RES 2002-0805 - Grant funds for Midwest high intensity drug trafficking area (1ematA,NFL O EMICE
1111 ,
7
x® �t i„ 02 MAR 26 A 11: i ��0*o'vryl�0
°R CITYCLERK T-'"
4TFD FEBO TO-
OMAHA, NEBR Slt,,I. v4km0 0
City of Omaha
Mike Fahey,Mayor
Donald L.Carey
Chief of Police
Honorable President (402)444-5666
FAX:444-4225
and Members of the City Council, 505 South 15th Street
Omaha,Nebraska 68102-2769
www.opd.ci.omaha.ne.us
Attached is a resolution authorizing the City of Omaha to accept a grant Steve A.Coufal
award to the City of Omaha in the amount of $196,568.00 from the Deputy Chief of Police
Office of National DrugControl Policy (ONDCP). This award to the Barbara J.Hauptman
Deputy Chief of Police
Omaha Police Department will support the Metro Drug Task Force Brenda J.Smith
initiatives at the Midwest High Intensity Drug Trafficking Area Deputy Chief of Police
(HIDTA), and funds two (2) Douglas County Investigators, one
Intelligence Analyst and miscellaneous supplies and training.
The City of Omaha, Omaha Police Department agrees to perform the professional services, as
directed by the Midwest High Intensity Drug Trafficking Area(HIDTA) and ONDCP.
Your favorable consideration and adoption of this ordinance is respectfully requested.
Respectfully submitted, Approved as to Funding:
'4'44 S tJ/,�, ��v 4/Z D'2-
Mike Fahey, ayor Stanley P. T'./ Date
City of Omaha Finance Director
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A Nationally Accredited Law Enforcement Agency
E�ees�oFti
EXECUTIVE OFFICE OF THE PRESIDENT
24111
o, y;«;11 OFFICE OF NATIONAL DRUG CONTROL POLICY
f� ,`° yy Washington,D.C. 20503
`)•1'rd .Said
February 8, 2002
Chief Don Carey
Omaha Police Department
505 S. 15th Street
Omaha,NE 68102
Dear Chief Carey:
We are pleased to inform you that an Award, Grant Number#I2PMWP637,has been
approved in the amount of$196,568.00. This award to the Omaha Police Department will
support Metro Drug Task Force initiative(s) at the Midwest High Intensity Drug
Trafficking Area(HIDTA).
The original and one copy of the Award with Special Conditions are enclosed. If you
accept this award, sign both the Award and Special Conditions and return a copy to The
National HIDTA Assistance Center in Miami. Keep the original copy of the Cooperative
Agreement Award and Special Conditions for your file.
By accepting this award, you assume certain administrative and financial responsibilities
including the timely submission of all financial and programmatic reports, resolution of all
interim audit findings, and the maintenance of a minimum level of cash-on-hand. Should
your organization not adhere to the terms and conditions of this award, it is subject to
termination for cause or other administrative action as appropriate.
If you have any questions pertaining to this grant award,please feel free to contact Phuong
DeSear at 202-395-6739.
Sincrr1ly,
urt F. Schmid
ational HIDTA Director
Enclosures
RECEIVED
Ad;ainistration
FEB 15 2002
Midwest HIDTA
Kansas City,MO
Executive Office of the President AWARD
Office of National Drug Control Policy Cooperative Agreement Page 1 of 6
1. Recipient Name and Address 4. Award Number: I2PMWP637
Omaha Police Department
505 S. 15th Street
5.Project Period: 2/1/2002 to 1/31/2003
Omaha,NE 68102 Budget Period: 2/1/2002 to 1/31/2003
1A. Recipient IRSNendor No. 6. Date: 2/8/2002 7. Action
2. Subrecipient Name and Address 8. Supplement Number in Initial
0 Supplemental
2A. Subrecipient IRSNendor No. 9. Previous Award Amount
3. Project Title 10. Amount of This Award $196,568.00
Metro Drug Task Force initiative(s)
11.Total Award $196,568.00
12. Special Conditions(Check,if applicable)
ElThe above Cooperative Agreement is approved subject to such conditions or limitations as are set
forth on the attached 5 page(s).
1. Statutory Authority for Grant: Public Law 107-67
AGENCY APPROVAL IMMOMmil MIONNEMI RECIPIENT ACCEPTANCE
14.Typed Name and Title of Approving ONDCP 15. Typed Name and Title of Authorized Recipient
Official Official
Kurt F. Schmid Chief Don Carey
Office of National D g Co of Policy Omaha Police Department
16. Signature o proving 0 CP 0 ial 17. Signature of Authorized Recipient Date
l)-111/1/ 2 -Z /- QZ
Agency the Only
18. Accounting Classification Code 19. HIDTA AWARD
Executive Office of the President AWARD
Office of National Drug Control Policy Cooperative Agreement Page 1 of 6
1. Recipient Name and Address 4. Award Number: I2PMWP637
Omaha Police Department
505 S. 15th Street
5.Project Period: 2/1/2002 to 1/31/2003
Omaha,NE 68102 Budget Period: 2/1/2002 to 1/31/2003
1A. Recipient IRSNendor No. . 6. Date: 2/8/2002 7. Action
2. Subrecipient Name and Address 8. Supplement Number D Initial
0 Supplemental
2A. Subrecipient IRSNendor No. 9. Previous Award Amount
3. Project Title 10. Amount of This Award $196,568.00
Metro Drug Task Force initiative(s)
11.Total Award $196,568.00
12. Special Conditions(Check,if applicable)
ElThe above Cooperative Agreement is approved subject to such conditions or limitations as are set
forth on the attached 5 page(s).
1. Statutory Authority for Grant: Public Law 107-67
AGENCY APPROVAL IMMINNIII RECIPIENT ACCEPTANCE
14.Typed Name and Title of Approving ONDCP 15. Typed Name and Title of Authorized Recipient
Official Official
Kurt F.Schmid Chief Don Carey
Office of National D g Co g of Policy Omaha Police Department
16. Signattre o iiproving 0 1 CP 0" ial 17. Signature of Authorized Recipient Date
58114' Ca41
- 21-6=—
Agcncy Uab Only
18. Accounting Classification Code 19. HIDTA AWARD
Office of National Drug Control Policy Attachment to Award# I2PMWP637
Page 2 of 6
Award Recipient: Omaha Police Department
HIDTA: Midwest
Initiative: Metro Drug Task Force initiative(s)
Project Contact: Mr. David Barton
Award Amount: $196,568.00 Award Period: 2/1/2002 to 1/31/2003
ONDCP Contact:
All requests for payment and inquiries should be submitted to:
The National HIDTA Assistance Center
8401 Northwest 53rd Terrace, Suite 208
Miami, Florida 33166
(305) 716-3270
A. Conditions
1. The award is based on the detail budget attached to the application submitted for
this initiative. This is your approved budget for the initiative and any deviation must
comply with the reprogramming requirements as set forth in the ONDCP Guidelines.
B. General Provisions
1. This award is subject to:
a. the Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments, also known as the"Common
Rule",
b. the Certifications Regarding Lobbying, Debarment, Suspension and Other
Responsibility Matters; Drug-Free Workplace Requirements; Federal Debt
Status, and Nondiscrimination Statutes And Implementing Regulations.
c. the audit requirements of OMB Circular A-133,
d. the cost principles contained in OMB Circular A-87, and
e. the administrative guidelines contained in ONDCP's Financial and
Administrative Guidelines.
