed during the grant performance period if the agency (GCC) determines that the recipient is a high -risk grantee. Cf. 28 C.F.R. parts 66, 70. 32. 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 this grant, and to establish workplace safety policies and conduct education, awareness, and other outreach to decrease crashes caused by di- stracted drivers. 33. The recipient agrees to comply wit -h applic: able requirements to report first tier subawards of $25,000 or more and, in certain circumstances, to report the names and total compensation of the five most highly compensated executives of the recipient and first. tier subrecipients of award funds. Such data will be submitted to the FFATA Subawar.d 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 at http: / /www.ojp.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 name. 34. 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 subrecipi -,t: purchases ownership with Federal support. Aft Authorizing Official: Project Director Chri*Coudri,p F onda S. srn DEPARTMENT OF PUBLIC SAFETY AWARD CONTINUATION SHEET GOVERNOR'S CRIME COMMISSION w_ 1201 FRONT STREET — 6 — RALEIGH, NORTH CAROLINA 27609 GRANT 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: (arid of each subrecipient, if applicable) tc insure that thi:� condition is included in any subaward and /or contract under this award. 35. 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 to document hours worked for activities related to this award and non - award - related activities. 36. All recipients are required to maintain an active registration with the Central Contractor Registration (CCR) database. 37. 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. 38. The recipient must follow the most recently released (June 2012) OJP conference cost policies and procedures. The new guidelines establish perimeters for which grantees may expend funds for conferences and meetings. 39. Registration with the System for Award Management and Universal Identifier Requirements. The recipient agrees to comply with applicable requirements regarding registration with the System for Award Management (SAM) (or with a successor government -wide system officially designated by OMB and OJP). The recipient also agrees to comply with applicable restrictions on subawards to first -tier subrecipients that do not acquire and provide a Data Universal Numbering System (DUNS) number. The details of recipient obligations are posted on the Office of Justice Programs web site at http: / /www.ojp•gov /funding /sam.htm (Award condition: Registration with the System for Award Management and Universal Identifier Requirements), and are incorporated by reference here. This special condition does not apply to an award 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 or operate in his or her name). Authorizing Official: Project Director: Chris udriet Fonda Sykes U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS „P` OFFICE OF THE COMPTROLLER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying" and 28 CFR Part 67, 'Government -wide Debarment and Suspension (Nonpro- curement) and Government -wide Requirements for Drug -Free Workplace (Grants).' The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement. 1. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons entering Into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for in- fluencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in con- nection with the making of any Federal grant, the entering Into Of any cooperative agreement, and the extension, continuation, . renewal, amendment, or modification of any Federal grant or cooperative agreement; (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or at- tempting to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL,'Disclosure of Lobbying Activities; in accordance with its instructions; (c) The undersigned shall require that the language of this cer- tification be included in the award documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all sub - recipients shall cerflty and disclose accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospec- tive participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510 - A. The applicant certifies that it and its principals: (a) Are not presently debarred, suspended, proposed for debar- ment, declared ineligible, sentenced to a denial of Federal benefits by a Stale or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three -year period preceding this applica- tion been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense In connec. tion with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or Slate antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three -year period preceding this applica- tion had one or more public transactions (Federal, State, or local) terminated for cause or default; and B. Where the applicant is unable to certify to any of the statements in this certfication, he or she shall attach an explanation to this application. 3. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug -Free Workplace Act of 1988, and Implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620 - A. The applicant certifies that it will or will continue to provide a drug -free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an on -going drug -free awareness program to Inform employees about — (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged In the performance of the grant be given a copy of the state- ment required by paragraph (a); (d) Notifying the employee in the statement required by para- graph (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; (e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conic -lion. Employers of convicted employees must provide notice, including position title, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W. Washington, D.C. 20531. Notice shall include the iden- tiflcation number(s) of each affected grant; (0 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 — (1) 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 enforce- ment, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug - free workplace through Implementation of paragraphs (a), (b), (c), (d), (e), and (1). B. The grantee may insert in the space provided below the site(s) for the performance of work done In connection with the specific grant: Place of Performance (Street address, city, county, slate, zip code) �� al�b ������� i��•I Check p If there are workplaces on file that are not Indenlified here. Section 67, 630 of the regulations provides that a grantee that m is a State may elect to make one certification in each Federal fiscal year. A copy of which should be included with each ap- plication for Department of Justice funding. States and State agencies may elect to use OJP Form 4061/7. Check p if the State has elected to complete OJP Form 4061!7. DRUG -FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS) As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Pan 67; Sections 67.615 and 67.620 - A. As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing, posses- sion, or use of a controlled substance in conducting any activhy with the grant; and B. If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, I will report the conviction. In writing, within 10 calendar days of the conviction, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 810 Seventh Street NW., Washington, DC 20531. