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HomeMy WebLinkAboutResolution 2017-137 N.C.S. 09/18/2017Resolution No. 2017 -137 N.C.S. of the City of Petaluma, California RESOLUTION AUTHORIZING SUBMITTAL OF A GRANT APPLICATION TO THE EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM FY2017 LOCAL SOLICITATION OF FUNDS IN THE AMOUNT OF $15,923 FOR THE PURCHASE OF TASER SMART WEAPONS FROM AXON ENTERPRISE INC., AND AUTHORIZING THE CITY MANAGER TO EXECUTE ALL GRANT AND PURCHASE RELATED DOCUMENTS WHEREAS, the City of Petaluma Police Department desires to apply for and accept the Edward Byrne Memorial Justice Assistance Grant Program FY 2017 Local Solicitation; and WHEREAS, the City of Petaluma agrees to the funding requirements and terms and conditions of the Edward Byrne Memorial Justice Assistance Grant Program; and WHEREAS, grant funds received shall be used to purchase the equipment necessary for the replacement of outdated TASER Smart Weapons, NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Petaluma, as follows: The City Manager of the City of Petaluma is authorized to submit the attached grant to the Edward Byrne Memorial Justice Assistance Grant Program and to execute all documents necessary to complete the purchase of TASER Smart Weapons from Axon Enterprise Inc. Under the power and authority conferred upon this Council by the Charter of said City. REFERENCE: I hereby certify the foregoing Resolution was introduced and adopted by the �pproved as t Council of the City of Petaluma at a Regular meeting on the 18`h day of September, € form: 2017, by the following vote: City Attorney } AYES: Albertson, Vice Mayor Barrett, Mayor Glass, Healy, Kearney, King, Miller NOES: None ABSENT: None j ABSTAIN: None ATTEST: -ant City Clerk Mayor Resolution No. 2017 -137 N.C.S. Page 1 Exhibit A to Resolution APPLICATION FOR 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE August 17, 2017 1. TYPE OF SUBMISSION 3, DATE RECEIVED BY State Application Identifier STATE Application Non - Construction 4, DATE RECEIVED BY Federal Identifier Preapplication Non - Construction FEDERAL AGENCY 5.APPLICANT INFORMATION Legal Name Organizational Unit City of Petaluma Police Department Address Name and telephone number of the person to be contacted on 969 Petaluma Blvd N matters involving this application Petaluma, California 94952 -1921 McCoy, Katherine (707) 778 -4375 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT 94- 6000392 Municipal 8, TYPE OF APPLICATION 9. NAME OF FEDERAL AGENCY New Bureau of Justice Assistance 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE 11, DESCRIPTIVE TITLE OF APPLICANT'S PROJECT NUMBER: 16.738 CFDA Edward Byrne Memorial Justice Assistance Grant Officer Equipment Upgrade TITLE: Program 12, AREAS AFFECTED BY PROJECT City of Petaluma, Police Department 13, PROPOSED PROJECT 14, CONGRESSIONAL Start Date: September 18, 2017 DISTRICTS OF End Date: September 30, 2018 a. Applicant b. Project CA02 15. ESTIMATED FUNDING 16, IS APPLICATION SUBJECT TO REVIEW BY Federal $15,923 STATE EXECUTIVE ORDER 12372 PROCESS? Program has not been selected by Applicant $0 State $0 Local $0 state for review Resolution No. 2017 -137 N.C.S. Page 2 Other I $0 Program Income $0 17. IS THE APPLICANT TOTAL $15,923 DELINQUENT ON ANY FEDERAL DEBT? 18, TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION PREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS REQUIRED, Close Window Resolution No. 2017 -137 N.C.S. Page 3 Edward Byme Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Prol4ram Abstract Applicant's Name City of Petaluma, California Project Title Purchase 12 new X26P TASER weapons to replace outdated /unsupported X26 TASER weapons currently in service. Project Goals: 1. To update our TASER weapon inventory by replacing outdated X26 TASER weapons that are no longer supported by the manufacturer. Project Identifiers: Equipment- Tactical 2, LessThanLethal Narrative Description of Strateizies The Petaluma Police Department intends to purchase 12 new X26P TASER weapons to replace outdated X26 TASER weapons no longer supported by the manufacturer, This purchase is pant of an overall effort to update less than lethal tactical equipment deployed as an additional police tool and is not intended to replace firearms or self-defense techniques. Resolution No, 2017 -137 N.C.S. Page 4 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Program Narrative The City of Petaluma, California, is the second largest city in Sonoma County with a population of over 60,000 people. The police department currently has 65 sworn officers. Forty of these officers are assigned to the patrol division and have the highest need for dependable tactical equipment. By 2017, all the X26 TASER weapons assigned to sworn officers were between 10- 15 years old and no longer supported by Axon Enterprise Inc., formerly Taser International. The older the TASER weapons get, the more likely they are to malfunction and not deploy which could jeopardize officer safety. The TASER X26P is deployed as an additional police tool and is not intended to replace firearms or self-defense techniques. The TASER X26P may be used to control a dangerous or violent subject when deadly physical force does not appear to be justified and /or necessary; or attempts to subdue the subject by other conventional tactics have been, or will likely be, ineffective in the situation at hand; or there is reasonable expectation that it would be unsafe for officers to approach within contact range of the subject. At the end of June 2017, ten X26 TASER weapons were replaced with the newer X26P model. Funding from the FY17 Edward Byrne Memorial Justice Assistance Grant will be used to purchase