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Home My WebLink AboutChildren and Youth Coordinating Council Augusta Richmond GA DOCUMENT NAME: CX\\\O:(ex! <\ ljCD-\\\ Qill(O\~rs GJU(lCA\ DOCUMENT TYPE: p'\D;:o&JJ YEAR: C\19 . BOX NUMBER", D;> FILE NUMBER: \'t})?i) NUMBER OF PAGES: c9~ \ . 'iF::-:~ :'\.. -.:' ."0 .,;"'. ~'1' I"'-~~-:'''I\ ... .1; .':::l',.. -) """,;.1,' d.~.)o . _ _--, ..,'-r '..~-. .~ p OFACE OF THE GOVERNOR CHILDREN AND YOUTH COORDINATING COUNCIL Zel! Miller Governor Judy Neal Executive Director September 27, 1996 Honorable Larry Sconyers Chairman Augusta-Richmond County Board of Commissioners Room 605, City/County Building 530 Greene Street Augusta, Georgia 30901 Dear Commissioner Sconyers: Thank you for your recent proposal to the Children and Youth Coordinating Council (CYCC) . It is my pleasure to confirm Governor Miller I s advisory to you that your application for grant funds has been approved in the amount of $30,000. Your program Juvenile Delinquency Prevention & Early Intervention has been designated as subgrant number 96P-02-9604-0003. Enclosed is the Statement of Subgrant Award and the General/Special Conditions placed on the subgrant. After careful study of the conditions, please acknowledge your acceptance by signing the original Statement of Subgrant Award, General and Special Conditions and return both to my office by October 25, 1996. It is important that you retain a copy of the Award and Conditions for your files and reference. The subgrant will not become effective until all signed originals are received in the CYCC office. Failure to return these documents by the deadline may resu~t in the loss of the grant award. As stated in the General Conditions, the Council requests that you include a statement as to the funding source of this program on all correspondence, publications and media releases, etc. Enclosed is a copy of Governor Miller's press release announcing the Council's grant decisions. You may wish to provide a copy of this release to your local newspaper in the event they did not receive a copy from the Governor's Press Office. If you have any questions regarding this grant, please do not hesitate to contact CYCC staffers, Pete Colbenson, Juvenile Justice Specialist, or Susan Atkins, Project Manager. Sincerely, Director IN/bw Enclosures cc: Robetta D. McKenzie Central Savannah RDC Suite 410,.10 Park Place South, . Atlanta, Georgia 30303,. (404) 656-1725. Fax (404) 651-9354 AN EQUAL OPPORTUNITY EMPLOYER @ Printed on Recycled Paper CHILDREN AND YOUTH COORDINATING COUNCIL SUITE 410, 10 PARK PLACE SOUTH ATLANTA, GEORGIA 30303 ~ STATEMENT OF SUBGRANT AWARD ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Subgrantee:Augusta-Richmond County Board of Commissioners Date of Award: September 5,1996 Project Title: Delinquency Prevention & Early Intervention Federal Funds: $30,000.00 Grant Period: From 1/01/97 To 12/31/97 Local Funds: $15,000.00 Grant Number: 96P-02-9604-0003 Total Project Cost: $45,000.00 ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Award is hereby made in the amount and for the period shown above of a grant under the Juvenile Justice and Delinquency Prevention Act of 1974, P.L. 93415, as amended, to the above-mentioned subgrantee. in accordance with the plan set forth in the application of the above-mentioned subgrantee and subject to the attached general and special conditions. This award is subjectto all applicable rules, regulations and conditions as prescribed by the Children and Youth Coordinating Council's Subgrantee Grants Management Manual. Financial Management Circulars 744 and 74-7, OJP Guideline Manual Financial and Administrative Guide for Grants (M71 00.1 D). It is also subject to such further rules. regulations and policies as may be reasonably prescribed by the State or Federal Government, consistent uith the purposes and authorization of P.L, 93415. as amended. This grant shall become effective on the beginning date of the grant period, provided that within thirty (30) days of the award execution date (below). the properly executed original of the "Statement of Subgrant Award" is returned to the Children and Youth Coordinating Council. Children and Youth Coordinating Council ~i Ng.tr~oc1~ ~ September 27, 1996 Date Executed ====================================================================== I. Larry E. Sconyers, Mayor, .acting under my authority to contract on beh the subgrantee, hereby signify acceptance for the subgrantee of the above-described grant on the terms and conditions stated above or incor ated by reference therein. 58-2204274 Subgrantee FEI Number Commission September 30, 1996 Date of Acceptance *************************************************************************************************************** INTERNAL USE ONLY TlF-EA TRANS CD REFERENCE ORDER EFF. DATE TYPE INVOICE CONTRACT # OVERRIDE 102 47- 963003 1 1/01/97 9 u P96040003 2 ORGAN CLASS PROJECT VENDOR CODE 47-1 4 28-28-1 ITEM CODE DESCRIPTION 23 CHARACTERS MAX EXPENSE ACCOUNT AMOUNT 1 Delinquency Prevention 653.651 $30,000.00 .' I Augusta-Richmond 96P-02-9604-000~ Page 1 of 2 County Board of Commissioners \ GENERAL CONDITIONS 1. The subgrantee agrees and understands that neither this grant award nor its successful implementation commits the Children and Youth Coordinating Council to any future funding. 2. All contracts and purchases must be awarded in accordance with state and federal regulations as specified in the Subgrantee Financial Manual. a. Purchases (individual or several on one purchase order) totaling $500 or more must follow state regulations in regard to soliciting three (3) competitive bids. b. Consultant rates above $150.00 per day must have prior approval. c. If any contract exceeds $25,000, a sole source justification for non-competitive procurement must be submitted and approved. 3. Requests for proposals or invitations for bid issued by the subgrantee to implement the grant project are to provide notice to prospective bidders that the JJDP organization conflict of interest provision is applicable in that contractors who develop or draft specifications, requirements, statements of work and/or RFPs for proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement. Ref: OJARS Guideline Manual (M7100.1D) 4. The subgrantee agrees that when issuing statements, press releases, RFPs, bid solicitations, and other documents describing the project, funded in whole or in part with CYCC money, shall clearly state (1) the percentage of the total cost of the project which will be financed with federal/state money, (2) the dollar amount of federal/state funds for the project, and (3) the source of grant funds. 