HomeMy WebLinkAbout138-11 RESOLUTIONRESOLUTION NO. 138-11
A RESOLUTION AUTHORIZING ACCEPTANCE OF A GRANT IN THE
AMOUNT OF $31,500.00 FROM THE OFFICE OF INTERGOVERNMENTAL
SERVICES DIVISION OF THE ARKANSAS DEPARTMENT OF FINANCE
AND ADMINISTRATION TO ENFORCE UNDERAGE DRINKING LAWS,
AND APPROVING A BUDGET ADJUSTMENT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby authorizes
acceptance of a grant in the amount of $31,500.00 from the Office of Intergovernmental Services
Division of the Arkansas Department of Finance and Administration to enforce underage
drinking laws.
Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a
budget adjustment, a copy of which is attached as Exhibit "A".
PASSED and APPROVED this 16th day of August, 2011.
APPROVED:
ATTEST:
By. a
SONDRA E. SMITH, City Clerk/Treasurer
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City of Fayetteville, Arkansas
Budget Adjustment Form
V11.0425
Budget Year
2011
Division: Police
Department: Police
Request Date
7/28/2011
Adjustment Number
BUDGET ADJUSTMENT DESCRIPTION / JUSTIFICATION
Record the acceptance of the 2011-2012 Enforcing Underage Drinking Laws Grant in the amount of $31,5000.
Division Head Date
Department Di
Finan Director
Chief Staff
a or
Date
Date
-3l-20Lt
Date
V'! r1�
Date
Date
Prepared By: Judy Cohea
Reference:
#NAME?
Budget & Research Use Only
Type: A B C E P
General Ledger Date
Posted to General Ledger
Checked / Verified
TOTAL BUDGET ADJUSTMENT
Initial Date
Initial Date
31,500 31,500
Increase / (Decrease) Project.Sub
Account Name Account Number Expense Revenue Number
Personnel Svcs - Contra
Crime prevent/investigate
1010.2920.5120.00 28,940
1010.2920.5201.00 2,560
State Grants -Operational 1010.0001.4302.01
08068 . 2011
08068. 2011
31,500 08068 . 2011
H:\underage Drinking Enf 2011-12\BA rec grant rev and exp.xls
1 of 1
G Tabor
Submitted By
City of Fayetteville Staff Review Form
City Council Agenda Items
and
Contracts, Leases or Agreements
8/16/2011
City Council Meeting Date
Agenda Items Only
Patrol
Division
Action Required:
Police
Department
Approval of the non-matching grant award for Enforcing Underage Drinking Laws Grant and budget adjustment in the
amount of $31,500.00.
31, 500.00
Cost of this request
1010-2920-5120.00
Account Number
08068- 2011
Project Number
Budgeted Item
Category / Project Budget
Underage Drinking Prevention Grant
Program Category / Project Name
Grant
Funds Used to Date Program / Project Category Name
General
Remaining Balance Fund Name
Budget Adjustment Attached
Department Di
rney
APS,
Finance and Internal Services Director
X
Previous Ordinance or Resolution #
Date
0-'0
1
Date
-3t-zot
Date
Date
Original Contract Date:
Original Contract Number:
Received in City ? — r, 7 1 1 P () t :
Clerk's Office
Received in
Mayor's Office
f'
Comments:
Revised January 15, 2009
'Fa et:eville
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENT CORRESPONDENCE
ARKANSAS
www.accessfayettevIlle.org
CITY COUNCIL AGENDA MEMO
To: Mayor Lioneld Jordan and Members of the City Council
From: Greg Tabor, Chief of Police
Date: July 27, 2011
Subject: Enforcing Underage Drinking Laws Grant
PROPOSAL:
The Office of Intergovernmental Services Division of the Arkansas Department of Finance and
Administration has awarded a grant in the amount of $31,500.00 to the Fayetteville Police Department to
enforce underage drinking laws. The Fayetteville Police Department will use these funds to offset the
expenditure of a number of details to monitor and inspect alcohol permitted outlets in the enforcement of
underage drinking laws throughout the year. This will include overtime and crime prevention supplies. This is
a reimbursement grant with no matching funds required.
RECOMMENDATION:
Staff recommends approval the non-matching grant award for Enforcing Underage Drinking Laws and a
budget adjustment in the amount of $31,500.