Office of National Drug Control Policy Attachment to Award # I2PMWP637 •
Page 3 of 6
2. Payment Basis
OMB Standard Form 270 - Request for Advance or Reimbursement" shall be used to
request payment. Copies of invoices, payroll registers, and canceled checks must
accompany the SF 270 to provide documentation for the reimbursement request. Request
for advances will be accompanied by detail specifying the obligation. Documentation of
how the advance was spent must be submitted before another advance or reimbursement
can be requested. Funding for this award is authorized to be paid on a monthly basis.
Payments will be made via Electronic Fund Transfer to the award recipient's bank account.
Recipients are therefore requested to provide the following information in Block 10 of the
SF 270: bank name,bank address, bank telephone number,point of contact at the bank,
American Bankers Association(ABA)number, and account number. This will provide the
banking information needed to make payments to the proper bank account. The bank must
be FDIC insured. It is desirable that the bank be a member of the Federal Reserve System.
The account must be interest bearing. (All payments greater than$25,000 must be made
by EFT. Recipients must request a waiver from this provision for payments less than
$25,000).
Except for interest earned on advances of funds exempt under the Intergovernmental
Cooperaction Act (31 U.S.C. 6501 et seq.) and the Indian Self-Determination Act(23
U.S.C.450), grantees and subgrantees shall promtly,but at least quarterly, remit
interest earned on advances to ONDCP. The grantee or subgrantee may keep interest
amounts up to $100 per year for administrative purposes. (21 CFR Section 1403.21i)
3. Reporting Requirements
Financial Status Reports (OMB Standard Form 269) will be required quarterly during the
award period and at the end of the award. Performance reports will be required as
specified in the Program Guidance.
Note that the final financial reports should be cumulative for the entire award period.
Performance Reports: Due as specified in the Program Guidance.
Financial Status Reports (OMB Standard Form 269) should be submitted to Office of
National Drug Control Policy,750 17th Street,NW,Washington DC 20503. Attn:
Phuong DeSear,Room 538. Phone: 202-395-6739, Fax: 202-395-5176.
Office of National Drug Control Policy Attachment to Award# I2PMWP637
Page 4 of 6
Special Conditions
HIDTA Cooperative Agreements
The following special conditions are incorporated into each award document.
1. In order to provide for compatibility, integration, coordination, and cost
effectiveness in the use,procurement, and operation of ADP systems, equipment, and
software, recipients are encouraged and authorized to enter into joint purchase or service
agreements on a reimbursable or nonreimbursable bases with other HIDTA award
recipients. Award recipients are authorized and encouraged to enter into joint purchases or
service agreements with other HIDTA award recipients.
2. No federal funds shall be used to supplant state or local funds that would otherwise
be made available for project purposes.
3. The operating principles found in 28 CFR Part 23, which pertain to information
collection and management or criminal intelligence systems, shall apply to any such
systems supported by this award.
4. Prior to expenditure of confidential funds, the award recipient or subrecipient shall
sign a certification indicating that he or she has read,understands, and agrees to abide by
all of the conditions pertaining to confidential fund expenditures as set forth in Attachment
B to the ONDCP Financial and Administrative Guide for Cooperative Agreements. This
certification should be submitted to the Assistance Center.
5. The award recipient agrees to account for and use program income, including but
not limited to asset forfeitures, in accordance with the "Common Rule" and the ONDCP
Financial and Administrative Guide for Cooperative Agreements. Moreover, the use of
program income must be consistent with the National Drug Control Strategy.
6. Where furniture has been approved in the budget,the recipient will make every
effort to utilized existing State and local surplus property prior to the purchase of any
furniture, including computer furniture or items of similar nature.
7. The award recipient may not use designated aircraft assigned to HIDTA-approved
task operations and initiatives for the transport of VIP Executive(s) or similar
circumstances not relating to the goals and objectives of state and local law enforcement
programs.
8. The budget submitted with the proposal is approved.
Office of National Drug Control Policy Attachment to Award# I2PMWP637
Page 5 of 6
Reprogramming between budget categories within the same agency and initiative requires
the approval of the respective HIDTA Director and must be in accordance with procedures
established by the Executive Committee.
Reprogramming of funds between agencies or initiatives requires the written approval of
the ONDCP HIDTA Office, regardless of the dollar value of the reprogramming.
In all cases the recipient is responsible for maintaining detailed records of the
reprogramming activities and forwarding notification to your HIDTA Director regarding
reprogramming activities as they occur.
9. The recipient agrees to comply with the organizational audit requirements of OMB
Circular A-133, "Audits of State and Local Governments." The management letter must
be submitted with the audit report. Audits must be submitted no later than thirteen(13)
months after the close of the recipient organizations audited fiscal year. The submission of
the audit report shall be as follows:
An original and one copy shall be sent to the cognizant Federal Agency. Also, a
copy of the audit report shall be sent to Office of National Drug Control Policy,
750 17th Street,NW,Washington DC 20503. Attn: Phuong DeSear, Room
538. Phone: 202-395-6739, Fax: 202-395-5176.
10. The recipient agrees to submit operation reports as defined in the Current Year
Program Guidance.
11. Equipment acquired under the grant program must be used by the recipient in the
program or project for which it was acquired as long as needed, whether or not the project
or program continues to be supported by Federal funds. When no longer needed for the
original program, the equipment may be used in other activities supported by the Federal
agency. The recipient may dispose of the original equipment when no longer needed or
supported by the grantor agency.
Inventory lists must be supplied to the HIDTA Director to facilitate the sharing of
equipment within and between the HIDTAs. Items to be inventoried include
Communications, Computer&Related Equipment, Surveillance Equipment, Photo,
Vehicles, Video, and Weapons.
12. The recipient will be permitted to designate funds that would be matched or shared;
however, these matched or shared funds will not constitute an obligation on behalf of the
recipient.
Office of National Drug Control Policy Attachment to Award# I2PMWP637
Page 6 of 6
13. Budget item submissions for equipment and other contract items are accepted as
best estimate only and are not deemed approved at that price. Recipients are required to
assure such items are not currently available, are not duplicative or excessive, and should
make market surveys and obtain the best prices available.
14. The recipient acknowledges that failure to submit an acceptable Equal Employment
Opportunity Plan(if recipient is required to submit one pursuant to 28 CFR section
42.302), that is approved by the Office of Civil Rights, is a violation of its Certified
Assurances and may result in the suspension of the drawdown of funds.
15. The recipient agrees to complete and keep on file, as appropriate, Immigration and
Naturalization Service Employment Eligibility Verification Form(I-9). This form
is to be used by recipients of federal funds to verify that persons are eligible to work
in the United States.