5. Subgrantee must provide written notification to the Children and Youth Coordinating Council that the project has been implemented within sixty (60) days of the date of this grant award. FAILURE TO DO SO MAY RESULT IN LOSS OF GRANT FUNDS. 6. An acceptable analysis of the project's success in meeting its goals as outlined in the approved grant proposal must be included with the Final Progress Report prior to final reimbursement. The evaluation must cover all outcome measures outlined in the proposal unless they have been modified with approval by the CYCC. 7. The subgrantee must provide for an annual independent audit of its financial operations including compliance with application federal and state regulations, in accordance with OMB Circulars A-128 and A-133, any compliance supplements approved by OMB and generally accepted auditing standards established by the American Institute of Certified Public Accountants as well as all applicable state laws. The subgrantee must provide the Children and Youth Coordinating Council with a copy of such audit reports within 15 days of issuance and/or within 6 months of the end of the subgrantee's fiscal year. . I Augusta-Rlchmond 96P-02-9604-0003 Page 2 of 2 County Board of Commissioners , 8. All financial records must be maintained in good order and must be available at all times during the regular business day for audit purposes to the CYCC, U. S. Department of Justice, the Comptroller General of the United States, or their representatives. SPECIAL CONDITIONS 1. Prior to the reimbursement of funds, subgrantee must submit for CYCC approval a budget narrative outlining Personnel expenditures. Additionally, subgrantee must submit a budget narrative describing local matching funds in all c~tegories. 2. Prior to the reimbursement of funds for consultants, subgrantee must submit a copy of the executed contract with consultant (s) for the evaluation. 3. Please note that subgrantee is required to submit an annual progress report summarizing progress in meeting each performance and outcome goal stated in the grant application. Subgrantee should review these goals to ensure that they can be evaluated. September 30, 1996 Date . Sconyers Augusta Richmond County Commission Title DETAILED BUDGET SUMMARY v 96P-02-9604-000j ~"'" ...... BUDGET CATEGORY REClLESTEO BlX>GET APPAOVED BLOGET GRANT FUNDS LOCAl ~ Tei ~eder1II 0 SWt LOCAl LCA TCH A. PERSONEL: 1. Salaries: 23 443 8.640 $23,443.00 $8 640.00 2. FrinQe BeoefiLl: 2,457 2,457.00 Sut>- Total 25,900 8,640 $25 900.00 $8,640.00 B. EOUIPI.'Em-: i Sut>- Total C. TRAVEL: 1 . Staff Rpo;!':tr~tion/L 1 . etc. 300 $ 300.00 2. Field trip (out-of-town)/local trips 1,100 600 1,100.00 3. Student school bus tranSD. 6 900 Sub- Total 1 400 7 500 $ 1 400.00 D. CONSULTANTS & CONTRAC TOOS: Evaluation 500 3,000 $ 500.00 $3,000.00 Sub- T olal 500 3 000 <I: C;()() ()() <1:1 nnn nn E. SUPPlIES & OPERATtNG: 1. Prograru and Office Space 22 000 $ ? ?OO 00 $1 1/10 00 2. Postage/paper/materials/snacks 2,200 6,550 Sub- Total 2,200 28,550 $ 2,200.00 $3,360.00 ! F. GRANT ">'.. . LOCAl -,;, TOT AL I REOUESTED BUDGET 30,000 75 47,690 25 100% APPROVED BUDGET $30.000.00 /17'Z. $1').000.00 11 Z <l:L..C; 000 on f'~ "'A..::'i~: .,.~-,. ~ ..}~. ;~ ~~ ,'-;<!. p-.-j' \<~~~,/ STATE OF GEORGIA OFFICE OF THE GOVERNOR ATLANTA 30334-0900 Zell Miller GOVERNOR Rick Dent DIRECTOR OF COMMUNICATIONS PRESS ADVISORY For immediate release September 25, 1996 PRESS ADVISORY Contact: Judy Neal (404) 656-1725 Governor Miller Announces Grant for At-Risk Youth in Richmond County A TLANTA- Governor Zell Miller has announced the Augusta-Richmond County Board of Commissioners in Richmond County will receive a $30,000 grant to be administered by the Children and Youth Coordinating Council (CYCC) to help serve troubled youth. Governor Miller approved 38 grants totaling $1,240,523. "I have said that we must do a better job of nurturing our troubled children and youth," Governor Miller said. ''This grant is a step in the right direction providing Richmond County resources to serve at-risk children and youth so they can recapture their potential to become productive citizens." The grants are funded by the Office of Juvenile Justice and Delinquency Prevention, the U.S. Department of Justice and the Georgia General Assembly. The CYCC advises the Governor and the General Assembly on issues concerning children's service programs and encourages the establishment of local coalitions on children and youth. The Council serves as a statewide clearinghouse for child- related information and research and also provides training to individuals working in the juvenile justice arena. The grant will be used by local governments, state agencies and private nonprofit organizations to provide counseling, remedial education, life skills training, cultural enrichment activities, therapy and recreation. These programs have been designed to divert delinquent and other at-risk youth from criminal activity, school dropout, drug use and teen pregnancy. ~HRDREN AND YOUTH ~OOROINATING ~OIJN~R Important Grant Facts I. Return the original Statement of Subgrant Award and General/Special Conditions promptly. The grant will not become effective until receipt of both documents. II. Special conditions must be cleared in a timely manner. III. Funds are disbursed on a reimbursement basis only. Quarterly reporting is mandatory; however, you may seek reimbursement on a monthly basis. Your check will be issued by the Governor's Office of Planning and Budget. Please allow 3-4 weeks for processing. IV. Performance data must be reported quarterly. The quarter time period is based on the grant period, not a calendar quarter. V. Final reports, both progress and expense, are due 30 days following the grant end date. Final payment will not be processed until the final progress report is received and approved by CYCC. Note: evaluation must cover all outcome measures noted in the original (or revised) grant proposal. VI. Audits are required from each subgrantee for the fiscal years covered by the grant(s). A. Source of Funds 1. State of Georgia funds are represented by a "S" as the third digit of the grant number. 2. Grants represented by a "J" as the third digit: U.S. Department of Justice OJJDP Formula Grants CFDA 16.540 3. Grants represented by a "P" as the third digit: U.S. Department of Justice OJJDP Title V Prevention CFDA 16.546 4. Grants represented by a "e" as the third digit: U.S. Department of Justice OJJDP Challenge Grant CFDA 16.549 *****************..**************************************...************************************************.*.