BUDGET IMPACT:
A budget adjustment is attached accepting the award.
RESOLUTION NO.
A RESOLUTION AUTHORIZING ACCEPTANCE OF A GRANT IN THE
AMOUNT OF $31,500.00 FROM THE OFFICE OF INTERGOVERNMENTAL
SERVICES DIVISION OF THE ARKANSAS DEPARTMENT OF FINANCE
AND ADMINISTRATION TO ENFORCE UNDERAGE DRINKING LAWS,
AND APPROVING A BUDGET ADJUSTMENT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby authorizes
acceptance of a grant in the amount of $31,500.00 from the Office of Intergovernmental Services
Division of the Arkansas Department of Finance and Administration to enforce underage
drinking laws.
Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a
budget adjustment, a copy of which is attached as Exhibit "A".
PASSED and APPROVED this 16th day of August, 2011.
APPROVED: ATTEST:
By: By:
LIONELD JORDAN, Mayor SONDRA E. SMITH, City Clerk/Treasurer
Attachment 1
Grantee Acknowledgement of EUDL Grant Requirements
and Restrictions
I, Lioneld Jordan. , agency head fur City of Fayetteville
acknowledge the specific requirements outlined in the Notification ofAwarrd
I will ensure the timely submission of all reports and will ensure the reimbursement requests are
submitted only for qualified expenses and for only the approved amounts as outlined in the
Approved Budget.
Contact information: 100 A. West Rock Street. Fayetteville. AR 72701
Lioneld Jordan
Mayor
Agency He - Printed Name Title
gn
urc
8/16/2011
Authorized Agent/Award Manager contact information:
Name: Craig Stout
Date
Title: SArppant
Phone: (479) 587-3580
Other: cstrx it@ci fayPttPvillP arils
Alternate Person contact information: (at least one required)
Name: Greg Tabor Title: Chief of Police.
Phone: (479) 587-3500
Other: gtabor( ci.fayetteville.ar.us
Name: Judy Cohea
Phone: (479) 587-3581
Other:
Title: Support Services Manager
ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION
OFFICE OF INTERGOVERNMENTAL SERVICES
ENFORCING UNDERAGE DRINKING LAWS
MINI -GRANT BUDGET SPREADSHEET
Cops -N -Shops
<List line item>
6 officers x 7 hrs x S35.00
6 officers x 7 hrs x S35.00
6 officers x 7 hrs x 535.00
6 officers x 7 hrs x $35.00
6 officers < 7 hrs x $35.00
6 officers x 7 hrs x $35.00
6 officers x 7 hrs x $35.00
6 officers x 7 hrs x $35.00
6 officers x 7 hrs x $35.00
TOTAL CATEGORY AMOUNT
Individual Line Item (amounts)
51.470.00
51,470.00
$1,470.00
$1,470.00
$1,470.00
$1,470.00
$1,470.00
$1,470.00
$1,470.00
313,230.00
Bar Patrol
<List line item>
6 officers x 5 officers x $35.00
6 officers x 5 officers x $35.00
6 officers x 5 officers x $35.00
6 officers x 5 officers x $35.00
6 officers x 5 officers x S35.00
6 officers x 5 officers x S35.00
TOTAL CATEGORY AMOUNT
Individual Line Item (amounts)
$1,050.00
$1,050.00
$1,050.00
31.050.00
51.050.00
51.050.00
36,300.00
Comptlance Checks
(2 officers .< 3 hrs x $35.00) + (1 minor x 3 hrs x S10.00)
(2 officers x 3 hrs x $35.00) - (1 minor x 3 hrs x S10.00)
(2 officers x 3 hrs x 535.00) + (1 minor x 3 hrs x $10.00)
(2 officers x 3 hrs x $35.00) + (1 minor x 3 hrs x $10.00)
(2 officers x 3 hrs x $35.00) + (1 minor x 3 hrs x $10.00)
(2 officers x 3 hrs x $35.00) + (1 minor x 3 hrs x $10.00)
(2 officers x 3 hrs x $35.00) + (1 minor x 3 hrs x $10.00)
(2 officers x 3 hrs x $35.00) + (1 minor x 3 hrs x $10.00)
TOTAL CATEGORY AMOUNT
Individual Line Item (amounts)
$240.00
$240.00
$240.00
$240.00
$240.00
$240.00
S240.00
3240.00
31 920.00
Bikes. Blues, BBQ
<List Zine item>
4 officers x 8hrs x $35.00 (Bar Patrol)
4 officers x 8hrs x $35.00 (Bar Patrol)
<List line item>
<List line item>
<List line item>
TOTAL CATEGORY AMOUNT
Individual Line Item (amounts)
$1,120.00
$1,120.00
$0.00
$0.00
$0.00
2,, 40.00
U of A Football Games
asst line item>
4 officers x 5hrs x S35.00 (pre -game Cops -N -Shop)
6 officers x 5hrs x $35.00 (post game bar patrol)
4 officers x 5hrs x $35.00 (pre -game Cops -N -Shop)
6 officers x 5hrs x $35.00 (post game bar patrol)
4 officers x 5hrs x $35.00 (pre -game Cops -N -Shop)
6 officers x 5hrs x $35 00 (post game bar patrol)