RECIPIENT ACCEPTANCE OF SPECIAL CONDITIONS
Don Carey
Typed Name
Chief of Police - Omaha Police Department
Title
UMtI1 2-21-O2
(Signa e) Date
Budget Detail Report Fiscal Year: 2002
HIDTA Location: Midwest Grant: 12PMWP637
Task Force: Metro Drug Task Force
Recipient Agency: Omaha Police Department
Resource Agency: Omaha Police Department
Personnel: Name Annual Time Amount
Douglas County Deputy $40,500.00 1 $40,500
Douglas County Deputy $40,500.00 1 $40,500
Total Personnel: $81,000
Travel: Purpose Amount
Investigative Travel $1,500
Administrative and Training $5,000
Total Travel: $6,500
Services: Name Months Rate Amount
Intelligence Analyst 12 $3,080.00 $36,960
Metro Car Leases(2) 12 $759.00 $9,108
Metro Cell Phones(2) 12 $185.00 $2,220
Metro Pagers(2) 12 $20.00 $240
Nextel phone for HUD 12 $50.00 $600
Total Services: $49,128
Supplies: Name Months • Rate Amount
Investigative/Analyst Supplies 12 $45.00 $540
Total Supplies: $540
Other: Purpose Amount
PE/PI $59,400
Total Other: $59,400
Total: $196,568
Page 5 of 9
I2PMWP637
Omaha Police Department
RECEIVED
Ad:,linistration
_ FEB 0 4 2002
Midwest HIDTA
Kansas City,MO
OFFICE OF NATIONAL DRUG CONTROL POLICY
FY 02 HIDTA STATE AND LOCAL INITIATIVES
INSTRUCTIONS FOR APPLICANTS
Attached are the following documents for your FY 02 funding application:
• Approved FY 02 Budget to the Omaha Police Department for the Metro Drug Task Force.
• ONDCP Financial and Adminstrative Guidelines.
• Application for Federal Assistance, SF-424.
• Budget Information Non-Construction Programs,SF-424A,Page 2.
(Page 1 will not be utilized.)
• Assurances Non-Construction Programs, SF-424B.
• Budget Information Construction Programs,SF-424C.
• Certification regarding Lobbying; Debarment,Suspension and other Responsibility Matters; Drug-Free Workplace
Requirements; Federal Debt Status,and Non-Discrimination Statutes and Implementing Regulations.
• Disclosure of Lobbying Activities.
• Purchase of Evidence/Purchase of Information Certification.
To submit a grant application for FY 02 HIDTA State and Local Initiative Funding,the following forms must be signed and returned:
• Application for Federal Assistance,SF-424.
• Budget Information Non-Construction Programs,SF-424A,Page 2.
(Page 1 will not be utilized.)
• Assurances Non-Construction Programs,SF-424B.
• Budget Information Construction Programs,SF-424C.
• Certification regarding Lobbying; Suspension and other Responsibility Matters; Drug-Free Workplace Requirements; Federal
Debt Status,and Non-Discrimination Statutes and Implementing Regulations.
• Disclosure of Lobbying Activities.
• Purchase of Evidence/Purchase of Information Certification.
Each of these documents have been completed based upon information submitted for the FY 02 initiatives. If this information is
incorrect,contact the National HIDTA Assistance Center for new forms.
These documents must be completed and signed in their entirely and returned with original signatures affixed before the award letter
can be initiated.
After completion,the forms should be sent to:
National HIDTA Assistance Center
8401 N.W. 53rd Terrace,Suite 208
Miami,FL 33166
(305)716-3270 Ext. 111
APPLICATION FOR
FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier:
1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE State Application Identifier
Application Preapplication
Construction _Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier I2PMW P637
X Non-construction Non-construction
5. APPLICANT INFORMATION
LEGAL NAME: Metro Drug Task Force ORGANIZATIONAL UNIT: Metro Drug Task Force
ADDRESS(Give city,county,State and Zip Code) Name and telephone number of person to be contacted on matters involving this
Omaha Police Department Application(give area code)
Mr. David Barton
6. EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT: (Enter appropriate letters in box)
A. State H.Independent School District
B. County I. State Controlled Institution of Higher Learning
8. TYPE OF APPLICATION C. Municipal J. Private University
X New _Continuation_ Revision D. Township K.Indian Tribe
E. Interstate L.Individual
F. Inte Di ipal M.Profit Organization
If revision,enter appropriate letter(s)in box(es) n n G. Specialcial District N Other
(Specify)
A. Increase Award B. Decrease Award
C. Increase Duration D.Decrease Duration
Other(specify) 9. NAME OF FEDERAL AGENCY: ONDCP
10. Catalog of Federal Domestic Assistance Number: 11. Descriptive Title of Applicant's Project
TITLE: Metro Drug Task Force
12. AREAS AFFECTED BY PROJECT(Cities, Counties,States,etc.):
13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF
Start Date Ending Date a. Applicant b. Project
2/1/02 1/31/03
15. ESTIMATED FUNDING: • 16.IS APPLICATION SUBJECT TO REVIEW BY STATE
EXECUTIVE ORDER 12372 PROCESS?
a. Federal $ 196,568.00 a. YES. This preapplication/application was made available
to the State Executive order 12372 process for
b. Applicant review on:
c. State Date:
Q
d. Local b. No. Program is not covered by E.O. 12372
e. Other ▪ or program has not been selected by state for
review
f. Program Income
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g. TOTAL $ 196,568.00 Yes If"Yes",attach an explanation X No
TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH
THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Type Name of Authorized Representative b. Title c. Telephone
Chief Don Carey Chief of Police 402-444-5666
d. Signa re of Authorized Representative e. Date Signed
Calt411 2- Z /-02
INSTRUCTIONS FOR THE SF424
Public reporting burden for this collection of information is estimated to average 45 minutes per response,including time for
reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing
the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden,to the Office of Management and Budget.Paperwork Reduction Project(0348-
0043),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET;
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
This is a standard form used by applicants as a required face sheet for pre applications and application submitted for Federal
assistance.It will be used by Federal agencies to obtain applicant certification that States which have established a review and
comment procedure in response to Executive Order 12372 and have selected the program to be included in their process,have
been given an opportunity to review the applicant's submission.
Item: Entry: Item: Entry:
1. Self-Explanatory. 11. Enter a brief descriptive title of project.If more than
one program is involved,you should append an
2. Data application submitted to Federal Agency(or State explanation on a separate sheet.If appropriate(e.g.,
if applicable)&applicant's control number(if construction or real property projects),attach a map
applicable). showing project location.For pre application,use a
separate sheet to provide a summary description of this
3. State use only(if applicable). project.
4. If this application is to continue or revise an existing 12. List only the largest political entities affected(e.g.,
award,enter present Federal identifier number.If for a State,counties,cities).
new project,leave blank.
13. Self-Explanatory.
5. Legal name of applicant,name of primary
organizational unit, which will undertake the assistance 14. List the applicant's Congressional-District and any
activity,complete address of the applicant,and name District(s)affected by the program or project.
and telephone number of the person to contact on
matters related to this application. 15. Amount requested or to be contributed during the first
funding/budget period by each contributor.Value of in
6. Enter employer Identification Number(EIN)as kind contributions should be included on appropriate
assigned by the Internal Revenue Service. lines as applicable.If the action will result in a dollar
change to an existing award,indicate only the amount of
7. Enter the appropriate letter in the space provided. the change.For decrease,enclose the amounts in
parentheses.If both basic and supplemental amounts are
8. Check appropriate box and enter appropriate letter(s)in included, show breakdown on an attached sheet.For
the space(s)provided; multiple program funding,use totals and show
• "New"means a new assistance award breakdown using same categories as item 15.
• "Continuation"means any change in the Federal 16. Applicants should contact the State Single Point of
Government's financial obligation or contingent Contact(SPOC)for Federal Executive Order 12372 to
liability from an existing obligations determine whether the application is subject to the State
intergovernmental review process.
• "Revision"means any change in the Federal
Government's financial obligation or contingent 17. This question applies to the applicant organization,not
liability from an existing obligation. the person who signs as the authorized representative.
Categories of debt include delinquent audit
9. Name of Federal agency from which assistance is being disallowances,loans and taxes.
requested with this application.
