JABG-MUNICIPALILTY-APPLICATION-FFY11

NEW JERSEY JUVENILE JUSTICE COMMISSION JUVENILE ACCOUNTABILITY BLOCK GRANT (JABG) JUVENILE CRIME ENFORCEMENT APPLICATION FFY 2011 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 SUBMISSION REQUIREMENTS All eligible municipalities, as identified in the Juvenile Justice Commission’s Notice of Availability of Funds, for Juvenile Accountability Block Grants (JABG) funds must submit a Juvenile Crime Enforcement Application for FFY 2011 funding One original (single sided) and four (4) copies (may be double sided) of the application must be received at the Juvenile Justice Commission on or before November 1, 2011 no later than 3:00 pm Applications received in the Juvenile Justice Commission office after the due date and time will NOT be considered for funding Late applications are ineligible for funding during the current funding cycle There will be NO exceptions Applications received by fax or email will NOT be accepted Applications should be submitted using either of the following methods: US Postal Service Delivery Safiya L Baker, Acting Manager Juvenile Justice Commission PO Box 107 Trenton, NJ 08625-0107 Fed Ex, UPS, and Hand Delivery Safiya L Baker, Acting Manager Juvenile Justice Commission 1001 Spruce Street, Suite 202 Ewing, NJ 08638 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 General Information To assist the U.S Department of Justice in fulfilling its responsibilities under the Government Performance and Results Act, Pub L 103-62, applicants that receive Juvenile Accountability Block Grant (JABG) funding must provide data that measures the results of their work Mandatory Performance Measures have been identified for each Purpose Area These Performance Measures must be consistent for all JABG programs funded under the same Purpose Area Performance Measures are located at http://www.nj.gov/oag/jjc/noafs.htm under FFY 2011 Juvenile Accountability Block Grant - Juvenile Crime Enforcement Application To better assure that programs funded with federal awards will produce positive outcomes, OJJDP encourages states to give priority to funding intervention programs and activities that have been proven effective based on systematic and objective research To enable local subgrantees to implement evidence-based juvenile justice programs, OJJDP has developed the Model Programs Guide and Database, a searchable Web site containing information on the full range of evidencebased juvenile justice programs (see http://www.ojjdp.gov/mpg/) Communities can use the database to locate evidence-based juvenile justice strategies that will fit their needs and enhance their likelihood for success PROGRAM HISTORY The Juvenile Accountability Incentive Block Grant (JAIBG) program was introduced in 1998 as an appropriation in the federal budget to help states and communities strengthen their juvenile justice systems by implementing accountability based reforms Public Law 107-273, enacted in November of 2002, renames the program (Juvenile Accountability Block Grant-JABG) and establishes the program as a line item in the federal budget The Office of Juvenile Justice and Delinquency Prevention promulgate rules and regulations for the JABG program PURPOSE The purpose of the Juvenile Accountability Block Grant program is to promote greater accountability in the juvenile justice system The programs goal is to reduce juvenile offending through accountability based initiatives focused on both the offender and the juvenile justice system REQUEST FOR PROPOSAL All Units of Local Governments are required to follow Local Public Contracts Law with regards to requests for proposals If a Request for Proposal (RFP) or open competitive process is not implemented, as a part of the justification, describe why this program was not sought through an RFP Also indicate the outcomes that have been achieved, monitoring results and any data used that would warrant funding of that program and/or service If a RFP or open competitive process is implemented, every effort must be made to involve community-based organizations and agencies, including minority services providers, in the implementation of the JABG Programs through the RFP process FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 Application Requirements JABG Purpose Area Allocations All JABG funds received by units of local government must be used for one or more of the 17 purpose areas identified Complete the Purpose Area Allocation form by providing the amount of JABG funds and the local cash match allocated to each purpose area Administration Units of Local Governments may use up to 5% of its federal allocation for administrative costs related to the JABG A line-item budget must be submitted for administrative costs All funds used for administrative costs are subject to the matching requirement Cash Match Requirement The local government recipient of a JABG award must contribute (in the form of a cash match) 10 percent of the total program cost (other than costs of construction of juvenile detention or permanent correctional facilities, which require a 50 percent cash match) The total program cost is made up of the federal award amount and the cash match If JABG funds are used to construct a permanent juvenile correctional facility, the recipient must meet a 50% cash match of the total project Cash match computation: Divide the federal award amount (or subgrant award amount) by (example, $80,000 ÷ = $8,888.88) Round the quotient to the nearest whole dollar This is the match amount (example: $8,888.88 = $8,889) required Total program costs include the federal award amount (or subgrant award amount) plus the match amount (example, $80,000 + $8,889 = $88,889) Certified Assurances/Special Conditions Answer each statement of the Certified Assurances/Special Conditions by completing the required responses The Certified Assurances/Special Conditions must be signed and dated by the Mayor or City Administrator Juvenile Crime Enforcement Coalition meeting minutes that state when the Application was approved must be submitted Juvenile Crime Enforcement Coalitions (JCEC) States and units of local government who are eligible to receive JABG funds, MUST establish a Juvenile Crime Enforcement Coalition (JCEC) which consists of representatives from the local police department, sheriff’s department, prosecutor's office, probation, juvenile court, schools, business and religious communities and non-profit or social service organizations involved in crime prevention Many communities have existing coalitions, committees or community teams, which may be used to meet this requirement, however, required members should be added when necessary Eligible units of local governments are encouraged to utilize existing community teams when possible to avoid duplication Substance Abuse Policy All communities participating are required to provide a Controlled Substance Testing Policy A copy must be attached FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 Data Collection Applicants receiving funds under this grant will be required to complete the Performance Measure data The Office of Juvenile Justice and Delinquency Prevention (OJJDP) has a Grant Performance Management Data Collection and Technical Assistance Tool (DCTAT) The DCTAT is a tool to support your ability to identify, collect and submit performance data about this grant This is a separate reporting requirement than the JJC’s quarterly reports FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 Point Of Intervention - Definition & Rationale This section defines and describes each Point of Intervention on the Juvenile Justice System Continuum that JABG funds must be used towards as defined by the Juvenile Justice Commission DIVERSION The Diversion stage of the juvenile justice system offers alleged juvenile offenders an opportunity to avoid arrest and/or prosecution by providing alternatives to the formal juvenile justice system process The goal of Diversion is to provide services and/or informal sanctions to youth who have begun to engage in antisocial and low level delinquent behavior in an effort to prevent youth from continuing on a delinquent pathway Youth who not successfully complete a diversion program may ultimately have their case referred for formal processing by the juvenile court Given this goal, Diversion programs developed through the comprehensive planning process should clearly focus on providing services and/or informal sanctions that address the known causes and correlates of delinquency Diversion Process In New Jersey, juveniles are dealt with informally through one or more of the following: Law Enforcement Station House Adjustments, Family Crisis Intervention Units (FCIU), Family Court Juvenile Conference Committees, or Family Court Intake Service Conferences Law enforcement officers might divert a youth suspected of a delinquent act if, in lieu of making an arrest, the officer chooses to dismiss the youth with a warning and reprimand, or to refer the youth to a social service agency This process is known as a station house adjustment Youth who are accused of committing a delinquent act directly tied to family dysfunction may be diverted, with their families, to the Family Crisis Intervention Unit The FCIU can provide services to youth and their families to resolve the immediate crisis leading to delinquency, thereby preventing the juvenile and his or her family from entering the formal court system Diversions within Family Court occur after a complaint has been filed, but prior to the case being formally heard by a judge At this point, youth may be diverted to either a Juvenile Conference Committee (JCC) or to an Intake Services Conference (ISC) First and second time offenders charged with low level delinquent offenses may be diverted first to the JCC - a committee of volunteers from the community who attempt to settle the complaint Complaints not resolved at the JCC level are referred to an Intake Service Conference An ISC is a meeting between the youth and an intake officer who attempts to settle the case Complaints not resolved at the ISC may be referred to a judge for formal disposition Diversion Programs Diversion programs are the structured services and sanctions typically provided to youth and/or their families at any point in the Diversion process A law enforcement agency or the court might operate FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 a Diversion program directly or the youth might participate in a program operated by a contracted service provider DETENTION The Detention phase/component of juvenile justice includes detention, the temporary care of juveniles and the provision of Detention Alternative Programs Detention “Detention” is defined as the temporary care of juveniles in physically restricting facilities pending court disposition (N.J.A.C 13:92-1.2) An objective of detention is to provide secure custody for those juveniles who are deemed a threat to the physical safety of the community and/or whose confinement is necessary to insure their presence at the next court hearing (N.J.A.C 