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Home My WebLink AboutCRIMINAL JUSTICE COORDINATING SOLICITOR VWAP SUB GRANT AWARD 10/01/09-09/30/10 r REFERENCE NO.: 13xxx OFFICE OF THE GOVERNOR CRIMINAL JUSTICE COORDINATING COUNCIL SUBGRANT AWARD 3UBGRANTEE: Richmond County IMPLEMENTING AGENCY: Augusta/Richmond County FEDERAL FUNDS: MATCHING FUNDS: TOTAL FUNDS: GRANT PERIOD: $ 30,000 $ 7,500 $ 37,500 10/01/09-09/30/10 ~ING CATEGORY: Solicitor VWAP 3UBGRANT NUMBER: C09-8-009 \ward is hereby made in the amount and for the period shown above for a grant under ~he Victims of Crime Act of 1984, Title II, of Public Law 98-473. The award is made Ln accordance with the plan set forth in the application of the subgrantee and subject ~o any attached special conditions. rhe subgrantee has agreed through the previously executed copy of certified assurances to be subject to all applicable rules, regulations, and conditions of the victims of :rime Act. This subgrant shall become effective on the beginning date of the grant Jeriod, provided that within forty-five (45) days of the award execution date (below) the properly executed original of this "Subgrant Award" is returned to the Criminal Justice Coordinating Council. AGENCY APPROVAL SUB GRANTEE APPROVAL rJi::::r-:~f~d OfficiaL (2-(, /D7 Date Council :I:n-\I\c.l S. Co~e.r ~ Or Typed Name & Title of Authorlzed Official Date Executed: 10/01/09 58-2204274-004 Employer Tax Identification Number (EIN) ************************************************************************************** INTERNAL USE ONLY TRANS CD REFERENCE ORDER EFF DATE TYPE PAY DATE INVOICE CONTRACT # 102 13xxx 1 10/01/09 9 ** C09-8-009 OVERRIDE ORGAN CLASS PROJECT VENDOR CODE 2 46 4 13yy2 ITEM CODE DESCRIPTION 25 CHARACTERS EXPENSE ACCT AMOUNT 1 VOCA 624.41 $ 30,000 CRIMINAL JUSTICE COORDINATING COUNCIL SPECIAL CONDITIONS SUBGRANTEE: Richmond County FUNDING CATEGORY: Solicitor VWAP SUBGRANT NUMBER: C09-8-009 SUBGRANT AWARD: $ 3 0 , 000 1. The subgrantee agrees to take reasonable steps to provide meaningful access to their programs and activities for persons with limited English proficiency (LEP). For more information on the civil rights responsibilities that recipients have in providing language services to LEP individuals, please see the website at http://www.lep.gov. In addition, subgrantees who provide hotline service will provide documentation of a contract for 24-hour language interpretation service for callers who do not speak English. Subgrantees who provide hotline service will ensure that their TTY machine is operable at all times and that all staff, volunteers and interns who answer the hotline receive training and ongoing review of TTY answering procedures. Initials -tf(,J)..6 2. The subgrantee agrees to comply with the Equal Treatment Regulation (28 C.F.R. part 38) which prohibits recipients from using federal grant funding for inherently religious activities. While faith-based organizations can engage in non-funded inherently religious activities, the activities must be held separately from the grant-funded program, and customers or beneficiaries cannot be compelled to participate in them. The Equal Treatment Regulation makes clear that organizations receiving federal grant funding are not permitted to discriminate when providing services on the basis of a beneficiary's religion. Ini tials -/f())8 3. In accordance with Federal regulations, your organization must comply with the following EEOP reporting requirements: If your organization has received an award for $500,000 or more and has 50 or more employees (counting both full- and part-time employees but excluding political appointees), then it has to prepare an EEOP and submit it to the Office of Civil Rights (OCR), Office of Justice Programs, u.S. Department of Justice for review within 60 days from the date of this award. For assistance in developing an EEOP, please consult OCR's website at http://www.ojp.usdoj.gov/ocr/eeop.htm. You may also request technical assistance from an EEOP specialist at OCR by dialing (202) 616-3208. If your organization received an award between $25,000 and $500,000 and has 50 or more employees, your organization must prepare an Equal Employment Opportunity Plan (EEOP), but it does not have to submit the EEOP to OCR for SUBGRANT NUMBER: CU~-~-UU~ SPECIAL CONDITIONS {page ~} review. Instead, your organization has to maintain the EEOP on file and make it available for review on request. In addition, your organization has to complete Section B of the Certification Form and return it to OCR within 60 days from the date of this award. The Certification Form can be found at http://www.ojp.usdoj.gov/ocr/eeop.htm. If your organization received an award for less than $25,000; or if your organization has less than 50 employees, regardless of the amount of the award; or if your organization is a medical institution, educational institution, nonprofit organization or Indian tribe, then your organization is exempt from the EEOP requirement. However, your organization must complete Section A of the Certification Form and return it to OCR within 60 days from the date of this award. The Certification Form can be found at http://www.ojp.usdoj.gov/ocr/eeop.htm. The subgrantee must maintain proof of compliance with the above requirements and be able to provide such proof to the Criminal Justice Coordinating Council upon request. Ini tials~ t..0 !3 4. In the event a federal or state court or federal or state administrative agency makes an adverse finding of discrimination against your organization after a due process hearing, on the ground of race, color, national origin, or sex, your organization must submit a copy of the finding to the Office of Civil Rights and the Criminal Justice Coordinating Council. Ini tials~ w..0 5. The subgrantee certifies that federal funds will not be used to supplant funds that would otherwise be made available for grant-funded initiatives. Federal funds must be used to supplement existing funds for program activities and not replace funds appropriated for the same purpose. Potential supplanting will be the subject of application review, as well as pre-award review, post-award monitoring, and audit. If there is a potential presence of supplanting, the subgrantee will be required to document that the reduction in non-federal resources occurred for reasons other than the receipt or anticipated receipt of federal funds. Initials ~W 43 6. The subgrantee certifies that all matching funds required to pay the non-federal portion of the project awarded subgrant funds will be in addition to funds otherwise made available for project activities. Initials '1\W 6 7. The subgrantee certifies that l)title to all equipment and/or supplies purchased with funds under this subgrant shall vest in the agency that purchased the property; 2)equipment and/or supplies will be maintained in accordance with established local or state procedures as long as the equipment and/or supplies are used for program-related purposes; and 3) once the project concludes and/or equipment is no longer utilized for its grant-funded purpose, the Criminal Justice Coordinating Council will be informed of the available equipment and determine its future use to assure it is utilized in furtherance of the goals and objectives of the grant program and the State of Georgia. SUBGRANT NUMBER: C09-8-009 SPECIAL CONDITIONS (Page 3) Initials ~10n 8. The subgrantee agrees to abide by all administrative and financial guidelines as stipulated in the Office of Justice Program's