18. To be signed by the authorized representative of the
10. Use the Catalog of Federal Domestic Assistance number applicant.A copy of the governing body's authorization
and title of the program under which assistance is for you to sign this application as official representative
requested. must be on file in the applicant's office. (Certain
Federal agencies may require that this authorization be
submitted as part of the application.
SECTION C—NON-FEDERAL RESOURCES
(a)Grant Program (b)Applicant (c)State (d)Other Sources (e)TOTALS
8. $ $ $ $
9.
10.
11.
12.TOTAL(sum of line 8— 11) $ $ $ $
SECTION D—FORCASTED CASH NEEDS
Total for ls`Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13.Federal $ 196,568.00 $ 49,142.00 $ 49,142.00 $ 49,142.00 $ 49,142.00
14.Non-Federal
15.TOTAL(sum of 13 and 14) $ $ $ $ $
SECTION E—BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a)Grant Program
(b)First (c)Second (d)Third (e)Fourth
•
16.
17.
18.
19.
20.
SECTION F—OTHER BUDGET INFORMATION
21. Direct Charges: 22.Indirect Charges:
23. Remarks
INSTRUCTIONS FOR THE SF-424A
Public reporting burden for this collection of information is estimated to average 180 minutes per response,including time for
reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information,including suggestions for reducing this burden to the Office of Management and Budget,Paperwork Reduction
Project(0348-0044),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND IT OT THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
General Instruction one sheet is used,the first page should provide the
summary totals by programs.
This form is designed so that application can be made for •
funds from one or more grant programs.In preparing the Lines 1-4,column(c)through(g)
budget,adhere to any existing Federal grantor agency
guidelines,which prescribe how and whether budgeted For new application,leave columns(c)and(d)blank.For
amounts should be separately shown for different functions each line entry in Column(a)and(b),enter in Column(e),
or activities within the program.For some programs, (f), and(g)the appropriate amounts of funds needed to
grantor agencies may require budgets to be separately support the project for the first funding period(usually a
shown by function or activity.For other programs,grantor year).
agencies may require a breakdown by function or activity.
Section A,B,C,and D should include budget estimates for For continuing grant program applications,submit these
the whole project except when applying for assistance forms before the end of each funding period as required by
which requires Federal authorization in annual or other the grantor agency.Enter in column (c)and(d)the
funding period increments. In the latter case,Sections A, estimated amounts of funds which will remain unobligated
B,C,and D should provide the budget for the first budget at the end of the grant funding period only if the Federal
period(usually a year)and Section E should present the grantor agency instructions provide for this.Otherwise,
need for Federal assistance in the subsequent budget leave these columns blank.Enter in column (e)and(f)the
periods.All applications should contain a breakdown by amounts of funds needed for the upcoming period.The
the object class categories shown in Lines a-k of Section amount(s)in column(g)should be the sum of amounts in
B. Column(e)and (f).
Section A.Budget Summary Lines 1-4 column(a)and For supplemental grants and changes to existing grants,
(b) do not use column(c)and(d).Enter in Column(e)the
amount of the increase or decrease of Federal funds and
For applications pertaining to a single Federal grant enter in column (f)the amount of the increase of decrease
program(Federal Domestic Assistance Catalog number) of non-federal funds.In Column(g)enter the new total
and not requiring a functional or activity breakdown,enter budgeted amount(Federal and non-federal which includes
on Line 1 under Column(a)the catalog program title and the total previous authorized budgeted amounts plus or
the catalog number in Column(b). minus,as appropriate,the amounts shown in column(e)
and(f).The amount(s)in column(g)should not equal the
For application pertaining to a single program requiring sum of amounts in column(e)and(f).
budget amounts by multiple functions or activities,enter
the name of each activity or function on each line in Line 5-Show the totals for all columns used.
Column(a),and enter the catalog number in column(b).
For application pertaining to multiple programs where Section B Budget Categories
none of the programs require a breakdown by function or
activity,enter the catalog program title on each line in In the column headings(1)through(4),enter the titles of
column(a)and the respective catalog number on each line the same programs,functions,and activities shown on line
in column(b). 1-4,column (a),Section A.When additional sheets are
prepared for Section A,provide similar column headings
For application pertaining to multiple programs where one on each sheet.For each program,function or activity,fill
or more programs require a breakdown by function or in the total requirements for funds(both Federal and non-
activity,prepare a separate sheet for each program Federal)by object class categories.
requiring the breakdown.Additional sheets should be used
when one form does not provide adequate space for all Lines 6a-I-Show the totals of Lines 6a to 6h in each
breakdown of data required.However, when more than column.
Line 6j-Show the amount of indirect cost. Lines 16-19-Enter in Column(a)the same grant program
titles shown in Column(a),Section A.A breakdown by
Line 6K-Enter the total of amounts on Lines 6i and 6j. function or activity is not necessary.For new applications
For all applications for new grants and continuation grants and continuation grant applications,enter in the proper
the total amount in column(5),Line 6k, should be the columns amounts of Federal funds which will be needed to
same as the total amount shown in Section A,column (g), complete the program or project over the succeeding
Line 5.For supplemental grants and changes to grants,the funding period(usually in years).This section need not be
total amount of the increase or decrease as shown in completed for revisions(amendments,changes,or
column(1)-(4),Line 6k should be the same as the sum of supplements)to funds for the current year of existing
the amounts in Section A,column(e)and(f)on Line 5. grants.
Line 7-Enter the estimated amount of income,if any If more than four lines are needed to list the program titles,
expected to be generated from this project.Do not add or submit additional schedules as necessary.
subtract this amount. Show under the program narrative
statement the nature and source of income.The estimated Line 20-Enter the total for each of the Column (b)-(e).
amount of program income may be considered by the When additional schedules are prepared for this section,
federal grantor agency in determining the total amount of annotate accordingly and show the overall totals on this
the grant. line.
Section C.Non-Federal Resources Section F.Other Budget Information
Lines 8-11 Enter amounts of non-federal resources that Line 21—Use this space to explain amounts for individual
will be used on the grant.If in-kind contributions are direct object class cost categories that may appear to be out
included,provide a brief explanation on a separate sheet. of the ordinary or to explain the details as required by the
Column(a)Enter the program titles identical to Federal grantor agency.
column(a),Section A. A breakdown by function
or activity is not necessary. Line 22-Enter the types of indirect rate(provisional,
predetermined,final or fixed)that will be in effect during
Column(b)Enter the contribution to be made by the funding period,the estimated amount of the base to
the applicant. which the rate is applied,and the total indirect expense.
Column(c)Enter the amount of the State's cash Line 23-Provide any other explanations or comments
and in-kind contribution if the applicant is not a deemed necessary.
State or State agency. Applicants which are a
State or State agencies should leave this column
blank.
Column(d)Enter the amount of cash and in-kind
contribution to be made from all other sources.
Column(e)Enter total of column(b),(c),and(d).
Line 12-Enter the total for each of column(b)-(e).The
amount in column (e)should be equal to the amount on
Line 5,column(f)section A.
Section D.Forecasted Cash Needs
Line 13 Enter the amount of cash needed by quarter from
the grantor agency during the first year.
Line 14—Enter the amount of cash from all other sources
needed by quarter during the first year.
Line 15—Enter the totals of amounts on Lines 13 and 14.