******* CYCC STAFF ASSISTANCE Programmatic Questions? Pete Colbenson (404) 657-6982 Don Wilkinson (404) 651-9028 Fiscal Questions? Susan Atkins (404) 656-9692 ,. ~ -/" COUNCIL OF JUVENILE COURT JUDGES Judge Stephen E. Franzen. President OF GEORGIA Judge A. J. Welch. Vice President Judge George J. Hearn. III. {lIlll1ed. Past Presidem Judge ClitfL. Jollitf. Secreran' Judge Sanford Jones. Presidelll-Elect Judge R Michael Key. Treasurer Eric J. John. Execlllive Director September 20, 1996 Bill Dean Room A-113 401 Walton Way Augusta, Georgia 30911-2113 RE: Purchase of Services for Juvenile Offenders Grant Program -- Richmond County Grant Cycle October 1, 1996 through September 30, 1997 The Grants Committee of the Council of Juvenile Court Judges of Georgia is pleased to announce the 1996-1997 grant awards for the Purchase of Services Program. The budget for the forthcoming grant cycle is $330,000.00, consisting of $150,000.00 of federal funds and $180,000.00 of state funds; subgrant number 96J-12-9504-0004. Richmond County has been awarded $10,500.00. The maximum grant amount a county could receive was $14,000.00 and the minimum amount was $1,500.00. Generally, counties that are new to the program receive the minimum award. Enclosed with this letter are the Statement of Grant Amount and the General Conditions of the grant. Both documents must be signed and returned to the Council within ten days of receipt of this letter. If not received within ten days, the county's funds are subject to be deobligated. At the workshops held in August the representative from Richmond County received a Purchase of Services Handbook. Be sure to use the new forms, which can be found in the handbook, when submitting for reimbursements. If you should need extra copies of the handbook, or if you have any questions or concerns, please give the Council a call. The Grants Administrator is Benita Brown and the number is (404) 657-5020. With Regards, rt~~ Judge O. Wayne Ellerbee Chairperson, Grants Committee OWE:bb enclosures cc: Judge Richard A. Slaby 230 PEACHTREE STREET. N.W. . SUITE 1625 . ATLANTA. GEORGIA 30303 . (404) 657-5020 . FAX: (404) 657-5038 r' ",,' Purchase of Services for Juvenile Offenders Grant Pro~ram GE;\lERAL CONDITIONS Richmond County 1. The sub grantee understands that the Council of Juvenile Court Judges of Georgia is an administrative facilitator of these grant funds. 2. Requests for proposals or invitations for bids issued by the sub grantee to implement the grant project are to provide notice to prospective bidders that the JIDP organization cont1ict of interest provision is applicable in that contractors that develop or draft specifications, requirements, statements of work and/or RFP's for proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement. Reference OJARS Guideline Manual (M?l 00.1 D). 3. All contracts and purchases must be awarded in accordance with state and federal regulations as specified in the Subgrantee Financial Manual. All purchases of services must be in accordance with the standard rates within your area. 4. The subgrantee agrees that when issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing the program, funded in whole or in part with federal money, shall clearly state (l) the percentage of the total cost of the program which will be financed with federal funds, (2) the dollar amount of federal funds for the project or program, and (3) the funding source of federal funds. 5. Subgrantee must provide written notification to the Council of Juvenile Court Judges that this program has been implemented within thirty (30) days of the date of this grant award. FAILURE TO DO SO MAY RESULT IN LOSS OF GRANT FUNDS. 6. A project analysis report must be sent to the Council of Juvenile Court Judges on an annual basis. 7. The sub grantee must provide for an annual independent audit of its financial operations including compliance with applicable federal and state regulations, in accordance with OMB Circular A -128 Governmental Organizations, Program Activities and Functions, the Guidelines for Financial and Compliance Audits of Federally Assisted Programs, any compliance supplements approved by OMB and generally accepted auditing standards established by the American Institute of Certified Public Accountants as well as all applicable state laws. c:\data\am i pro\pos\gcond ,~ ~./ GENERAL CONDITIONS -- CONTINUED 8. All financial records must be maintained in good order and must be available at all times during the regular business day for audit purposes to the CJCJ, CYCC, OJJDP, the Comptroller General of the United States, or their representatives. 9. The sub grantee is obligated to keep all information pertaining to this program including statistical and financial, for a period of three (3) years. 10. Subgrantee must submit by close of this grant period, a plan for local or state assumption of funding for services provided through this grant. Mavor Chairman Title On Behalf of Richmond County October 1, 1996 Date of Acceptance c:\data\am i pro\pos\gcond . "- ~ . Council of Juvenile Court Judges of Georgia 230 Peachtree Street, NW Suite 1625 Atlanta, Georgia 30303 STATEMENT OF GRANT AMOUNT Subgrantee: Grant Period: Project Title: Richmond County October 1, 1996 thru September 30, 1997 Purchase of Services for Juvenile Offenders Grant Award: $10,500.00 Date of Award: September 23, 1996 Grant Number: 96J-12-9504-0004 A ward is hereby made in the amount and for the period shown above of a grant under Title 1 of the Omnibus Crime Control and Safe Streets Act of 1968, P.L. 90-351, as amended, and the Juvenile Justice and Delinquency Prevention Act of 1974, P.L. 93-415, as amended, to the above-mentioned subgrantee, in accordance with the plan set forth in the application of the above-mentioned subgrantee and subject to the attached general and special conditions. This award is subject to all applicable rules, regulations and conditions as prescribed by the Children and Youth Coordinating Council's Subgrantee Grants Management Manual, Financial Management Circulars 74-4 and 74-7, OJARS Guideline Manual Financial and Administrative Guide for Grants (M71 00, 1B). It is also subject to such further rules, regulations and policies as may be reasonably prescribed by the State or Federal Government, consistent with the purposes and authorization ofP.L. 90-351, as amended, and P.L. 93-415, as amended. This grant shall become effective on the beginning date of the grant period, provided that within thirty (30) days of the award execution date (below) this properly executed original of the "Statement of Grant Award" is returned to the Council of Juvenile Court Judges of Georgia. September 24. 