Individual Line Item (amounts)
$700.00
$1,050.00
$700.00
S1,050 00
$700.00
$1,050.00
<List line item>
TOTAL CATEGORY AMOUNT
30.00
$6,250.00
Education Efforts
<List line item>
2 officersx 2 hrs x $35.00
2 officersx 2 hrs x $35 00
2 officersx 2 hrs x 535.00
2 officersx 2 hrs x 535.00
2 officersx 2 hrs x S35.00
2 officersx 2 hrs x S35.00
2 officersx 2 hrs x 535.00
TOTAL CATEGORY AMOUNT
Individual Line Item (amounts)
$140.00
$140.00
$140 00
$140.00
$140.00
$140.00
$140.00
$980.00
[Advertising & Training
<List line item>
Materials for Program in Entertainment District
<List line item>
<List line item>
<List line item>
TOTAL CATEGORY AMOUNT
TOTAL OF ALL CATEGORY AMOUNTS
1
Individual Line Item (amounts)
$1,580.00
$0.00
$0.00
$0.00
$
$31,800.00
MaY9r
TITLE
_a 161.011
0A1E
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHERRESPOTVSIBIL ERSr AND DRUG -FREE -WORKPLACE REQUIREMENTS- -
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the Instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying' and 28 CFR Part 67, "Government -wide Debarment and Suspension (Nonpro-curement) and
Government -wide Requirements for Drug -Free Workplace (Grants): The certifications shall be treated as a material
representation of fact upon which reliance will be placed whon the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
irrtplemented at 26 CFR Part 69, for persons entering into a
grant or cooperative agreement over $100,000, as defined at
28 CFR Part 68, the applicant certifies that:
;a) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for in-
fluencing or attempting to Influence an officer or employee of any
agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con-
nection with the making of any Federal grant, the entering into
of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal grant or
cooperative agreement;
(b) If any funds other than Federal appropriated funds have
been paid or will be paid to any person for influencing or at-
tempting to influence an officer or employee of any agency, a
Member of Congress. an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL. 'Disclosure of
Lobbying Activities," in aocordance with its instructions;
(c) The undersigned shah require that the language or this eer-
lification be included in the award documents for all subawards
at all tiers (including subgranls, contracts under grants and
cooperative agreements, and subcontracts) end thal all sub -
recipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 28 CFR Part 67, for prospec-
tive participants in primary covered transactions, as defined at
28 CFR Part 67. Section 67.510—
A. The appticant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debar-
ment. declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department
or agency;
{b) Have riot within a three-year period preceding this applica-
tion been convicted 01 cr had a civil judgment rendered against
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or performing a
public (Federal, State, cr 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. Sale, or
local) with commission of any of the offenses enumerated in
paragraph (1)(b) of Ibis certification; and
(d) Have not within a three-year pericd preceding this applica-
tion had one or more public transactions (Federal, State, or
local) terminated lur cause or default; 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.
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act 011986, and
implemented al 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67 Sections 87.615 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 prohibtlion;
(b) Establishing an on-going drug-free awareness program to
inform employees about—
(1) The dangers 01 drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug -tree 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) Nntifying 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) REPLACCS OJP FORMS 4061/2, 4061/3 AND 4061/4 WHICH APE OBSOLETE.