Financial Guide for Grants (http://www.ojp.usdoj.gov/financialguide/index.htm). All services paid by federal and/or matching funds must have a valid contract that has been pre-approved by the Criminal Justice Coordinating Council to ensure compliance with federal and state guidelines and statutes. Ini tials K u.::>J3 9. The subgrantee must submit Subgrant Adjustment Request #1 with the completed award package. The adjustment request must be accompanied by a detailed project budget that itemizes all projected expenditures, a revised project summary and revised implementation. The project budget, summary and implementation plan will not be established, or officially approved, until the subgrantee receives a written approval notice from the Criminal Justice Coordinating Council. All project costs and project activities must coincide with the approved budget, summary and limplementation plan unless subsequent revisions are approved by the Criminal Justice Coordinating Council. Ini tials ~ W 13 10. The subgrantee must submit subsequent requests to revise the budget, project summary and implementation plan prior to any substantial changes, but no later than 60 days prior to the end of the subgrant period. Initials ~ W l3 11. All project costs not exclusively related to this approved project must be prorated, and only the costs of project-related activities will be reimbursable under the subgrant award. Initials " L0 r-s 12. The subgrantee agrees to submit requests for reimbursement on either a monthly or quarterly basis, as selected by the subgrantee at the time of award. Subgrant Expenditure Reports are due 15 days after the end of the month (if reporting monthly) or 30 days after the end of the quarter (if reporting quarterly) . Ini tials KL0:B 13. The subgrantee agrees that consultant/contractor fees in excess of $450.00 per eight hour day ($56.25 per hour) must have prior approval from the Office of Justice Programs and the Criminal Justice Coordinating Council. Ini tials ~ vJf> 14. If any changes occur in the subgrantee's lobbying status or activities, a revised Disclosure of Lobbying Activities Form must be submitted. Recipient further understands and agrees that it cannot use any federal funds, either directly or indirectly, in support of the enactment, repeal, modification, or adoption of any law, regulation or policy, at any level of government, without the express prior written approval of Office of Justice Programs. Ini tials ~~ B 15. If any changes occur in the subgrantee's eligibility status regarding debarment, a revised Certification Regarding Debarment, Suspension, SUBGRANT NUMBER: C09-8-009 SPECIAL CONDITIONS (Page 4) Ineligibility, and Voluntary Exclusion form must be submitted to the Criminal Justice Coordinating Council. Initials ~W ~ 16. Repeatedly late submission of any reports will result in a recommendation to the Criminal Justice Coordinating Council for a 5% reduction to your award. These reports include but are not limited to Subgrant Expenditure Reports, Progress Reports, Outcome Performance Measures and Annual Local Victim Assistance Add-On Fund Reports. Ini tials """R W B 17. All nonprofit organizations shall comply fully with the requirements set forth in the Official Code of Georgia Annotated, Chapter 50-20, and submit, prior to the drawdown of any funds, completed financial statements (including balance sheet, income statement and statement of cash flows) and salary information for all personnel whether grant funded or not. Initials ~00 5 18. Subgrantees who provide emergency shelter agree that, if their agency cannot shelter a domestic violence victim, they will identify available resources and assist the victim in developing and implementing a feasible plan to access other emergency shelter. Initials ~(~6 19. Subgrantees who provide emergency shelter will conduct appropriate screening so as not to discriminate against individuals based on physical or mental disability, including mental health concerns and substance abuse issues, or deny shelter solely upon the presence of these factors, and ensure that reasonable accomodations are documented and made available to those victims. Ini tials -y" w13 20. The subgrantee must maintain its certification to receive Local victim Assistance Add-On Funds (5% Funds). In addition, the subgrantee must submit an annual report to the Criminal Justice Coordinating Council regarding the receipt and expenditure of these funds by January 30 each year per O.C.G.A. ~ 15-21-132. Initials -.:tZ tSf:> 21. The subgrantee agrees that each project employee (new or existing) will attend and sucessfully complete at least eight (8) hours of training in victim assistance. A training request will be submitted to the Criminal Justice Coordinating Council for approval at least 15 days prior to the proposed training date. Initials ~vJ8 22. The subgrantee agrees to abide by the provisions of the "Crime Victims' Bill of Rights" as stipulated under Georgia law (O.C.G.A. Chapter 17). Ini tials ~ uJ B 23. The subgrantee agrees to adhere to the Program Guidelines for the Victims of Crime Act Victim Assistance Grant Program. Ini tials~.8 24. The subgrantee agrees to comply with the organizational audit requirements SUBGRANT NUMBER: C09-8-009 SPECIAL CONDITIONS (Page 5) of the Single Audit Act as detailed in OMB Circular A-133. The CFDA number for this grant program is 16.575. Initials ~ W 6 25. The subgrantee agrees to abide by Georgia law regarding the utilization of professional counselors, social workers, and marriage and family therapists. (O.C.G.A. ~ 43-10A-l, et. seq). Initials ~ W f5 26. The subgrantee agrees to abide by Georgia law regarding the utilization of psychologists. (O.C.G.A. ~ 43-39-1, et. seq). Initials hWJ3 27. The subgrantee agrees to utilize project volunteers that provide direct services as defined under the Victims of Crime Act. In order to comply with this requirement, the subgrantee shall furnish a listing of all project volunteers that provide direct services, a copy of the contract between each volunteer and the subgrantee identifying responsibilities for both parties, and a written job description indicating what types of direct services the volunteer will provide. Initials ~~.J3 28. The subgrantee agrees to satisfy 25% of the required match (20%) through the in-kind donation of volunteer hours. The standard rate for the provision of direct services by a volunteer is $12.00 per hour. Higher rates must be pre-approved by the Criminal Justice Coordinating Council. Any deviation from this requirement must be submitted in writing to the Criminal Justice Coordinating Council utilizing the volunteer requirement waiver request form. Ini tials ~ (..0J5 29. The subgrantee agrees to advise victims on their eligibility for benefits under the Georgia Crime Victims Compensation Program, and assist them with application forms and procedures, obtaining necessary documentation, and/or checking on claim status. Initials .