1996 Date Executed I, Larry E. Sconyers , acting under my authority to contract on behalf of the subgrantee, hereby, signify acceptance for the above-described grant on the tenns and conditions stated above or incorporated by reference therein. Mavor Chairman Title (Typed) October 1, 1996 Date of Acceptance c :Iam iprolpos\statgmt GEORGIA' CHILDREN AND YOUTH . , COORDINATING COUNCIL ~ GRANT ADJUSTMENT NOTICE ADJUSTMENT NO. 1 GRANT NO. 94P-v.:-';1404-COOh SUBGRANTEE lcichmonri Cu. hOClra of Corlni bH Loner& REGION NO. n2 PROJECT TITLE Loelii1qu,.,ncy "'.In,,~ntion ~ Earl) Io:crlleLI.:.:l'NO. ~4()4 TO SUBGRANTEE: Pursuant to your request of 1'('!f.>UI-,t 6, 1996 the following change, amendment, or adjustment in the above grant project is approved, subject to such conditions or limitations as may be set forth below. NATURE OF ADJUSTMENT: _ Change Grant Amount ~ Sp. Condition Compliance Error Correction _ Change Grant Period ~ Budget Transfer Only _ Other (See Below) ,'uur l'squebt LC tra.l'Uir:,,'r ~L5C,C [L'L, .,: :.. ,i '. t.1 ''';'L:;ll,t<'wt.., to :'IS~ wJ..th the. (;UrT~llt ~; ,JOO III Cow,ultants..c. .1,lpro'lih" ,il! e,.t;r'",:,;:, ,] .;![oc '.:!nr .lnt",rl,..,1 "v.:::luatf...,. ..Jrk. -,'i. ~ rt' f (). :~, '~e('. i a 1 c'~. naJ.t iUlL ~r] II"'::;: j e.c i '.,," .LV~;t. CHANGES IN FUNDING FEDERAL STATE LOCAL TOTAL LAST APPROVED FUNDING APPROVED CHANGES CURRENT APPROVED FUNDING GEORGIA CHILDREN AND YOUTH COORDINATING COUNCIL .'\U,::\US t :0. 199t , . .,. 1/ ExecLltive DireCtpr I ~ (" - .......- \ Date , 10 APPLICATION FACE SHEET lLAVl: Bl..-UIJI: (nee USIt OIfLY) Date Ilac..l....d Appl.1.oat.1oD N~r CHILDREN AND YOUTH COORDINATING COUNCIL Suite 410, 10 Park Place South Atlanta, Georgia 30303 Phone: (404) 656-1725 Applicacion is hereby made tor a Grant Award under Juvenile Justice and Delinquency Prevention Act 1974 (Public Law 9)-415) as amended by (Public Law 94-27)) , (Public Law 95-115) or O.C.G.A. 49-5-1)0 through 49-5-155 Enacted. 1. ApplJ.Ca.nt. (H...... A.ddr... " TalapboDa, t. Uipl...ntinq Aqatu:y (N..... .A.ddr... , T.l.pho~l Augusta-Richmond County Board Augusta Coalition For ot CommlSSloners Children and Youth P:O.-Bb~ 14265 Augusta, GA 30901 i. (j;rant proqr...: (check 00.' TOraJ.l. Tit.l_ v x Sin r.rppn~ Strep.t 1\:ugusta, liA -jU;lUl 2. AP~lpnV.Q~.l ~~l;.?!+gr9.oor (t..",.. and T.1tl.) Mr. Larry Sconyers, Chairman of Board of Commissioners Chall.nqa .. T>"'P'- ot Applioa tinD: loheok 00_1 ). r.1nanc.1al otticer IN.... , Talaphooe, 5. Projeot Direct.or C N_. Addr... , Talapbooe I Robetta D. McKenzie, P.O. Box 358 929 Broad St., Suite 200 Augusta, GA 30901 "U,Q(?l.q]JAd",3827 $30,000 IDitial ContinuatioD_ It-let Pr..ioua Cra.nt 'al " UN -.?~6Q9~8l_ _ __ 10. Conqr...ion..1 Diatrict( 811 0 and 1 11. prOJoCl'T.po: Juvenile Delinquency Prevention and Early Intervention in Augusta , Richmond prOJoCl ......<]': Coun ty ll. This project proposes to continue efforts in the areas of Juvenile Delinquency Prevention and Early Intervention initiated with fifth graders enrolled at Hornsby and Lamar Elementary Schools (February 1995 -July 1995), and, after delays, fifth and sixth graders enrolled in Hornsby Elementary, East Augusta and Tubman Middle Schools (August 1995 - July 1996) . In particular, this project proposes to follow those originally targeted students as they enter sixth and seventh grades at East Augusta and Tubman Middle Schools and to include a new group of fifth graders from Hornsby. These students will be provided structured after school and summer programs, in addition to other school and community based services, which are preventive and family focused. Many of the targeted students and their families live in single parent households in the inner city, communities that are predominantly minority, low income, and experience high crime rates, placing these youth at risk for crime, gang and drug-related activities, and failure in school and life. 1). No. of Page. in Applieation 14. No. of Paid Project Itafl 15. Ho. ot A.oticipat..d Project Volu..nta.ra 1'. 1_ t.h. applicant delinquent OD a...ay t.deral d.bt? _Ya. _No If Y... attach.. detail.d ..pl&.natioo. 11. I, the und.reigned authorixad rapr...ntativ. of the applieant., ha.. r.ad, under.tand and _qr.. to .11 [alati.... condition. apeoitiad in tb. Children and Youth Coordinat.1.nq Council'. Raqu..t for Propo...la and Application Kit, and h."inq r.ad .11, att.cru..nt. tb4reto do aubrait tbi. application on behalf of the applicant. It. a".rdad .. qrant to i.Jftpl.....nt tb. proyiaioD bar.in. I do oart.1.ly that .11 applicabl. r.d.ral And stat. la"., rul.. an IlQulation. applicable thereto vill b. folloved. l:.ndor.ed by l.JrIple..ot..1.nq Agency 16.1.Qoature' Date' 'I'.ltle CYCC/F-) (Rev. 1/9'1 I \.. ...~..., .' ~ -. < .. ..! ........"" US. OEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS OFFICE OF THE COMPTROLLER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBIUlY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the regula'tions cited below to determine the certification to which they are required to anest. Applicants should also review the instructions for certifICation included in the regulations befOl'e completing this form. Signature of this form provides for compliance with certification requirements under 28 CFR Plrt 69. '"New Restrictions on Lobbying'" and 28 CFR Part 67. "Government-wide Debarment and Suspension lNonprocurementllnd Government-wide Requirements for Drug-Free Workplace IGrants!. '" The certifications shall be treated as a material representalion of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction. grant, or cooperative agreement. 1. lOBBYING A. ,eq1Jired by S&<:tion 1352. Title 31 of the U.S. Code, .nd implemented .t 28 CFR P.rt 69. for persons entering into. o,ant ()( cooperative agreement ave' '100.000. IS defined at 28 CFR P.n 69, the .pplicant cenifies that: fa' No Federal appropriated funds h.ve been p.id or will be paid. by 0' on behalf of me undersigned. to any person fo' in- fluencing or anempting to influence .n oHicer or employee of any agency. . Member of Congress. .n oHicer or employee of Congress. or .n emplOYH of . Member of Congress in con. nection WIth the making of .ny Feder,1 grant. ttle entering into of any cooperative &greeme1'lt. .nd the extension. continuation. renew.l. amendment. or modification of .ny Federal grant ()( cooperat,ve &gre-ement; Ib) If .ny funds other ttlan Federal eppropriated funds have been p"d or will be paid to any per~ for InfluenCing or It. tempting to .nflueoce en oHicor or employee of any agency. a Member of ~ngress. an off>eer I)( employee of Congress, I)( an employee of . Member of CongrlnS in conn&<:tion WIth this Federal grant I)( cooperative agreement. the undersigned shall complete and SUbmit Standard Form. LLL, "D,sclosure of Lobbying Activit.es." in Kcordance with its InstructIons; lc) The undersigned shall reQuire ltt,t the langull~ of ltt.s cer. tification be included in ttle .ward documents for .11 sub'wards at all tiers (including subgrants, ContrKU under grants .nd cooperative ~reements. and subcontlKtsl .nd ttI.t .11 sub. recipients shall certify and disclosa accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBIUTY MA TIERS (DIRECT RECIPIENT) M required by EXec\Jtive Order 12 549. ~barment and Suspension. .nd implemented .t 28 CFR P,n 67, for prolp&<:- live participants in primary covered tllInSllctions. IS defined at 28 CFR Pan 67. Section 67.510- A. The applicant certifies mat it and its principals: lal Are not pl'esentfy debarred, suspended. proposed for debar. ment. declared ineligible. sentenced to . denial of Federal benefiU by . State or Federal court. or voluntarily excluded from covered transactions by any Federal department or agency; Ibl Have not wittlin a three-year period preceding ttlis .pplica- tlon been convicted of or had . ciVIl judgment rendered &gllinst them for commission of fraud or a crimin.1 oHense in COM&<:- lion with obtaining. .nempting to obt.in, Ol' performing a public IFeder.'