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RES 2010-0844 - App and grant award for police officer to attend DRE Conference cAHA,4,4, ti� �e�, � � � Officeofthe Ma or_ 1' "' 181a Famam Street,Suite 300 R: Omaha,Nebraska6,4S:5300ro 1,4 ! +` (_ .tti="` (402)444-6059D FEBR�r� � �� � a ��:'�'a"��'�,� *�¢�� FAY:(402)444-G059 City of Omaha y° Jim Suttle,Mayor Honorable President And Members of the City Council, Attached is a Resolution authorizing the City of Omaha to accept a Mini-Grant Contract award,#NOHS 20-601, in the amount of$1,225.00 from the State of Nebraska Depaitiiient of Motor Vehicles,Nebraska Office of Highway Safety, for traffic enforcement training to the Omaha Police Department. This award will provide direct reimbursement for one(1)police officer to attend the 1611'Annual Drug Recognition Experts (DRE)Conference in Pittsburgh,PA on July 22-24, 2010, focused on drug, alcohol and impaired driving enforcement There is no required match for this grant. • Your favorable consideration and adoption of the Resolution is respectfully requested. Respectfully submitted, Approved as to Funding: . 5dytir 7/720(6 .,65,___ 7,/, id Suttle, Mayor ate . Pam Spaccarotella Date City of Omaha Finance Director Approved: • /Va 7/7hO Thomas MarfisiC E Date Human Rights and 'Relations P:/MYR/1055ajg for these improvements be approved; and, WHEREAS,the Mayor has recommended acceptance of these improvements. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, costs in the amount of $25,000, which includes $6,560 for soft costs for public park improvements to include construction of a small ballfield for neighborhood use in Lakeside Hills Park, located at 175th Avenue and Frances Street, are hereby approved. FURTHER THAT, these costs incurred by S&ID No. 398 to make these improvements are a 100%obligation of S&ID No. 398, Banyan Hills. APPROVED AS TO FORM: (44,47 gliLt4.441444. By Councilmember C� Wirbe, 2 0.2010 —� D Adopted � �DEPUTY CITY ATTORNEY DATE p:1312dkj, :� . City lerk7/.. Approved ayor e Finance Department "VP p:1311dkj The work program shall include inspection and/or correction of the potential or defective parts in all of the vehicles. The warranty on items determined to be fleet defects shall be extended for the time and/or miles of the original warranty. This extended warranty shall begin on the date a-fleet defect-was determined to exist or on the repair/replacement date for corrected items. Any exeptions will be so noted on the attached"Exceptions to Specifications"sheet SIGN ALL COPIES Fir / rtMZn1L ,e L O rak By *Sa.."-A,--- Title G.rr-cr r'G a ) Mixspi3 ,41 . CONTINUATION SHEET of gasoline engine-add: $ TOTAL BID: . $_ if t • D I (5%Bid Bond is to be based upon this amount) AN bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& Relations Department the Contract Compliance Report(Form CC-1). This report shall be in effect for 24 months from the date received by the Human Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM • 8 `Y" -�" INTER-OFFICE COMMUNICATION 07= OMAI A POLICE DEPARTMENT "To Serve and Protect" June 28, 2010 TO: Lieutenant S. Marcia Janucik--via Captain Gregory Gonzalez FROM: Deputy Chief Todd R. Schmaderer SUBJECT: Nebraska Office of Highway Safety Mini-Grant Contract . Attached for review and follow-up is a letter to Alexis Hayes received from Mr. Fred E. Zwonechek, Administrator—Nebraska Office of Highway Safety, informing him that we have received the mini-grant we applied for in the amount of$1,225.00 for Christopher Doble to attend the"16`h Annual DRE Conference"in Pittsburgh, Pennsylvania on July 22-24, 2010. Please utilize these funds as authorized and work with Ryan Behrens, Research and Planning, to request reimbursement not exceeding$1,225.00 as authorized in the attached contract. Should you have any questions or need any additional'information regarding this matter,please advise. TRS/mwm UPB Attachments c: 'Chief Alexis Hayes Deputy Chief M. Elizabeth Davis Ryan.Behrens, R&P Joe Couch,Fiscal Affairs Scott.Crites, City Finance Louise Clayton, Chiefs Office file 11.05.1 ved: • /Va 7/7hO Thomas MarfisiC E Date Human Rights and 'Relations P:/MYR/1055ajg for these improvements be approved; and, WHEREAS,the Mayor has recommended acceptance of these improvements. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, costs in the amount of $25,000, which includes $6,560 for soft costs for public park improvements to include construction of a small ballfield for neighborhood use in Lakeside Hills Park, located at 175th Avenue and Frances Street, are hereby approved. FURTHER THAT, these costs incurred by S&ID No. 398 to make these improvements are a 100%obligation of S&ID No. 398, Banyan Hills. APPROVED AS TO FORM: (44,47 gliLt4.441444. By Councilmember C� Wirbe, 2 0.2010 —� D Adopted � �DEPUTY CITY ATTORNEY DATE p:1312dkj, :� . City lerk7/.. Approved ayor e Finance Department "VP p:1311dkj The work program shall include inspection and/or correction of the potential or defective parts in all of the vehicles. The warranty on items determined to be fleet defects shall be extended for the time and/or miles of the original warranty. This extended warranty shall begin on the date a-fleet defect-was determined to exist or on the repair/replacement date for corrected items. Any exeptions will be so noted on the attached"Exceptions to Specifications"sheet SIGN ALL COPIES Fir / rtMZn1L ,e L O rak By *Sa.."-A,--- Title G.rr-cr r'G a ) Mixspi3 ,41 . CONTINUATION SHEET of gasoline engine-add: $ TOTAL BID: . $_ if t • D I (5%Bid Bond is to be based upon this amount) AN bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& Relations Department the Contract Compliance Report(Form CC-1). This report shall be in effect for 24 months from the date received by the Human Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM RECEIVED lC i E( OFFICE J fnll`r4Ti .147 STATE OF NEBRASKA !r Sr ' Dave Heineman DEPARTMENT OF ROADS ° Governor Monty W.Fredrickson,P.E..Director-Stow Engn:yr . OFFICE OF}1i61IwAv SArt ry PO Box 94612•Lincoln NE 68509-4612 Phone(402)471-2515•FAX(402147.1-3865 %W.V.`.transportstion.nebratho,,ovinohsJ June 25, 2010 Chief Alex Hayes Omaha Police Department 505 South 15t Street Omaha, Nebraska 68102-5600 Dear Chief H s: �09-1 Enclosed is the signed copy of the Mini-Grant Contract between the Omaha Police Department and the Nebraska Office of Highway Safety. The requested funding assistance for Christopher Doble to attend the"16t Annual DRE Conference"in Pittsburgh, Pennsylvania on July 22 —24, 2010, is approved. The CFDA#for this project is 20.601. Reimbursement for the training will be paid when the terms of the Mini-Grant Contract have been satisfied. The reimbursement expenses will include the following: Transportation - $400.00; Lodging - $600.00; and, Registration - $225.00. Total reimbursement shall not exceed $1,225.00. You may proceed in making the necessary arrangements for travel. If you have any questions regarding the reimbursement procedures, please contact Traffic Safety Specialist Becky Stinson at 402/471-3880 or bec'kv.stinson(a�nebraska.gov. Very truly ours, Fred E Zwonechek Administrator Nebraska Office of Highway Safety FEZ:bs:25cc Enclosure BUCKLE UP— An Equal OpporttinitrfAfrrtazrreArtio±t Ernp( xr SAVES LIMES? in Lakeside Hills Park, located at 175th Avenue and Frances Street, are hereby approved. FURTHER THAT, these costs incurred by S&ID No. 398 to make these improvements are a 100%obligation of S&ID No. 398, Banyan Hills. APPROVED AS TO FORM: (44,47 gliLt4.441444. By Councilmember C� Wirbe, 2 0.2010 —� D Adopted � �DEPUTY CITY ATTORNEY DATE p:1312dkj, :� . City lerk7/.. Approved ayor e Finance Department "VP p:1311dkj The work program shall include inspection and/or correction of the potential or defective parts in all of the vehicles. The warranty on items determined to be fleet defects shall be extended for the time and/or miles of the original warranty. This extended warranty shall begin on the date a-fleet defect-was determined to exist or on the repair/replacement date for corrected items. Any exeptions will be so noted on the attached"Exceptions to Specifications"sheet SIGN ALL COPIES Fir / rtMZn1L ,e L O rak By *Sa.."