Section E.Budget Estimates of Federal Funds Needed
for Balance of the Project
•
ASSURANCES-NON-CONTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response,including time for
reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information,including suggestions for reducing this burden,to the Office of Management and budget,Paperwork Reduction
Project(0348-0040),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program,if you have questions,please contact the
awarding agency.Further,certain Federal-awarding agencies may require applicants to certify to additional assurances.If such
is the case,you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance Office and Treatment Act of 1972(P.L.92-255),as
and the institutional,managerial and financial amended,relating to nondiscrimination on the basis of
capability(including funds sufficient to pay the non- drug abuse;(f)the Comprehensive Alcohol Abuse and
federal share of project cost)to ensure proper Alcoholism Prevention,Treatment and Rehabilitation
planning,management and completion of the project Act of 1970(P.L. 91-616),as amended,relating to
describe in this application. nondiscrimination on the basis of alcohol abuse or
2. Will give the awarding agency,the Comptroller alcoholism; (g)523 and 527 of the Public Health
General of United States,and if appropriate,the State, Service Act of 1912(42 U.S.C.290 dd-3 and 290 ee-
through any authorized representative,access to and 3),as amended,relating to confidentiality of alcohol
the right to examine all record,books,paper,or and drug abuse patient records;(h)Title VIII of the
documents related to the award;and will establish a Civil Rights Act of 1968 (42 U S C. 3601 et seq),as
proper accounting system in accordance with amended,relating to nondiscrimination in the sale,
generally accepted accounting standards or agency rental or financing of housing;(I)any other
directives. nondiscrimination provisions in the specific statute(s)
3. Will establish safeguards to prohibit employees from under which application for Federal assistance is
using their positions for a purpose that constitutes or being made;and(j)the requirements of any other
presents the appearance of personal or organizational nondiscrimination statute(s)which may apply to the
conflict of interest,or personal gain. . application.
4. Will initiate and complete the work within the 7. Will comply,or has already complied, with the
applicable time frame after receipt of approval of the requirements of Titles II and III of the Uniform
awarding agency. Relocations Assistance and Real Property Acquisition
5. Will comply with the Intergovernmental Personnel Policies Act of 1970(P.L. 91-646)which provide for
Act of 1970(42 U.U.C.4728-4763)relating to fair and equitable treatment of persons displaced or
prescribed standards for merit systems for programs whose property is acquired as a result of Federal or
funded under one of the nineteen statutes or federally assistance programs.These requirements
regulations specified in Appendix A of OPM's apply to all interest in real property acquired for
Standards for a Merit System of Personnel project purposes regardless of Federal participation in
Administration(5 C.F.R. 900,Subpart F). purchases.
6. Will comply with all Federal statutes relating to 8. Will comply,as applicable, with provisions of the
nondiscrimination.These include but are not limited Hatch Act(5 U. S.C. 1501-1508 and 7324-7328)
to: (a)Title VI of the Civil Rights Act of 1964(P.L. which limit the political activities are funded in whole
88-352)which prohibits discrimination on the basis of or in part with Federal Funds.
race,color or national origin; (b)Title IX of the
Education Amendments of 1972,. as amended(20 U.
S.C. 1681- 1683,and 1685-1686),which prohibits
discrimination on the basis of sex; (c)Section 504 of
the Rehabilitation Act of 1973,as amended(29 U. S.
C.794),which prohibits discrimination on the basis of
handicaps;(d)the Age Discrimination Act of 1975,as
amended(42 U. S.C. 6101-6107),which prohibits
discrimination on the basis of age;(e)the Drug Abuse
•
1. Will comply,as applicable, with the provisions of the
Davis-Bacon Act(40 U. S. C. 276a to 276a—7),the 4. Will comply with the Wild and Scenic: Rivers Act of
Copeland Act(40 U. S. C. 276c and 18 U.S.C. 874), 1968. (16 U.S.C. 127] et seq.)related to protecting
and the Contract Work Hours and Safety Standards components or potential components of the national
Act(40 U.S. C. 327-333),regarding labor standards wild and scenic rivers system.
2. for federally assisted construction sub agreements. 5. Will assist the awarding agency in assuring
Will comply,if applicable, with flood insurance compliance with section 106 of the National Historic
purchase requirements of Section 102(a)of the Flood Preservation Act of 1966,as amended(16 U.S.C.
Disaster Protection Act of 1973 (P.L. 93-234)which 470),EO 11593(identification and protection of
requires recipients in a special flood hazard area to historic properties)and the Archaeological and
participate in the program and to purchase flood Historic Preservation Act of 1974. (16 U.S.C.469a-1
insurance if the total cost of insurable construction and et seq.).
acquisition is$10,000 or more. 6. Will comply with P.L. 93-348 regarding the protection
3. Will comply with environmental standards which may of human subjects involved in research,development,
be prescribed pursuant to the following: (a)institution and related activities supported by this award of
of environmental quality control measures under the assistance.
National Environmental Policy Act of 1969(P.L. 9]- 7. Will comply with the Laboratory Animal Welfare Act
190)and Executive Order(EO) 11514;(b)notification of 1966. (P.L. 89-544,as amended,7 U.S.C. 2131 et
of violating facilities pursuant to EO 11738;(c) seq.)pertaining to the care,handling,and treatment of
protection of wetlands pursuant to EO 11990;(d) warm blooded animals held for research,teaching,or
evaluation of flood hazards in floodplains in other activities supported by this award of assistance.
accordance with EO 11988;(e)assurance of project 8. Will comply with the Lead-Based Paint Poisoning
consistency with the approved State management Prevention Act(42 U.S.C.4801 et seq.)which
program developed under the Coastal Zone prohibits the use of lead based paint in construction or
Management Act of 1972. (16 U.S.C. 1451 et esq.);(f) rehabilitation of residence structures.
conformity of Federal actions to State(Clear Air) 9. Will cause to be performed the required financial and
Implementation Plans under Section 176(c)if the compliance audits in accordance with the Single Audit
Clear Air Act of 1955, as amended(42 U.S.C.7401 et Act of 1984 or OMB Circular No.A-133,Audits of
esq.); (g)protection of underground sources of Institutions of Higher Learning and other Non-profit
drinking water under the Safe Drinking Water Act of Institutions.
1974,as amended,(P.L. 93-523);and (h)protection of 10. Will comply with all applicable requirements of all
endangered species under the Endangered Species Act other Federal laws,executive orders,regulations and
of 1973,as amended, (P.L..93-205). policies governing this program.
SIGNAT E OF AU HORIZED CERTIFYING OFFICIAL TITLE
I /
Chief Don Carey
APPLICANT ORGANIZATION DATE SUBMITTED
Omaha Police Department Z, -21-62-
BUDGET INFORMATION-CONTRUCTION PROGRAMS
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case
your will be notified
COST CLASSIFICATION a.Total Cost b.Costs Not Allowable for c.Total Allowable Costs(Column
Participation a-b)
1.Administrative and legal expenses
2.Land,structures,rights of way,appraisals,etc.
3.Relocation expenses and payments
4.Architectural and engineering fees
5. Other architectural and engineering fees
6.Project inspection fees
7. Site work
8.Demolition and removal
9.Construction
10.Equipment
11.Miscellaneous
12. SUBTOTAL(sum of lines 1 — 11)
13.Contingencies
14. SUBTOTAL
15.Project(program)income
16.TOTAL PROJECT COSTS(subtract# 15 from# 14)
FEDERAL FUNDING
17. Federal assistance requested,calculate as follows Enter eligible costs from line 16c Multiply X %
(Consult Federal agency for Federal percentage share).
Enter resulting Federal share.