. State. or 10c.1I transaction or contract under. public transaction; violation of Federal or State antitrust statutes or commission of embezzlement. theft. forgery. bribery. f.lsification or destruction of recl)(ds. making false statements. or receiving stolen property; lc) Are not presently indicted for or otherwise criminally or civilly charged by. governmental entity (Feder.I, State. or local) with commission of any of the oHenses enumerated in paragraph (1 lib) of th,s cen,ficat,on; and Idl Have not within a three.year period preCeding this applica. tion had one or more public transactions (Feder.I, Sl.te. or Iocall terminated for cause or def.ull; and 8. Where the applicant is unable to ceftify to ,ny of the statements in thiS cenifiCllion, he or she shall ,nach an explanation to thll applicatlon. 3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVlOUAlSI As reQuired by the Drug.Free Workpl.ce Act of 1988. and implemented .t 28 CFR Pan 67. Su~ F. for grantees, IS defined .t 28 CFR Part 67 ~ctions 67.615 ,nd 67.620- A. The applicant cenifies that it will or win cOf'ltinue to provide . drug-free workplace by: lal PtJblishing 1I statement notifying employees th.t the unlawful manufacture. distributIon. dispensing, possession. Of use of a controlled substance is prohibited in the grantee'. workplace and specifying the actions that will be taken against employees fl)( violation of such prohibition; Ib) Establishing.n on-going drug.frlHl _aroness program to inform employees about- 11' The dangers of drug abuse in the WO~KIl; 121 The grantee's policy of maintaining. drug.free wor1<place; (3) Any available drug counseling. rehaboTrtation. and employee assistance programs; and I.' The penaltie. that m,y be imposed upon employees fOl' drug abuse violations occurring in ttle ~Iaca: Icl Making it . requirement that each emploYlHl to be engaged in the performance of ttle grant be given. copy of ttle state- ment required by paragraph (,); ld) Notifying me employee in the lta~t required by parltgraph lal mat. IS a condition of employment under the g,ant. me employee v6i11- OJ,. 'Olt.. 40ell. 13'." ItI:,.LACI:S OJ" ~OIl..S 40e1/2. 40ell3 ANO 40e"4 WHICH AliI: 08S0LI:Tl. / , NON-SUPPLANTING CERTIFICATION Regulations adopted by the U.S. Office of Juvenile Justice and Delinquency Prevention (OJJDP) require certification to the effect that federal funds have not been used to increase state or local funds that would, in the absence of such federal aid, be made available for juvenile justice and delinquency prevention. This form should be used by applicants in making required certification. This certification is required as part of the initial proposal for grant funds to the Children and Youth Coordinating Council. CERTIFICATION: I certify that OJJDP funds will not be used to supplant state or local funds that would otherwise be available for juvenile justice assistance. I further certify that the project proposed in the grant application meets all the requirements of the Juvenile Justice and Delinquency Prevention Act and its implementing guidelines; that all the information presented is correct; that there has been appropriate coordination with affected agencies; and that the applicant will comply with the provisions of the Act, all applicable federal and state laws and the above-mentioned certification should a grant be awarded. Larry E Sconyers Typed Name and Title August 6, 1996 Date CEElTiFICATION OF EQUAL EMPLOYMENT PROGRAM 1. I, Larry E. Sconyers, Mayor of Augusta (agency executive officer) , certify that the Augusta Coalition for Children and YoutAasformulatedan (applying agency) Equal Employment Opportunity Program in accordance with 28 CFR 42.301, et sea., subpart E, that it has been signed into effect by the proper agency authority and disseminated to all employees, and that it is on file in the office of: Lpna J. Bonner (person's name) 530 Greene Street, Augusta,Ga. (address) 30911 Clerk of Commission-Council (title) for review or audit by officials of the Children and Youth Coordinating Council or the Office for Civil Rights, U.S. Office of Justice Programs as required by August 6, 1996 (date) ******.*..******.*.*********************.*.*.******************************************************* Certification (no EEOP required) 2. I, , hereby certify that the (agency executive officer) , has less than 50 employees and (applying agency) is not required to maintain an EEOP, pursuant to 28 CFR 42.301, et sea. (signature) (date) .::Y''"'y~ '""'.... --"':c....':- -.../-=' ~\CHMO.\. "'~" - ,..,,' ~ -.__:.0:.:.:... I.J "~I :=' .,', .-...y..A.- -"_~ (. ....r, 5.~ ./j--, -~~:??~'~:'. r-; ...; "",. ~/ ..:..,: ".-:' -L I ,..-I - ~ _ .~ _ _ ". ~ <: "-- ~- :'~~?" ~.;.:. ...~'--: - ,":.. (, ; ~ ~. 1I&a. : _ .... ..../~.... ...-..~ "'".. " '. ~:~ ~--~~.l:;:~ ~;_o-__.f i/ ""-'" C'EORG\"'.-=- \ l..~~. -:' __ : ~----- '. L\RRy E. SCONYERS MAYOR August 2, 1996 Mr. Chuck Badger Georgia State Clearinghouse Suite 401-J 254 Washington Street, S.W. Atlanta, GA 30334 Dear Mr. Badger: This is to advise you that the Richmond County Board of Commissioners is submitting two copies of a proposal for a Prevention Grant to the Children and Youth Coordinating Council of Georgia. Please note that this proposal is being submitted to continue a project implemented during 1994-95. The commission has authorized the Augusta Coalition for Children and Youth to be the County's planning and advocacy body for children, youth and families and the Family Connection Initiative staff of Richmond County to implement this project. Enclosed for your review are two copies of this proposal. If there are questions or concerns regarding this proposal, please contact either me at (706) 821-2400 or Robetta D. McKenzie, Ed.D. at (706) 724-3827. Sincerely, Larry Sconyers, Mayor /Chairman Augusta Richmond County 530 GREE:-;E STREET · ACGGSTA, GEORGL-\ 30911 · 706/821-1831 · FA..x 706/821-1838 c . ~<:-..;,-----"" - ~ -'c....