~ u0~ 30. Statistical data describing project performance from programs providing direct victim services must be submitted to the Criminal Justice Coordinating Council using the Victim Services Statistical Report (VSSR) provided to the subgrantee. VSSRs describing program outputs (total services delivered, total clients served, etc.) are due quarterly on January 30, April 30, July 30, and October 30. The fourth quarter report, due to October 30, requires subgrantees to complete an additional section included with that quarter's statistical report. Performance Reports describing program outcomes (changes in clients as a result of services delivered) must be based on surveys administered to individual clients. Each program should include the appropriate performance measures for their respective type of program on their client surveys. Programs are required to follow the CJCC Data Collection Guidelines and report on the on-line reporting system. Subgrantees are encouraged, but not required, to use the Excel-based ppreadsheets to enter and tally their ~u~u~~ ~u~~~: ~u~-o-uu~ ~~~~~~ ~u~u~~~u~~ \ ~CLge {J I individual client outcome data. Totals reported for outputs may not match totals reported for outcomes since outcomes are collected from clients only at the substantial completion of services. Beginning in 2010, the first Performance Report is due April 30 to include the period between October 1, 2009 and March 31, 2010. The second Performance Report is due October 30, 2010 and will include the entire year from October 1, 2009 through September 30, 2010. Initials ~ wB - 31. The subgrantee agrees to fully cooperate with any monitoring or evaluation activities, and any related training activities, initiated and/or conducted by the Criminal Justice Coordinating Council during and subsequent to the award period. Initialst\ w_B 32. The subgrantee authorizes the Criminal Justice Coordinating Council, Office for Victims of Crime (OVC) and/or the Office of the Chief Financial Officer (OCFO), and its representatives, access to and the right to examine all records, books, paper or documents related to the VOCA grant. Initials ~w6 33. The subgrantee agrees to promptly refer to the DOJ OIG any credible evidence that a principal, employee, agent, contractor, subcontractor, or other person has either 1) submitted a false claim for grant funds under the False Claims Act; or 2) cormnitted a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. Potential fraud, waste, abuse, or misconduct should be reported to the OIG by mail: Office of the Inspector General u.S. Department of Justice Investigations Division 950 Pennsylvania Avenue, N.W. Room 4706 Washington, DC 20530 e-mail: oig.hotline@usdoj.gov hotline: (contact information in English and Spanish) (800) 869-4499 or hotline fax: (202) 616-9881 Additional information is available from the DOJ OIG website at www.usdoj.gov/oig. Initials ~w~ Please be advised that failure to comply with any of the Special Conditions will result in material noncompliance with the Subgrant Agreement, thus subjecting the Subgrant Agreement to possible termination by.the Criminal Justice Coordinating Council. Typed name of ~ S' ( L Authorized Official: .:J>6UI\(l, . j)pmn.a..\1eT' Title ~br Signature LfJy{Il. ~ Date (7.-{ \ {8'f 10/16/09 DOC3H CRIMINAL JUSTICE COORDINATING COUNCIL SUBGRANT EXPENDITURE REPORT/REQUEST FOR FUNDS # 1 FEDERAL GRANT # SUBGRANT #: C09-a-009 EXPENDITURES FOR THE PERIOD OF THRU FINAL RPT? (Y/@ ~ SUBGRANTEE:Richmond County 530 Greene Street 806 City/County Building Augusta, GA 30911 FUNDING CATEGORY: Solicitor VWAP PROJECT PERIOD: 10/01/09 to 09/30/10 CERTIFICATION: I certify that the above statements are accurate based on official records, that expenditures shown have been made for the purpose of, and in accordance with, applicable grant terms and conditions, and that appropriate supportive documentation relative to all expenditures is attached. TYPED NAME OFFICIAL APPROVAL: SIGNATURE U..:e.. & TITLE:J:h.N' DATE L z,J, /0' Or SUBGRANTEE PREPARED BY: G~~ \j.J. '~r PHONE NUMBER: 10lD ~z..\t ~ 9.8 OFFICIAL'S FOR CRIMINAL JUSTICE COORDINATING COUNCIL USE ONLY SUBGRANT #: SUBGRANT AWARD: REQUESTED TO DATE: BALANCE: $ C09-8-009 30,000 * AMOUNT REQUESTED THIS REPORT: REVIEWED BY (INITIALS & DATE): AUTHORIZED BY DATE * Substantiated Advanced PROJECT Tif EI - Partial Order Tif ED - Schedule Pay Date PROGRAM AMOUNT DISCOUNT PO/AUTH FOR ACCOUNTING USE ONLY ORG # 4710606000 INVOICE PAY DATE 13xxx 13yy2 C09-8-009E01 PRINT DATE: 10/16/09 GMIS DOCUMENT 3A CRIMINAL JUSTICE COORDINATING COUNCIL SUBGRANT ADJUSTMENT REQUEST FEDERAL GRANT # REQUEST DATE: l \ - "'L6-D'\ PAGE 1 OF 2 ADJ REQUEST #: 1 SUBGRANTEE: Richmond County FUNDING CATEGORY: Solicitor VWAP SUBGRANT #: C09-a-009 NATURE OF ADJUSTMENT: Adjustments of each type shown should be entered in the section indicated. REVISED BUDGET Go To SECTION I PROJECT PERIOD AND/OR EXTENSION. Go To SECTION II PROJECT OFFICIALS/ADDRESSES. Go To SECTION III PROJECT PERSONNEL. Go To SECTION III GOALS AND OBJECTIVES Go To SECTION III OTHER. Go To SECTION III Mark all that apply. MUST BE JUSTIFIED AND EXPLAINED THOROUGHLY IN SECTION IV. SECTION I. REQUEST FOR BUDGET CHANGE - JUSTIFY IN SECTION IV. CURRENT APPROVED REVISIONS +/- REVISED BUDGET PERSONNEL $ 37,500 EQUIPMENT 0 SUPPLIES 0 TRAVEL 0 PRINTING 0 OTHER 0 TOTAL $ 37,500 Federal $ 30,000 Match $ 7,500 SECTION II. REQUEST FOR CHANGE IN PROJEC.T PERIOD - JUSTIFY IN SECTION IV. CURRENT GRANT PERIOD Start Date: 10/01/09 End Date: 09/30/10 REQUESTED GRANT PERIOD Start Date: End Date: FOR EXTENSION, # OF MONTHS: NOTE: The maximum extension request cannot exceed 12 months. SECTION III. REQUESTS FOR REVISIONS TO PROJECT OFFICIALS/ADDRESSES, PROJECT PERSONNEL, GOALS AND OBJECTIVES, AND/OR OTHER NON-BUDGET, NON-PERIOD CHANGES (JUSTIFY IN SECTION IV.) f\IA CONTINUED ON NEXT PAGE PRINT DATE: 10/16/09 GMIS DOCUMENT 3A CRIMINAL JUSTICE COORDINATING COUNCIL SUBGRANT ADJUSTMENT REQUEST FEDERAL GRANT # PAGE 2 of 2 ADJ REQUEST #: 1 REQUEST DATE: H-7,'O~()Cl SUBGRANTEE: Richmond County FUNDING CATEGORY: Solicitor VWAP SUBGRANT #: C09-B-009 SECTION IV. JUSTIFICATION OF ALL REQUESTED ADJUSTMENTS, REVISIONS, AND/OR CHANGES All requested adjustments in Sections I, II & III (page 1) must be justified in detail in this Section. Include item costs, descriptions, equipment lists, detailed explanations, and any other information that would further clarify and support your request for adjustment. Attach additional pages as needed. tJ \n SUBMITTED BY: SignaturcJ:;:~c;al ~r -MQ\{ {)'{ Project Director . Title lzl'/IJ1 Date CJCC ROUTING AND APPROVALS: Approval Disapproval Reviewer Signature Reviewed By: Authorized By: DESIGNATION OF GRANT OFFICIALS LEGAL NAME OF AGENCY: RICHMOND COUNTY SOLICITOR GENERAL'S OFFICE PROJECT TITLE: VICTIM/WITNESS ASSISTANCE PROGRAM D Mr. [8] Ms. REBECCA W. BALLIEW PROJECT DIRECTOR NAME (Type or Print) PROGRAM COORDINATOR! RICHMOND COUNTY SOLICITOR GENERAL'S VW AP Title and Agency 409 WATKINS STREET Official Agency Mailing Address 706821-1198 Daytime Telephone Number ltaylor@augustaga.gov E-Mail Address AUGUSTA City 706821-1183 Fax Number 30901 Zip D Mr. [8] Ms. DONNA WILLIAMS FINANCIAL OFFICER (Type or Print) INTERIM FINANCE DIRECTOR IAUGUSTA RICHMOND COUNTY COMMISSION Title and Agency 530 GREENE STREET AUGUSTA 30911 Official Agency Mailing Address 706821-2334 Daytime Telephone Number dwilliams@augustaga.gov E-Mail Address City Zip Fax Number [8] Mr. D Ms. DAVID S. COPENHAVER AUTHORIZED OFFICIAL (Type or Print) MAYOR! AUGUSTA RICHMOND COUNTY COMMISSION Title and Agency 530 GREENE STREET Official Agency Mailing Address 706821-1833 Daytime Telephone Number mayordeke@augustaga.gov E-Mail Address AUGUSTA City 706821-1835 Fax Number 30911 Zip CRIMINAL JUSTICE COORDINATING COUNCIL REIMBURSEMENT SELECTION FORM SUBGRANT NUMBER: COq - 'B -DOg '\) , - L_ _I r ~I J vr-kl C'lt'r;L,;' C -r>^,",- I ~ AGENCY NAME: r"\lc...Y\.t'Y1DY\.CA UU,,^", \"r --:::D '-C.