HomeMy WebLinkAboutR-1998-162 RESOLUTION NO. 162-98
A RESOLUTION OF THE CITY OF DANIA, FLORIDA,
AUTHORIZING THE CITY MANAGER TO EXECUTE THE
GRANT AGREEMENT FOR FUNDING IN THE AMOUNT
OF $54,099.50 WITH THE STATE OF FLORIDA,
DEPARTMENT OF JUVENILE JUSTICE, FOR THE
OPERATION OF THE CITY OF DANIA INSTITUTE FOR
COMMUNITY EMPOWERMENT AT MODELLO PARK;
FURTHER, PROVIDING FOR AN EFFECTIVE DATE.
BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF DANIA,
FLORIDA;
Section 1. That the city manager is hereby authorized to execute the grant
agreement for funding in the amount of$54,099.50 with the State of Florida,
Department of Juvenile Justice, for the operation of the City of Dania Institute for
Community Empowerment at Modello Park; a copy of said grant agreement is approved
and attached hereto and made a part hereof as Exhibit "A"; and the proper city officials
are authorized to execute same.
Section 2. . That all resolutions or parts of resolutions in conflict herewith be and
the same are hereby repealed to the extent of such conflict.
Section 3. . That this resolution shall be in force and take effect immediately
upon its passage and adoption.
PASSED AND ADOPTED THIS 27" DAY OF October, 1998.
MAYOR-COMMISSIONER
ATTEST:
ROLL CALL:
MAYOR CALI -YES
VICE-MAYOR ETLING -YES
CITY CLERK-AUDITOR AUDITOR COMMISSIONER BERTINO-YES
COMMISSIONER HYDE-YES
COMMISSIONER MIKES-YES
APPROVED AS TO FORM AND CORRECTNESS:
— K, -,-, A&
�—
6TWATT61RNEY
RESOLUTION NO. 162-98
ww�un a urde� rbnt
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
October 8, 1998
Mr. Michael W. Smith, City Manager
City of Dania
100 West Dania Beach Boulevard
Dania, Florida 33004
Ref: Q8009
Dear Mr. Smith:
Enclosed is your grant terms and conditions. Please sign the designated pages and complete Exhibit
VIII. The grant must be returned to me at the address listed on Page 12,#33. After I obtain the
department's authorized signature,a fully executed copy of the grant will be returned to you.
J If you have any questions,please call me at(850) 921-5210. Congratulations on your grant and I look
forward to working with you.
S'
M. Jo Wilson
Grant Manager
Juvenile Justice and Delinquency Prevention
/mjw
Enclosure
✓ 2737 CENTERVIEW DRIVE TALLAHASSEE,FLORIDA 32399-3100
LAWTON CHILES, GOVERNOR CALVIN ROSS, SECRETARY
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Department of Juvenile Justice Grant #Q8009
THIS GRANT IS ENTERED INTO BETWEEN THE STATE OF
FLORIDA, DEPARTMENT OF JUVENILE JUSTICE, HEREINAFTER
REFERRED TO AS THE "DEPARTN ENT", AND CITY OF DANIA,
HEREINAFTER REFERRED TO AS THE "GRANTEE".
All terms and conditions described in the applicable Request for Grants
(RFG), "Juvenile Justice and Delinquency Prevention (JJDP) Title V Grant
Funds" and grant application (Attachment I, Modello Park Institute for
Community Empowerment) are included in this grant. If there is a conflict
between the grant and grantee's grant application or the Request for Grants,
the Request for Grants shall prevail.
1. Method of Payment
a. This is a fixed price (unit cost) grant. The department will pay the grantee
for the delivery of service units provided in accordance with the terms of
this grant for a total dollar amount not to exceed $54,099.50, subject to the
availability of funds.
b. The department will pay for service units at the unit price(s) and limits
listed below:
First Year Grant
Service Units Unit Price Max.#of Units Total$Amount
1. Planning and $2,550/per 3 $7,650.00
Implementation month
2. Association Meetings $1,000/per 9 $9,000.00
month
3. Crime Watch Meeting $1,250/per 9 $11,250.00
month
4. Workshops $1,450/per 4 $5,800.00
quarter
5. Festivities $1,450/per 4 $5,800.00
quarter
6. Service Providers $400/per month 9 $3,600.00
7. Volunteer Hours $400/per month 9 $3,600.00
8. Mapping $2,500 1 $2,500.00
9. Quarterly Progress $250/per quarter 3 $750.00
Report/Demographic
Data/Financial Report
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Department of Juvenile Justice Grant #Q8009
10. Final Financial Report $2,000 1 $2,000.00
11. Final Demographic $2,149.50 1 $2,149.50
Data/Progress Report
TOTAL $54,099.50
Second Year Grant(1st Renewal)
Service Units Unit Price Max. #of Units Total$Amount
1. Association Meetings $1,000/per 12 $12,000.00
month
2. Crime Watch Meeting $1,250/per 12 $15,000.00
month
3. Workshops $1,450/per 4 $5,800.00
quarter
4. Festivities $1,450/per 4 $5,800.00
quarter
5. Service Providers $400/per month 12 $4,800.00
6. Volunteer Hours $400/per month 12 $4,800.00
7. Mapping $2,500 1 $2,500.00
8. Quarterly Progress $250 3 $750
Report/Demographic
Data/Financial Report
9. Final Financial Report $1,250 1 $1,250.00
10. Final Demographic $1,399.50 1 $1,399.50
Data/Progress Report
TOTAL $54,099.50
Third Year Grant(2nd Renewal)
Service Units Unit Price Max.#of Units Total$Amount
1. Association Meetings $1,000/per 12 $12,000.00
month
2. Crime Watch Meeting $1,250/per 12 $15,000.00
month
3. Workshops $1,450/per 4 $5,800.00
quarter
j 4. Festivities $1,450/per 4 $5,800.00
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Department of Juvenile Justice Grant #Q8OO9
quarter
5. Service Providers $400/per month 12 $4,800.00
G. Volunteer Hours $400/per month 12 $4,800.00
7. Mapping $2,500 1 $2,500.00
8. Quarterly Progress $250 3 $750
Report/Demographic
Data/Financial Report
9. Final Financial Report $1,250 1 $1,250.00
10. Final Demographic $1,399.50 1 $1,399.50
Data/Progress Report
TOTAL $54,099.50
Definitions
Planning and Implementation: A time period of three (3) months to develop a method
for program implementation.
Association Meetings: Meetings of the targeted neighborhood residents that are planned
and orchestrated by them. The purpose of the association is for residents to organize and
identify problems and strategies for addressing and/or resolving the issues.
Crime Watch Meetings: Meetings of residents located in the targeted neighborhood to
become actively involve in the development of crime prevention programs.
Workshops: Technical assistance training sessions for neighborhood residents and/or
collaborative partners on techniques of planning and implementation delinquency
prevention needs of the neighborhood.
Festivities: Occasions and special events(activities)held in the targeted neighborhood as
a means of rallying the residents in becoming more involved with the neighborhood
association and to inform them of the programs and services that are available.
Service Providers: A number of providers to be recruited for on-site delivery.
Volunteer Hours:The number of non-paid hours contributed to the implementation of
this project by individuals,civic groups,faith based institutions,business and others.
Mapping: A neighborhood assessment to identify the risk factors and protective factors
of the targeted neighborhood.
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Department of Juvenile Justice Grant #Q8009
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c. The department will pay only those grant costs agreed to in the grant. The
department will not be responsible for any cost incurred prior to execution
of the grant. Only grant cost incurred on or after the effective date and on
or prior to the termination date of the grantee's grant are eligible for
payment.
d. Payment will be based on services provided by the grantee at the per
service rate in Attachment I. There will be up to twelve (12) invoices
based on services beginning with the first month of the grant. Payment
shall be requested on the invoice form JJDP-01 (Exhibit I). Monthly
activity report JJDP-02 shall accompany each monthly invoice. (Exhibit
II)
e. Advance payments for up to the first three consecutive months may be
invoiced upon the effective date of the grant. Grant payments shall be
invoiced in the first full month where advance funding expired and
continue for the remaining months during the period of performance for
the grant. Total payments for the grant period shall not exceed the total
grant services funds available. The grantee in an insured interest bearing
account shall invest advance funds. Interest earned on advance funds
shall be returned to the Department on a monthly or quarterly basis by
check made payable to the State of Florida, Department of Juvenile
Justice and submitted to the grant manager. Grant recipient must provide
written justification for advance payments.
f. The grantee shall request payment through submission of a completed
invoice to the grant manager by the 15th of each month following the
month in which services are rendered. Failure to submit the invoice by
the 15th may result in reduction of payment for services and/or
termination.
2. Reports
a. The grantee shall prepare a Progress Report and Prevention Program
Performance Measures Quarterly/Annual Report. These reports shall be
prepared in accordance with JJDP-03. (Exhibit III)
b. The grantee shall prepare a Quarterly/Final Financial Report. This report
shall be prepared in accordance with JJDP-04. (Exhibit IV)
c. The grantee shall comply with the following time period for reporting:
Quarter# Months in Quarter Report Due Date
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Department of Juvenile Justice Grant#Q8009
I Nov., Dec.,Jan., Feb., March April 15, 1999
i 2 April, May,June July 15, 1999
3 July,August, September October 15, 1999
*Annual January-December January 31, 2000
*The Amoral Report includes the 4"quarter(Oct.,Nov. &December).
d. Failure to comply with reporting requirements will result in reduced
payments, non-renewal or termination of the grant.