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his er her conviction for a
violation of a criminal drug statute occurring in the workplace
no later then five calendar days atter 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 convic-tion.
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 rehablitation program approved for
such purposes by a Federal, State, or local health, law enforce-
ment, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (a), (b),
(c), (d), (e), and (f).
S. The grantee may insert in th a 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)
Ctte IrdieTicerkflYdrkptac flirt harare-notirrdentlfled
here.
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 ler Department of Justice funding. Stales and State
agencies may elect to use OJP Form 4061/7.
Check ❑ if the State has elected to complete OJP Form
406117.
DRUG-FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug -Free Workplace Act al 1988, and
implemented al 28 CFR Part 67, Subpart F, for grantees. as
defined al 28 CFR Part 67; Sections 67.615 and 67.620—
A. As a condition of the grant, 1 certify that I will not engage
in the unlawful manufacture, distriibuticn, dispensing, posses-
sion, or use of a controlled substance In conducting any
activity with the grant; and
13. IE convicted of a criminal drug offense resulting From a
violation occurring during Vie conduct of any grant activity, 1
will report the conviction. in writing, within 10 calendar days
of the conviction, to: Department of Justice. Office ol Justice
Programs. ATTN: control DaSk, 633 Indiana Avenue, N.W..
Washington, D.C. 20531.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
1. Grantee Name and Address:
Cit of Fa etteville 100
r A- :• .
2. Application Number and/or Project Name
Enforce Underage Drinking Laws
4. Typed Name and Title of Authorized Representative
3. Grantee IRS/Vendor Number
71- 0184fi
5. Signal- e
8/16/2011
6. Date
.U.S Govemmen1 Pointing Office: l 5 - 405.037140014
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions
(Sub -Recipient)
This certification is required by the regulatioons implementing Executive Order 12549, Debarment and
Suspension, 28 CFR Part 67, Section 67.510, Participants' responsibilities. The regulations were published as
Part Vil of the May 26, 1988 Federal Register (pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department of agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this
certificaiton, such prospective participant shall attach an explanation to this proposal.
Lioneld Jordan, Mayor
Name and Tit - of Authorized Representative
•
Sig •tu e
City of Fayetteville
Name of Organization
8/16/2011
Date
100 A. West Rock St Fayetteville, AR 72701
Address of Organization
OJP FORM 406111 (REV. 2/89) Previous editions are absolete
ASSURANCES
The Applicant hereby assures and ccrtifics compliance with all Federal statutes, regulations, policies, guidelines, and requirements, including OMB
Circulars No. A-21, A-87, A-110, A-122, A -I33; E.O. 12372 and Uniform Administrative Requirements for Grants and Cooperative Agreements —
28 CFR, Part 66, Common Rule, that govern the application, acceptance and use of Federal funds for thin federally assisted project Also the
Applicant assures and certifies that;
I. It possesses legal authority to apply for the grant; that a
resolution, motion or similar action has been duly adopted or
passed as an uncial act of the applicant's governing body,
authorizing the tiling of the application, including all
understandings and assurance contained therein, and directing
and authorizing the person identified as the official
representative of the applicant to act in connection with the
application and to provide such additional information as may
be required.
2. It ensures that individuals with limited English proficiency
(LEP) wit] be provided access to its program and activities.
3_ It will comply with requirements of the provisions of the
Uniform Relocation Assistance and Real Property Acquisitions
Act of 1970 (P.L. 91-646) which provides for fair and equitable
treatment of persons displaced as a result of Federal and
federally — assisted programs.
4. It will comply with provisions of Federal law which limit certain
political activities of employees of a State or local unit of
government whose principal anploymcnt is in connection with
an activity financed in whole or part by Federal grants or
subgrants. (5 USC 1501, et. seq.)
5. It will comply with the minimum wage and maximum hours
provision of the Federal and State Fair Labor Stundurds Act if
applicable.
6. It will establish safeguards to prohibit employees from using
their positions for a purpose that is or gives the appearance of
being motivated by a desire for private gain for themselves or
others, particularly those with whom they have family, business,
or other tics.
7. It will give the Department of Finance and Administration, or
the Comptroller General, through any authorized representative,
access to and the right to examine all records, books, papers, or
documents related to the subgrant
8. It will comply with all requirements imposed by the Federal
sponsoring agency or the Department of Finance and
Administration concerning special requirements of law, program
requirements, and other administrative requirements.