13:92-1.3) Detention Alternatives Detention Alternative Programs provide supervision to juveniles who would otherwise be placed in a secure detention facility while awaiting their adjudicatory hearing, expanding the array of preadjudication placement options available to the judiciary Detention Alternative Programs/Services are not to be provided in the detention center These programs are designed to provide short-term (45 – 60 days) supervision sufficient to safely maintain appropriate youth in the community while awaiting the final disposition of their case As such, these programs help to reduce the overall detention population and relieve detention overcrowding and its related problems where it exists DISPOSITION Disposition is the phase of the juvenile justice system where youth adjudicated delinquent are ordered by the court to comply with specific sanctions, supervision, and services as a consequence for their delinquent behavior In New Jersey, the range of dispositions available to the court include but are not limited to restitution/fines, community service, probation, and commitment to the Juvenile Justice Commission For youth disposed to a term of probation supervision, among the conditions of probation that might be imposed by the court is the completion of a Dispositional Option Program The structure of these Dispositional Option Programs are varied, but common among these options are intensive supervision programs, day and evening reporting centers, and structured day and residential programs Given this goal, Disposition programs developed through the comprehensive planning process should clearly focus on providing sanctions, supervision, and services that address the known causes and correlates of delinquency When determining the appropriate disposition in a given case, the court faces the complex task of considering multiple goals, including promoting public safety, ensuring offender accountability, and providing juveniles with opportunities for personal growth and skill development through rehabilitative efforts By developing and enhancing local Dispositional Option Programs, Counties can facilitate the achievement of these goals by providing the court with the range of options that matches best the supervision and service needs of youth in their communities Research and experience indicate that well developed community-based Dispositional Option Programs can FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 effectively reduce the likelihood of continued delinquency, improving the lives of the youth they serve, and the quality and safety of the local community and its citizens REENTRY In the juvenile justice system Reentry generally refers to the period of community-based supervision and services that follows a juvenile’s release from a secure facility, residential program, or other structured dispositional placement However, for the purposes of this plan, the use of the term Reentry only applies to committed youth paroled from a Juvenile Justice Commission (JJC) facility and supervised by the JJC’s Office of Juvenile Parole and Transitional Services and to juveniles disposed to a JJC program as a condition of probation and supervised by the Department of Probation Reentry is a mechanism for providing the additional support during this transitional period that is necessary to foster the successful reintegration of juveniles into their communities Given this goal, Reentry programs developed through the comprehensive planning process should clearly focus on providing services to youth, regardless of their age, that address the known causes and correlates of delinquency By developing Reentry services that compliment the supervision provided by the JJC and Probation, Counties can increase the likelihood that juveniles returning to their communities will reintegrate successfully This type of cooperative effort in the delivery of Reentry services and supervision improves each youth’s chance of becoming productive, law-abiding citizens, which in turn enhances the safety and quality of the local communities in which these juveniles reside FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 CONTACT SHEET MUNICIPALITY: MAYOR:             Mailing Address: Telephone:       (   )       Email address: Telephone: (   )       Fax: (   )       Fax: (   )             (   )       Email Address:       Federal Identification #:       PROGRAM DIRECTOR:             Mailing Address: Telephone:       (   )       Email Address:       SECONDARY CONTACT PERSON: Title: Fax:             Mailing Address: Title: (   )             CHIEF FINANCIAL OFFICER: Title: Fax:             Mailing Address: Telephone: Email Address:       (   )             FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 JUVENILE CRIME ENFORCEMENT APPLICATION A PROBLEM STATEMENT This portion of the narrative must detail to the reader the existence of a clearly defined juvenile crime problem, based on facts, a needs assessment and statistics The data used to support the needs assessment should be the most current available and should be SPECIFIC to the area to be served by the project The needs assessment must detail HOW the needs were determined and what cooperation was provided by other agencies or jurisdictions The problem identified should be the problem the program is planning to address Provide problem statement in this format: “The problem to be addressed by this proposed project is….” Provide relevant statistics for the same time period Provide a brief explanation of the statistics provided Percentages