3. Circulars and Common Rules
The grantee shall be in accordance with the following Circulars:
a. Administrative Requirements: OMB Circular A-102 "Grants and
Cooperative Agreements with State and Local Governments", OMB
Circular A-110 "Uniform Administrative Requirements for Grants and
Agreements with Institutions of Higher Education, Hospitals and Other
Non-Profit Organizations"
b. Allowable Cost: OMB Circular No. 87, "Cost Principles for State and
Local Governments", OMB Circular No. A-21, "Cost Principles for
Educational Institutions", OMB Circular No. A-122 "Cost Principles for
Nonprofit Organizations"
c. Audit Requirements: OMB Circular A-133,"Audits of State,Local
Governments and Nonprofit Institutions"
4. Travel
a. All travel reimbursement for out-of-state or in-state travel in excess of
100 miles from program location shall be based upon written approval of
the grant manager prior to the travel.
b. The cost of all travel shall be in accordance with Section 112.061,Florida
Statues.
5. Grant Amendments
Grantee shall obtain approval from the grant manager for changes in the grant including
but not limited to:
a. Changes in project activities, designs or research plans set forth in the
approved grant.
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Department of Juvenile Justice Grant #Q8009
b. An approved budget line item may be modified during the grant period
with 10%of the original line item amount with written notice to the grant
manager.
c. Transfer of funds above the ten (10) percent may be modified through a
grant adjustment form (Exhibit V) and a written request. The
modification shall have supporting justification. The grant manager will
reject justification if unsatisfactorily. The grant adjustment is contingent
upon the approval of the grant manager.
d. Under no circumstances can transfer of funds increase the total approved
award.
6. Commencement of Project
a. If a project is not operational within 60 days of the original starting date of
the grant period, the grantee shall report by letter to the grant manager the
steps taken to initiate the grant, the reasons for delay, and the expected
starting date. Payment for operational only. Failure to submit notification
within 60 days may result in grant termination. The grant manager may
extend the implementation date of the grant past the 60 day period. When
this occurs,the grant files and records must so note the extension.
b. If a project is not operational within 90 days of the original starting date of
the grant period, the grantee must submit a second statement to the grant
manager explaining the implementation delay. Upon receipt of the 90 day
letter, the grant manager may cancel the grant and request grantor agency
approval to redistribute the funds to the grant areas. The grant manager
may extend the implementation date of the grant past the 90 day period.
When this occurs,the grant files and records must so note the extension.
7. Access to Records
a. Persons duly authorized by the department and federal auditors shall have
full access to books, documents, papers and records of the.grantee and
subgrantee for the purpose of audit and examinations according to the
U.S. Department of Justice, Office of Justice Programs, Office of the
Comptroller, Financial Guide.
b. The department reserves the right to unilaterally terminate this grant if the
grantee refuses to allow public access to all documents, papers, letters, or
other materials subject to provision of Chapter 119, Florida Statutes,
made or received by the grantee or its contractor in conjunction with this
grant.
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Department of Juvenile Justice Grant #Q8009
8. Annual Financial Audit
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The grantee shall have an annual audit of its financial records by an independent
accounting firm at the end of each fiscal year. The audit report shall mention whether the
Grantee complied with the provision of this grant, adhered to all applicable law and
regulation, and used the department's funds properly. A copy of the audit report and
related management letter shall be sent to the Inspector General and the grant manager no
later than 120 days after the close of the grantee's fiscal year. Failure to comply with this
procedure may result in cancellation of the grant.
9. Retention of Records
The grantee shall retain all records and documents pertinent to this grant for a period of
five (5) years after termination of this grant. If an audit has been initiated and audit
findings have not been resolved at the end of five (5) years, the records shall be retained
until resolution of the audit findings.
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10. Ownership of Data and Creative Material
Ownership of material, discoveries, inventions, and results developed, produced, or
discovered subordinate to this grant is governed by the terms of the Office of Justice
Programs Financial Guide.
11. Property
� All property and equipment purchased in excess of$500 requires three competitive bids
and these documents shall remain in the grant files. All property and equipment
purchased with grant funds shall be vested with the department. All such property and
equipment shall be returned to the department at the termination of the grant. The
department will withhold final payment to the grantee until all property is returned. The
grantee shall comply with Section 273.02, Florida Statutes. Property purchased with
grant funds above $500 shall be listed on Annual Inventory Form JJDP-05.(Exhibit VI)
12. Information Technology Standards
Grantee shall receive written approval from the department approving authority prior to
the purchase of any Information Technology Resource (ITR) made as part of this grant.
The grantee shall secure prior written approval by means of an Information Resource
Request ORR) form before the purchase of any ITR. The form is available from the grant
manager. The grant manager is responsible for serving as the liaison between the grantee
and Information Systems during the completion of the IRR/ITR process. ITR are data
processing hardware, software, services, supplies, maintenance, training, personnel and
facilities. The grantee shall not be reimbursed for any ITR purchases made prior to
J obtaining the department's written approval.
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Department of Juvenile Justice Grant #Q8009
„ 13. Disputes and Appeals
The department shall inform the grantee in writing when responding to any disputes,
disagreements or questions of fact arising under this grant and shall distribute its response
to all concern parties. The grantee shall proceed with the performance of this grant
according to the department's decision.
14. Publication or Printing of Reports
a. Responsibility for the direction of the grant activity will not be ascribed to the
grantor agency or the department. Any publication shall include the following
statement: "The opinions; findings; and conclusions or recommendations
expressed in this publication are those of the author(s)and do not necessarily
reflect the views of the Department of Juvenile Justice." The receipt of the
grantor agency funding does not constitute official recognition or endorsement
of any work performed under the grant.
b. Any publication produced wider this grant shall contain the following or
similar wording: "This publication is partially funded by funds awarded by
the U.S. Department of Justice Office of Juvenile Justice and Delinquency
Prevention and the Florida Department of Juvenile Justice."
15. Equal Employment Opportunity(EEO)
a. No person, on the grounds of race, creed, color or national origin shall be
excluded from participation in, be refused benefits of, or otherwise
subjected to discrimination under grants awarded pursuant to Title IV of the
Civil Rights Act of 1964; Section 504 of the Rehabilitation Act of 1973 as
amended; Title D{ of the Education Amendments of 1972; The Age
Discrimination Act of 1975; Section 654 of the Omnibus Budget
Reconciliation Act of 1981.
b. The grantee shall complete the department's Civil Rights Compliance
Questionaire, if services are provided to clients and if 15 or more people are
employed.(Exhibit VIII)
16. American with Disabilities Act 1990
Grantee shall comply with the requirements of the American with Disabilities Act
(ADA), Public Law 101-336,which prohibits discrimination on the basis of disability and
requires reasonable accommodation for persons with disabilities.
17. Non-Procurement,Debarment and Suspension
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Department of Juvenile Justice Grant #Q8009
The grantee shall comply with Executive Order 12549, Debarment and Suspension.
These procedures require the grantee to certify it shall not enter into any lower tiered
covered transaction with a person who is debarred suspended,declared ineligible or is
voluntarily excluded from participating in this covered transaction, unless authorized by
the department.(Exhibit VII)
18. Bloodborne Pathogens
The grantee shall comply with Federal Rule CFR 29 1910.1030 regarding Bloodbome
Pathogens.
19. Lobbying
Grantee shall comply with Section 216.347, Florida Statutes, which prohibits the
expenditure of grant funds for lobbying the Legislature,judicial branch or a state agency.
20. Abuse,Neglect, and Exploitation Reporting
Grantee shall comply with Chapter 415, Florida Statutes. An employee of the grantee
who knows, or has reasonable cause to suspect that a child is or has been abused,
neglected, or exploited shall immediately report such knowledge or suspicion to the
central abuse registry and tracking system of the department on the single statewide toll-
free telephone number(1 800 96 ABUSE[800-962-2873]).
a. The grantee shall ensure that each of their project staff has received basic
training in child abuse and neglect(e.g.,detection,reporting,prevention and
counseling),confidentiality requirements and how to handle emergencies on
thejob.
b. In accordance with Section 985.406, Florida Statutes, the grantee direct staff
shall be required to participate in and successfully complete the commission-
approved programs of training pertinent to their areas of responsibility.
c. The grantee shall maintain a record of all training, conference, staff meeting or
continuing education for all employees.
21. Background Screening
The grantee shall comply with the Department of Juvenile Justice,Office of the Inspector
General's Statewide Procedure on Background Screening for Employees, Grantee, and
Volunteers. The grantee shall, at no cost to the department, comply with the requirement
for background screening as mandated in Section 985.01, Florida Statutes. Failure to
comply with the department's background screening procedure may result in cancellation
ry of the grant. Favorable background screening is required prior to employment.
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Department of Juvenile Justice Grant #Q8009
*� 22. Monitoring
The grantee shall permit persons duly authorized by the Department of Juvenile Justice to
inspect any records,papers, documents, facilities, goods and services relevant to the grant
program. This includes interviews with any client or employee of the grant program.
23. Indemnification
Pursuant to Section 768.28, Florida Statutes, the grantee shall indemnify and hold
harmless the Department of Juvenile Justice, upon notice for any liabilities caused by the
grantee or its employees' or agents' negligent or tortious acts or omissions within the
scope of this grant to the limits of sovereign immunity.
24. Insurance
The grantee shall provide adequate insurance coverage on a comprehensive basis and to
hold such liability insurance at all times during the existence of this grant. State agencies
shall comply with Section 768.28, Florida Statutes and verification of liability insurance
shall be provided upon request.
25. Immigration and Nationality Act
The Department of Juvenile Justice shall consider the employment by any grantee of
unauthorized aliens a violation of Section 274A(e) of the Immigration and Nationality
Act. Such violation shall be cause for unilateral cancellation of the grant.