\U. exfl~ , ,{WAF ~ 1. SELECT A SCHEDULE FOR SUBMITTING REIMBURSEMENTS (CHECK ONE BOX) o MONTHLY (Requests for reimbursement are due 15 days after the end of the month) '1J.. QUARTERLY (Requests for reimbursement are due 30 days after the end of the quarter) 2. SELECT A PROCESS FOR RECEIVING REIMBURSEMENT PAYMENTS (CHECK ONE BOX) o ELECTRONIC FUNDS TRANSFER (Reimbursements will be deposited into the bank account listed below. A voided check must be attached to ensure proper routinq offunds.) BANK NAME: BANK ROUTING NUMBER: BANK ACCOUNT NUMBER: AGENCY CONTACT NAME: AGENCY CONTACT TELEPHONE NUMBER: AGENCY AUTHORIZED OFFICIAL NAME AND TITLE: AGENCY AUTHORIZED OFFICIAL SIGNATURE: o CHECK (Reimbursements will be mailed in the form of a check to the address listed below) MAILING ADDRESS: :)u.ik A - \ 2.\ 40 t Wol-ton Wo...'1. ~ln+- Utw Gt-fO~~ CITY'STATE~U$;~ G.e.o~c- 30<)05 ATTENTION: \J Dr\es AGENCY AUTHORIZED OFFICIAL SIGNATURE: For CJCC Use ONLY CJCC Auditor: Phone Number: Grant Award Number: GBI Entry Initial/Date: OMB APPROVAL NO. 1121-0140 EXPIRES 01/31/2006 ST ANDARD ASSURANCES The Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations, policies, guidelines, and requirements, including OMB Circulars A-21, A-87, A-I02, A-I10, A-122, A- 133; Ex. Order 12372 (intergovernmental review of federal programs); and 28 C.F.R. pts. 66 or 70 (administrative requirements for grants and cooperative agreements). The applicant also specifically assures and certifies that: 1. It has the legal authority to apply for federal assistance and the institutional, managerial, and financial capability (including funds sufficient to pay any required non-federal share of project cost) to ensure proper planning, management, and completion of the project described in this application. 2. It will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 3. It will give the awarding agency or the General Accounting Office, through any authorized representative, access to and the right to examine all paper or electronic records related to the financial assistance. 4. It will comply with all lawful requirements imposed by the awarding agency, specifically including any applicable regulations, such as 28 C.F.R. pts. 18,22,23, 30, 35, 38, 42, 61, and 63. 5. It will assist the awarding agency (if necessary) in assuring compliance with section 106 ofthe National Historic Preservation Act of 1966 (16 D.S.C. ~ 470), Ex. Order 11593 (identification and protection of historic properties), the Archeological and Historical Preservation Act of 1974 (16 U.S.C. ~ 469 a-I ~g:g.), and the National Environmental Policy Act of 1969 (42 D.S.C. ~ 4321). 6. It will comply (and will require any subgrantees or contractors to comply) with any applicable statutorily-imposed nondiscrimination requirements, which may include the Omnibus Crime Control and Safe Streets Act of 1968 (42 D.S.C. S 3789d); the Victims of Crime Act (42 D.S.C. ~10604(e)); The Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. S 5672(b)); the Civil Rights Act of 1964 (42 U.S.C. S 2000d); the Rehabilitation Act of 1973 (29 U.S.C. S7 94); the Americans with Disabilities Act of 1990 (42 U.S.C.S 12131-34); the Education Amendments of 1972 (20 U.S.C. ~~1681, 1683, 1685-86); and the Age Discrimination Act of 1975 (42 U.S.C. SS 6101-07); see Ex. Order 13279 (equal protection of the laws for faith-based and community organizations). 7. I f a governmental entity- a) it will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 D.S.C.S 4601 ~ g:g.), which govern the treatment of persons displaced as a result of federal and federally-assisted programs; and b) it will comply with requirements of5 D.S.C.SS 1501-08 and SS7324-28, which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by federal assistance. ce c{?i - -!r--- Signature - l. vC ( t)Q{ Date Disclosure of Lobbying Activities Approved by OMS 0348-0046 Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse side for Instructions.) Public Reporting Burden for this collection of information Is estimated to average 30 minutes per response, Including the time for reviewing Instructions, searching existing data SQurces. gathering and maintaining the data needed, and completing and reviewing the. collection of Information. Send comments regarding this burden estimate or any other aspect of this collection 01 information, Including suggestions lor reducing this bl!rden, to !he Office 01 Management and Budget. Paperwork Reduclion Project (0348-0046), Washington, D.C. 20503. Tier , if known: 3. Report Type: r:.I a. Initial filing @..J b. material change For Materia' Change Only: year quarter date 01 last report I 5. If Reporting Entity In No. 4 Is Subawardee, enter Name and Address of ! Prime: 'I Criminal Justice Coordinating Council 104 Marietta Street Suite 440 I Atlanta Georgia 30303 . I i I 1. Type of Federal Action: fbl a. contract ~ b. grant c. cooperative agreement d. loan e. loan guarantee f. loan insurance 4. Name and Address of Reporting Entity: o Prime D Subawardee 2. Status of Federal Action: f1)l a. biclloffer/application ~ b. Initial award c. post-award Congressional District, if known: 10th 6. Federal Department/Agency: U.S. Department of Justice Office of Justice Programs Congressional District, if known: 7. Federal Program Name/Description: Victims of Crime Act(VOCA) Formula CFDA Number, if applicable: \ (p . '5'15 8. Federal Action Number, if known: 9. Award Amount. if known: $ 30,000.00 10a. Name and Address of Lobbying Registrant (If individual, last name. first name, MI): b. Individuals Performing Services (including address ifcifferent from No.1 Oa.) (last name, first name, MI): The named sub-grantee does not conduct lobbying activities 11. Information requested through this form Is authorized by Sec.319, Pub. L. 101-121, 103 Stat. 750, as amended by sec. 10; Pub. L. 104- 65, Stat. 700 (31 U.S.C. 1352). This disclosure of lobbying activities is a material representation of fact upon Which reliance was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signature: (JL~.v--' '17-'1"';S:--{) s - Cor-ecJ~e~ Mayor Print Name: Tille: Dale: Authorized for Local Reproduction Standard Form-LLL (1/96) CIVIL RIGHTS CONTACT Civil Rights Contact Person: MR. ROBBY BURNS (1 ) (2) Title/Address: HUMAN RESOURCE MANAGER 530 GREENE STREET ROOM 601 Telephone Number: AUGUSTA, GEORGIA 30901 70600821-2874 (3) (4) Number of persons employed by the organizational unit (agency) responsible for administering the subgrant: 12 Questions regarding the EEOP compliance requirements in connection with funding under this program should be addressed directly to the Office of Civil Rights Compliance, Office of Justice Programs, 633 Indiana Avenue, NW, Washington, D.C. 20531. That Office may be reached at (202) 724-7861. AUDIT REQUIREMENTS State and local governments are governed by the Single Audit Act of 1984 and OMS Circular A- 133, as amended, which is effective regarding audits beginning July 1, 1996 and thereafter. The type of audit required under the Circular is dependent upon the amount of total Federal funds expended in the subrecipient's fiscal year. State or local governments and non-profit organizations that expend $500,000 or more a year in Federal funds shall have an audit made in accordance with the Single Audit Act of 1984 and OMS Circular A-133, as amended. This audit report is due in the State Administering Agency=s office not later than nine (9) months after the end of the subrecipient's fiscal year. State or local governments that expend less than $500,000 in federal funds yearly shall be exempt from compliance with the Single Audit Act and other Federal audit requirements. [NOTE: This does not exempt you from the requirement to maintain, produce, and report financial and other records and documentation relative to the expenditure of these grant funds upon request of the State or Federal Agency administering this program.] Please provide the following information: Period of Fiscal Year: 01/01/2008-12/31/2008 12/31/2009 12/31/2009 Date of Last Audit: Date of Next Audit: Anticipated Date Next Scheduled Audit Will Be Forwarded to the Council: 06/3012010 [NOTE: If the total amount of your agency's federal funds expenditures (including this grant) does not equal or exceed $500,000 you may write "Not Applicable" in this space. 