an additional 12 TASER weapons which are outfitted with technology up to speed with the current industry standards. When the X26P TASER weapons are purchased under this grant, 22 officers will have new TASER weapons but there will still be approximately 28 TASER weapons in need of replacement. The total cost of these new 12 TASER weapons will be $16,019.82, The amount funding available to the City of Petaluma under the FYI Edward Byrne Memorial Justice Assistance Grant is $15,923.00. The remaining balance of $96.82 will be paid by the City of Petaluma separate from any other solace of federal funding. Resolution No. 2017 -137 N.C.S. Page 5 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Budget Narrative The attached Budget Worksheet outlines all of the equipment costs necessary for the purchase of 12 TASER weapons and their accessories. $15,923.00 of these costs will be paid from fund under this grant program. The remaining equipment cost of $96.82 will be paid for by the City of Petaluma separate from any Federal funding. The purchase of the equipment for this project will be made within 60 days of grant funding as a one -time expense. The vendor used for this purchase is the manufacturer Axon Enterprises Inc., formerly TASER International Inc. Axon Enterprises Inc. is the sole source provider of the TASER 60 Basic Plan. The TASER 60 Basic Plan provides the TASER weapon, batteries, holsters, a 5 year warranty, and 2 training cartridges per TASER weapon at a reduced - cost package deal. Axon Enterprise Inc. will also honor a $100 trade -in discount per TASER weapon, totaling a $1,200 discount on the overall purchase. The TASER 60 Basic plan also offers entities the option of paying equal payments over the course of five years, or to pay the total up front in Net 30, The Petaluma Police Department chooses to use grant program funds to pay Net 30. Resolution No. 2017 -137 N.C.S. Page 6 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Budget Worksheet Equipment uanti Description Unit Cost Total 12 Taser 60 Year 1 X26P Basic ($1,200 credit) $264.00 $1,968.00 12 Handle, Black, Class III, X26P $0.0 $0.0 12 TPPM, Battery, Tactical, Pinky Extender, X26P $0.0 $0.0 12 Holster, Blaekhativlc, RightX26P $0.0 $0.0 24 Cartridge -25' Hybrid $0.0 $0.0 1 Kit, Dataport Download, W, X26P $0.0 $0.0 12 Taser 60 Year 2 X26P Basic $264.00 $3168.00 12 Taser 60 Year 3 X26P Basic $264.00 $3168.00 12 Taser 60 Year 4 X26P Basic $264.00 $3168.00 12 Taser 60 Year 5 X26P Basic $264.00 $3168.00 Subtotal (not including Shipping and Taxes) : $14,640.00 Tax: $1,189.50 Shipping: $190.32 TOTAL: $16,019.82 Budget Item Summary Equipment: $14,640.00 Tax: $1,189.50 Shipping: $190.32 Total: $16,019,8Z Federal Portion under Grant: $15,923,00 (99.39 %) City Portion with Separate Non - Federal Funds: $96,82 (00.61 %) Resolution No. 2017 -137 N.C.S. Page 7 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Disclosure of Pendinlz Applications The City of Petaluma does not have pending applications submitted with the last 12 months for federally funded assistance that include requests for funding to support the same project being proposed under this solicitation and will cover the identical cost items outlined in the budget narrative and worksheet in the application under this solicitation, Resolution No. 2017 -137 N.C.S. Page 8 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT High Risk Notification The City of Petaluma is not currently designated as high risk by any other federal grant - making agency and does not require additional oversight by any agency due to past programmatic or financial concerns, Resolution No. 2017 -137 N.C.S. Page 9 Edward Byrne Memorial Justice Assistance Grant Program (JAG) FY 2017 Local Solicitation PETALUMA POLICE DEPARTMENT Review Narrative This grant application is intended to be submitted for review and acceptance by the Petaluma City Council at the September 18, 2017 council meeting. Advance notice will be posted on the City Web Sites and physically posted in City Hall, in accordance with local ordinance, regarding the meeting date and the agenda items to be considered by the council. The public will have an opportunity to make comments regarding this grant application at the council meeting per established procedures. The Petaluma City Council, by resolution, is expected to authorize the City Manager to submit the grant application and execute all grant- related documents. Resolution No. 2017 -137 N.C.S. Page 10 Certifications Page I of 3 NOTE You must click on the "Accept" button at the bottom of the paste before closing this window U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS OFFICE OF THE CHIEF FINANCIAL OFFICER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification Included In the regulations before completing this form. Acceptance of this form provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," 2 CFR Part 2867, "DOJ Implementation of OMB Guidance on Nonprocurement Debarment and Suspension," and 28 CFR Part 83, "Government -wide Debarment and Suspension, and Government -wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement, 1, LOBBYING As required by Section 1362, Title 31 of the U.S, Code, and Implemented at 28 CFR Part 69, for persons entering Into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that; (a) No Federal -appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with the making of any Federal grant, the entering Into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement; , (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for Influencing or attempting to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, "Disclosure of Lobbying Activities," In accordance with