26. False Claim Act
False claims submitted in connection with this grant are subject to civil penalties and
damages under"Florida False Claims Act", Section 68.082,Florida Statutes.
27. Supplanting
The grantee shall not use funds provided by the Department to replace funds from other
funding sources.
28. Access to Manuals,Guides, etc.
The department will provide the grantee copies of all manuals, guides, etc. referred to in
this grant upon request.
29. Assignment and Subgrants
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Department of Juvenile Justice Grant #Q8009
The grantee shall not assign responsibility of this grant to another party nor subgrant for
any of the work contemplated under this grant without written approval of the
department. No such approval by the department of any assignment or subgrant shall
I be deemed in any event to provide for the department incurring any obligation in addition
i to the total dollar amount agreed upon in this grant.
30. Renewal
This grant may be renewed on a yearly basis for no more than two (2) years or for a
period no longer than the term of the original grant, whichever is longer. Such renewal
shall be contingent upon satisfactory Performance evaluation as determined by the
department and shall be subject to the availability of funds. The total cost for the first
renewal will not exceed $54,099.50 and the total cost for the second renewal will not
exceed $54,099.50. Each renewal shall be confirmed in writing and shall be subject to
the same terms and conditions set forth in the initial grant.
31. Termination
a. Termination for Convenience: This grant may be terminated by a grantee
upon no less than thirty (30) calendar days notice, without cause, at no
additional cost, unless a different notice period is mutually agreed upon by
both parties. The grantee must be operating in a state of compliance with the
terms and conditions of the grant at the time the notice is issued and must
remain compliant for the duration of the performance period. The grant may
be terminated by the Department upon no less than thirty (30) days notice,
without cause, at no additional cost, unless different notice period is mutually
agreed upon by the parties.
b. Termination for Default: Unless the grantee's breach is waived by the
department is writing, the department may, by written notice to the grantee,
terminate this grant upon notice. Waiver of breach of any provisions of this
grant shall not be deemed to be a waiver of any other breach and shall be
construed to be a modification of the terms of this grant. The provisions
herein do not limit the department's right to remedies at law or to damages.
c. All termination notices shall be sent by certified mail, or other delivery
service with proof of delivery.
32. Effective Date
a. This grant shall begin November 1, 1998, or on the date which the grant
has been signed by both parties, whichever is later.
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Department of Juvenile Justice Grant #Q8O09
b. This grant shall end, October 31, 1999, subject to any written renewals or
extensions agreed upon by the parties.
33.Grant manager
The name, address and telephone number of the grant manager for the department for this
grant:
M.Joyce Wilson
2737 Centerview Drive, Suite 114
Tallahassee,Florida 32399-3100
Phone: (850)921-5210
Suncom: 291-5210
Fax: (850) 414-1625
E-Mail: m.joyce.wilson@djj.state.tl.us.
j ? REMAINDER OF THIS PAGE LEFT BLANK
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Department of Juvenile Justice Grant #Q8009
In witness thereof, the parties affirm they each have read and agree to the
1 conditions set forth, have read and understand the document in its entirety and have
executed this grant by their duly authorized officers in the date,month and year set out
below.
Corrections including strikeovers,whiteout,etc., on this page are not acceptable.
Grantee
Authorized Official
By: /
Type N the nd ' e: ichael W Smith, City Manager
Date: October 30, 1998
FEIN Number: 596000309
State of Florida
Department of Juvenile Justice
By:
Type Name and Title: Rex Uberman, Deputy Secretary for Operations
Date:
GRANT IS NOT VALID UNTIL SIGNED AND DATED BY BOTH PARTIES
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!" V r - � i .-•fir.•i
Juvenile Justice and Delinquency Prevention
REQUEST FOR GRANTS
NEIGHBORHOOD INVOLVEMENT
Applicant • OF
Program - •D • PARK INSTITUTE FOR • EMPOWERMENT
JUVENILE JUSTICE and DELINQUENCY PREVENTION (JJDP� �o
STATE ADVISORY GROUP (SAG) 5,H1 LID :1
and �nre j� (i i
J FLORIDA DEPARTMENT OF JUVENILE JUSTICE (DJJ) �-� o
rrit':�
GRANT APPLICATION
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SECTION A. PROGRAM INFORMATION:
1. Program Location ._
City of Dania - Modello Park
2. Program name:
Modello Park Institute for Community Empowerment
3. Amount of grant funds requested
$58, 815
SECTION B. AGENCY INFORMATION:
Identify the agency and official who will sign the Administrative Requirements form if selected for a grant award.
I. Ann y�of Dania
2. Street Address
100 W. Dania Beach Boulevard
3. city Ztdc
004
Dania,
Florida
t.Area Code and Telephone Number Area Code)and 9FAX 2 Number
(954) 921-8700
5.Federal Identification Number
. 596000309
6. Agency Status
(check appropriate box) ) (Wovemment ❑Private not-For-Profit ❑Private For Profit
7.Name of Fiscal Officer Fiscal Officer's Telephone Number
Marie Jabalee (954) 921 - 8700
8. Name of Fiscal Agency if not Applicant
N/A/
9.Program Director's Name Program Directors Telephone Number
Kevin S. Dick same as above
10.Mailing Address for all Progmrn Correspondence
sartrlras street address
SECTION C. CERTIFICATION:
I do hereby certify that all facts, figures,and representation made in the application are true and correct. Furthermore, all applicable
statutes, administrative requirements, regulations, and procedures for program compliance and fiscal control will be implemented to
ensure proper accountability of grant funds. I certify that the funds requested in this application will not supplant funds that would
otherwise be used for the purposes set forth in this project. The filing of this application has been authorized by the contracting entity
and I have been duly authorized to act as the representative of the agency in connection with this application. I also agree to follow
all applicable federal and state statutes.
Michael W. Smith City Manager
Typq Authaizcd Official's Name Authorized Official's Title
6/29/98
Au(ta1l ^riled 01icial's Signature Date
J1DP Grant Application
Spring 1998
A
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1 D. Proposal Summary
1. This is an application for the community involvement component of Title V.
2. The focus of this proposal is overall community improvement and
program activities will affect several areas, such as employment, education,
drug prevention, fair housing and entrpreneurship.
3. The Modello Park Institute for Community Empowerment proposes to
build a coalition of existing community organizations including St. Ruth's
Baptist Church, Byrd Point Homeowner's Association, the Modello
Park Steering Committee, the Dania Economic Development
Corporation; and to coordinate the efforts of the following service providers:
MAD DADS OF BROWARD COUNTY
Drug Prevention and Intervention - to be provided for forty to fifty hours per
week. This organization will counsel youth who use drugs, sell drugs, and
conduct other illegal activities. It will also organize local residents to help
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respond to and solve problems associated with street level drug distribution.
FLORIDA ATLANTIC UNIVERSITY— CENTER FOR URBAN
REDEVELOPMENT AND EMPOWERMENT
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Micro-business Training - one ten week training sessions to train 90
potential micro-business entrepreneurs
Primary objective —to facilitate the creation of 6 new micro-businesses per year,
with 9 new jobs; public awareness activities to carry out program
Fair Housing Training -4 fair housing training sessions per year to
train landlords, recipients of Section 8 Housing;
Public awareness activities carried out to promote program
Job Training/Welfare to Work - one eight week job training series per year (ten
hours per week) to train a total of 15 welfare to work clients; public awareness
activities carried out to promote program
Computer Training - one workshop per semester; public awareness activities
to promote program
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4. The program activities will be conducted at the ICE CUBE (Institute for
Community Empowerment) at Modello Park (a park within the Modello Park s
neighborhood). The park is located at 800 NW 2nd St. in the City of Dania.
5 & 6 Not Applicable
7. The program will be in operation on a year round basis — Monday through
Friday, 10 —7; and Saturday 1 —6.
E. Proposal Screening and Evaluation
I. STATEMENT OF NEED
Community residents in Modello Park have already voiced the collective opinion
there are several issues which need to be immediately addressed. The following
is a list especially pertinent to this proposal: (Derived from the Modello Park
Vision Workshops— held January 31, 1998 and April 8, 1998)
• There is a lack of coordination among groups and individuals who want to
change the community in a positive way;
• the idea that community consensus and mobilization on important issues was
stressed with the idea that churches can play a key role;
• drug and overall criminal activity, particularly among area youth;
• community members and the City need to take more of an active role in
tackling issues such as crime drugs and community apathy;
• many believed that access to healthcare and programs designed to create
jobs for the community must be expanded; job training mechanism linked to
available jobs is needed;
• a mechanism for the creation of business opportunities is needed
• residents and area businesses need to buy into hiring and apprenticeship
program
The Institute for Community Empowerment seeks to address these community
needs to three central ways: through consensus building, coordinating service
provision and information access.
Supporting Demographic Data
Table 3 - Median Household Income
1980 1990
City 15,261 29,274
County 20,870 39,823
State 18,696 36,517
Source: U.S. Census Bureau, 1990
2
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Table 4 — Mean Household Income
1980 1990
City 12,227 23,269
County 16,580 30,571
State 14,675 27,483
Source: U.S. Census Bureau, 1990
1 Over twenty percent of the city's residents live below the poverty level, a
percentage considerably higher than that of both the county and the state.
The percentage of neighborhood residents below the poverty level is an even
more staggering number; it contributes to overall low quality of life and suggests
the need for residents to have access to opportunities to build wealth, via
employment and entrepreneurship. Hence, the need for the job training and
micro-business training that Florida Atlantic University will provide as a
collaborative partner.