-:, ..? ~\CH,\IO.\ -'I. -,..' .~..;.-.'~ /J "l .:=' .,'. ~~.. -~-O:-:'l-,... (. I, r! ,~...;7 _:.:................0,... ',~, _I a..... _- -'-. 1'.... -.-:'-. -~ I rj"':7/ ~,,- ~'1..., tf~f'~" ;'~/, "I~_I f.<' __~ - ,J; ) .. ~ ':.:;:Co:-,'--;., , /, .; ~ ,:a'.. .au, : _ : ~'.r~ _...... ~ :..:_: ,) ~/'~ . EST. _,,-..:;::: '~'" ~--~~~~.~~:~------ ~~ .\ .,,;-, G'El)RL-;\:'_~- .....\~-;~~.: ;-;, - Lurn.y E. SCONYERS M-WOR August 2, 1996 Ms. Judy Neal, Executive Director Children & Youth Coordinating Council of Georgia Suite 410 10 Park Place South Atlanta, GA 30303 Dear Ms. Neal, This is to advise you that the Richmond County Board of Commissioners has authorized the Augusta Coalition for Children and Youth to be the County's planning and advocacy body for children, youth and families. Also, the Board has authorized the Coalition to utilize the Family Connection Initiative as the conduit for implementing the project being submitted to the Children and Youth Coordinating Council for Georgia. We look forward to continuing the project proposed in 1994 as it will allow us to continue addressing Juvenile Delinquency in this community. If there are questions, please contact us through Rob McKenzie at (706) 724-3827. 530 GREE::-JE STREET · AUGUST.-\, GEORGIA 30911 · 706/821-1831 · Eo\...\': 706/821-1838 .; AUDIT INFORMATION FISCAL YEAR PERIOD: .l.:InllrlY'Y', '996 - D!"cpmhpr 31. 1 qqfi (Le., Jan. 1 - Dec. 31; July 1 - June 30; Oct. 1 - Sept. 30) DATE OF LAST AUDIT: Jun!" 30. lqq6 DATE OF NEXT AUDIT: June 30,1997 APPROXIMATE DATE AUDIT WILL BE SUBMITTED TO CHILDREN AND YOUTH COORDINATING COUNCIL: Jllnp 30. 1 qq7 Applying Agency Name Note: Most grants will cover two fiscal periods, and thus, two audits will need to be subm itted to the CYCC. CAMILY CONNECTION Fax:706-724-1916 Aug 2 '96 16:29 P.01/09 , . The 'amily Connection A Partnership of Georgia's Communities and the State of Georgie to Focus on Families and Children At Risk .~ /tJ,( !-e/Vt:{ !56/J/ler- f/lfJh1 " -;1o/Yl tfJ' //l/~ 5" ~ J' -I-- lJ /J-ft: /lv.f tl.r I .?I If 'J t P4-&E{)): I O~7 . /lae. tj It- /+~P/7 /j/U ;-ej{L~FJ". ri 11(--ft;J/ P.O. Box 358, Augu$ta, Georgia 30903-0358 FAMILY CONNECTION Fax:705-724-1915 Aug 2 '95 APPLICATION FACE SHEET 15:29 P.02/09 _CHILDREN AND YOUTH'COORDINATING COUNCIL I.. Suite 410, 10 park Place So~th Atlanta, Georgia 30303 Phone; (404) 656-l725 LEAVI: IlloNlX (CYCC use ONLY) DAn IU;a:IVI:D I APPL1CATIotl NllIUIh ~pplicatiOD i. hereby ~de for a Cr&nt.A~rd UD4er Ju~hi~e Ju.tic_ &Ad n_liaqu_Dcy Yr_veDtloD Ao~ 7114 l~u.lic ~w 9J-415) a. am.Dd.d by (~lic Law '4-17)) , (Public Law '5-115; , (PUblic Lav 9&-509) or CA Cod. S.ctio~ 49-4-120 through 4'-5-165 EA&ct~d_ 1. AppliCaAt. (I...., Mid,.... 6> T_l_.....OCM) .. - ~l_-o't1at' h.acy t".... Utll'... . T.l.P'bwae>> Ric:hnond Co.mty Ilcmd of Camri.ssiooers -o\Jgusta Coalitlcn For OUldren & Youth -5:n..G~t P.O. Box 14265 AlJeusta C'.A 30901 Al1&l'''~;o. C".A -ncn Q .l1PV R71-7l1n .. -...~ .'"'i""~"~;_.__ '7. P"og~&a ~....: .. ~ "f ApplJ.c..ti_. Icl>wcIt ....... %Ai ti oJ. Mr. Larry Sconyers QlAiTm"D'l'of Rklurni l.t'lllnty llQatd of Ccmnissiooers $, rrej.et Director ,...... "v... . Tolopll_el Robetta D. K-XPnri p P 0 1lrnr ":\'iR, 929 ~l"nQd sr......,. 9.1i rp ~~<:t..a, GA. :DXn (706) nA-?EJ.7 C'oAt.1a".~J.0fl. y lU.t. Previou Craat. ,.) J _ .... 0& ..pplria<J "'Jelley 111I__ . Tl u.! ,. ,.,...:.c.1..1 0111c.c (II..... Av"GT & "r.1.~.' A.B. ~e-Ridllxnl Ccultv BMrd of .. em ~ a.- 6- .Q 0. B- 31- - l.i"llll\; qq; lY'lPr~ 10. ~on,r.o.lo.... oi.t~ctlol~ (706) R21-7l.'Xl '. 11. P~o1.~' TlU" Juvenile DeliClue:ncY Prevention and Farlv Intervention in Ilichoond Camtv n. PI'-t-. '-"Y' Thi.9 project proposes to cmt:inue eff0rt.9 begm in the &re.as of juvenile delinquency preventioo and early .intervention Vith 110 fifth graders llb) lere enrolled in lbmsby am laIur Elm8ltary Schools during the 1994-95 sdxx>l year. In particular, this project proposes to follOY trose orginally targeted :ltt:dents as they enter sixth ~ at East: Augusta and 1\Jbnan Middle Schools-two .inner city school:!. 1hese stOOents will ccntinl.E being provided structured prc>&CSmS for eat'ly intervention into the l.i\les of ch11dren We live ~ envi.rcDIBlta1 cir~tanc:e:l that have a high likelihood of leBding to del.inquent behavior almg with t:bei.r fMd.lies. a ~cebensi.ve army of :lerVi.ces schools-based m1d coma.n1ty enriclmmt/out::reach aml violence prevmtlcn/aedi.aticn l"O&'aal9 8l'Xl tra:in1ng for parents arxl approwJ. of rh1s project will enshle the Coalition, via tb! i8m:Uy ~CX1, to cont:inue with its' delin:{uency ~~Vl:I,tJ.cn ac:tivities begun at Ibrnst7t ard la1ar Elezeneary Schools. nus 18 iJlp)rtant as the tm:geted sbxlmlb live .in camamities that are pcMrminAtel.y minority and lOll1Dcane. Additicamlly, the:le children and their faa11l1es experience a high rate of a:iDe and IIB1y are in siIlg1e pannt situatioos. 1he6e factors place th! youth at risk for c:ime. gang, m1d chug ~ted act.ivit:i.es and for experiendng fail~ in schJol. and life. 1'. ... of re,- In Al91l...'l&- to. ...e Pel. ~,..., ...U 7 1'. lito. "I AD'lcJ,..~" PK'ofei;t Vol.."'.... 20 II. _.,lleaac ~ tW.Ialtc" ~.1 W ...... C'1.U'u...~. &N .u~.1...1 ...wi....,"' M-c"f\-QIi CDat., 11.. J..... ~11c..t. ..1~.., .. .." ,...ral ....Er _ T.. -X- ICe II T.... ...~ a "'1.&'-1.. ....1...'1... ......... ~~ If. ~~/ ......... .., .... 01 s..;l-.D&I., (\Jr. ~ Oal.. l"te:91dmt of JCt:t Ti1L1. -...--- - --... . ...... FRMILY CONNECTION Fax:706-724-1916 Rug 2 '96 16:29 P.03/09 LARRY E. SCONYERS Char...... FREDDIE L HANOY y.,.O>ait...... '-" BOARD OF COMMiSSrrONERS HENRY H. 8RIGHAM JERRY 8RIGtiAM Wm. "VIIWE' Ii. MAYS, In LEE NEEl. III J.B.POwELL MOSESTOOD AOON IlOI5 . CITY.COUNTY -.aJNIClPAl BlDG. (III AUGUSTA. GEORGIA 3Oe11 lIut. (71)&1 *21.2400 ~.... ~ (106l1121-21118 UNo... W. 8EAZlEY eo.",ry~ WALTER S. HORNSBY. IU Am. 1Aur1ly__ July 31, 1995 JAMES B. WAlL C"""4'~ey Ms. Judy Neal, Executive Director Children & Youth Coordinating Council of Georgia Suite 410 10 Park Place South Atlanta, Georgia 30303 Dear Ms. Neal, -' This is to advise you that the Richmond County Board of Commissioners has authorized the Augusta Coalition for Children and Youth to be the County's planning and advocacy body for children, youth and families. Also, the Board has authorized the Coalition to utilize the Family Connection Initiative as the conduit for implementing the project being submitted to the Children and Youth Coordinating Council for Georgia. We look forward to continuing the project proposed last year as it ~ill allow us to continue addressing Juvenile Delinquency in this cownunity. If there are questions, please contact us through Rob McKenzie at (706) 724-3827. LS/shw Enclosures -' cc : AeCy FAMILY CONNECTION Fax:706-724-1916 Aug 2 '96 16:30 P.04/09 LARRY E. SCONYEJlS c:r..n.