-A,--- Title G.rr-cr r'G a ) Mixspi3 ,41 . CONTINUATION SHEET of gasoline engine-add: $ TOTAL BID: . $_ if t • D I (5%Bid Bond is to be based upon this amount) AN bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& Relations Department the Contract Compliance Report(Form CC-1). This report shall be in effect for 24 months from the date received by the Human Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM RE' • C14Nebraska Office of Highway Safety(NOHS) a raska Nebraska Department of Roads f(rrN 2010 omeeoliHi hway TRAFFIC TRAINING SUPPORT Army atety MINI-GRANT CONTRACT APPLICATION AND AWARD NetAvAntier MVST?6E'APPROVED B 7 NOHS';3'0 DAYS:PRIOR';TQ:THE ACTIVITY Please Type DATE:9 June 2010 APPLICANT s Omaha Police Department ADDRESS :505 5 15th Street CITY, STATE. ZIP :Omaha.NE 68102-5600 TELEPHONE NO. : (402)444-5600 FEDERAL I.D. NO.:47-6006304 EMAIL ADDRESS PROJECT DESCRIPTION: The purpose of this Mini-Grant Contract is to provide funding assistance for traffic safety professionals to attend training and/or conferences. Please complete items 1-4 below and submit for approval with a copy of the course description/agenda and a copy of your department's current seat belt policy and drug-free workplace policy. 1. Description of training/conference to be attended. Include dates and location. The Sixteenth Annual IACP PRE Training Conference on Drugs.Alcohol and Impaired Driving.July 21-July 24,2010 Pittsburgh, Pennsylvania. 2. Itemized breakdown of all expenses associated yojtb the training/conference: Registration Fee/Tuition: $225.00 Meals: $N/A Lodging: $600.00 Misc.(please list) $N/A Transportation: $400.00 3. Justification of why the training/conference is needed: • • *Please see the attachment 4. Name of individual attending the training/conference: Cbrictnrh bnhlo This Mini-Grant Contract is financed on a reimbursement basis. The applicant must 1)receive approval of the Mini-Grant Contract from the NOHS: 2) incur the expenses (pay the bills); 3) request reimbursement for the amount awarded on a "Mini-Grant Contract Claim for Reimbursement(CR):and 4)complete the CR and attach the required supporting documentation as prescribed below, a) Itemize each expenditure on the Claim for Reimbursement. b) Attach copies of check(s)paid by the applicant for the expenses. c) Attach copies of receipts-one copy of each receipt that corresponds with each expense listed on the CR. d) An evaluation of the training/conference which was attended. e) A copy of the course completion certificate if the course was pass/fail. Within sixty (60) days from the conclusion of the training the reimbursement request must be submitted. After sixty (60) days, reimbursements will not be honored. THE NOHS WILL ONLY PROCESS REIMBURSEMENTS TO AN AGENCY, ORGANIZATION, ETC. NOT TO INDIVIDUALS. Acceptance of Conditions: The Mini-Grant Contract Award recipient agrees to all applicable federal and state laws,rules and regulations. Failure • cam. with •• `conditions may result in termination of this Grant Contract Award. All Awards are subject to availability of Federal Funding. r- � �. i al 7_, i0 Lt.Greg Gonzalez Authorized Sig rirCir Date Print or Type Name Air."