I
Persons below poverty level
(a) Neighborhood
% population
1996 1 26.3%
Source: Community Health Survey, 1996
(b) City
# of persons % of population
1980 2,443 21.2
1990 2,610 21
Source: City of Dania Comprehensive Plan
(c) County
# of persons % of population
1980 91,817 9.1
1990 126,311 10
(d) State
# of persons % of population
1980 1,287,056 Ell3.51990 1,604,186 2
3
1 1990 Unemployment Rates
Modello Park City County State
126/6 8.9% 6.5% 6%
Source: Florida Department of Labor, 1990 Census Data for Broward County
The data clearly reflects that unemployment is significant in the community.
Viewpoints of community residents expressed during the Modello Park Vision
Workshop support the assumption that unemployment contributes to negative
conditions in low income communities such as crime and the disintegration of
families. The State of Florida Department of Juvenile Justice has articulated
this view in its request for Neighborhood Involvement Grant Proposals.
Educational Attainment
Neighborhood
Never or Kindergarten Only 1.2%
Elementary 12.5%
Some High School 177%
High School Graduate 36.5%
} Some College/Technical School 19.9%
College Graduate 112.2%
Source: Community Health Survey, 1996
The preponderance of school dropouts and unemployment contribute to low
quality of life. The Institute for Community Empowerment will make
information about GED classes and training available for community residents.
Previous efforts to rectify these problems have been of the "quick fix" variety;
organizations have come into the community, promised opportunities and
activities that never took place, and left after they had basically corroborated
what was already known about Modello Park—that there were problems. Some
of these organizations have deemed their work "successful' and 'complete", after
to coming to their conclusions. Overall, marginal gains, if any, in quality of life
have been achieved. Some neighborhood residents feel that conditions have
grown worse, especially with regard to drug use, drug sales, and criminal activity.
Hence, the need for the drug intervention and prevention services to be provided
by MAD DADS of Broward County.
If. PROGRAM OVERVIEW
The overall strategy is for the Institute for Community Empowerment to help
address the needs of the community through coalition building, coordination of
4
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services and volunteerism. Another important component is access to
information.
Consensus Building and Increased Volunteerism
Currently, there are several organizations operating in the community that
appear to be well-intentioned but with no clear and collective focus on
addressing some of the needs that the community has articulated. There is a
need for their efforts to be coordinated and consensus to be achieved in order to
plan for community development. These organizations include:
Modello.Park Steering Committee
Dania Economic Development Corporation;
• Byrd Point Homeowner's Association;
• St. Ruth's Baptist Church;
MAD DADS.
A program coordinator and program assistant are needed that can devote the
majority of their time to building consensus among these organizations. Many
theories of community development, including those articulated by Sherry
Arnstein and Saul Alinsky, have stated the need for neighborhood planning and
community development to come from the "bottom - up", not from the "top —
down". Therefore, it is imperative that the Modello Park neighborhood has a
mechanism that can drive planning and community development in the area.
The Institute for Community Empowerment will be this mechanism.
Coordinating Service Provision and Volunteer Hours
The City of Dania lacks the financial and human resources necessary to
effectively provide many social services to the Modello Park Community.
Therefore, funding and staffing is necessary to coordinate the efforts of the many
service providers that serve the community. Among the services that the City
wishes to coordinate is training in the following areas: job acquisition and
retention; computer knowledge; welfare to work; and micro-business
development. Drug prevention and intervention are other services that will be
integrated into daily activities. The efforts of volunteers must be coordinated and
showcased to encourage more residents to get involved.
Information Access
Data obtained form the Modello Park Vision Workshops held on January 31 and
April 8 indicate that lack of access to important information is a significant
impediment to success for many neighborhood residents. The staff at the
Institute for Community Empowerment will manage a clearinghouse of
5
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information about valuable social services including CED preparation, and
available treatment facilities.
III. PROGRAM INNOVATION
This program is innovative for several reasons. Firstly, no singular entity has •
ever been formed for the purposes of coalition building, coordination of services,
and information access for the neighborhood in the long-term. This program will
be implemented with the intention of it becoming a permanent City initiative that
the City funds on an annual basis. Secondly, the program will help to avail
community residents of services and opportunities that are new to the City in
1998-1999.. These include computer training, job training, micro-business
training and fair housing information have never been offered in one place on a
weekly schedule and on a continuous basis.
The timing of the program is crucial. The Institute for community
Empowerment, if funded, has the opportunity to be revolutionary for the Modello
Park neighborhood because of its ability to connect residents to new
opportunities and prepare them for new challenges. These opportunities and
challenges include:
New employment opportunities at Bass Pro, IGFA, FAU SeaTech, or the
new Fairfield Inn by Marriott;
Training to prepare workers for a burgeoning marine trades industry;
Training to prepare individuals for the drastic changes that will be caused by
WAGES
The information age
There are many new occurrences taking place in the City of Dania that could
strongly impact the Modello Park neighborhood. Because of these new
occurrences, the services that will be available for residents at the by the
Institute for Community Empowerment in connecting the neighborhood to these
opportunities in the way of job training and computer training.
IV. PROGRAM DESCRIPTION
The Institute for Community Empowerment is a physical facility as well as a
concept. Physically, it is in the form of a trailer unit that sits in Modello Park (a
park within the Modello Park neighborhood). In concept, it is a center for the
community that will build coalition among neighborhood groups and coordinate
services offered by area service providers. It will also be a clearinghouse for
information about available jobs, educational opportunities, and social services.
A full-time program coordinator and a part-time program assistant on public
assistance will seek to schedule training sessions and counseling sessions by
the various service providers. Staff will also manage the clearinghouse
database.
6
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The three components of the strategy are information access, coalition
building and coordination of services.
Information Access
The Institute for Community Empowerment will maintain a computerized
database of job opportunities and social service information for community
residents, and funding opportunities for non-profit community organizations. This
will be accessible to residents through a computer terminal that will be
specifically designated for public information access. Users will be instructed on
how to access information available at the ICE whether it is electronic or written.
Coalition Building
The program coordinator and the program assistant will have the responsibility of
evaluating the state of each neighborhood association or organization with
regard to regularity of meetings and size of membership. It will help these
organizations with both issues by providing an alternative venue, and by
encouraging neighborhood residents to become part of any one or all of the
existing organizations. The staff at ICE will not be charged with the responsibility
of creating an organization or dismantling any of the existing ones. That will not
be necessary, since there are enough residents in the community to fill be active
in all of the organizations. The emphasis is for the organizations to have
dialogue and work together to build consensus about how to address community
issues.
Coordination of Services
The two primary service providers for the first year of this program will be Florida
Atlantic University —Center for Urban Redevelopment and MAD DADS. The
objectives and strategies for of each service provider are included in that section.
The staff at ICE will be responsible for scheduling the efforts to avoid conflicts
and to ensure that the appropriate target audience is present at each training
session. A sample daily training schedule may be as follows:
1
7
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1 Mon.
10-12 Computer
training
12 — 1 Lunch
1 - 3 Fair
Housing
3 -- 5 Drug
!+ Intervention
5 - 6 Micro —
business
6- 7 Job
Training/
Welfare to
Work
The above is only an example of the types of activities that would be conducted
at the ICE; it is not meant to be a binding schedule.
The target population is the Modello Park community, an area of approximately
3000 residents. Approximately 91 percent of the population is African-American,
and approximately 26 percent is under the poverty level. Both the mean
household income and the median household income of the neighborhood and
city lag behind the averages for Broward County and the State of Florida. (see
Supporting Demographic Data in the Proposal Screening and Evaluation
Section) The Modello Park area is second in the county in percentage of juvenile
crime incidents. A few of the services being offered at ICE including job
training/welfare to work, computer training, and micro-business training are ideal
V. OBJECTIVES AND STRATEGIES
INSTITUTE FOR COMMUNITY EMPOWERMENT
Increased Community Cohesion:
Events: Planned activities that involve individuals of all ages, genders and
backgrounds in the community, as well as all service providers and community
organizations.
Goal: coordinate four events at the ICE and at Modello Park in which planning is
facilitated by staff but done by the various community groups and service
providers in conjunction with each other. One event will be sports-related; one
will be health-related; one will be job related; and one will be anti-drug-related
8
Full Community Buy-in and Support for Program
Volunteers: Increase volunteerism by recruiting four new volunteers per month
to help staff with various activities - 48 volunteers by the end of the year
Attendance at Neighborhood Meetings: Staff will attend at least one meeting
per quarter of each neighborhood association.
FLORIDA ATLANTIC UNIVERSITY—CENTER FOR URBAN
REDEVELOPMENT AND EMPOWERMENT INITIATIVES
Micro-Business (sole owner or proprietor) Training Program
Main Objective:
One 10-week micro-business training series per year, at Modello Park site to
train 90 potential micro-business owners per year.
Main Outcome/year:
Six micro-business/year will be in operation within one year of
Training with 9 new jobs created.
Public Awareness: activities carried out throughout the communities to
promote the program
Fair Housing Training
Main objective:
4 fair housing training programs a year, at Modello Park site to train 120
landlords, realtors, and recipients of Section 8 funds.
Main Outcome/Year:
Public Awareness: activities carried out throughout the communities to
promote the program;
Job Training[Welfare-to-Work
Main Objective:
One 8-week 80-hour job training series a year, at Modello Park site, to train
45/year welfare-to work clients
I 9
Public Awareness: activities carried out throughout the communities to
promote the program;
Wages:
Each trainee will be paid $5.35/hr minimum wage; payroll taxes = 0.0765.