- F~EDOle L HANDY .,.~ ==-=- BOARD OF COMMISSIONERS Hl:I>tRY H. aRIGHAM JER~Y 8AlGHAM Wm. "WILUE' H. MAYS, In LEE NEa. III J.8.POWI:l.L MOSES 't'OOD .-" RQOI.C - . CITY -<:oVHN loIUNlCl"~ !!LOG. (11) AUGUSTA, GEORGIA 30911 8\4 (7OBJ sa'.a400 Fa ~ (7QI) lI21-2819 LINeA W. BEAZlEY c-.ty AcImi1IIlr_ WALTER S. HORNSBY. '" AhL c-.,_~ July 31, 1995 JAAlES 8. WAlL ~I, -...., Mr. Chuck Badger Georgia State Clearinghouse Suite 401-J 254 Washington Street, S.W. Atlanta, Georgia 30334 Dear Mr. Badger, '--' This is to adVise you that the Richmond County Board of Commissioners 1s submitting two copies of a proposal for a Prevention Grant to the Children and youth Coordinating Council of Georgia. Please note that this proposal is being submitted to continue a project implemented during 1994-95. The Commission has authorized the Augusta Coalition for Children and Youth to be the County's planning and advocacy body for children, youth and famIlies and the Family Connection Initiative staff of Richmond County to implement thls project. Enclosed for your r~v1ew are two copies of this proposal. If there are questions or.concerns regarding this proposal, please contact either me' at (706) 821-2400 Qr Robetta D. McKenzie, Ed. D. at (70~) "24-3827. LS/shw Enclosures --....' cc : ACCY ',-' '- '-" FRMILY CONNECTION Fax:706-724-1916 Rug 2 '96 16:30 P.05/09 . . AUDI'r INFO~ FISCAL YEAR PERIOD: January 1, 1995 - December 31, 1995 DATE OF LAST AUDIT; June 30. 1995 DATE OF' NEXr AUDIT: June 30, 1996 APPROXIMATE DATE AUV'IT WILL BE SUBKITTBP TO CllI.LoltEN ~O ~OUTB COORDlRATING COUNCIL: June 30, 1996 Note: Moat gri1nt. will cover two fiscal. per.ioda, and tbus, two Audi.ts will Deed to he 8ubmitted to the CYCC. FRMILY CONNECTION Fax:706-724-1916 Rug 2 '96 16:31 P.06/09 .' / -- CHILDREN AND YOUTH COORDINATING COUNCIL NON-SUPPLANTING CERTIFICATION Federal regulations require certification to the effect that federal funds have been used to increase state or local funds that would, in the absence of such federal aid, be made available for juvenile justice and delinquency prevention. This form should be used by applicants in making required. certification. This certification is required as part of the initia~ proposal for grants funds to the Children and Youth coordinating Council. CERTIFIC~TION: , ,- - I certify that Juvenile ~ustice and Delinquency Prevention funds will not be used to supplant state or local funds that would otherwise be available for juvenile justice assistance. I further certify that the project proposed in the grant application mee~s all the requirements of the Juvenile Justice and Delinquency Prevention Act and its implementing guidelines, that all the information presented is correct, that there has been appropriate coordination wi~h affected agencies; and that the applicant will comply with tne provisions of tbe Act, a~l applicable federal and state laws, and the above-mentioned certificationr should a grant be awarded. J ~ .zed Official Inrry Su.uY=8. Oainmn RC brd of f'rmni''riooers Typed Name and Title ~ '" ~ ~1 . ~~ \ '" \ ~ ~ S- Date I ,--",' ,--/ '--..... I - FRMILY CONNECTION Fax:706-724-1916 Rug 2 '96 16:31 P.07/09 , J CERTIFICATION OF AN EQUAL EMPLOYMENT PROGRAM 1. - Commission Larry Sconyers, Chairman of RC Board of ,certify that (person filing the application) It the Augusta Coalition for Children and YQuth has (Applying Agency) formulated -an equal employment opportunity program, and that it has been formulated to conform to the LEAA Equal Employment Op.:x>rtunity Guidelines as c!escribed in 28CFR42. 301 et seq., Subpart E. This equal employment opportunity program is on file with, and in the office of: Mr~. ~indA ~a~.'.y (person's name) 530 Greene St. Augusta, GA 30901 (add1-ess) County Administration (title) for review or audit by officials of the Children and Youth Coordinating Council as required by relevant laws and regulations. SIGNED: #0 / k- r Chairman of Richmond County Board of (title) CommissionerS OR 2. I, , certify that (person filing the application) the in conformity with (Applying Agency) the terms and conditions of 28CFR42.301, is not required to file an equal employment opportunity program. FRMILY CONNECTION Fax:706-724-1916 . . 'J . (I)' .> Us DEP...R'tMEIIIT OF JUSTICE: OFF'/CE OF JUSTICE PROGR"'MS OFt'ICE OF T"'E COMPTROLLER 1 ! Rug 2 '96 16:31 P.OS/09 CERTIFICATIONS REGARDING LOBBYING; DEBARMENT. SUSPENSION AND '-.-/' OTHER RESPONSIBIUTY MATTERS; AND DRUG.FREE WORKPLACE REQUIREMENTS Appli~nts should rtrtr to the regulations c:it~ below to determine !~ cll1tiricltion to whic" t~ I~ required to ~~est. A~prlC.nts Ihould 11.0 review the inatrvctions for C:lIrtifiC:ltion included in the r~iJl~tions Defore c:omC:1tting thi, form. S.ignature of this form providt. '0( compliance with certification require menu under 28 CFR Plrt 69, "New RnlrietiDI1& on lobbying" Ind 28 CFR Part 67, "GO'-'emm."t.wicle Debarment Inti Suspension INonprocvremenU and G'}vernment,wide Requirements for Drug."" Woriq)I:c:e (Grants/," T,... C:llrtit~ations 11'1111 be \:~ated IS a material r.presentation of fact upon whic:h rll/iana will be pl. cod when the Oep.rtment of J~'st!ce det~es to aw.rd tho \:OverllD tr.nsaction. grlnt. or C:OOper~ Igreement. 1. lOB6YING '-.-/. As rtq\lir~ by Stction ~352. 1111. 31 0' m. U.S. Cod.. .net imp1arn."tld .t 28 OR P.rt 69, fot' peraons InlO'it!v into t grant or cOOpt,.ti". .grum.nt o",r '100.000. as dtCi...d at 28 OR P.n 159. the 'Pplic,~t e,rtifioa lh.t: 1" "10 Federl' .ppropri.ted fund. h,,,. bhn Plid or will ~ lIaid. by Or on ~h'" 0' 'lflt und-'1ign.d. to Iny plrson 'Or in- flutnQ"Q or .nemoti"Q to in"ue~ .n Off'IC'r or .mploy" of ."Y Ig,"Cy, , Mem~r 01 Co"gru.. .11 officer 0' ttnplOYCt of Con;rwss. or In employee of I M.".c., of eo..gras. in eon. nectiGrl ....ith the ~king of an., Fed.rll grent. the '''Itring into 0' .ny cooper.livw '9'''ment. and th4 utlnsion. conlinuatiorl. r.n........ Imftld".."t. Ot' mOdification Olltly Federtl g'.nt Of' eoopeltli"e '9r~t; Ibl If Iny fund. olhtr t/'Iln l=ederal 'PIll'Oprilted lunds h,ve been Plid 0' will be paid to tny person fa, influencing or It. t.~ting to in~, an offic.. or emplo.,.1 0' .ny IgOI\Cy. , Metnt. of Cong'flS. III ofrlC:lIf Or etTIIlloy" 0' C0r\9,tss. or en Imployee of . M~ 0' Cong,... in connectiQrl with this Fed.taI ",.nt Or cooper.v... ag'"~ th. und.rsigned Shell eompl.tl .nd submit St.nderd IIonn . U1.. "O'seJen"'t of lobbying At:tivttiea:' in ac:cordltlC1l wittl ita inllruI;tions; (c:) Th. lInd.,sigt\ed shin require IhIt IN '-vu.;e of this c.r. tifieltion ~. iltClulf<<l in the .w.1d documtnU for .11 .ub,wtrda .t .11 liers Cincluding .ubgflntl. tontrlCU unci.. "r~1I end eoopet,ti.,. 