•
INSTRUCTION FOR THE SF 424-C
Public reporting burden for this collection of information is estimated to average l 80 minutes per response,including time for
reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information,including suggestions for reducing this burden,to the Office of Management and Budget,Paperwork Reduction
Project(0348-0041),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
This sheet is to be used for the following types of applications: (1)"New"(means a new [previous Un-funded] assistance
award);(2)"Continuation"(means funding in a succeeding budget which stemmed from a prior agreement to fund);and(3)
"Revised"(means any changes in the Federal government's financial obligation or contingent liability from an existing
obligation).If there is no change in the award amount there is no need to complete this form.Certain Federal agencies may
require only an explanatory letter to the effect minor(no cost)changes.If you have questions please contact the Federal
agency.
Column a.-If this is an application for a"New"project, Line 4—Enter estimate basic engineering fees related to
enter the total estimated cost of each of the items listed on construction(this includes start-up services and
lines 1 through 16(as applicable)under "COST preparation of project performance work plan).
CLASSIFICATIONS."
Line 5—Enter estimated engineering costs, such as
If this application entails a change to an existing award, surveys,tests,soil borings,etc.
enter the eligible amounts approved under the previous
award for the items under"COST CLASSIFICATION' Line 6—Enter estimated engineering inspection costs.
Column b.If this is an application for a"New"project, Line 7—Enter estimated costs of site preparation and
enter that portion of the cost of each item in Column a. restoration which are not included in the basic construction
which is not allowable for Federal Assistance.Contact the contract.
Federal agency for assistance in determining the
allowability of specific costs. Line 9—Enter estimated cost of the construction contract.
If this application entails a change to an existing award, Line 10—Enter estimated cost of office,shop,laboratory,
enter the adjustment[+or(-)] to the previously approved safety equipment,etc. to be used at the facility,if such
costs(from column a.)reflected in this application. costs are not included in the construction contract.
Column c.This is the net of line 1 through 16 in columns Line 11 —Enter estimated miscellaneous costs.
"a"and "b".
Line 1.2-Total of items 1 through 11.
Line 1-Enter estimated amounts needed to cover
administrative expenses.Do not include costs which are Line 13—Enter estimated contingency costs. (Consult the
related to the normal functions of government. Allowable Federal agency for the percentage of the estimated
legal costs are generally only those associated with the construction cost to use.)
purchase of land which is allowable for Federal
participation and certain services in support of construction Line 1.4—Enter the total of lines 12 and 13.
of the project.
Line 15 - Enter estimated program income to be earned
Line 2—Enter estimated site and right(s)of way during the grant period,e.g. salvaged materials,etc.
acquisition costs(this includes purchase,lease,and/or
easements). Line 1.6—Subtract line 15 from line 14.
Line 3—Enter estimated cost related to relocation advisory Line 17—This block if for the computation of the Federal
assistance,replacement housing,and relocation payments share.Multiply the total allowable project costs from line
to displaced persons and businesses,etc. 16,column"c"by the Federal percentage share(this may
be up to 100 percent;consult Federal agency for Federal
percentage share)and enter the product on line 17.
•
ASSURANCES-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for
reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and
reviewing the collection of information. Send comments regarding the burden estate or any other aspect of this collection of
information,including suggestions for reducing this burden,to the office of Management and Budget,Paperwork Reduction
Project(0348-0042),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE:Certain of theses assurances may not be applicable to your project or program.If you have questions,please contact
the Awarding Agency.Further,certain Federal assistance awarding agencies may require applicants to certify to additional
assurances.If such is the case,you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, prescribed standards for merit system for programs
and the institutional,managerial and financial funded under one of the nineteen statutes or
capability(including funds sufficient to pay the non- regulations specified in appendix A of OPM's
Federal share of project costs)to ensure proper Standards for a Merit System of Personnel
planning,management and completion of the project Administration(5 C.F.R.900 Subpart F).
described in this application. 9. Will comply with the Lead-Based Paint Poisoning
2. Will give the awarding agency,the Comptroller Prevention Act(42 U.S.C.4801 et seq.)which
General of the United States,and if appropriate,the prohibits the use of lead based paint in construction or
State through any authorized representative,access to rehabilitation of residence structures.
and the right to examine all records,books,papers,or 10. Will comply with all Federal statues relating to non-
documents related to the assistance;and will establish discrimination.These include but are not limited to:
a proper accounting system in accordance with (a)Title VI of the Civil Rights Act of 1964(P.L. 88-
generally accepted accounting standards or agency 352)which prohibits discrimination on the basis of
directives. race,color or national origin;(b)Title IX of the
3. Will not dispose of,modify the use of, or change the Education Amendments of 1972,as amended(20
terms of the real property title,or other interest in the U.S.C. 1681-1683,and 1685-1686)which prohibits
site and facilities without permission and instructions discrimination on the basis of sex;(c)Section 504 of
from the awarding agency.Will record the Federal the Rehabilitation Act of 1973,as amended(29 U.S.C.
interest in the title of real property in accordance with 794)which prohibits discrimination of the basis of
awarding agency directives and will include a handicaps;(d)the Age Discrimination Act of 1975,as
covenant in the title of real property acquired in whole amended(42 U.S.C.6101-6107)which prohibits
or in part with Federal assistance funds to assure non- discrimination on the basis of age;(e)the Drug Abuse
discrimination during the useful life of the project. Office and Treatment act of 1972(P.L.93-255),as
4. Will comply with the requirements of the assistance amended,relating to non-discrimination on the basis
awarding agency with regards to the drafting,review of drug abuse;(f)the comprehensive alcohol Abuse
and approval of construction plans and specifications. and alcoholism Prevention,Treatment and
5. Will provide and maintain competent and adequate Rehabilitation Act of 1970(P.L. 91-616),as amended,
engineering supervision at the construction site to relating to nondiscrimination on the basis of alcohol
ensure that the complete work conforms with the abuse or alcoholism;(g)523 and 527 of the Public
approved plans and specifications and will furnish Health Service Act of 1912(42 U.S.C.290 dd-3
progress reports and such other information as may e and290 ee-3),as amended,relating to confidentiality
required by the assistance awarding agency or State. of alcohol and drug abuse patient record;(h)Title VIII
6. Will initiate and complete the work within the of the Civil Rights Act of 1968(42 U.S.C.3601 et
applicable time frame after receipt of approval of the seq. ),as amended,relating to non-discrimination in
awarding agency. the sale,rental or financing of housing; (I)any other
7. Will establish safeguards to prohibit employees from non-discrimination provisions I the specific statute(s)
using their positions for a purpose that constitutes or under which application for Federal assistance is
present the appearance of personal or organizational being made and(j)the requirements on any other non-
conflict of interest,or personal gain. discrimination Statute(s)which may apply to the
8. Will comply with the Intergovernmental Personnel application.
Act of 1970(42 U.S.C.4728-4763)relating to
•
1. Will comply,or has already complied,with the protection of wetlands pursuant to EO 11990;(d)
requirements of Titles II and III of the Uniform evaluation of flood hazard in floodplains in
Relocation Assistance and real Property Acquisition accordance with EO 11988;(e)assurance of project
Policies Act of 1970. (P.L. 91-646)which provides for consistency with the approved State management
fair and equitable treatment of persons displaced or program developed under the Coastal Zone
whose property is acquired as a result of Federal and Management Act of 1972(16 U.S.C. 1451 et seq.); (f)
federally assisted programs.These requirements apply conformity of Federal actions to State(Clean Air)
to all interest in real property acquired for project implementation Plans under Section 176(c)of the
purpose regardless of Federal participation in Clean Air Act of 1955,as amended(42 U.S.C.7401 et
purchases. seq.);(g)protection of underground sources of
2. Will comply with the provisions of the Hatch Act(5 drinking water under the Safe Drinking Water Act of
U.S.C. 1501-1508 and 7324-7328)which limit the 1974,as amended,(P.L. 93-523);and(h)protection of
political activities of employees whose principal endangered species under the Endangered species Act
employment activities are funded in whole or in part of 1973,as amended,(P.L. 93-205).
with Federal funds. 6. Will comply with the wild and scenic rivers act of
3. Will comply,as applicable, with the provisions of the 1968. (16 U.S.C. 1271 et seq.)related to protecting
Davis-Bacon Act(40 U.S.C. 276a to 276a-7),the components or potential components of the national
Copeland Act(40 U.S.C. 276c and 18 U.S.C. 874), wild and scenic rivers system.