its Instructions; (c) The undersigned shall require that the language of this certification be Included in the award documents for all subawards at all tiers (Including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all sub - recipients shall certify and disclose accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) Pursuant to Executive Order 12649, Debarment and Suspension, Implemented at 2 CFR Part 2867, for prospective participants in primary covered transactions, as defined at 2 CFR Section 2867.20(a), and other requirements; A. The applicant certifies that It and Its principals; (a) Are not presently debarred, suspended, proposed for debarment, declared Ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three -year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense In connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation'of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; Resolution No. 2017 -137 N.C.S. Page 11 ceitifications. Page 2 of 3 (c) Have not within a two -year period preceding this application been convicted of a felony criminal violation under any Federal law, unless such felony criminal conviction has been disclosed In writing to the Office of Justice Programs (OJP) at Ojpcompliancereporting @usdoj.gov, and, after such disclosure, the applicant has received a specific written determination from OJP that neither suspension nor debarment of the applicant is necessary to protect the Interests of the Government in this case, stastate, or local) with commission of any ootherwise he offenses enumerlated In paragraph (b) of this governmental at on; and (e) Have not within a three -year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default. B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. FEDERALTAXES A. If the applicant Is a corporation, the applicant certifies that either (1) the corporation has no unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, that is not being paid In a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, or (2) the corporation has provided written notice of such an unpaid tax liability (or liabilities) to OJP at Ojpcompliancereporting @ usdoj.gov, and, after such disclosure, the applicant has received a specific written determination from OJP that neither suspension nor debarment of the applicant is necessary to protect the interests of the Government in this case. B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application, 4. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 83, Subpart F, for grantees, as defined at 28 CFR Sections 83.620 and 83.650; A. The applicant certifies that It will or will continue to provide a drug free workplace by; (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance Is prohibited In the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an on -going drug -free awareness program to inform employees about (1) The dangers of drug abuse In the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be Imposed upon employees for drug abuse violations occurring In the workplace; (c) Making it a requirement that each employee to be engaged In the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee In the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will (1) Abide by the terms of the statement; and (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring In the workplace no later than five calendar days after such conviction; Resolution No. 2017 -137 N.C.S. Page 12 Certifications Page 3 of 3 (e) Notifying the agency, In writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, Including position title, to: Department of Justice, office of Justice Programs, ATTN: Control Desk, 810 7th Street, N.W., Washington, D.C, 20531, Notice shall Include the Identification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who Is so convicted (1) Taking appropriate personnel action against such an employee, up to and Including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. Accept Resolution No. 2017 -137 N.C.S. Page 13 OMB No. 1121 -0140 Expires 5/31/2019 U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS CERTIFIED STANDARD ASSURANCES On behalf of the Applicant, and in support of this application for a grant or cooperative agreement, I certify under penalty of perjury to the Office of Justice Programs (OJP), U.S. Department of Justice ( "Department "), that all of the following are true and correct; (1) 1 have the authority to make the following representations on behalf of myself and the Applicant. I understand that these representations will be relied upon as material in any OJP decision to make an award to the Applicant based on its application, (2) 1 certify that the Applicant has the legal authority to apply for the federal assistance sought by the application, and that it has the institutional, managerial, and financial capability (including funds sufficient to pay any required non - federal share of project costs) to plan, manage, and complete the project described in the application properly. (3) 1 assure that, throughout the period of performance for the award (if any) made by OJP based on the application— (a) the Applicant will comply with all award requirements and all federal statutes and regulations applicable to the award; (b) the Applicant will require all subrecipients to comply with all applicable award requirements and all applicable federal statutes and regulations; and (c) the Applicant will maintain safeguards to address and prevent any organizational conflict of interest, and also to prohibit employees from using their positions in any manner that poses, or appears to pose, a personal or financial conflict of interest. (4) The Applicant understands that the federal statutes