9. It will ensure that the facilities under its ownership, lease or
supervision wfiich shall be utilized in the accomplishment of the
project arc not listed on the Environmental Protection Agency's
(EPA) list of Violating Facilities and that it will notify the
Department of Finance and Administration and the Federal
grantor agency of the reciept of any communication from the
Director of the EPA Office of Federal Activities indicating that a
facility to be used in the project is under consideration for listing
by the EPA.
10, It will comply with the flood insurance purchase requirements of
Section 102 (a) of the Flood Disaster Protection Act of 1973,
Public Law 93-234, 87 Stat. 975, approved Dkeember 31, 1976,
Section 102 (a) requires, on and after March 2, 1975, the
purchase of flood insurance in communities where such
insurance is available as a condition for the reciept of any
Federal financial assistance for construction or acquisition
purposes for use in any awe that has been identified by the
Secretary of the Department of Housing and Urban
Development as an arca having special flood hazards. The
phrase "Federal financial assistance" includes any form of ban,
grant, guaranty, insurance payment, rebate, subsidy, disaster
assistance loan or grant, or any other form of direct or indirect
Federal assistance.
11. It will assist the Federal grantor agency in its compliance with
Section 106 of the National Historic Preservation Act of 1466 as
amended (16 USC 470), Executive Order 11593, and the
Archeological and Historical Preservation Act of 1966 (16 USC
569 a-1 et seq.) by (a) consulting with the State Historic
Preservation Officer on the conduct of investigations, as
necessary, to identify properties listed in or eligible for inclusion
in the National Register of historic Places that arc subject to
adverse effects (see 36 CFR Part 800.8) by the activity, and
notifying the Federal grantor agency of the existence of any such
properties, and by (b) complying with all requirements
established by thc Federal grantor agency to avoid or mitigate
adverse effects upon such properties.
12. It will comply, and assure the compliance of all its subgrantees
and contractors, with the applicable provisions of 'Title 1 of the
Omnibus Crime Control and Safc Streets Act of 1968, as
amended, the Juvenile Justice and Delinquency Prevention Act,
or thc Victims of Crime Act, es appropriate; the provisions of
the current edition of the Office of Justice Programs Financial
and Administrative Guide for Grants, M7101}.1; and all other
applicable Federal laws, orders, circulars, or regulations.
13. It will comply with the provisions of 28 CFR applicable to
grants and cooperative agreements including Part 18,
Administrative Review Procedure; Part 20 Criminal Justice
Information Systems; Part 22 Confidentiality of Identifiable
Research and Statistical information; Part 23, Criminal
Intelligence Systems Operating Policies; Part 30
Intergovernmental Review of Department of Justice Program
and Activities; Part 42, Nondiscrimination/Equal Employment
Opportunity Policies and Procedures; Part 61, Procedures for
Implementing the National Environmental Policy Act; Part 63,
Fluodplain Management and Wetland Protection Procedures;
and Federal laws or regulations applicable to Federal Assistance
Programs.
1
14. It will comply, and all its contractors, with the
nondiscrimination requirements of the Omnibus Crime Control
and Safe Streets Act of 1968, as amended, 42 IJSC 3789 (d), or
Victims of Crime Act (as appropriate); Title VI of the Civil
Rights-ob1-9$4 zt_s-amended; etion-5 ofrtlre Rcbabiiitatinrr
Act of 1973, as amended; Subtitle A, Title 11 of the Americans
with Disabilities Act (ADA) (1990); Title IX of the Education
Amendments of 1972; the Age Discrimination Act of 1975;
Department of Justice Non-Discritnination Regulations, 28 CFR
Part 42, Subparts C, D, E, and G; and Department of Justice
regulations on disability discrimination, 28 CFR Part 35 and Part
39.
15. In the event a Federal or State court, or Federal or State
administrative agency makes a finding of discrimination after a
due process hearing an the grounds of race, color, religion,
national origin, sex, or disability against a recipient of funds,
the recipient will forward a copy of the finding to the
Department of Finance and Administration, Office of
Intergovernmental Services.
16. It will provide an Equal Employment Opportunity Program if
required to maintain one, where the application is for $500,000
or mote.