2008 VOCAN A W A APPLICANT INFORMATION FORM 1. Authorized Purpose Areas [ Start up a new project Jt Continue a CJCC-funded victim project funded in a previous year [ Expand or enhance an existing project funded by CJCC in the previous year 2. These Grant Funds will primarily be used to (check one): [ Expand services into a new geographic area [ Offer new types of services [ Serve additional victim populations t. Continue existing services to crime victims [ Other (Please explain): 3. For the proposed victim services program indicate: ~ The number of paid staff I (full-time equivalents) o The number of volunteer staff (full-time equivalents) Note: Only Volunteers providing direct services to crime victims should be counted. 4. Identify any and or all of the Subgrant Award that will be used to meet the priority and underserved requirements (please indicate both dollar amount and percentage of FEDERAL Funds utilized toward each category): a) Child Abuse $ / % b) Domestic Violence $ 3'1. 5"00 / 100 % c) Sexual Assault $ / % d) Underserved: . DUI/DWI Crashes $ / % . Survivors of Homicide Victims $ / % . Assault $ / % . Adults Molested as Children $ / % . Elder Abuse $ / % . Robbery $ / % . Other Violent Crime $ / % 5. Type ofImplementing Agency (check the appropriate boxes): [ Criminal Justice - Government o Law Enforcement . Prosecution o Probation o Court o Corrections o Other (Please explain) [ Non-Criminal Justice - Government o Social Services o Mental Health o Public Housing o Hospital o Other (Please explain) (Question continued on next page) [ Non-Profit Non-Governmental o Hospital o Rape Crisis o Religious Organization o Shelter o Mental Health Agency o Other (Please explain) [ Other (Please Explain) 6. Please provide the total amount of funding allocated to victim services based on your prior year and current fiscal year budget. Funding Source a) Federal (excluding VOCA) b) VOCA Funds c) State (government) d) Local Victim Assistance Funds (5%) e) Other Local (government) e) Other (Please explain) Prior Year $ $ 30[000.00 $ $ $ J 6OO.DO $ , Current Year $ $ 3D,ODD,un $ $ $ "'1500. DO $ Questions 7 & 8: Apply only projects that will provide direct service to crime victims. 7. Identify the victims to be served through this project by checking the type of crime(s): a) 0 Child Physical Abuse b) 0 Child Sexual Assault c) 0 D UI/D WI Crashes d) )It Domestic Violence e) 0 Adult Sexual Assault 1) 0 Elder Abuse g) 0 Adults Molested as Children h) 0 Survivors of Homicide Victims i) 0 Robbery j) 0 Assault k) 0 Other Violent Crime (Please explain) 1) 0 Other (Please explain) 8. Check the services to be provided by this project: a) 0 Crisis Counseling b) )It Follow-up Contact c) 0 Therapy d) 0 Group Treatment e) 0 Crisis Hotline Counseling 1) 0 Shelter/Safe House g) 'fl. Information & Referral (In-Person) h) 0 Criminal Justice Support/Advocacy i) 0 Emergency Financial Assistance j) 0 Emergency Legal Assistance k) 0 Assistance in Filing Compensation Claims 1) personal Advocacy m) ~Telephone Contacts (Information & Referral) n) 0 Other (Please explain) ~ OFFICE OF THE MAYOR A DEKE COPENHAVER MAYOR November 20, 2009 Ms. Molly J .M. Perry Criminal Justice Coordinating Council 104 Marietta Street, Suite 440 Atlanta, Georgia 30303 RE: 2009 VOCA Grant (Sub grant Number C09-8-009) Dear Ms. Perry, Our 2009 VOCA Grant Award documentation to fund victim services in the Solicitor General's Office in Richmond County is enclosed. You may contact Lisa Taylor, Assistant Coordinator, in the care of the Solicitor General's Office, if additional information is required. I designate Harold V. Jones II, Solicitor General of Richmond County, to act as the authorized official for VOCA grant purposes. Sincerely, Deke Copenhaver Mayor Office ofthe Mayor 530 Greene Street, Suite 806 Augusta GA 30901 (706) 821-1831-Fax(706) 821-1835 WWW.AUGUSTAGA.GOV November 20, 2009 Ms. Molly J.M. Perry Criminal Justice Coordinating Council 104 Marietta Street, Suite 440 Atlanta, GA 30303 RE: 2009 VOCA Grant (Subgrant Number C09-8-009) Dear Ms. Perry: Our 2009 VOCA Grant Award documentation to fund victim services in the in the Solicitor General's Office in Richmond County is enclosed. You may contact Lisa Taylor, Assistant Coordinator, in care of the Solicitor General's Office, if additional information is required. I designate Harold V Jones II, Solicitor General of Richmond County, to act as the authorized official for VOCA Grant purposes. Yours truly, ", U~A.~ David S. Copenhaver Mayor JOB TITLE: Domestic Violence Victim Advocate DEPARTMENT: State Court Solicitor General's Office JOB SUMMARY: This position is responsible for performing administrative work functions and providing information, support, and referral services to victims of domestic violence in Richmond County. Duties and responsibilities include: handling telephone calls; interviewing victims; acting as a liaison between victims, attorneys, investigators, and the court system; providing referral services; training volunteers, interns, and community service workers; preparing reports, forms, dockets, accusations, subpoenas and other documents; maintaining records and statistics; and additional tasks as assigned. The DV Victim Advocate reports to the Solicitor General and the Domestic Violence Program Coordinator. ESSENTIAL DUTIES: o Assists the Program Director in providing crime victims with information regarding victim's rights pursuant to Crime Bill Act of 1995. o Assists the Prosecutor in court as needed in all proceedings. o Prepares dockets, subpoenas, accusations and other court documents. o Assists in notification procedures for victims regarding the criminal justice process. o Offers victim support and provides referral information for other service agencies. o Assists victims of domestic violence with victim compensation fund applications. o Works as a liaison between victims, social services, and government agencies. o Assist in documenting data of victim contacts/notices, record court dispositions, and help tally victim contacts for monthly and yearly reports. o Files paperwork with Clerk of Court. o Types dockets, subpoenas, accusations, notices, etc. o Issues bench warrants. Domestic Violence Victim Advocate State Court Solicitor General's Office Page 2 o Receives and reviews incoming mail; prepares outgoing mail. o Answers the telephone; provides information; takes and relays information; directs calls; returns calls. o Respondsto routine requests for information from officials, employees, members of the staff, the public or other individuals. o Mails subpoenas to victims and witnesses, court notices to victims, witnesses, attorneys, and defendants. o Provides criminal and drivers histories from the GCIC computer on all defendants. o Prepares grant statistical reports to meet grant requirements. o Uses knowledge of various software programs to operate a computer in an effective