The contract Work hours and safety Standards Act(40 7. Will assist the awarding agency in assuring
U. S.C.327-333)regarding labor standards for compliance with section 106 of the National Historic
federally assisted construction subagreements. Preservation Act of 1966,as amended(16 U.S.C.
4. Will comply with the flood insurance purchase 470),EO 11593 (identification and preservation of
requirements of Section 102(a)of the Flood Disaster historic properties),and the Archaeological and
Protection Act of 1973 (P.L.93-234)which requires Historic Preservation Act of 1974(16 U.S.C.469a-1
recipients in a special flood hazard area to participate et seq.).
in the program and to purchase flood insurance if the 8. Will cause to be performed the required financial and
total cost of insurable construction and acquisition is compliance audits in accordance with the single Audit
$10,000 or more Act of 1984.
5. Will comply with environmental standards which may 9. Will comply with all applicable requirements of all
be prescribe pursuant to the following: (a)institution other Federal laws,Executive Orders,regulations and
of environmental quality control measures under the policies governing this program.
National environmental policy Act of 1969(P.L. 91-
190)and Executive Order(EO) 11514;(b)notification
of violating facilities pursuant to EO 11738;(c)
SIGNATU E OF AU HORIZED CERTIFYING OFFICIAL TITLE
Vv
hief Don Carey
APPLICANT ORGANIZATION DATE SUBMITTED
Omaha Police Department 2 Z/- o 2
OFFICE OF NATIONAL CONTROL POLICY
CERTIFICATIONS REGARDING LOBBYING, DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS; DRUG-FREE WORKPLACE REQUIREMENTS; FEDERAL
DEBT STATUS,AND NONDISCRIMINATION STATUS AND IMPLEMENTING REGULATIONS
Instructions for the certifications (c) The undersigned shall require that the language of this
certification be included in the award document for all
General Requirements subawards at all tiers(including subgrants,contracts
The Office of National Drug Control Policy(ONDCP)is under grants and cooperative agreements,and
required to obtain from all applicants' certifications subcontracts)and that all subrecipients shall certify and
regarding federal debt status,debarment and suspension,and disclose accordingly.
a drugfree workplace.Applicants requesting monies greater
than$100,000 in grants funds must also certify regarding 2. DEBARMENT,SUSPENSION,AND OTHER
lobbing activities and may be required to submit a RESPONSIBILITY MATTER(DIRECT RECIPIENT)
Disclosure of Lobbying Activities"(Standard Form LLL). As required by Executive Order 12549,Debarment and
Institutional applicants are required to certify that they will Suspension and implemented at 21 CFR Part 1404,for
comply with the nondiscrimination statues and prospective participants in primary covered transactions
implementing regulations.
A. The applicant certifies that it and its principals:
Applicants should refer to the regulations cited below to
determine the certifications to which they are required to (a) Are not presently debarred,suspended,proposed for
attest.Applicants should also review the instructions for debarment,declared ineligible,sentenced to a denial of
certification included in the regulations before completing Federal benefits by a State or Federal court,or
this form. Signature of the form provides for compliance voluntarily excluded from covered transactions by any
with certification requirements under 21 CFR part 1405, Federal department or agency:
"New Restrictions on Lobbying"and 21 CFR part 1414, (b) Have not within a three-year period preceding this
Government wide Debarment and Suspension. application been convicted of or and a civil judgment
(Non procurement),Certification Regarding Federal debt rendered against them for commission of fraud or a
Status(OMB Circular A-129),and Certification Regarding criminal offense in connection with obtaining,
the Nondiscrimination Statutes and Implementing attempting to obtain or performing a public(Federal,
Regulations.The certifications shall be treated as a material State,or local)transaction or contract under a public
representation of fact upon which reliance will be placed transaction' violation of Federal or State antitrust
when the Office of National Drug Control Policy determines statures or commission of embezzlement,theft,forgery,
to award the covered cooperative agreement bribery,falsification or destruction of records,making
false statements,or receiving stolen property;
1. LOBBYING (c) Are not presently indicted for o otherwise criminally or
As required by Section 1352,Title 31 of the U.S.Code, and civilly charged by a governmental entity(Federal,State,
implemented in 21 CFR part 1405,for persons entering into or local)terminated for cause or default;and
a cooperative agreement over$100,000,as defined at 21.
CFR Part 1405,the applicant certifies that: B. Where the applicant is unable to certify to any of the
statements in this certification.He or she shall attach an
(a) No federal appropriated funds have been paid or will be explanation to the application.
paid,by or on behalf of the undersigned,to any person
for influencing or attempting to influence an officer or 2. DRUG-FREE WORKPLACE(GRANTEES
employee of any agency,a member of Congress,and OTHER THAN INDIVIDUALS)
officer or employee of Congress,or an employee of a As required by the Drug Free Workplace Act of
Member of Congress in connection with the making of 1988,. and implemented at 21 CFR Part 1404
any Federal grant,the entering into continuation, Subpart F.
renewal,amendment,or modification of any Federal A. The applicant certifies that it will or will continue
grant or cooperative agreement. to provide a drug free workplace by:
(b) If any funds other than Federal appropriated funds have
been paid or will being paid to any person for (a).Publishing a statement notifying employees that the
influencing or attempting to influence an officer or unlawful manufacture,distribution,dispensing,possession,
employee of Congress,or an employee of a Member of or use of a controlled substance is prohibited in the
Congress in connection with this Federal Grant or applicant's workplace and specifying the actions that will be
cooperative agreement,the undersigned shall complete taken against employees for violations of such prohibition;
and submit Standard Form—LLL,"Disclosure of
Lobbying Activities,"in accordance with its (b)Establishing an on-going drug free awareness program to
instructions; inform employees about
,
(1) The dangers of drug abuse in the workplace;
(2) The applicant's policy of maintaining a drug free The regulations provide that a recipient that is a State may
workplace; elect of make one certification in each Federal fiscal year.
(3) Any available drug counseling,rehabilitation,and A copy of which should be included with each application
employee assistance programs;and for ONDCP Funding.