17. It wilt comply with the provisions of the Coastal Hamer
Resources Act (P.L 97-348) dated October 19, 1982 (16 USC
3501 et seq.) which prohibits the expenditure of most new
Federal funds within the units of the Coastal Barrier Resources
System.
18. Will comply, as applicable, with provisions of the Haat Act (5
USC 1501-1508 and 7324-7328) which limits the political
activities of employees whose principal employment activities
are funded in whole or in part with Federal funds.
19. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act
Amendments of 1996 and OMB Circular No. A-133, "Audits of
States, Local Governments, and Non -Profit Organizations" and
Deparunent of Finance and Administration audit requirements.
20. It will have complete and well -organized books, records and
other original documentation relating to any and all subgrant
expenditures, reimburcetnent or payment claims, reciept of
funds, personnel employed, services rendercd, individuals
served, and all other records pertinent to the subgrant award.
Furthermore, its bookkeeping shall be adequate to track the
receipt and expenditure of all organizational funds, separately.
It shall also maintain a functioning internal control structure
which includes accounting and service delivery procedures that
segregate subgrant funds from other organization funds and
services.
Signature of Authorized Official / Date
w
21. It will provide for fund accounting, auditing, monitoring and
evaluation procedures, as necessary to keep such records as the
Department of Finance and Administration shall prescribe, to
assure fiscal control, proper thnd management and effective
dish w see tentof-funabrreceivedmndertheambgrant awar d.
22. No income eligibility standard will be imposed on individuals
receiving assistance or services supported with funds
appropriated or designated to carry out the subgrant prddeet.
23. Subgrant funds made available ander this subaward will not be
used as direct payment of cash or any other monetary transaction
with any victim or dependent of a victim for any purpose,
24.
25.
It will not, and all its subgrantccs and contractors will not, hire
illegal aliens.
That the address or location of any shelter -facility assisted under
the subgrant project will not be made public, except with the
written authorization of the pc son or persons responsible for the
operation of such shelter.
26. it will comply with the Department of Finance and
Administration, Office of Intergovernmental Services, Subgrant
Administration Guide (Juno 2002, as amended, or its successor).
27. It will comply, and assure the compliance of all its subgrantees
and contractors, with the disclosure required by Governor's
Executive Order 98-04 and acknowledges that disclosure is a
condition of the subgrant award and that the Department of
Finanoe and Administration cannot enter into any such subgrant
award for which disclosure is not made.
Failure to make any disclosure required by Governor's
Executive Order 98-04, or any violation of any rule, regulation,
or policy adopted pursuant to that Order, shall be a material
breach of the terms of a subgrant award. Any subgrantee who
fails to make the required disclosure or who violates any rule,
regulation, or policy shall be subject to all legal remedies
available to the Department of Finance and Administration,
28. Public Law 103227, Part C Environmental Tobacco Smoke, also
known es the Pro Children Act of 1994, requires that smoking
not be permitted in any portion of any indoor routinely owned or
leased or contracted for by an entity and used routinely or
regularly for provision of health, day care, education, or library
services to children under rite age of 18, if the services are
funded by Federal programs either directly or through State or
Local governments, by Federal grant, Contract, loan, or loan
guarantee_ The law does not apply to children's services
provided in private residences, facilities funded solely by
Medicare or Medicaid funds, and portions of facilities used for
inpatient drug or alcohol treatment. Failure to txanply with the
provisions of the law may result in the imposition of a civil
monetary penalty of tip to $1,000 per day andlor the imposition
of an administrative compliance order on the responsible entity.
2
CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM
Failure to Cain • lege hal the following intonation ria result In dela in obtalnin a contract tease • rchase a • regiment, or grant award with an Arkansas State A•
SUBCONTRACTOR: suBcoNTRACTUR NAME;
❑ Yes ®No
TAXPAYEPIDNAME. City of Fayetteville
TOUR LAST NAME: Jordan
IS THIS FOR:
❑ Goods? ❑ Services?El Both?