MAD DADS INITIATIVES
Youth Coalition:
Form/maintain a youth coalition based out of Modello Park, and comprised of
youth ages 13 to 17 in the target area
Team Sports:
• Organize two new team sports for youth to date at Modello Park
• Organize at least one adult athletic or sports program at Modello Park
Volunteerism:
1
Recruit and track participation of at least 15 adult volunteers to assist with
youth and other activities at Modello Park
Anti-Drug Activity:
Provide structured daily anti-drug, recreation and academic enhancement
program sessions for 35 youths 8 —12 years old (to be done at Modello Park
Recreation Center)
Park Events
Sponsor a minimum of five community-wide "drug free" theme events in
Modello Park during the year
VI. COLLABORATION
Florida Atlantic University —Center for Urban Redevelopment and
Empowerment : to provide training sessions/seminars on job training; computer
training, micro-business training and fair housing training. Partnership is new
and ongoing — FAU has entered into a community partnership agreement with
the City of Dania as a result of the new FAU Seatech Campus at Dania Beach.
10
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MAD DADS of Broward County - MAD DADS has provided drug
intervention/prevention services in the City of Dania -Modello Park area for four
years and will continue to do so in 1998-1999 with funding from the City of
Dania.
Formal collaborative partnership agreements are listed in APPENDIX D.
VII. PROGRAM EVALUATION
In addition to examining whether the measurable goals and objectives listed
above have been attained, the ICE staff as well as the service providers and
neighborhood associations will review the activities conducted during the grant
period and assess the success or failure of each activity. One of the most
important quantifiable measures will be the amount of resident participation in
the activities. A second measure that is qualitative and not quantifiable is the
level of empowerment felt by community residents and associations.
VIII. ACCOUNTABILITY
For the City, this program would aid administration greatly. It would allow the
Assistant to the City Manager to divert attention from community development on
a day to day basis to larger economic development issues that can be impactful
on the community.
This program, when successful, will become a line item in the City of Dania
annual fiscal budget and will represent a long-term commitment on the part on
the City to its low income residents. Many in the Modello Park community feel
that this commitment is long overdue. The Modello Park Vision Workshops
revealed the need for a mechanism like the Institute for Community
Empowerment in the community. Therein lies one important benefit— a direct
response in the way of funding and programming to a stated neighborhood need.
IX. BUDGET SUMMARY
JJDP DETAILED BUDGET WORKSHEET
Personnel
Program Coordinator
(100% of time at an annual salary of$28,000.00)
$28,000.00
The Program Coordinator is responsible for the day to day planning and
coordination of all project activities. This person will identify and serve as the
liason between the project, public and private service providers, community
groups, and clients served by the project. This person will also be responsible
11
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OCT—Z9-199E 12:33 FROM CITY OF ORNIFa
TO 18504141E25 P.02
JJDP DETAILED BUDGET
WORKSBEET ADDENDUM
BUDGET ITEM AMOUNT AMOUNT AIyIOUNT
YEAR 1 YEAR 1 YEAR 3
1 ; A PERSONNEL
Program Cdordinator(at 100%of time,based
on an'inival late of$28,000 and annual
increases of3.5%) S 28,Wo.60 . S 28,980,00 S 29,994.00
Program Assistant(at 500/a of time,based on
an initial annual rate of$18,000 and increases
of3.S% S 9,000.00 ' S 9,315.00 S 9,641.00
Total Salaries S 37,000.00 S 38,295400 S 39,635.00
B.FRINGE BENEFM,(Calculated at 15%) S 5,550.00 S 5,744.00 S 5,945.00
Total Personnel S 42,550.00 S 44,039.00 S 4500.00
C.TRAVEL
Annual Crime in the Black Community Con $ 700.00; S 700.00 $ 800.00
Staff Local Travel $ 2,088.90 $ 2,098.00 $ 1,566.00
Total Travel S 2,788.00; S 2,788'00 S 2,366.00
D.EQUIPMENT
Office Copier $ 1,100.60 S -0- $ 0
Video Tapes $ 100.00 $ -0- $ -0-
TOW Equipment S 1,200.00 ; S -0- S -0-
E. SUPPLIES&MATERIALS S 492.50' S 49240 $ 373.50
F.CONSULTAl\TSlCONTRACTORS
Dr.Marshall& other trainers $ 1,570.00 $ 1,000.00 $ 500.00
Job SearctvDevelopment Consultants $ 2,400.00 $ 2,400.00 $ 2,000.00
Program Audit S 500.00 $ 600.00 S 600.00
Total Consultants/Contractors S 4,470.00 $ 4,000.00 S 3,100.00
G.OTHER COSTS ( SEE NOTE 1)
Local Telephone Service(including loca
lines,pager and cellular services) S 1,399.00 $ 1,588.00 S 1,480.00
Utilities(Total Shifted to Matching) 1,200.00 1,200.00 1,200,00
Total Other Costs S 2,599.b0' S 2,788.00 S 2,680.00
TOTAL DIRECT PROJECT COSTS $ 54,099.!SO$$ 54,099-- S 54,099.50
,J
TOTk- P.02
A
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APPENIDIX A
Description of Current Projects
Being Implemented by Applicant
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14
11DP Grant Application
Spring 1998
Summary of Current Projects
I
HIDTA Community Empowerment Program:
A "weed and seed"type community empowerment program funded by a fderal law
enforcement agency. Most of the concentration has been on extra police details and
enforcement, rather than actually empowering communities. Program will not return
next fiscal year.
Memorial Regional Hospital: Community Health Initiative; a few community
empowerment type programs mostly with an emphasis on providing information about
health issues.
I
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APPENDIX D
Collaborative Partnership Agreement
}
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17
JJDP Grant Application
Spring 1998
r
FLORIDA ATLANTIC UNIVERSITY
Reubin O'D.Askew Tower
220 SE 2nd Avenue,Suite 612B
Fort Lauderdale,FL 33301
The Center for Urban Redevelopment and Empowerment (The CURE)
Phone:(954)762-5655. Fax: (954)762-5278. E-mail:Kolo@FAU.EDU
29 June 1998
Florida Department of Juvenile Justice
Bureau of Prevention Services, JJDP Unit
2737 Centerview Drive, Suite 204
Tallahassee, FL 32399-3100
Re: Department of Juvenile Justice Title V Grant
1 To Whom it May Concern:
If this proposal is funded, Florida Atlantic University/Center for Urban
Redevelopment and Empowerment commits $80,161 (in-kind contribution) to the City of
Dania for computer training, job training, micro-business training, and fair housing
training to be made available for recipients of the program. These funds will be made
available on October 1st, 1998, for the duration of the grant.
Sincerely,
Jerry Kolo
Executive Director, Center for Urban Redevelopment and Empowerment (CURE)
iBoca Raton-Fort Lauderdale-Davie-Palm Beach Gardens-Fort Pierce
A Member of the University System of Florida
An Afrmative Action/EqualOpportunity Institution
ikWAV,In
MAD DADS OF BROWARD COUNTY
800 N. W. 2ND STREET
DANIA, FLORIDA 33004
(954)929-0190
(954)929-0780 FAX
June 25, 1998
To Whom It Concerns:
MAD DADS of Broward County would be pleased to become involved in the Modello Park
Institute for Community Empowerment in the City of Dania. MAD DADS (Men Against
Destruction Defending Against Drugs and Social Disorders)pledges to provide drug prevention
and intervention services to the community. These services will be focused on the youth in the
j community, although not limited to them. MAD DADS will also support and advocate the other
services to be provided at the Institute for Community Empowerment.
We greatly endorse the concept of community empowerment and sincerely hope that the Institute
receives financial support from the State of Florida Department of Juvenile Justice.
rel
Ion Kennedy
Program Administrator
I
"WERE TAKING BACK COMMUNITIES ONE CHILD AT ATIME"
APPENDIX E
Denial of Local Funding
J
11DP Grant Application 18
Spring 1998
I
CITY OF DANIA
100 W. DANIA BEACH BLVD,
P.O. BOX 1708
DANIA, FL 33004
(954) 921-8700
Administration Fax:921-2604 Finance Fax:922.5619 Growth Management Fax:922.2687 Public Works/Utilities Fax: 923-1109
June 29, 1998
Florida Department of Juvenile Justice
Bureau of Prevention Services, JJDP Unit
2737 Center view Dr., Suite 204
Tallahassee, FL 32399-3100
Re: Denial of Local Funding for Juvenile Justice Title V Grant
To Whom It. May Concern:
This letter is to certify that the City of Dania is supplying no funding for the Modello
Park Institute for Community Empowerment in the form of cash. Please accept this letter
as part of the City's application under the Title V Program.
1
Sincerely,
, I
6"
Michael Smith
City Manager
i
APPENDIX F
Detailed Budget Worksheets
H
JJDP Grant Application
Spring 1998
L
OCT-09-199E 12133 FROM CITY OF DAMP TO 165404141625 F.O2
JJDP DETAILED BUDGET .
WORKSHEF,T ADDENDUM
1
I
BUDGET ITEM AMOUNT AMOUNT AMOUNT
YEAR 1 YEA;R x YEAR 3
A. PERSONNEL
Progcsm Coordinator(at 100%of time,based
on art:initialtate of$28,000 and annual
increases o6.5%) S 28,000.00 $ 28,980,00 $ 29,994.00
Program Assistant(at 50o/a of time,based on
an initial annual rate of$18,000 and increases
of 3.5% $ 9,000.00 $ 9,315.00 3 9,641.00
Total Salaries S 37,000.00 $ 38,295.00 $ 39,635.00
B.FRINGE BENEFITS.(Calculated at 15%) $ 5,550.00 $ 5,744.00 $ 5,945.00
Total Personnel $ 42,550.00 $ 44,039.00 $ 45,580.00
C.TRAVEL
Annual Crime in the Black Community Con $ 700.00 S 700.00 $ 800.00
Staff Local Travel $ 2,088.60 S 2.688.00 $ 1,566.00
Total Travel S 2,788.00 ' S 2,7881.00 $ 2,366.00
D.EQUIPMENT
Office Copier $ 1,100.00 .