and efficient manner. KNOWLEDGE REQUIRED BY THE POSITION: Has general knowledge of the policies, procedures, and activities of the Solicitor General's Office and the Victim-Witness Assistance Program as they pertain to the performance of duties relating to the position of the Victim Advocate. Has the ability to compiler organize, prepare and maintain an assortment of records, reports, and information in an effective manner and according to departmental and/or governmental regulations. Has the ability to communicate effectively with supervisors, other staff members, and victims of domestic violence. Has the ability to use independent judgment in routine and non-routine situations. Has the ability to plan, organize, and prioritize daily assignments and work activities. Has a good working knowledge of applicable Georgia laws, criminal court procedures, family violence laws, and county policies. Has a good working knowledge of the physical, mental, and emotional impact of domestic violence on victims. Has knowledge of grant regulations and requirements. Is able to utilize and understand computer applications and techniques as necessary in the completion of daily assignments. Has knowledge of word processing, database, and other relevant programs. Has the ability to operate various machinery and equipment including a motor vehicle, computer, printer, typewriter, calculator, copy machine, and telephone. Has the ability to type accurately with appropriate speed. GUIDELINES: Guidelines include criteria approved by the Criminal Justice Coordinating Council and developed by the Solicitor and county and department policies. Domestic Violence Victim Advocate State Court Solicitor General's Office Page 3 COMPLEXITY: Assists in daily operation of Domestic Violence Unit, coordinating tasks through the Victim/Witness program staff and providing assistance to the Domestic Violence prosecutor. SCOPE AND EFFECT: The purpose of this position is to implement a service program that provides information, assistance, and materials needed by victims of misdemeanor crime in Richmond County. This position also assists prosecutor. PERSONAL CONTACTS: Contacts include other governmental agencies, judges, lawyers, crime victims, and other victim-related service agencies. PURPOSE OF CONTACTS: Contacts are typically to provide information and services to victims of a crime that has occurred in Augusta-Richmond County. PHYSICAL DEMANDS: Work is typically performed while seated at a desk or table with occasional bending, crouching, or stooping and frequent lifting of light objects. WORK ENVIRONMENT: Work is typically performed in an office. However, court attendance will occur on a regular basis. SUPERVISORY AND MANAGEMENT RESPONSIBILITY: None. MINIMUM QUALIFICATIONS: o Familiarity with the criminal justice system and human services in the community. o Graduation from a two-year college or university and completion of an Associate Degree in Criminal Justice or other related field or equivalent relevant experience. JOB TITLE: VICTIM/WITNESS ASSISTANCE PROGRAM COORDINATOR DEPARTMENT: STATE COURT SOLICITOR JOB SUMMARY: This position is responsible for providing supervision of direct services and information to victims of misdemeanor crime in Richmond County and assisting prosecutors with preparation of cases. ESSENTIAL DUTIES: . Assists in notification procedures for victims regarding the criminal justice process. . Offers victims support and information throughout the prosecution of their cases. . Mediates between victims and defendants. . Works as a liaison between victims, social services, government agencies and advocates. . Attends all court sessions to provide information and assistance to crime victims. . Attends seminars, conferences, and task force meetings. . Assists prosecutors with obtaining information to prepare cases for trial. . Updates victims' /witnesses' addresses and contact information in databases and case files. . Schedules interviews with victims/witnesses for prosecutors. . Works with investigators to locate and interview victims/witnesses. . Reviews police reports to identify victims/witnesses. . Assists victims with completion of crime victim compensation forms. · Maintains statistics for Criminal Justice Coordinating Council. · Performs other duties as assigned. KNOWLEDGE REQUIRED BY THE POSITION: · Knowledge of Georgia Laws pertaining to misdemeanors. · Knowledge of county and departmental rules and regulations. · Knowledge of victim's advocacy. · Knowledge of agencies and resources available to victim with community. · Knowledge of court proceedings during prosecution of cases. · Skill in oral and written communication. · Skill in interpersonal relations. · Skill in time management. · Skill to analyze and attempt to resolve victims' problems. · Skill to interview victims and gather facts necessary for prosecution. · Ability to detect signs of abuse. SUPERVISORY CONTROLS: The Program Coordinator assigns work in terms of general instructions requiring the use of judgment. Completed work is reviewed for compliance with established procedures. GUIDELINES: Guidelines include criteria approved by the Criminal Justice Coordinating Council and developed by the Solicitor General, county and department policies. COMPLEXITY: Supervises daily operation of program, coordinating tasks through the Receptionist/Secretary, Assistant Coordinator, Domestic Violence Advocate and volunteers and providing assistance to prosecutors. SCOPE AND EFFECT: The purpose of this position is to implement a service program that provides information, assistance, and materials needed by victims of misdemeanor crimes in Richmond County. This position also assists prosecutors. PERSONAL CONTACTS: Contacts include other governmental agencies including law enforcement, crime victims, and other victim-related service agencies. Public speaking will also increase contact with the community at large. PURPOSE OF CONTACTS: Contacts are typically made to provide information and services to victims of a crime that has occurred in Augusta-Richmond County. PHYSICAL DEMANDS: Work is typically performed while seated at a desk or table with occasional bending, crouching, or stooping and frequent lifting of light objects and walking. WORK ENVIRONMENT: Work is typically performed in aoffice. However, court attendance and public speaking engagements will occur on a regular basis. SUPERVISORY AND MANAGEMENT RESPONSIBILITY: · Ensures compliance with operations manual. . Assists when problems arise. . Coordinates training sessions. . Conducts training sessions. . Monitors work. . Spot-checks work before, during and after its completion for its accuracy and compliance with established procedures or specific instructions. . Makes periodic progress reports to upper management. . Keeps employees updated on procedural changes. MINIMUM QUALIFICATIONS: . Graduation from a four-year college or university or equivalent relevant experience. . Familiarity with the criminal justice system and human services in the community. . Public speaking skills. TO: Employment Manager Human Resources l~..I1t n nJ.~J!J 1""i\.J 11111CA l1Ul"l/L'UNl''l.KlYlATlUN ***PLEASE COMPLETE ALL BLANKS*** DATE: ,3/.z1-/a - I I FROM: ~5; 7J J Court 1S.)l61~r 113/Lf (Department Name) /c-h'ms' AS~Is.