(4) The penalties that may be imposed upon employees for
drug abuse violation occurring in the workplace; DRUG FREE WORKPLACE(RECIPIENTS WHO
ARE INDIVIDUALS)
(d) Making it a requirement that each employee to be As required by the Drug Free Workplace Act of 1988,and
engaged in the performance of the grant be given a copy implemented at 21 CFR Part 1404 Subpart F.
of the statement required by paragraph(a);
(e) Notifying the employee in the statement required by A. as a condition of the cooperative agreement,I certify
paragraph(a)that,as a condition of employment under that I will not engage in the unlawful manufacture,
the grant,the employee will distribution,dispensing,possession,or use of a
controlled substance in conduction any activity with the
(1) Abide by the terms of the statement; and grant;and
(2) Notify the employer in writing of his or her conviction B. If convicted of a criminal drug offense resulting form a
for a violation of a criminal drug statute occurring in the violation occurring during the conduct of any grant
workplace no later than five calendar days after such activity,I will report the conviction in writing, within
conviction: 10 calendar days of the conviction,to:The Assistance
Center, 8401 Northwest 53rd Terrace,Suite 208,Miami,
(f) Notifying the agency,in writing, within 10 calendar Florida 33166.
days after receiving notice under subparagraph(d)(2)
form an employee or otherwise receiving actual notice 4. CERTIFICATION REGARDING FEDERAL
of such convictions.Employers of convicted employees DEBT STATUS(OMB Circular A-129)
must provide notice including position title,to:The
Assistance Center, 8401 Northwest 53rd Terrace,suite The Applicant certifies to the best of its knowledge and
200,Miami,Florida 33166.Notice shall include the belief,that it is not delinquent in the repayment of any
identification number of each affected grant; federal debt.
(g) Taking one of the following actions within 30 calendar 5. CERTIFICATION REGARDING THE
days of receiving notice under subparagraph(d)(2), with NONDISCRIMINATIN STATUTES AND
respect to any employee who is so convicted- IMPLEMENTING REGULATIONS
(1) Taking appropriate personnel action against such an The applicant certifies that it will comply with the following
employee,up to and including termination,consistent nondiscrimination statues and their implementing
with the requirements of the Rehabilitation Act of 1973, regulations: (a)title VI of the Civil right Act of 1964(42
as amended;or U.S.C. 2000D et seq.)which provides that no person in the
(2) Requiring such employee to participate satisfactorily in United States shall,on the ground of race,color,or national
a drug abuse assistance or rehabilitation program origin,be excluded from participation in,be denied the
approved for such purposes by a Federal State,or local benefits of or be otherwise subjected to discrimination under
health,law enforcement,or other appropriate agency; any program or activity for which the applicant received
(h) Making a good faith effort to continue to maintain a federal financial assistance;(b)Section 504 if the
drug free workplace through implementation of rehabilitation Act of 1973,as amended(29 U.S.C.794),
paragraphs(a),(b),(c),(d),(e),and(f). which prohibits discrimination on the basis of handicap in
programs and activities receiving federal financial
B. The applicant may insert in the space provided assistance;(c)title IX of the Education Amendments of
below the site(s)for the performance of work done 1972m as amended(20 U.S.C. 1981 et seq.)which prohibits
in connection with the specific cooperative discrimination on the basis of sex in education programs and
agreement: activities receiving federal financial assistance;and(d)the
Age Discrimination Act of 1975,and amended(42 U.S.C.
Place of Performance(street address,city,country,state,zip 6101 et seq.)which prohibits discrimination on the basis of
code) age in programs and activities receiving federal financial
assistance,except that actions which reasonably take age
Omaha Police Department into account as a factor necessary for the normal operation
or achievement of any statutory objective of the project or
Check . if there are workplace on file that are not activity shall not violate this statute
identified here.
•
As the duly authorized representative of the applicant,I hereby certify that the applicant will comply with the above certifications.
Grantee Name and Address: Omaha Police Department
Application Number and/or Project Name: 12PMWP637
Metro Drug Task Force
1. Grantee IRS/Vendor Number:
Type Name and Title of Authorized Representative: Chief Don Carey
5. Signature: 6. Date: Z • 2 /-6 Z
i ry 1
•
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose activities pursuant to 31 U.S.C.1352
(See reverse for public burden disclosure)
1. Type of Federal Action: 2. Status of Federal Action 3. Report Type
C a. contract b a. bid/offer/application a a. Initial filing
b. grant b. Initial award b. material change
c. cooperative agreement c. post-award For Material Change only
d. loan Year: Quarter:
e. loan guarantee Date of last report:
f. loan insurance
4. Name and Address of reporting Entity 5. If reporting entity in No.4 is Subawardee, Enter name
and address of Prime:
XPrime n Subawardee
Tier_,if known:
Omaha Police Department
Congressional District,if known Congressional District,if known
6. Federal Department/Agency: 7. Federal Program Name/Description:
ONDCP HIDTA
8. Federal Action Number,if known 9. Award Amount,if known
$ 196,568.00
10. a. Name and Address of Lobbying Entity b. Individuals Performing Services(including address if
(if individual,last name,first name,MI) different from No.10a)
last name,first name,MI)
None None
(attach Continuation Sheet(s)SF-LLL-A,if necessary)
11. Amount of Payment(check all that apply): 13. Type of Payment(check all that apply)
$ N/A _actual planned _ a. retainer
_ b. one-time fee
12. Form of Payment(check all that apply): _ c. commission
a. cash _ d. contingent fee
b. in-kind;specify: nature _ e. deferred
value _ f. other;specify:
14. Brief Description of Services Performed or to be Perfo rmed and Date(s)of Service,including officer(s),employee(s),or Member(s)contacted,for Payment
indicated in Item 11:
None
(attach Continuation Sheet(s)SF-LLL-A,if necessary)
15. Continuation Sheet(s)SF-LLL-A atached: Yes _X_No
16. Information requested through this form is authorized by title 31
U.S.C.section 1352. This disclosure of lobbying activities is a material
representation of fact upon which reliance was placed by the tier above Signature: j Gvt,
when this transaction was made o entered into. This disclosure is requested
pursuant to 31 U.S.C.1352. This information will be reported to the Print Name: Chief Don Carey
Congress semi-annually and will be available for public inspection. Any
person who fails to file the required disclosure shall be subject to a civil Title:
penalty of not less than$10,000 and not more than$100,000 for each such
failure. Z—Z/—0
Telephone No.: Date: .
Federal Use Only: Authorized for local reproduction
Standard Form—LLL
Confidential Funds Certification
This is to certify that I have read,understood, and agree to abide by all of the conditions for confidential funds as set forth
in the effective edition of ONDCP Financial&Administrative Guide.
Date: 2 "Z("�� • Signature: 71374/1j
Project Director: Don Carey
Grant No.: I2PMWP637
Y F
csak CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebraska
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, the City of Omaha has accepted administrative and financial
responsibilities to manage the Midwest High Intensity Drug Trafficking Area (HIDTA) Grant;
and,
WHEREAS, under date of February 1, 2002, the Executive Office of the
President, approved Grant No. I2PMWP637, with special conditions in the amount of
$196,568.00 from the Office of National Drug Control Policy, to the City of Omaha; to be used
over a project period extending to January 31, 2003, for personnel costs and equipment; and,.
WHEREAS, it is 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, this Council does hereby approve the application for and approves the
acceptance of the award from the Executive Office of the President, Office of National Drug
Control Policy, in the amount of $196,568.00, to support the Midwest High Intensity Drug
Trafficking Area(HIDTA).
P:\OPD1\6742pjm.doc APPROVED AS TO FORM:
CITY ATTORNEY DATE
By
ncilmember
Adopted APV- 2 70
`City Clerk
Approved...
ayor
I
NO. Q•OO
.' Resolution by C2hb
Res. that this Council does hereby approve
the application for and approves the
acceptance of the award from the Executive
Office of the President, Office of National
Drug Control Policy, in the amount of
$196,568.00, to support the Midwest High •
Intensity Drug Trafficking Area (HIDTA).
P:\OPD1\6742pjm.doc
Presented to City Council
APR - 2 2002
Adopted 7-0
goiter gown,
City Clerk