$ 4- $ -0-
Video Tapes $ 100.00 . $ -0- $ -0-
Total Equipment $ 1,200.00 S -0- $ -0-
E.SUPPLIES MATERIALS $ 492.50 $ 49240 S 373.50
F.CONSULTAATSICONTRACTORS
Dr.Marshall&other trainers $ 1,570.00 $ 1,000.00 $ 500.00
Job Search/Development Consultants $ 2,400.00 $ 2,406.00 $ 2,000.00
Program Audit $ 500.00 $ 1i00.00 S 600.00
Total Consultants/Contractors S 4,470.00 S 4,000.00 S 3,100.00
G.OTHER COSTS (SEE NOTE 1)
Local Telephone Service(including local
lines,pager and cellular services) S 1,399.00 $ 1,588.00 S 1,480.00
Utillties(Total Shifted to Matching) 1,200.00 1,200.00 1,200.00
Total Other Costs S 2,599.00' S 2,789.00 S 2,680.00
TOTAL DD2ECT PROJECT COSTS IS 54,099.501$ 54,09950 S 54,099.50
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TOTAL P.O:.
i
APPENDIX H
j Grant Application Checklist
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23
11DP Grant Application
. . Spring 1998
L�
1 JJDP GRANT APPLICATION CHECKLIST
Review the proposal for completeness. Provide this form in Appendix H as a verification of compliance.
i
APPLICATION SECTION PAGE NUMBER
Application Cover Sheet
Summary Pages Pages must be submitted in 1 and 2
the original format unaltered
Section E is limited to 12 pages or less N/A
Statement of Need 2
Program Overview 4
Program Innovation 6
Program Description 6
Objectives and Strategies 8
i
Collaboration 10
Program Evaluation 11
Accountability 11
Budget Summary 11
APPENDICES
A Description of Current Projects Being X
Implemented by Applicant
B Article of Incorporation n/a
C Audit Report (Management Letter Only) or n/a
Notarized Statement
D Collaboration Partnership Agreement X
E Denial of Local Funding X
F Detailed Budget Worksheets X
G Law Enforcement Letters of Support (if Applicable) n/a
24
JJDP Grant Application
Spring1998
Broward County Department of Juvenile Justice
District 10
Juvenile Justice Board
201 West Broward Boulevard,Suite 208,Fort Lauderdale,Florida 33301 Phone:(954)467-4381 Fax:(954)762-3667
June 25, 1998
Greg Downing, Program Administrator
Juvenile Justice and Delinquency Prevention
Florida Department of Juvenile Justice
Bureau of Prevention Services
2737 Centerview Drive, Suite 204
Tallahassee,FL 32399-3100
I
Dear Mr. Downing:
The Broward County Juvenile Justice Board understands that 1998-99 JJDP Title V grants for
Neighborhood Involvement.will provide assistance to residents of targeted neighborhoods via
neighborhood organizing, coordinated services and volunteers. This Board further understands that
applicants for these grants must provide assurance that a local prevention policy board will provide
guidance for developing and implementing the community plan.
The Broward County Juvenile Justice Board agrees to provide this guidance as the prevention
policy board for any 1998-99 Title V grant recipient in Broward County. Realizing that Title
V grant recipients are eligible to be renewed up to two additional years,the Juvenile Justice Board
agrees to provide this guidance for a long as the project is funded through the JJDP.
Very Truly Yours,
Susan Aramony,Chairperson
Broward County Juvenile Justice Board
I
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YEAR 1
GRANTEE NAME AND ADDRESS PERIOD COVERED BY THIS REPORT GRANT AMOUNT:
FROM: TO: FUNDS REQUESTED TO DATE:
(INCLUDING THIS INVOICE)
DJJ GRANT NUMBER: GRANT BALANCE:
IV.
A. B. C. 0. E. F. G•
UNIT OF SERVICE NUMBER AMOUNT YEAR TO GRANT
DESCRIPTION BUDGET RATE OF UNITS EARNED DATE AMOUNT BALANCE
1. Planning&Implementation 7,650.00 2,550.00
2.Association Meetings 9.000.00 1.000.00
3,Crime Watch Meetings 11,250.00 1,250.00
4. Workshops 5.800.00 1,450.00
5. Festivities 5,800.00 1.450.00
6. Service Providers 3.600.00 400.00
7. Volunteer Hours 3.600.00 400.00
a. Mapping 2,500.00 2,500.00
1.9. Quarteriy ProgresslDemographic Data/Financial Report 750.00 250.00
10. Final Financial Report 7000.00 2,060.00
11. Final Demographic Data/Progress Report 2,149.50 2,149.50 _
TOTALS: 54,099.50
H. Amount of Funds Requested
I certify that the above report is a true,accurate and correct reflection of the services rendered during this period and that these services are directly
related to the purposes of this referenced contract.
BY. I. Listing of Attachments
(Signature of Provider Agency Official) 1. Clients Served
2
TITLE: 3
PHONE: DATE: 4
J. Type of Request
APPROVED FOR PAYMENT: K. AMOUNT APPROVED: Advance
Regular
BY: Final
(Signature of Contract Manager)
i -
Date
JJDP-01
I
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EXH. I
YEAR 2 3
GRANTEE NAME AND ADDRESS PERIOD COVERED BY THIS REPORT GRANT AMOUNT:
_ FROM: TO: FUNDS REQUESTED TO DATE:
(INCLUDING THIS INVOICE)
DJJ GRANT NUMBER: GRANT BALANCE:
IV.
A. B. C. D. E. F. G.
UNIT OF SERVICE NUMBER AMOUNT YEAR TO GRANT
DESCRIPTION BUDGET RATE OF UNITS EARNED DATE AMOUNT BALANCE
1.Association Meetings 12,000.00 1'000.00
2.Crime Watch Meetings 15,000.00 1,250.00
3. Workshops 5.800.00 1,450.00
4. Festivities 5,800.00 1,450.00
5. Service Providers 4,800.00 400.00
6. Volunteer Hours 4,800. 00 400. 00
7. Mapping 2,500.00 2,500.00
8. Quarterly Progress/Demographic Data/Financial Report 750.00 250.00
9. Final Financial Report 1,250.00 1,250.00
10. Final Demographic Data/Progress Report 1,399.50 1,399.50
TOTALS: 54,099.50
H. Amount of Funds Requested
I certify that the above report Is a true,accurate and correct reflection of the services rendered during this period and that these services are directly
related to the purposes of this referenced contract.
BY: I. Listing of Attachments
(Signature of Provider Agency Official) 1. Clients Served
2
TITLE: 3
PHONE: DATE: 4
J. Type of Request
APPROVED FOR PAYMENT: K. AMOUNTAPPROVED: Advance
Regular
BY: Final
(Signature of Contract Manager)
Date
JJDP-01
� s
e 10
EXHIBIT II
.1
Program Name: Month/Year:
Provider Name: Grant# ,a
I. Summary of monthly activities. (Provide documentation for all monthly activities.)
I
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II. List of participants (Attach if applicable)
III. Volunteer: (Attach name/hours if applicable)
I
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IV.List of Service Providers(If applicable)
V. Evaluation update:
JJDP-02
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EXHIBIT III
Florida Department of Juvenile Justice
Bureau of Data and Research
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Quarterly Report for IMP Prevention Programs
Program Name: Report 1" 2ed 3rd Annual
Quarter:
Provider: Date of Report:
Program Location: District:
Reporting Person: Comity:
I. Program Specific Information:
A. Type of program based upon grant funding source: (Indicate grant number, then select only
ONE of the following choices as your program type based upon grant funding source).
SEPARATE QUARTERLY REPORTS MUST BE SUBMITTED FOR EACH FUNDING
SOURCE.
GRANT/CONTRACT NUMBER:
1. Prevention/Diversion Grant ❑ 8.JJDP Title II
2.After School Diversion Grant 9.JJDP Title V ❑
3. Minority Over Representation Grant ❑ 10.JJDP Female Initiative
4. High Crime Neighborhood Mentoring Fl 11.JJDP Community Policing
5. Community Juvenile Justice Partnership Grant 12.Other(Specify)
6. Police Athletic League (Model Project)
7. Local District Contract Grant
B. Type of communities being served: (Indicate what type of community you serve by checking one
of the following choices. Write in the primary zip code of your service area in the corresponding
space.)
1. Primarily Urban ❑ Primary Zip Code:
2. Primarily Suburban Primary Zip Code:
3. Primarily Rural Primary Zip Code:
C. Demographic information regarding juveniles being served: (attach Prevention Program
Demographic Roster Sheet for all juveniles served by your program this quarter-Please refer to page
2 of Reporting Instructions).
JJDP Quarterly and Annual Report-Form: JJDP003 Nee I
II: Objective Specific Information
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j Please describe your accomplishments toward the outcome objectives specified in your grant: (List your program's objectives and what you
have accomplished regarding those objectives. Please be brief and factual. Attach additional pages as necessary.)