alone are not acceptable Site the source of all data Note: The problem is never a “lack of” something, a description of the proposed intervention, or related to increasing staff       B EXISTING RESOURCES This portion of the narrative must include information that details the existing programs and/or services within the Municipality, regardless of funding source Information should include in-kind services currently available to address the identified juvenile crime problem this program is planning to address as identified in Section A: Problem Statement       FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page of 24 Program Goal:       Objectives Activities Outcomes                                                                                                             Purpose Area # Performance Measure Output # Short-Term Outcome #: Intermediate-Term Outcome # Long-Term Outcome #                         JUSTIFICATION Will a provider/services be sought through an open competitive process (Yes/No)? If no, please explain the process used to select this provider       If this profile describes a program that has been funded previously with JABG funds, indicate the outcomes that have been achieved and monitoring results that would warrant continuous funding of this program       FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 13 of 24 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 14 of 24 JUVENILE JUSTICE COMMISSION JUVENILE ACCOUNTABILITY BLOCK GRANT PROGRAM PURPOSE AREA ALLOCATIONS FFY-2011 All Juvenile Accountability Block Grant (JABG) funds received by units of local government must be used for one or more of the following 17 program purpose areas All Purpose Areas have mandatory Performance Measures Information is available at http://www.ojjdp.ncjrs.gov/jabg/purpose.html PURPOSE AREAS JABG Funds Allocated $ Graduated sanctions: Developing, implementing, and administering graduated sanctions for juvenile offenders Corrections/Detention Facilities: Building, expanding, renovating or operating temporary or permanent juvenile correction or detention facilities, including training of correctional personnel Court Staffing and pretrial services: Hiring juvenile court judges, probation officers, and court-appointed defenders and special advocates, and funding pretrial services (including mental health screening and assessment) for juvenile offenders, to promote the effective and expeditious administration of the juvenile justice system $             $       $       $       Prosecutors: Hiring additional prosecutors so that more cases involving violent offenders can be prosecuted and backlogs reduced $       $       Prosecutors (funding): Providing funding to enable prosecutors to address drug, gang, and youth violence problems more effectively and for technology, equipment, and training to assist prosecutors in identifying and expediting the prosecution of violent juvenile offenders $       $       Training for law enforcement and court personnel: Establishing and maintaining training programs for law enforcement and other court personnel with respect to preventing and controlling juvenile crime $       $       Juvenile gun courts: Establishing juvenile gun courts for the prosecution and adjudication of juvenile firearms offenders $       $       Juvenile drug courts: The establishment of drug court programs for juveniles so as to provide continuing judicial supervision over juvenile offenders with substance abuse problems and to provide the integrated administration of other sanctions and services $       $       Juvenile records system: Establishing and maintaining a system of juvenile records designed to promote public safety $       $       FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 15 of 24 $       Local Cash Match JABG Funds Allocated PURPOSE AREAS FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 16 of 24 Local Cash Match 10 Information sharing: Establishing and maintaining interagency information-sharing programs that enable the juvenile and criminal justice system, schools and social services agencies to make more informed decisions regarding the early identification, control, supervision and treatment of juveniles who repeatedly commit serious delinquent or criminal acts $       $       11 Accountability: Establishing and maintaining accountability-based programs designed to reduce recidivism among juveniles who are referred by law enforcement personnel or agencies $       $       12 Risk and needs assessment: Establishing and maintaining programs to conduct risk and needs assessments of juvenile offenders that facilitate effective early intervention and the provision of comprehensive services, including mental health screening and treatment and substance abuse testing and treatment, to such offenders $       $       13 School safety: Establishing and maintaining accountability-based programs that are designed to enhance school safety $       $       14 Restorative justice: Establishing and maintaining restorative justice programs $       $       Juvenile courts and probation: Establishing and maintaining programs to enable juvenile courts and juvenile probation officers to be more effective and efficient in holding juvenile offenders accountable and reducing recidivism $       $       16 Detention/corrections personnel: Hiring detention and corrections personnel and establishing and maintaining training programs for such personnel, to improve facility practices and programming $       $       $       $       $       $       TOTAL $       $       15 17 Re-entry: Establishing, improving, and coordinating pre-release systems and programs to facilitate the successful reentry of juvenile offenders from state or local custody in the community Administrative Expenditures: Maximum 5% of Total Allocation CASH MATCH SOURCE:       FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 17 of 24 BUDGET & NARRATIVE The Budget should be used to list the proposed amount in each line item and purpose area of a potential subgrant award; For the purpose of reporting expenditures, each subgrantee must submit Quarterly Narrative and Quarterly Fiscal reports on the Juvenile Automated Management System (JAMS) Paper reports will not be accepted Should you have any questions, contact Phil Lynch at the Juvenile Justice Commission, 609-3415354 PLEASE NOTE       Up to 5% of the total allocation may be used for administration JABG funds may be used to enhance existing program activities, but CANNOT replace funds which have been appropriated for the same purpose The required cash match is at least 10% of the TOTAL PROGRAM COST A 50% match is required for construction projects Unit = entity of measure (i.e each, case, hour, mile) Unit Cost = Dollar amount per unit (i.e $10 per hour) Item Total = Unit Cost x Quantity ($10 p/hr x 10 hrs = $100 Item Total) FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 18 of 24 PROPOSED BUDGET FORM FEDERAL SHARE (JABG Funds) BUDGET CATEGORY A SALARIES AND WAGES Cash Match PROJECT TOTAL $      $      $      $      $      $      B PURCHASE OF SERVICES $      $      $      C TRAVEL, TRANSPORTATION $      $      $      $      $      $      $      $      $      F EQUIPMENT $      $      $      G ADMINISTRATION (up to 5% of total federal allocation) $      $      $      $      $      $      - FRINGE BENEFITS D CONSUMABLE SUPPLIES, POSTAGE, PRINTING E FACILITIES, OFFICE SPACE, UTILITIES, EQUIPMENT RENTAL TOTAL MUNICIPLAITY:       IMPLEMENTATING AGENCY:       PROGRAM DURATION:       TO       Identify Cash Match Source:       * Up to 5% of the total federal allocation to the municipality may be used for administration costs Any funds allocated for administrative costs must be used to directly support the administration of the JABG program FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 19 of 24 BUDGET NARRATIVE A Salaries and Wages: Funds in the amount of $      will pay for       B Purchase of Services: Funds in the amount of $      will pay for       C Travel and Transportation: Funds in the amount of $      will pay for       D Consumable Supplies: Funds in the amount of $      will pay for       E Facilities Costs: Funds in the amount of $      will pay for       F Equipment: Funds in the amount of $      will pay for       A Administration: Funds in the amount of $      will pay for       FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 20 of 24 JUVENILE ACCOUNTABILITY BLOCK GRANT CERTIFIED ASSURANCES/SPECIAL CONDITIONS The Certified Assurances/Special Conditions have been developed to reduce the amount of paperwork required under the Juvenile Accountability Block Grant (JABG) Program In cases where requirements cannot be certified, written justification must be attached This document must be signed by the Mayor of the unit of local government GENERAL/PROGRAMMATIC CONDITIONS The unit of local government will administer the JABG grant in conformity with (i) General conditions applicable to administration of grants under the current Federal Acts; (ii) Conditions Applicable to the Fiscal Administration of Grants under the current Federal Acts; and (iii) any Special Conditions contained in the grant award YES The unit of local government agrees that it will comply with all applicable federal, State and local laws, rules and regulations, including but not limited to State and local laws relating to safeguarding of client information, the federal Civil Rights Act of 1964 (as amended); P.L 1975, Chapter 127 of the State of New Jersey and associated executive orders pertaining to affirmative action and the non-discrimination in public contracts; the federal Equal Employment Opportunity Act; Section 504 of the federal Rehabilitation Act of 1973 pertaining to non-discrimination on the basis of disability, and requirements thereunder; the American With Disabilities Act Failure to comply with the laws, rules and regulations referenced above shall be grounds to terminate the unit of local government’s participation in the JABG program YES NO The unit of local government assures that it has established a Juvenile Crime Enforcement Coalition (JCEC) which contains the required membership The membership list is attached YES NO NO The unit of local government agrees to develop, in conjunction with its Juvenile Crime Enforcement Coalition, a Coordinated Enforcement Plan for Reducing Juvenile Crime that is based on an analysis of juvenile justice system needs The analysis should determine the most effective uses of funds, within the seventeen JABG program purpose areas, to achieve the greatest impact on reducing juvenile delinquency, improving the juvenile justice system, and increasing accountability for juvenile offenders YES NO FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 21 of 24 The unit of local government agrees to have implemented or agree to implement within 60 days of the grant award for JABG funds, a policy of testing appropriate categories of juveniles within the juvenile justice system for use of controlled substances YES NO The unit of local government certifies that it complies