� d Fred E Zwonechek, Administrator Neb • ka Of •Al f�ighway Safety Date Print or Type Name Return completed form to: Nebraska Office of Highway Safety Phone(402)471-2515 P.O.Box 94612 FAX(402)471-3865 Lincoln,Nebraska 68509-4612 TO BE COMPLETED BY NOHS FUNDING ASSISTANCE: The NOHS will provide reimbursement for the following expenditures: Transportation$ Lodging$ Registration/Tuition$ t147 —,and $ Total Reimbursement not to Exceed$ 11 A� Project No.: L./JD-ID-4. SB: ,/ DF: Contract Approval Dote: b/a„Tfin The Catalog of Federal Domestic Assistance(CFDA)number assigned to this Mini-Grant Contract is 20.600. Revised 5/2010 US - tment(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM • • r fill • . Mini-Grant Contract (m of hway Claim for Reimbursement Safety To: Nebraska Office of Highway Safety- NDOR Date: P.O. Box 94612, Lincoln, NE 68509-4612 Telephone No.: 402-471-2515. FAX: 402-471-3865 From: Agency: Invoice Number: Address: City, State, Zip: Project Number: Telephone No.: Contact Person: E-Mail: REIMBURSEMENT REQUEST Description I Amount • NOTE: To process this reimbursement all supporting documentation listed on the Mini-Grant Contract must be attached. Total Current Claim Amount Previous Claim Total Total Claim to Date *Only use If previous claim has been made on this project. CERTIFICATION I hereby certify the foregoing document Is consistent with the terms of the mini-grant and is a true and accurate accounting of the expenditures. Signature of Authorized Official Type/Print Name and Title Date NOHS USE ONLY Total Reimbursement NDOR DOC# Project Manager Review Initial/Date AB# Supervisor Review Initial/Date TRANS OE Administrator Review Initial/Date ACTIVITY ACCOUNT Local% NIGP DATE Accountant Date Paid/Initial APPROVED(PRINT NAME) Fred E Zwonechek Warrant# APPROVED SIGNATURE NOHS Project: Amount: Distribution: Original to NOHS Copy for Your Hie Rev.4/2010 4 ust 1)receive approval of the Mini-Grant Contract from the NOHS: 2) incur the expenses (pay the bills); 3) request reimbursement for the amount awarded on a "Mini-Grant Contract Claim for Reimbursement(CR):and 4)complete the CR and attach the required supporting documentation as prescribed below, a) Itemize each expenditure on the Claim for Reimbursement. b) Attach copies of check(s)paid by the applicant for the expenses. c) Attach copies of receipts-one copy of each receipt that corresponds with each expense listed on the CR. d) An evaluation of the training/conference which was attended. e) A copy of the course completion certificate if the course was pass/fail. Within sixty (60) days from the conclusion of the training the reimbursement request must be submitted. After sixty (60) days, reimbursements will not be honored. THE NOHS WILL ONLY PROCESS REIMBURSEMENTS TO AN AGENCY, ORGANIZATION, ETC. NOT TO INDIVIDUALS. Acceptance of Conditions: The Mini-Grant Contract Award recipient agrees to all applicable federal and state laws,rules and regulations. Failure • cam. with •• `conditions may result in termination of this Grant Contract Award. All Awards are subject to availability of Federal Funding. r- � �. i al 7_, i0 Lt.Greg Gonzalez Authorized Sig rirCir Date Print or Type Name Air."� d Fred E Zwonechek, Administrator Neb • ka Of •Al f�ighway Safety Date Print or Type Name Return completed form to: Nebraska Office of Highway Safety Phone(402)471-2515 P.O.Box 94612 FAX(402)471-3865 Lincoln,Nebraska 68509-4612 TO BE COMPLETED BY NOHS FUNDING ASSISTANCE: The NOHS will provide reimbursement for the following expenditures: Transportation$ Lodging$ Registration/Tuition$ t147 —,and $ Total Reimbursement not to Exceed$ 11 A� Project No.: L./JD-ID-4. SB: ,/ DF: Contract Approval Dote: b/a„Tfin The Catalog of Federal Domestic Assistance(CFDA)number assigned to this Mini-Grant Contract is 20.600. Revised 5/2010 US - tment(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM • C-25A CITY OF OMAHA LEGISLATIVE CHAMBER • Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS,the Omaha Police Department submitted an application lication to the State of P Nebraska Department of Motor Vehicles,Nebraska Office of Highway Safety to seek funding for direct reimbursement for one officer to attend the 16th Annual Drug Recognition Experts (DRE) Conference in Pittsburgh, PA, focused on drug, alcohol and impaired driving enforcement, and; WHEREAS,the State of Nebraska