MEASURABLE OBJECTIVE SCHEDULED DATE ACTUAL PROGRESS TO DATE
OF COMPLETION
OBJECTIVE 1:
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OBJECTIVE 2:
OBJECTIVE 3:
OBJECTIVE 4:
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OBJECTIVE 5:
`TI.Narrative Comments:
Please provide a narrative description of how your program is operating,including problems and
successes:
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IJJDP Quarterly and Annual Report- Form:JJDP003
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1 Florida Department of Juvenile Justice
INSTRUCTIONS FOR
PROGRAM PERFORMANCE MEASURE EVALUATION FORM
(Quarterly Demographic Roster)
ETh�isnformation must be submitted for ALL
ILES SERVED BY YOUR PROGRAM
at the end of each quarter.
This form is designed to gather information required for quarterly outcome evaluations.
Start a row of data for each juvenile currently being served by your program. You must
then update and complete this data as the juvenile's progress through your program.
Any time a youth enters your program, you must begin to fill out a row of data on this
form. There are occasions when juveniles enter your program more than once. You must
complete this information every time that juvenile re-enters your program after being
absent for more than 30 days (put an asterisk next to any of the non-original entry rows).
This will give you a comprehensive count of all your cases.
Note: This form consolidates data representing 19
juveniles. Make copies of the form if you need additional
sheets. The codes for some of the data items are provided
j at the bottom of the form. Use the*codes to respond to
those questions.
The Program Performance Measures (Quarterly Demographic Roster) must be reported
and returned to The Department of Juvenile Justice, in Tallahassee Florida according to
the dates listed below.
uarter#: Month in Ouarter: Report Due Date:
1 'Jan., Feb., March April 15
2 April, May,June July 15
3 July, Aug.,Sept. October 15
*Annual January-December January 31
'The Annual Report includes the 4'quarter(Oc(.,Nov.,Dec.).
Item specific instructions for the Program Performance Measure Evaluation Form
for the Quarterly Demographic Roster begin on the following page.
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Reporting Instructions I -
Program Performance Measures: Quarterly Demographic Roster
Item Specific Instructions
1. Enter the name of the program as it-is commonly called.
2. Enter the name of the agency providing services.
3. Enter the contract number.
4. Enter the date you are sending this report using MM/DD/YY format(example:
05/06/98=May 6, 1998).
5. Enter the quarter that the data represents using the following format:
Quarter#: Months in Quarter:
I Jan.,Feb.,March
2 April,May,June
3 July,Aug.,Sept.
6. Enter the district number and county name.
7. Enter the juvenile's social security number using###-##- ####format
(example: 555-99-9999)." Do not enter any other numbers into this field except the
social security number.
8. Enter the juvenile's last name. `
9. Enter the juvenile's first name.
10. Enter the juvenile's middle initial.
11. Enter the juvenile's date of birth in MM/DD/YY format(example: 02/18/76=
February 18, 1976).
12. Enter the juvenile's school grade following the codes listed below.
0=Sixth or below 2=Eight 4=Tenth 6=Twelfth 8=Graduate or GED
I =Seventh 3=Ninth 5=Eleventh 7=Withdrawn
13. Enter the juvenile's race/ethnicity using the following codes:
1 =White Non-Hispanic 3 =African American 5=Asian 7=Other
2=White Hispanic 4=Black Hispanic 6=American Indian
14. Describe the juvenile's family structure using the following codes:
j I =Lives with Two Parents 3 =.Lives with Single Mother 6=Foster Care 7=Other
Reporting Instructions 2-
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2=Lives with Single Father 4=Lives with Relative(s) 5=Lives with Non Relative(s)
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15. Indicate whether the juvenile is a parent using the following codes:
1 =Juvenile is Pregnant 3 =Juvenile is a Father
2=Juvenile is a Mother 4=None of the Above
16. Enter the juvenile's gender as either M or F: M=male; F= female.
17. Enter the date the juvenile entered the program using MM/DD/YY format
(example: 10/09/98).
18. Enter the quarter in which the juvenile entered your program using the codes
listed below:
Quarter#: Months in Quarter:
I Ian.,Feb.,March
2 April,May,June
3 July.,Aug.,Sept.
4 Oct.,Nov.,Dec.
19. Does the juvenile participate in the reduced or free lunch program? Y=yes;N=no
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20. Does the juvenile's family receive any form of financial aid? Y =yes;N=no.
21. Enter the current program status of each juvenile by following the codes listed
below:
1 =Student Completed 3=Dropped on Request 5=Moved 7=Other
2=Student dropped out or was expelled 4=Changed Schools 6=Still in
22. Enter the date the juvenile stopped receiving services using MM/DD/YY format
(example: 12/15/98 =December 15, 1998).
23. Enter the quarter in which the juvenile stopped receiving services using the
following codes:
Quarter#: Months in Quarter:
I Jan.,Feb.,March
2 April,May,June
3 July,Aug.,Sept.
4 Oct.,Nov.,Dec.
Reporting Instructions -3 .
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\ Prevention Program performance Measures: Quart
4. Date Completed:
I. Prograa. i: _
2. Contractor for Agency Name: 6. District/County:
Grant Number:
P't_kse fill out one row of data for each juvenile attending your program. THIS INFORMATION IS CONFIDENTIAL A
DEAfOGRAP111C DATA
Z Social Security Date of Birth School Race/ Family Is Juvenile:
Number Lzst Name First Name Ail (mm/ddtyy) Grade Ethnicity Structure Parent?
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Field 12:School Grade Field 13: Race/Ethnicity Field 14: Family Structure Field 15: Is Juv
Sisth or below 4=Tenth 1 -White Non-Hispanic 1=Lives with Two Parents 6=Foster Care Parent?
] Seventh 5-Eleventh 2-White Hispanic 2=Lives with Single Father 7-Other
t 1=Juvenile Is I
Eighth 6-Twelfth 3=African American 3=Lives with Single Mother 2=Juvenile Is a
4=Black His 3=Juvenile Is a
Hispanic 4=Lives with Relative(s)
t3=Ninth 7=Withdrawn P
1 g=Graduate or GED 5-Asian - 5=Lives with Non Relative(s) 4=None of the/
I 6=American Indian
7-Other
Florida Department of Juvenile Justice
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INSTRUCTIONS FOR PROGRAM PERFORMANCE .
MEASURE EVALUATION FORM
(Annual Evaluation Form)
This information must be submitted for ALL JUVENILES SERVED
BY YOUR PROGRAM at the end of the calendar year.
This form is designed to obtain information that is required for the annual outcome
evaluation. Many questions deal with the juvenile's school performance. Therefore, it is
imperative that you contact your school district as soon as possible to collect the
information that is required on the form on every youth that has participated in your
program for the entire year.
Any time a youth enters your program, you must begin to fill out a row of data on this
form. There are occasions when juveniles enter your program more than once. You must
complete this information every time that juvenile re-enters your program after being
absent for more than 30 days (put an asterisk next to any of the non-original entry rows).
This will give you a comprehensive count of all your cases.
Collecting and providing this information is required as a contract and/or grant
deliverable.
The Quarterly Program Performance Measure Evaluation Forms are to be sent to The
Department of Juvenile Justice, Bureau of Research and Data, in Tallahassee, Florida by
the 15th of every fourth month. This Annual Report is due by January 31. Please
follow the chart below:
uarter#: Month in Quarter: Report Due Date:
1 Jan., Feb., March April 15
2 April, May,June July 15
3 July, Aug., Sept. October 15
*Annual January-December January 31
-The Annual Report includes the 4'h quarter(Oct.,Nov.,Dec.).
Note: This form consolidates data representing 15 juveniles. Make
Copies of the form if you need additional sheets. The codes for some
Of the data items are provided at the bottom of the form. Use the
Codes to respond to those questions.
Item specific instructions for the "Program Performance Annual Measure
Evaluation Form" begin on the following page.
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Reporting Instructions - I -
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PREVENTION PROGRAM PERFORMANCE MEASURE EVALUATION FORM
ITEM SPECIFIC INSTRUCTIONS
1. Enter the name of the program as it is commonly called.
2. Enter the name of the agency providing services.
3. Enter the date you are sending this report using MM/DD/YY format(example:
05/04/98= May 4, 1998).
4. Enter the contract number.
5. Enter your district number and county name.
6. Enter the juvenile's social security number using## #-##-### format(example:
555-99-9999). Do not enter any other number other than social security number into
this field.
7. Enter the juvenile's last name.
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8. Enter the juvenile's first name.
9. Enter the juvenile's middle initial.
10. List the date of birth in MM/DD/YY format.
11. Enter the juvenile's school grade.
0=Sixth or below 2=Eighth 4=Tenth 6=Twelfth 8=Graduate or GED
1 =Seventh 3 =Ninth 5=Eleventh 7 =Withdrawn
Enter the juvenile's race/ethnicity using the following codes:
I =White Non-Hispanic 3=African American 5=Asian 7=Other
2=White Hispanic 4=Black Hispanic 6=American Indian
12. Describe the juvenile's family structure using the following codes:
I =Lives with Two Parents 3=Lives with Single Mother 5=Lives with Non Relative(s)
2=Lives with Single Father 4=Lives with Relative(s) 6=Foster Care 7=Other
i 13. Indicate whether the juvenile is a parent using the following codes:
1 =Juvenile is Pregnant 3=Juvenile is a Father
2=Juvenile is a Mother 4=None of the above
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Reporting Instructions - 2-
14. Does the juvenile participate in the federal free lunch or reduced lunch program?
jY =yes,N =no.
15. Does the family receive any form of financial aid? Y =yes, N =no.
16. Enter the juvenile's gender as either M or F: M=Male,F=Female.
17. Enter the date the juvenile entered the program using MM/DD/YY format
(example: 05/04/98 =May 4, 1998).