'O,..,.,.nll. ~ subcontrKttl end thlt .11 ...b. f1~nu Iha" c:ertif'y ftId dildo$t eCCOfCSingIy. 2. DEBARMEPfT. SUSPENSION. AND OTHER RESPONSIBILrTY M~ TTEAS (DIRECT RECIPIENT) , I -. .... required by Eatcutiv. Ord.r 12549. Oebannrnt 'nd ~ion. and ~Imented .t 21 ~ Pvc 67. for PfOSfltc- ti... participenu In Pfim.,., co~red ~OM. .. defi....d .t 28 CFR '.rt 117. ~ion 67.510- .... The ,p~nt cartifi.s 1h8t it end ita princill.u: (.1 ...,. not presently dllb"r~. SllSpencfed. Pf~..d for Oetlw- m.... cSed.r~ ineligible. ..ntftlced to , d4mill of red."l bt....f'lU by I Stat. or F~rel coun. 01' voIurItarily ..eluded from eo"...ltd u-.ctio", by ..,y Federal d~t Of eo~: Ibl Htve not within , Ihrt..."... period pr~ lhiJ Ipplic.- lion e...n eon,,;ct~ of 01' hltd . civil judg"'-M renderltd ag.inlt tfwm 'Of commiuiorl or fr.ud 01' . eriminal off.ns. in COr1ntc- lion with otn.ining. .n.rnpting 10 obtain. .... performing . publiC '~ader'l. Sl.tt, or loul! tr,"JIC'tion Or Conlr,ct ..,~er I pYblie t"Ilsaction; viol.tion of Fellerll Or Stlt. Int:!,..St .t""t.. or comrSuion of embeul.tnenl. theft. forgery. bribery. falsific.tion or dntrvciion of re<:ordl. making f.ls. It.tement.. or receiving stolen prOper1'(: leI As, not presently indict.d for or OtMfWisc crimin,lIy Or civilly Ch~rll~ bY I government,. entity IFeder~. SI.te. Of 1oc~11 with Co~s$iO" of 'I'll' of the offtt\se. enumer,tecl in plllgrlotl Illlbl of thrs cenific'tion; Itld ' 1111 H.". not wilhin . thr.a-.,.., period pr~ed;ng this '!lplie,. tion I\a<f 0.... or more public tranuctions IFederal. Stlte. 0' 1oc,Il termin'ted for caw Ie or deflult; and 8. Where thl .pplic,nl is un,bll to certify to tilT 01 tno st'lement. in thil Urtif"lCatlon. h. 0' She .h,n ,nKh In upl,n'tion to this .pplication. 3. ORUG-fREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) A. required by the O'ul1.~r" Workp/ea Act of , 988. 'nd implemented II 28 CFR p.n 67. Subpart F. for gr,nte". as defined .t 28 CJ:R Part 67 s.ction. 17.615 and 67.620- /1,. The 'ppl~arlt c.rti/ies thlt it will or wiD CQrlUnua to provide . drug-f... wOrIl;pI.ce by: I.' Publishi"ll' .t.temlllllt notifying ~,.. thlt the lIn'.wflll INI'lUf,ctwr.. dlJuibu1ion. dispenJi"Q. posnnion. or use 0' . COlltrolled sub.tlne. i. pr<<*~bi1I!~ in the grlntn's workpl.c. .nd tpecifying the ections ""t will be t~ken egainst ""010.,... fot viol.tion or such profloDilion: ib, Establ;,hit\lI an O"lIoin; drug.fret .....nen PfOVllm '0 inlorm amployeu .tlout- 111 Thti dl"t'" of dr"g 6b\,SC in the _r1qlIKt: 121 The IIr,nt..'1 poliey of ""intlining , drug-frft wOr\pI.ca; IJl Any .nil.bl, drug eO\/nleling. rm.lIolit'lion. ,.,d ,mllloyee "siStine. progr_: Ind 141 Th. penllties th.t m.y blt imposed ~ CIOlPloyu5 for drv; .bu.. "iolation, OCCUrring in tht ~Iac:e; leI Melting it . rwquirCMcnt th.t eadl employ... to be eng'lIed in th. performance of t"'- grlnt be given . copy of the Slall- rlWn1 f~uited by p,r.g"ph 1.,; Idl Notifying th. ImploY'" in the It,~t reqwirwd by CIIl'egreph I.' thlt. IS , condilion of llmlltOrment lInd.r th. grlnt. 1M emplo".. lI4iQ- OJP '0"''' 40."a .,-,,, "lE:PLAecs O,JP '0".15 40'''~. 40.", A"O 4011'. ....H'CM Aal: O.tOLI:TIt. FAMILY CONNECTION Fax:706-724-1916 .& , . . -- 111 A~. by the I.rme 01 .... al.n.m.m: Ind '21 NOlify IhII ItnpIo,.., ;" w,il"", 01 P!i. 01 h" eomrictiotI '0' I YKJI.1ion of . aitninal drug 'lftUlI OCcurring in ~ "'odplace no III., than fi~ al.nd" d.ya Ih.r 'ud! egr,~'*'; (., fiotifyi"V If-. 'O<<1l:Y. in writing. wilhirl 10 ~I.nd., d,y, 1ft... 'lC.iving notiQ uncf., ~tlP"'O'.ph IdJI21 ,'-" an 1ftIIl1oy.. Of olherwiM r-.;.mnv ICtuI: roOtlet of .lIdI eonyje- lion_ Employ.,. ot Convlcl.d '"'Poy", mull pro"", fI01ic.. inCluding ~tion 1itIt. "': OtSl'r1ment of At_tic.. OffICI of Jullic'.~09"IIla. ATTH: Control Ont. eJJ Indian. Avenue. - H.W.. W"hinglon. D.C. 20531. ~tlet .hl/l incII.IcIt the id.n- tifoe.lion numbe,.., of .1CI'l .Hected Gtlnt; (rJ T.ltitlg - ot eM IlIIIowing ~. within 30 u1'ncI.Ir dly. ot rlOtiving notice undet "'bp.,'9"ph 1d1(21. wiCh "'PICt 10 ."., """'or.. "'ho ill IV conricted- 111 T.ting .ppropNl' ~onnel .ction .;.inst fUctl In ""Plo"". Uj) to -..cI inc:luding tlrminatiotl. consisl..... with the r.quir.....nts of 1N R'hltlilit.1ion Aet of 1973. IS IInIndltd: or (21 R'QUiring Iudl ~~. 10 P.I't;q,Il. IIrisf.ctorily in . drug .bu.. ..li.tI~ or ....h.biJjtllion p,ovr.m IJIprOVed fOf .ud! PU'pos.. by . hcSerll. Stll.. or local ",..Ith. II'" tnfo,c.- ment. 01 other apptOpriall 'V~y; 101 M.lting. gOOd laiCh .!fon 10 amlinu. to m.irIltirl I d,ug- I,.. _rltpllCe thtough imlll.meru.1ion 01 P"lIgT."". 1.,. Ibl. leI. Idl. 1.,. 'l'Id (fl. \......,- B. Th. vrantl. /hi., insen in the 'P.ce p'o"id-" below rtIe tilll.1 '0' It\t performance of vror\ d~ in l:onnec:tion ",ith Ih. 'pecifre Vrent; !'I.c. of P.rfOfman~ ISI'.II .dd'.... city. COunt'(. .1'1'. zip cOd.1 Rug 2 '96 16:32 P.09/09 Ot.d: CJ il there Ira WOr\placu On rile thai .rt nor inctelllif;" ....... s.clion 87. 63C! Of Ihe r~ulllionJ provides Chit I grallt.. "'-t ia · Stll' m.y .I,ct ~ ""t. one l:lf1if.utic)n in 'ach feder. fiscel .....,. A copy of whictllllovld bt inCluded with .1CfI 'po plicelion for D'~nm'"1 of ....J,1ica funding. SI.I.. IftO StI.. e;tnOn ""y ,lect '" u.. OJ~ Form 4OG1/7. ~ CJ " ltte Stilt h.a ./actld 10 e:>nlOl.t. OJ" Form C061n. DRUG-FREI! WOR~CE {GRANTEES WHO ARE INDIVlDUAlSJ As rtQllired by the Drug.Free Worltpl.cl A~ of 1988. ,nd impltrn.nted II 28 CFR Part 57. Subp.r1 F. f~ ,,'lftlees. .. defined.1 28 CFR P'r1 67; Seeliol'l' 67.61S and 57.620_ A. ..... · col'ldiliol'l of the gr'nl. I cartify Ih.t I w;U no, "'9'0' in !he ""'....Iul IhInuflCtll,.. distribution. dIspensing. poues- lion. or loll. of a controD.d '..lIst..-C. in Conduclillg ftly Klivity witlt the Vr.",; Iftd 8. "convicted of . criminal druv offense rnulting from . violltion OCcurrinv durinG the conducl of .ny 1I,."t .\:tiv;ly. I will r,l)ol1 th. Conviclion. il'l w'iting. ....ilhin 10 UlelldM d,ya of lh. conviction. to; Dep.nmCtll of JUSl;!:.. Office of JustiQe Prog'ams. ATTN: Cont,ol Drsk. 6JJ I,,<'i.n. A"en..e. N.W.. W..~Vlon. D.C. 20531. Aa Ih, <'vly authorized represent.ti.... of Ihe Ipplicarlt. I hereby Unify that ltIe 'PD'ic.nt ....m comply with Ifle .bon l:enitic:IIW. '. Gr.I'I'" N,ma .nd Add.....; Richmond County Board of Commissioners 530 Greene Street Augusta, Georgia 30901 2. ADpIicetiOfl Humber .nd/or Projal:1 Nama Richmond County Juvenile DelinQuen~y Prevention and Early Intervention 58-600881 4. Typed NIIrt. end Title of Autl\ofiud A.pre..ntlJli~ J. G'.ntea IRSNendor Number 6. O.le Linda w_ Bea~ey- Richmond County Administrator 5. Signl!lUI. d--~W:/t[;~ 4+1~ I