Department of Motor Vehicles,Nebraska Office of Highway Safety has awarded $1,225.00 to the Omaha Police Department for one (1) officer to attend the 16th Annual DRE Conference in Pittsburgh, PA on July 22-24, 2010, and; WHEREAS, the Mayor recommends the approval of and it is in the best interest of the City of Omaha and the residents thereof to accept this grant award. NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, this Council does hereby approve the application and grant award to the Omaha Police Department, #NOHS 20-601, in the amount of $1,225.00 from the State of Nebraska Department of Motor Vehicles,Nebraska Office of Highway Safety to be used for one(1)officer to attend the 16th Annual DRE Conference in Pittsburgh,PA on July 22-24, 2010, focused on drug, alcohol and impaired driving enforcement. APPROVED AS TO FORM: C00444 6 -AZO TY CITY ATTORNEY DATE P:/MYR/1055ajg Pg44.446144 By 47 Councilmember Adopted JU ..2..0.20.10 9"0 City Clerk / /O Approved dr- Mayor est reimbursement for the amount awarded on a "Mini-Grant Contract Claim for Reimbursement(CR):and 4)complete the CR and attach the required supporting documentation as prescribed below, a) Itemize each expenditure on the Claim for Reimbursement. b) Attach copies of check(s)paid by the applicant for the expenses. c) Attach copies of receipts-one copy of each receipt that corresponds with each expense listed on the CR. d) An evaluation of the training/conference which was attended. e) A copy of the course completion certificate if the course was pass/fail. Within sixty (60) days from the conclusion of the training the reimbursement request must be submitted. After sixty (60) days, reimbursements will not be honored. THE NOHS WILL ONLY PROCESS REIMBURSEMENTS TO AN AGENCY, ORGANIZATION, ETC. NOT TO INDIVIDUALS. Acceptance of Conditions: The Mini-Grant Contract Award recipient agrees to all applicable federal and state laws,rules and regulations. Failure • cam. with •• `conditions may result in termination of this Grant Contract Award. All Awards are subject to availability of Federal Funding. r- � �. i al 7_, i0 Lt.Greg Gonzalez Authorized Sig rirCir Date Print or Type Name Air."� d Fred E Zwonechek, Administrator Neb • ka Of •Al f�ighway Safety Date Print or Type Name Return completed form to: Nebraska Office of Highway Safety Phone(402)471-2515 P.O.Box 94612 FAX(402)471-3865 Lincoln,Nebraska 68509-4612 TO BE COMPLETED BY NOHS FUNDING ASSISTANCE: The NOHS will provide reimbursement for the following expenditures: Transportation$ Lodging$ Registration/Tuition$ t147 —,and $ Total Reimbursement not to Exceed$ 11 A� Project No.: L./JD-ID-4. SB: ,/ DF: Contract Approval Dote: b/a„Tfin The Catalog of Federal Domestic Assistance(CFDA)number assigned to this Mini-Grant Contract is 20.600. Revised 5/2010 US - tment(402)444-7155or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: 'Incorporated In: Delivery(or completion) Name: !Signature: calendar days following awarc itle: )Phone: JFax: Address: Street/P.O.Box C State Zip Email Address: • - 4 Email Address: • l • wing ewer•Title: q q. Phone: ,. . j,w- (� — 3 Address: .. ANIIIIIMMIE .. G5:'r I Street/P.O.Box C'dy S+: : Zi. .,'P �i Email Address: r �.l�ee�1,� Q .s:did: I[fun. Co 1 ,� `'-r, r 1 ` s) tit ,► m ,,fm000E 'EPo .t .1•Ai.e: ±-,2-3 s,1 z ; NoyyC 51 �ommm>m z N / i m* c5G� Cm Z ?' / • 3 2m THOMPSON,DREESSEN&DORMER,INC. MOORE'S HILLTOP A x a o 'A y en s Consulting Enginoms&Land Surwyms N f P ; N > m g U 10836 OLD MILL ROAD OMAHA,NEBRASKA 68154 FINAL PLAT °z m , o P:402.330.6860 F:402.330.5866 WWW.TD2CO.COM a '-d 0 0 u s9 d ry n a tv cD N tv o .y o O a ¢' cD 8p CD ty, v' A ,__, d CD 0 = y d . >v >- A�v .-h 4t kw °O G• CD � el N BL..) C o-r'" `C Cr C c [J o . I.) CD p 'D CD,.>. 47„, % 2: i., ' 0• 't •O (� aNry boo ` . ab et, C o 5 O (� p czD O 0 O 0 n4. " o 0 g^ Z - a `� E iq CAD P rpi-, CAD )• 1 7 r 4 d JUL 2 1 Z010 06: ty Clerk 7404 Approved ~ e/�_ 1 Mayor Mayor 0 Nr- .