-k/Jf1(L, (Department #) p Payroll Class. Title Salary Grade Annual Salary F,S? Bi-weekly Salary (% over entry)_ ....11% or more over entry requires submission of Commission Approval Letter Hourly rate Allowance (specify, example: clothing, car, etc.) Hours per day 1.5 '-0 VI' 0/) A /e K an. ckr has been selected for consideration in the above mentioned vacancy. If hiring requirements are met, the Human Resources Department will advise as soon as possible. All new full-time employees will attend orientation on the Monday of the new pay period. Please circle the effective date (No employee will be entered on payroll or start work prior to orientation ). 2006 -- JANUARY 03 17 30 JULY 03 17 31 FEBRUARY 13 27 AUGUST 14 28 MARCH 13 @ SEPTEMBER 11 25 APRIL 10 24 OCTOBER 09 23 MAY 08 22 NOVEMBER 06 20 JUNE 05 19 DECEMBER 04 18 q.3 jtf (Dept #) epartment Dire r's ignature 1............................................................~......................m Revised 12/1/04 Previous Form Obsolete/Do Not Use U{)C()JVJ ed C redeJ for GY1J"+ Mags ~. CITY OF AUGUSTA 0 PERSONNEL ACTION REQUEST FORM All spaces must be completed. If a category is not applicable, please write N/ A in the _ form in its entirety will result in this form not being processed and returned to you for co Completed forms should be submitted to the attention of the Human Resources Payroll Coordinator for processing. EMPLOYEE NAME ?e6eccCL .KKk' - X- K - L~/~~ 39/'1 DEPT # C/3/Cf /:<'05' SOCIAL SECURITY # EMP# CLASSIFICATION CHANGE FROM: CHANGE TO: Dept Number Job Title Class Code/SG PCN Daily Hours Annual Rate of Pay $ t.f I; 3 t.f J7. cf'f 8' Cf<f: 09 f. 'I;), , Biweekly Rate of Pay Clothing Allowance Supplemental Pay Employee Replaced: 1lJM. . Employee ID # J J /~ tv' /A FROM: ~i I/I-Lfi~ , Department' - irector Date Inter-departmental Transfers requires the signature of both Department Directors. TO: Department Director DatE~ BELOW IS FOR HR USE ONLY: ********************************************************************************************* PAYROLL IFAS Personnel Action Request Dee 1 04 Form 4 Revised 12/1/04 Previous forms are Obsolete/Do nOt Use . '(> 01 ~ -... .;. J 501 GREENE STREET, SUITE 400 AUGUSTA, GEORGIA 30901 OFFICE OF THE DISTRICT ATTORNEY AUGUSTA JUDICIAL CIRCUIT ASHLEY WRIGHT BURKE - COLUMBIA - RICHMOND COUNTIES (706) 821-1135 FAJC(706) 821-1237 MEMORANDUM OF UNDERSTANDING Augusta Judicial Circuit This Memorandum of Understanding is made and entered into between the following agencies: 1. District Attorney's Office, Augusta Judicial Circuit 2. Solicitor General, State Court of Richmond Count 3. Safe Homes of Augusta, Inc., Domestic Violence Intervention Center 4. Rape Crisis and Sexual Assault Services, University Health Systems, Inc. 5. Child Enrichment, Inc., The Child Advocacy Center, CASA 6. Superior Court, Augusta Judicial Circuit 7. Richmond County Sheriff's Office 8. Columbia County Sheriffs Office 9. Burke County Sheriffs Office 10. J u\renile Court of Richmond County 11. Juvenile Court of Columbia County 12. Juvenile Court of Burke County As victim service providers, criminal justice professionals and community volunteers, we join forces to provide justice for the citizens of our community. Weare committed to treating crime victims with dignity, compassion and to provide services and support in the devastating aftermath of criminal victimization. We shall provide quality services and consistent advocacy to victims of crime. We support and agree to the following roles and responsibilities: 1. District Attorney's Office, Augusta Judicial Circuit prosecutes all felony cases in Richmond, Columbia, and Burke counties, and misdemeanor cases in Columbia County. Victim Assistance Program of the District Attorney's Office provides quality and compassionate support and assistance to persons experiencing criminal victimization and guides them in their pursuit for justice. The Program affords all rights and privileges to crime victims as set forth in the Crime victims' Bill of Rights in an effort to increase victims' understanding of, and participation in, the criminal justice process. The Program provides notification of case specific information, personal advocacy, preparation for and orientation to the criminal court system and community referrals. 2. Solicitor General's Office, State Court of Richmond County serves all citizens of Richmond County by serving as the prosecutor for all misdemeanor criminal offenses in Augusta/Richmond County. These cases include Driving Under the Influence, traffic violations, theft cases, domestic violence and neighborhood dispute cases, and other non-traffic misdemeanor offenses. Additionally the Solicitor's Office prosecutes cases brought by the Georgia State Patrol, Department of Natural Resources, Medical College Police, Augusta College Police, Department of Transportation, Augusta Regional Airport Public Safety and Department of Labor, as well as felony criminal charges that are reduced and then transferred to Richmond County State Court from Richmond County Superior Court and Richmond County Civil and Magistrate Court. Our office prosecuted more than 48,000 filings in 2002. Prosecution involves review of all criminal complaints and traffic citations, determination of what charges to file, arraignment, pretrial motions, jury and non jury trials, sentencing, appeals and post trial motions. Victim- Witness Assistance Program of the Solicitor General's Office serves as the liaison for the victims of misdemeanor criminal offenses in Augusta/Richmond County. The Division's primary focus is concerned with offenses under the family violence act but their services extend to all victims of crime under our jurisdiction. The Victim/Witness program serves all Crime victims by providing them information regarding victim rights and notification of procedures of the criminal justice process. The program offers support and information through the prosecution of their case. The program also provides education and information to the public through speaking engagements and workshops. The victim/witness program assists the prosecuting attorney in the prosecution of victim-related cases. 3. Safe Homes of Augusta, Inc., offers a comprehensive set of services to persons, men, women, and children, experiencing domestic violence and educates the community about the incidence and effects of such violence. Safe Homes offers option counseling, intervention, and a 24 hour, 7 day a week, emergency shelter that provides immediate safety and refuge for victims. 4. Rape Crisis and Sexual Assault Services provides crisis intervention and consultation services, through its staff and volunteers, 24 hours a day, 7 days a week, under the auspices of University Hospital, to men, women and children who are in need of such services. The Program also provides legal advocacy, community education, in-service training in sexual assault and its prevention and outreach services to surrounding rural counties. 5. Child Enrichment. Inc. is a private non-profit organization serving the Augusta Judicial Circuit by providing a Child Advocacy Center and CASA. The Center's mission is to provide and coordinate comprehensive intervention, stabilization, advocacy and prevention services in the best interests of abused, abandoned and neglected children. 6. Augusta Judicial Circuit Superior Court, Georgia's general jurisdiction trial court, has exclusive constitutional authority over felony cases, declaratory judgments, habeas corpus, mandamus, adoptions, name changes, divorces, child custody, and child support enforcement. 