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. 1. Grantee Name and Address: Lpu��y oJ� QJe1�n�ler 430 C904QT(%Me4 CA-T bf' 'Ac tk6 NC ac64o3 5(0- (0 000 a�F 2. Application Number and /or Project Name 3. Grantee IRSIVendor Number P Roso t oq �)o ams 4. Typed Name and Tltie of Authorized Representative 5. Signature _ „ 6. Date -U S. oowrmw, Pm ft Oaf :teas - f crrmm,, 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. Reci ient'sName: DUNS Number: -OOa1- Address: r I 0 Grant Title: i, fn Grant Number: Q Award Amount: Name and Title of Contac Person: t' 4. Tele hone Number: 910 - --J E -Mail Address- , t tM Section A— Declaration Claiming Complete Exemption from the EEOP Requirement Please check all the fnilowing boxes that apply: in Recipient has less than fifty employees. o Recipient is an Indian tribe. o Recipient is a medical institution. o Recipient is a nonprofit organization. c Recipient is an educational institution. o Recipient is receiving an award less than $25,000. 1, [responsible official], certify that [recipient] is not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R § 42.302. 1 further certifv that [recipient) will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of services. Print or Type Name and Title Signature Date 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 jfty or more employees and is receiving a single award or subaward of $25,000 or more, but less than $500,000, then the recipient agency does not have to submit an ESOP to the OCR for review as long as it certifies the following (42 C.RR. f 42.305): ), Lhtts C«idrie�, 101>(v d�Q(�0.ger [responsibleofftciA, certify that tJe r Caaq [recipient], which has fifty or more employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. I further certify that within the last twenty -four months, the proper authority has formulated and signed into effect the EEOP and, as required by applicable federal law, it is available for review by the public, employees, the appropriate state planning agency, and the Office for Civil Rights, Office of Justice Pro s, U.S. D artment of Justice. The EEOP is on file at the following office: [organization], At r I>r [address]. d e� o n aver t� 1 Print or Tjpe Name and Title Si re e Section C— Declaration Stating that an EEOP Utilization Report Has Been Submitted to the Office for Civil Rights for Review Ito recipient agency has fifty or more employees and is receiving a single award or subaward of $500,000 a more, then the recipient agency mast send an ESOP utilization Report to the OCR for review. 11 [responsible official), certify that [recipient], which has fifty or more employees and is receiving a single award of $500,000 or more, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. and sent it for review on [date] to the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice. Print or Type .name and Title S4gaamre Date INSTRUCTIONS Completing the Certification Form Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements The federal regulations implementing the Omnibus Crime Control and Safe Streets Act (Safe Streets Act) of 1968, as amended, require some recipients of financial assistance from the U.S. Department of Justice subject to the statute's administrative provisions to create, keep on file, submit to the Office for Civil Rights (OCR) at the Office of Justice Programs (OJP) for review, and implement an Equal Employment Opportunity Plan (EEOP). See 28 C.F.R. pt. 42, subpt. E. All awards from the Office of Community Oriented Policing Services (COPS) are subject to the EEOP requirements; many awards from OJP, including awards from the Bureau of Justice Assistance (BJA), the Office of Juvenile Justice and Delinquency Prevention (OJJDP), and the Office for Victims of Crime (OVC) are subject to the EEOP requirements; and many awards from the Office on Violence Against Women (OVW) are also subject to the EEOP requirements. If you have any questions as to whether your award from the U.S. Department of Justice is subject to the Safe Streets Act's EEOP requirements, please consult your grant award document, your program manager, or the OCR. Recipients should complete either Section A or Section B or Section C, not all three. Section A The regulations exempt some recipients from all of the EEOP requirements. Your organization may claim an exemption from all of the EEOP requirements if it meets any of the following criteria: it is a nonprofit organization, an educational institution, a medical institution, or an Indian tribe; or it received an award under $25,000; or it has less than fifty employees. To claim the complete exemption from the EEOP requirements, complete Section A. Section B Although the regulations require some recipients to create, maintain on file, and implement an ESOP, the regulations allow some recipients to forego submitting the EEOP to the OCR for review. Recipients that (1) are a unit of state or local government, an agency of state or local government, or a private business; and (2) have fifty or more employees; and (3) have received a single grant award of $25,000 or more, but less than $500,000, may claim the limited exemption from the submission requirement by completing Section B. In completing Section B, the recipient should note that the EEOP on file has been prepared within twenty -four months of the date of the most recent grant award. Section C Recipients that (I ) are a unit of state or local government, an agency of state or local government, or a private business, and (2) have fifty or more employees, and (3) have received a single grant award of $500,000 or more, must prepare, maintain on file, submit to the OCR for review, and implement an EEOP. Recipients that have submitted an EEOP Utilization Report (or in the process of submitting one) to the OCR, should complete Section C. Submission Process If a recipient receives multiple awards subject to the Safe Streets Act, the recipient should complete a Certification Form for each grant. Recipients should download the online Certification Form, have the appropriate official sign it, electronically