18. Enter the quarter in which the juvenile entered the program.
Quarter#: Months in Quarter:
I Jan.,Feb.,Match
2 April,May,June
3 July,Aug.,Sept.
4 Oct.,Nov.,Dec.
19. Enter the date the juvenile stopped receiving program services or the date the
program year ended, which ever is earlier. Use MM/DD/YY format(example:
10/18/98=October 18, 1998.
20. Enter the quarter in which the juvenile stopped receiving services or the quarter
the program year ended whichever is earlier. Use the format:
Quarter#: Months in Quarter:
1 Jan.,Feb.,March
2 April,May,June
3 July,Aug.,Sept.
4 Oct.,Nov.,Dec. `
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21. Indicate the juvenile's discharge status in your program using the following
codes:
1 =Student completed 3 =Dropped on request 5 =Moved 7=Other
2=Student dropped out or was expelled 4=Changed schools 6=Still in
22. Enter the juvenile's grade point average at the end of the school year before
he/she entered your program. Use the format: #.#(example: the range for grade
poirit averages is 0.0 -4.0).
23. Enter the number of excused absences the juvenile had in the year before he/she
entered your program.
24. Enter the number of unexcused absences the juvenile had in the year before
he/she entered your program.
25. Enter the number of in-school suspensions the juvenile received in the year
before he/she entered your program.
I 1 26. Enter the number of out of school suspensions the juvenile received in the year
/ before he/she entered your program.
Reporting Instructions -3-
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^ \ 27. Was the juvenile expelled in the year before entering your program?Y=yes,
N=no.
28. Enter the number of on-campus disciplinary referrals (exclude bus referrals) the
juvenile received in the year before he/she entered your program.
29. Indicate whether or not the juvenile was promoted to the next grade in his/her
prior school year(the year completed before entering your program)using the
following codes:
I =Promoted 2=Retained 3=Dropped Out
i30. Enter the juvenile's grade point average at the time of discharge from your
program. Grade Point Averages range from 0.0—4.0.
31. Enter the number of excused absences that the juvenile had during participation in
your program.
32. Enter the number of unexcused absences the juvenile had during participation in
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your program.
33. Enter the number of in-school suspensions the juvenile received during
participation in your program.
34. Enter the number of out of school suspensions the juvenile received during
participation in your program.
35. Was the juvenile expelled while participating in your program? Y=yes, N=no.
37. Enter the number of on-campus disciplinary referrals (exclude bus referrals) the
juvenile received during participation in your program.
38. Was the juvenile promoted to the next grade at the end of his/her current school
year(which included participation in your program)using the following codes:
I =Promoted 2=Retained 3=Dropped Out 4=Not Applicable
Reporting Instructions -4-
Prevention Prog i. Performance Measure Annu:
1' Program Nu...e:
:. Contractor Provider Name:
P-. x t DII out one row of data for each Juvenile attending your program.
NOTE: TIES INFORMATION IS CONFIDENTIAL AND IS NOT TO BE DISCLOSED EXCEPT AS SPECIFIED BY STATE U
61 7 8 9 10 11 13 14 15 16 17 is 19 20 21 22 23
A A R A A
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a Dalc m i. Dale out a Prior A
M11 Dale of ? e o "e Entered of w : school p
T. Soc\umberrlty Last Name First Name I Birth 1. v = Program a Program e E year
( ydyyy) Y/N Y/N M/F mnJddtri) (nuWddtri) C
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Ftold 14: Is Juvenile a
CODES: Field 11:School Grade Field 13: Family Structure Parent?
Field 12: Race/Ethnicity 0=Sixth or below 4-Tenth 1=Lives with Two Parents 6=Foster Care
I=White Non-Hispanic t=Seventh 5=Eleventh 2-Lives with Single Father 7=Other 1-Juvenile Is Pregnant
I==White Hispanic 2=Eighth 6=Twelfth 3=Lives with Single Mother 2 Juvenile Is a Mother
= 3=Juvenile is a Father
African American
3=Ninth 7=Withdrawn 4=Lives with Relative(s) 4=None of the Above
=Black Hispanic 8-Graduate or GED 5-Lives with Non Relative(s)
=Asian
6=Amcrican Indian
i=Other
EX) 'T IV
JUVENILE JUSTLCEANDDEL/NQUENCYPREVENTION(JJUP)
FINANCL4L'REPQR7'FORK
Quarterly: Annual:
Report Period From To:
Provider Name: Phone: Grant Number
Grant Amount $
Grant Title:_Title 11_Title V_Challenge_Community Policing
Program Title:
h 'Months i {* � +�r'IYYf aths;'•. , Months, ,a PropooVn
sedBudget* Sr
udPg tneIjeya�s/ r k r v � ....
G !
�. ,� .? ^•r_ ActualFije' ditures ')isttiimated''Expenditures • ; Total`,'
PERSONNEL
FRINGE BENEFITS
TRAVEL
EQUIPMENT
SUPPLIES
CONSULTANT/CONTRACTS
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OTHER
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INDIRECT COSTS
Total
By: Date
(Signature of Fiscal Officer)
I certify that the above report is a true,accurate and correct reflection of and,that the actual estimated expenditures reported are made only for the
purpose of the referenced grant.
JJDP-04
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INSTRUCTIONS FOR FINANCIAL REPORTS
The Department of Juvenile Justice requires the submission of Quarterly Financial
Reports and a Final Financial Report. The authorized Fiscal Officer is responsible for
preparation of these reports.
The reports due dates are listed in grant conditions 2.c. Reports.
All dollar entries must be rounded to whole dollars.
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Budget Line Items column: Items are in accordance with the grant budget summary.
Actual Expenditures column: Enter the amount of actual expenditures for each budget
line item based upon the latest available month of financial information.
Estimated Expenditures column: Enter the difference between the total amount and the
actual expenditures for each budget line item.
Total column: Enter the total amount budgeted for each budget line item. These figures
will always remain the same unless a budget adjustment is processed.
Proposed Budget column: This column is only completed on the Final Financial
Report. A Budget adjustment Form and a detail budget worksheet must be prepared for
any budgetary changes for additional year of funding.
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EXHHIBIT V
1 Budget Adjustment Form
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BUDGET CATEGORY Current Budget Difference New Budget
Personnel
Fringe Benefits
Travel
Equipment
Supplies
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Consultants/Contracts
Other
Total Direct Costs
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Indirect Costs
TOTAL
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**X Attach Detail Budget Worksheet
JJDP-06
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JUVETPILEJI7STIV AND DELINQUENCY PREVENTION(JJDP)
ANNUAL INVENTORY FORM FOR ITEMS$500 OR MORE
GRANTNUMBER:
AGENCY NAME:
PROGRAM TITLE:
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ITEM PURCHASED DATEED SERIAL DESCRIPTION IDINUMBER LOCATION OF ITEM COST
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I certify property purchases are in accordance with the Department of Juvenile Justice Information Technology Standards and all property($500 and over)will remain the property of the
Department of Juvenile Justice. Any misrepresentation may cause grant funding to cease.
SIGNATURE,GRANTEE OR AUTHORIZED REPRESENTATIVE - —
TYPED NAME OF GRANTEE OR AUTHORIZED REPRESENTATIVE DATE
JJDP-05 [
CERTIFICATION REGARDING
DEBARNIENT,SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION
CONTRACTS/SUBCONTRACTS
lnis certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, signed
February 18, 1986. The guidelines were published in the May 29, 1987 Federal Register(52 Fed. Reg., pages
20360-20369).
INSTRUCTIONS
1. Each provider whose contract/subcontract equals or exceeds $25,000 in federal monies must sign this certificatior
prior to execution of each contract/subcontract. Additionally, providers who audit federal programs must also sigr
regardless of the contract amount. DJJ cannot contract with these types of providers if they are debarred or
suspended by the federal government.
2. This certification is a material representation of fact upon which reliance is placed when this contract/subcontract is
entered into. If it is later determined that the signer knowingly rendered an erroneous certification, the Federal
Government may pursue available remedies, including suspension and/or debarment.
3. The provider shall provide immediate written notice to the contract manager at any time the provider learns that its
certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
4. The terms"debarred", "suspended", "ineligible","person", "principle", and"voluntarily excluded", as used in this
certification, have the meanings set out in the Definitions and Coverage sections of rules Implementing Executive
Order 12549. You may contact the contract manager for assistance in obtaining a copy of those regulations.
5. The provider agrees by submitting this certification that, it shall not knowingly enter into any subcontract with a
person who is debarred, suspended, declared ineligible,;or voluntarily excluded from participation in this
contract/subcontract, unless authorized by the Federal Government.
6. The provider further agrees by submitting this certification that it will require each subcontractor of this
contract/subcontract, whose payment will equal or exceed $25,000 in federal monies, to submit a signed copy of th
certification.
7. The Department of Juvenile Justice may rely upon a certification of a provider that it is not debarred, suspended,
ineligible, or voluntarily excluded from contracting/subcontracting unless it knows that the certification is erroneous.
8. This signed certification must be kept in the contract manager's contract file. Subcontractor's certifications must be
kept at the contractor's business location.
CERTIFICATION
(1) The prospective provider certifies, by signing this certification, that neither he nor his principals are presently
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this
contract/subcontract b any federal department or agency.
(2) Where the pr 'ectiv provider is unable to certify to any of the statements in this certification, such
prospectiv ider hall attach an explanation to this certification.
October 30 , 1998
ig lure Date
Michael Smith, City Manager
Name and Title of Authorized Signee
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