with the Certification Regarding Lobbying; Debarment, Suspension, and Other Responsibility Matters; and the Drug-Free Workplace Requirement A signed Certification is enclosed YES NO The Municipality assures that each RFP for services of the Juvenile Accountability Block Grant shall require: 1) 2) 3) that providers procure and maintain in good standing all permits, grants and licenses, including any renewals required during the term of the contract; that provider’s employees, subcontractors and employees of subcontractors obtain and maintain in good standing during the term of their work on the contract all professional licenses required for services to be provided; and that providers submit to the Municipality copies of all permits, grants and licenses, including but not limited to all required professional licenses, prior to contract execution, and copies of any and all renewals of the permits, grants and licenses when obtained YES NO FISCAL REQUIREMENTS The unit of local government assures that fiscal control, fund accounting, auditing and monitoring procedures and such records as the Juvenile Justice Commission will prescribe shall be maintained and provided to assure fiscal control, proper management and efficient disbursement of funds received YES The unit of local government assures that JABG funds will not be used to supplant State or local funds JABG funds will be used to increase the amount of funds that would otherwise be available from State and local sources YES 10 NO NO The unit of local government agrees that it will provide (in the form of a cash match) 10% of the total program cost (other than costs of construction of permanent corrections facilities, which require a 50% cash match) YES NO FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 22 of 24 CERTIFICATION I certify that this FFY 2011 JABG Application meets all of the requirements of the Juvenile Accountability Block Grant Program (JABG), that all information presented is correct and the unit of local government will comply with the provisions of the JABG I certify that the foregoing statements made by me are true I am aware that if any of the foregoing statements made by me are willfully false, I am subject to sanctions Signature of Mayor DATE Type Name of Official and Title       Required Attachments: Copy of Juvenile Crime Enforcement Coalition Meeting Minutes approving the Application Copy of the Controlled Substance Testing Policy for Juveniles FFY 2011 U.S DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS 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 (Non pro-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 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 23 of 24 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 connection 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 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 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 certify and disclose accordingly 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 prospective 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 debarment, declared ineligible, sentenced to a denial of Federal benefits by a State 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 application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State 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 B Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application 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— OJP FORM 4061/6 (3-91) REPLACES OJP FORMS 4061/2, 4061/3 AND 4061/4 WHICH ARE OBSOLETE FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 24 of 24 (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 conviction 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-tification number(s) of each affected grant; (f) 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 enforcement, 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 (f) 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, state, zip code)             Check here if there are workplaces on file that are not identified Section 67, 630 of the regulations provides that a grantee that 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 4061/7 if the State has elected to complete OJP Form 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 Part 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 activity 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 Grantee Name and Address:       Application Number and/or Project Name       Grantee IRS/Vendor Number       Typed Name and Title of Authorized Representative       Signature Date *U.S Government Printing Office: 1996 - 405-037/40014 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 25 of 24 Planning Body Juvenile Crime Enforcement Coalition Members NAME POSITION/REPRESENTATIVE       Police Department       Sheriff Department       Prosecutor       Public Defender       Probation Services       Juvenile Court       Educational Agency       Business       Religious affiliated, nonprofit or social service organization involved in crime prevention                                                                                                             Provide the date and minutes that the JCEC approved this FFY11 Application for the Juvenile Accountability Block Grant:       Indicate with an asterisk (*) next to the names of the JCEC Members that were present at the meeting FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 26 of 24 FFY 2011 JUVENILE ACCOUNTABILITY BLOCK GRANT Juvenile Crime Enforcement Application Page 27 of 24