scan the signed document, and then send the signed document to the following e-mail address: EEOPFonms(@usdoj.gov. The document must have the following title: EEOP Certification. If you have questions about completing or submitting the Certification Form, please contact the Office for Civil Rights, Office of Justice Programs, 810 7" Street, NW, Washington, DC 20531 (Telephone: (202) 307 -0690 and TTY: (202) 307 - 2027). OMB Approval No, 1121 -0340 Expimtion Date: 05/31/14 Public Reporting Burden Statement Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a current valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood, and which impose the least possible burden on you to provide us with information. The estimated minimum average time to complete and file this application is 20 minutes per form. If you have any comments regarding the accuracy of this estimate, or suggestions for making this form simpler, you can write to the Office of Justice Programs, 810 7th Street, N.W., Washington, D.C. 20531. DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348 -0046 f. loan insurance 4. Name and Address of Reporting Entity: Prime ❑ Submardee Tier , ifknown: ,sional District, ifknown: 4c Department/Agency: Federal Action Number, ifknown• 10. a. Name and Address of Lob (if individual, last name, first 1 11, tan reaanlea dyougb dlis Idrrn b awbRed by lib 31 , 1352. This dcclosure W bbbying .[live.. W . malaW repres.ra upon w11itl1 Mince wee placed by IM liar shove — n. berwcdn or antaratl inb lr tl diaebsue is reaeired pu l b 31 U S C 1, Monnalbn will be ay.Y for pI k imps m Any Parton w laila i mq d dwlosm OW W subject toa civil penally of Mlleas Ualn 510.0 ro11Mro den $100,000 for ­h audit Mbre Federal Use Only: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime: Congressio- strict, ifknown: 7. Feder 'ame /Description: We ees (including address if Date: Authorized for Local Reproduction Standard Form LLL (Rev. 7 -97) aee reverse Tor puDjic Duraen alsclosure. 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract a_ bid /offer /application a. initial filing b. grant b. initial award b. material change c. cooperative agreement c. post -award For Material Change Only: d. loan year quarter e. loan guarantee date of last report f. loan insurance 4. Name and Address of Reporting Entity: Prime ❑ Submardee Tier , ifknown: ,sional District, ifknown: 4c Department/Agency: Federal Action Number, ifknown• 10. a. Name and Address of Lob (if individual, last name, first 1 11, tan reaanlea dyougb dlis Idrrn b awbRed by lib 31 , 1352. This dcclosure W bbbying .[live.. W . malaW repres.ra upon w11itl1 Mince wee placed by IM liar shove — n. berwcdn or antaratl inb lr tl diaebsue is reaeired pu l b 31 U S C 1, Monnalbn will be ay.Y for pI k imps m Any Parton w laila i mq d dwlosm OW W subject toa civil penally of Mlleas Ualn 510.0 ro11Mro den $100,000 for ­h audit Mbre Federal Use Only: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime: Congressio- strict, ifknown: 7. Feder 'ame /Description: We ees (including address if Date: Authorized for Local Reproduction Standard Form LLL (Rev. 7 -97) INSTRUCTIONS FOR COMPLETION OF SF -LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prune Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employeeof any agency, a Member of Congress, an officer or employee of Congress, or on employeeof a Memberof Congress in oonnectionwhh a covered Federal action. Complete all hems that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and /or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriateclassiflcetlon of this report. If this is a folknwup report caused by a material changeto the information previously reported, enter the yearand quarterin which the change occurred. Enter the date of the last previouslysubmihed report by this reporting entity for this covered Federal action. 4. Enterthefull name, address, city, State and zip code of the reportingentity. Include Congressional District, if known Check the appropriate classification of the reporting entity that designates if it is, or expectsto be, a prime or subaward recipient. Identhythe tier of the subawardee,e.g., the first subawardee of the prime is the 15t tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in hem 4 checks "Subawardee, "then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, 9 known. 6. Enter the name of the Federal agency making the award or ban commitment. Include at least one organaationallevel below agency name, if known. For example, Department of Transportation, United States Coast Guard. T Enterthe Federalprogrem name or description for the covered Federal action (hem 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number evailablefor the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number, grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., °RFP -DE -90 -001' 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the indmidual(s) performing services, and include full address ff different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print hislher name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348 -0046. Public reporting burden for this collection of information is estimated to average 10 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 (0348-0046), Washington, DC 20503. Governor's Crime Commission Grant Award Checklist PLEASE MAKE SURE YOU HAVE COMPLETED ALL OF THE FOLLOWING BEFORE MAILING THE GRANT AWARD BACK TO THE GOVERNOR'S CRIME COMMISSION: • Read Grant Award and Special Conditions carefully as compliance with the standard and special grant conditions are necessary to maintain funding for this project. • Authorizing Official must sign both the Grant Award (grey sheet) and the Special Conditions (all 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. • Mail the original Grant Award (grey sheet) and Special Conditions back to GCC. • Complete and return the Certification Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug -Free Workplace Requirements (enclosed). • 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. This form is to be signed by the Authorizing Official of the Applicant Agency. If the Implementing Agency is not a part of the Applicant Agency, then a separate EEOP Certification form must be submitted for the Implementing Agency and signed by the Project Director. • •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.ncgccd.org, select Grant Management, then Forms) 3. Enclose grantees web URL (if the agency has one) 4. Enclose brief agency description — NO MORE than 500 characters — (tell what the agency does, not what the grant is for) Once completed, all documents should be mailed to the Governor's Crime Commission, to the attention of Betty Harrington. rnor4rr