7-9. Richmond County, Columbia County, and Burke County Sheriff's Offices protect life and property through the maintenance of peace and order, and the provision of law enforcement services. Their Criminal Investigation Divisions of Interpersonal Violence provides information and explanation of the criminal justice system, notice of court proceedings, defendant's charge(s), referrals to social service agencies, and assists our office with aggressive evidence based prosecution. 10-12. Juvenile Court of Richmond, Columbia, and Burke Counties exercise jurisdiction in cases involving delinquent, unruly and deprived children under 17 years of age. This court has concurrent jurisdiction with the Superior Courts involving juvenile custody, child support, and termination of parental rights. This operational agreement is effective when signed by all parties and may be terminated or amended at any time with the written consent of all parties involved. Ashley Wright DiStri7ttom~ta i~6~ Solicitor GeiJz6l, Richmond County State Court (lu~, Aimee Hall Executive Director, Safe Homes of Augusta, Inc. ~B~~ Anne Ealick Henry Director, Rape Crisis and Sexual Assault Services /---/ c" . ,.' ( , _/ Lhu.rA DanJtillman Executive Director, Child Enrichment, Inc. /~J /t/1 ((;l' / .,;'17 /t:;" /...' 6 . //"/1/ ../ j . ." /~.. ," /f../ . ,161 1A..ZLt:.a,,~ ~.~.. Honorable J.(t"flisl . verstreet Chief Superior Court Judge, Augusta Judicial Circuit R~M ~-\l Ronald Strength ~ Sheriff, Richmond County OMS APPROVAL NO. 1121-0188 EXPIRES 5-98 (Rev. 1/97) Budget Detail Worksheet Purpose: The Budget Detail Worksheet may be used as a guide to assist you in the preparation of the budget and budget narrative. You may submit the budget and budget narrative using this form or in the format of your choice (plain sheets, your own form, or a variation of this form). However, all required information (including the budget narrative) must be provided. Any category of expense not applicable to your budget may be deleted. A. Personnel - List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization. Name/Position Computation 130783.48 x 100% II II II II I Cost $30,783.48 Postition 1 Vivian D. Alexander! DV Advocate I Position 2 Ipostition 3 IpostitiOn 4 I Postition 5 Postition 6 SUB-TOTAL $30,783.48 B. Fringe Benefits - Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project. Fringe benefits on overtime hours are limited to FICA, Workman's Compensation, and Unemployment Compensation. N ame/Position IFringe benefit 1, FICA /Fringe benefit 2 MEDI I Fringe benefit 3 HEALTH INS PLAN 1 I Fringe benefit 4L1FE INS 64 I Fringe benefit 5 98 PEN Computation 170.04 X 26 /16.38X 26 , N(p, 8O--~2.r., 110.25 X26 123.68 X 26 Cost 11$1,821.04 11$425.88 11$3,816.80 11$266.50 11$615.68 SUB-TOTAL $6,945.90 Total Personnel & Fringe Benefits $37,729.38 OJP FORM 7150/1 (5-95) Item Computation II I Cost JI I II II II II II TOTAL $0.00 D. Equipment - List non-expendable items that are to be purchased. Non-expendable equipment is tangible property having a useful life of more than two years and an acquisition cost of$5,000 or more per unit. (Note: Organization's own capitalization policy may be used for items costing less than $5,000). Expendable items should be included either in the "supplies" category or in the "Other" category. Applicants should analyze the cost benefits of purchasing versus leasing equipment, espe- cially high cost items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the "Contractual" category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement method to be used. Item Computation Cost I Equipment entry 1, one line per entry leqiUpment entry 2 leqUiPment entry 3 lequiPment entry 4 leqUiPment entry 5 II II II II II TOTAL $0.00 E. Supplies - List items by type (office supplies, postage, training materials, copying paper, and expendable equipment items costing less that $5,000, such as books, hand held tape recorders) and show the basis for computation. (Note: Organization's own capitalization policy may be used for items costing less than $5,000). Generally, supplies include any materials that are expendable or consumed during the course of the project. Supply Items Computation ISUPPIY item 1, one line per entry ISUPPIY item 2 ISUPPIY item 3 ISUPPIY item 4 ISUPPIY item 5 ISUPPIY item 6 ISUpplY item 7 I ""ply "'m 8 supply item 9 II I TOTAL $0.00 F. Construction - As a rule, construction costs are not allowable. In some cases, minor repairs or renovations may be allowable. Check with the program office before budgeting funds in this category. Purpose Description of Work I II II II four lines per entry, use boxes below or an additional page for more space if required TOTAL $0.00 Cost Cost G. Consultants/Contracts - Indicate whether applicant's formal, written Procurement Policy or the Federal Acquisition Regulations are followed. Consultant Fees: For each consultant enter the name, ifknown, service to be provided, hourly or daily fee (8-hour day), and estimated time on the project. Consultant fees in excess of $450 per day require additional justification and prior approval from OJP. Name of Consultant Service Provided Computation Cost ISUPPIY item 1, one line per entry I maximum of three lines 1 If I ISUPPIY item 1, one line per entry jl II I I Supply item 1, one line per entry I: " I I Supply item 1, one line per entry II I S b 1$0.00 u tota Consultant Expenses: List all expenses to be paid from the grant to the individual consultants in addition to their fees (i.e., travel, meals, lodging, etc.) Item Location Computation Cost Iconsultant expense entry 1, one line p~lmaximum of three lines II I II II I II II I Ilmaximum of three lines II Iconsultant expense entry 1, one line p~lmaximum of three lines II Subtotal $0.00 Contracts: Provide a description of the product or service to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. A separate justification must be provided for sole source contracts in excess of $1 00,000. Item Cost maximum of four lines, additional information should be attached on a separate sheet(s) Im",m"mOff,"' """ I I Subtotal $0.00 TOTAL $0.00 H. Other Costs - List items (e.g., rent, reproduction, telephone, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, or provide a monthly rental cost and how many months to rent. Description Computation Cost four lines per entry, use boxes below or an additional page for more space if required I II I II I I I II I I I [I II I II I I [ II I I TOTAL $0.00 I. Indirect Costs - Indirect costs are allowed only if the applicant has a Federally approved indirect cost rate. A copy of the rate approval, (a fully executed, negotiated agreement), must be attached. If the applicant does not have an approved rate, one can be requested by contacting the applicant's cognizant Federal agency, which will review all documentation and approve a rate for the applicant organization, or if the applicant's accounting system permits, costs may be allocated in the direct costs categories. Description lone line per entry lone line per entry I I I I Computation II II II " II II Cost II II II II II II TOTAL $0.00 Budget Summary- When you have completed the budget worksheet, transfer the totals for each category to the spaces below. Compute the total direct costs and the total project costs. Indicate the amount of Federal requested and the amount of non-Federal funds that will support the project. Budget Category Amount A. Personnel $30,783.48 B. Fringe Benefits $6,945.90 C. Travel $0.00 D. Equipment $0.00 E. Supplies $0.00 F. Construction $0.00 G. Consultants/Contracts $0.00 H. Other $0.00 Total Direct Costs $37,729.38 I. Indirect Costs $0.00 TOTAL PROJECT COSTS $37,729.38 Federal Request Non-Federal Amount