FIRST NAME: Lioneid
ADDRESS: 11 W. Mountain Street
env: Fa -tteviilf
AS A COND •NOF OBTAIN
STATE: AB ZIP coDE: 72701 -
-
couwmY: United States
NDIN AMENDING OR RENEWING A CONTRA LEAS PURCHASE AGREE
OR GRANT AWARD WITH ANY ARKANSAS STATE AGENCY. THE FOLLOWING INFORMATION MUST BE DISCLOSED:
FOR INDIVIDUALS*
Indicate below if: y0Jl„ your sponse or the brother, sister, parent, or child of you or your spouse is current or former: member o' the General Assembly, Grorrat[tufional orfloor, State Board or Commtsslen
•
Position Held
I
Mark (v) ;Name
'
of Position of Job Held
'senator, representative, name or
boarc+J commission, data entry, etc.]
For How Long?
What is the person(s) nam e and how are they related to you? 1
[Le., Jane Q. Public, spouse, John Q. Public, Jr., child, etc.]
currant
FOrrtler
From 1 To
1.1M/YY { MWV?
Person's !Venters)
Relation
General Assembif
To
,r
f]
0
r
n
Constitutional Of-
icer
o
0
Constitutional QiiCer
State Board orC■mraission
Member
G
State Board or Commission
Member
State Etnoloyee
o
o
0
❑ None of the Above applies
FOR AN ENTITY (BUSINESS) *
Indicate below if ary of the following persons, current or forrr:er, hold any position of contra: or hold any ovmerehip irttorost of 10% or greater in the entity: member of the General Assembly, Constitutional
Officer, State Board pr Commission Member, State Employee, or the spouse, brother sister, parent, or chill of a me<nt:e• of the General Assembly, Ccrstitutlonal Officer, State Board or Commiss on
nao,,,r,a. �r cmc r,,.,,r - vr�a;nn of rettIw.I macer a t>,w nnwPr to direct the nurchasino nolicles or influen a the rtwnaeement of the entity.
None of the above applies
Mark (i)
Name of Position of Job Hall
For I -low Long?
What is the person(s) name and who- his'her % of ownership interest ancllot
what is hlsdher positler of control?
Position Held
---9---
Cu -rent
Former
[senator representative, name of
boardtoommission, data entry, etc.)
From
luyy�,
To
,r
Person's Name(s)
Ortership Position cf
•t►Interest (%) Control
General Assembly
n
0
Constitutional QiiCer
Q
State Board or Commission
Member
o
Q
State Employee
0
0
_
None of the above applies
Contract and Grant Disclosure and Certification Form
Failure to make anv di ctojure required by Governor's Executive Order 98-04. or anv violation of any ruk. regulation. or oolicv adopted pursuant to
that Order, s be a material breach of the terms <this connuct Arty contractor. 146alig an individual or entity. who fails to make the required
disclosure or o violates any rule,reiulation. or policy shall be subject to all legal remedies available to the agentµ
As an additio
1. Prior to ent
CONTRACT
whereby
of my co
2. 1 will includ
Failure
pursu
violates
3. No later thr
copy of the
condition of obtaining, extending, amending. or renewing a centracLwith a state agency I agree as follows:
ring into any agreement with any subcontractor, prior or subsequent to the contract date, I will require the subcontractor to complete a
GRANT DISCLOSURE AND CERTIFICATION FORM. Subcontractor shall mean any person or entity with whom I enter an agreement
ign or otherwise delegate to the person or entity, for consideration, all, or any part, of the performance required of me under the terms
ct with the state agency.
the following language as a part of any agreement with a subcontractor:
to make any disclosure required by Governor's Executive Order 98-04, or any violation of any rule, regulation, or policy adopted
to that Order, shall be a material breach of the terms of this subcontract. The party who fails to make the required disclosure or who
any rule, regulation, or policy shall be subject to all legal remedies available to the contractor.
n ten (10) days after entering into any agreement with a subcontractor, whether prior or subsequent to the contract date, I will mail a
CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM completed by the subcontractor and a statement containing the dollar
_...__.._ _ _ ....Y
_
l certify under penalty of perjury, to the best of my knowledae and ballef, all of the above information is true and correct and
that 1 aareetb the ubco ' - disclosure conditions stated herein.
SignatureTitle
Mayor Date 8/16/2011
Vendor Contact
i�
Person Greg Tobor Title Chief of Police Phone No. (479)587-3500
Agency use only^
Agency
Number
Agency Agency Contact Contract
Name Contact Person Phone No. or Grant No.