and regulations applicable to the award (if any) made by OJP based on the application specifically Include statutes and regulations pertaining to civil rights and nondiscrimination, and, in addition — (a) the Applicant understands that the applicable statutes pertaining to civil rights will include section 601 of the Civil Rights Act of 1964 (42 U.S.C. § 2000d); section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794); section 901 of the Education Amendments of 1972 (20 U.S.C. § 1681); and section 303 of the Age Discrimination Act of 1975 (42 U.S.C. § 6102); (b) the Applicant understands that the applicable statutes pertaining to nondiscrimination may Include section 815(c) of Title I of the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. § 3789d(c)); section 1407(e) of the Victims of Crime Act of 1984 (42 U.S.C. § 10604(e)); section 299A(b) of the Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); and that the grant condition set out at section 40002(b)(13) of the Violence Against Women Act (42 U.S.C. § 13925(b)(13)) also may apply; (c) the Applicant understands that it must require any subrecipient to comply with all such applicable statutes (and associated regulations); and (d) on behalf of the Applicant, I make the specific assurances set out in 28 C.F.R. §§ 42,105 and 42.204. (5) The Applicant also understands that (in addition to any applicable program - specific regulations and to applicable federal regulations that pertain to civil rights and nondiscrimination) the federal regulations applicable to the award (if any) made by OJP based on the application may include, but are not limited to, 2 C.F.R. Part 2800 (the DOJ "Part 200 Uniform Requirements ") and 28 C.F,R, Parts 22 (confidentiality - research and statistical information), 23 (criminal intelligence systems), and 46 (human subjects protection). (6) 1 assure that the Applicant will assist OJP as necessary (and will require subrecipients and contractors to assist as necessary) with the Department's compliance with section 106 of the National Historic Preservation Act of 1966 (54 U.S.C. § 306108), the Archeological and Historical Preservation Act of 1974 (54 U.S.C. §§ 312501 - 312508), and the National Environmental Policy Act of 1969 (42 U.S.C. §§ 4321 - 4335), and 28 C.F.R. Parts 61 (NEPA) and 63 (fioodplains and wetlands). (7) 1 assure that the Applicant will give the Department and the Government Accountability Office, through any authorized representative, access to, and opportunity to examine, all paper or electronic records related to the award (if any) made by OJP based on the application, (8) 1 assure that, if the Applicant is a governmental entity, with respect to the award (if any) made by OJP based on the application — (a) It will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C. §§ 4601- 4655), which govern the treatment of persons displaced as a result of federal and federally - assisted programs; and (b) it will comply with requirements of 5 U,S.C, §§ 1501 -1508 and 7324 -7328, 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. I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or In the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and /or 1621, and /or 42 U.S.C. § 3795a), and also may subject me and the Applicant to civil penalties and administrative remedies for false claims or otherwise (including under 31 U.S.C, §§ 3729 -3730 and 3801 - 3812). 1 also acknowledge that OJP awards, including certifications provided in connection with such awards, are subject to review by the Department, including by OJP and by the Department's Office of the Inspector General. Resolution No. 2017 -137 N.C.S. Page 14 U.S. DEPARTMENT OF JUSTICE OMB Number: 1121 -0329 PROGRAMS Expiration Date: 12/31/2018 OFFICE OF JUSTICE ;FINANCIAL MANAGEMENT AN LS uES fIgNNAIRE The financial management system of each non - Federal entity must provide for the following Retention requirements for records Requests for transfer of records • Methods for collection, transmission and storage of information Access to records Restrictions on public access to records (1) Identification, In its accounts, of all Federal awards received and expended and the Federal programs under which they were received. Federal program and Federal award identification must include, as applicable, the CFDA title and number, Federal award identification number and year, name of the Federal agency, and name of the pass- through entity, If any. (2) Accurate, current, and complete disclosure of the financial results of each Federal award or program. (3) Records that identify adequately the source and application of funds for federally- funded activities. These records must contain Information pertaining to Federal awards, authorizations, obligations, unobligated balances, assets, expenditures, Income and Interest and be supported by source documentation. (4) Effective control over, and accountability for, all funds, property, and other assets. The non - Federal entity must adequately safeguard all assets and assure that they are used solely for authorized purposes. (5) Comparison of expenditures with budget amounts for each Federal award, (6) Written procedures to document the receipt and disbursement of Federal funds including procedures to minimize the time elapsing between the transfer of funds from the United States Treasury or the pass- through entity and the disbursement by the non - Federal entity whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means. (7) Written procedures for determining the allowability of costs. APPLICANT ORGANI�ATIO[yAL INFORMATION 1. Name of Organization and Address: Organization Name: Petalume Police = Departfr ent Street1: 969 _Petalufna, Blvd:_N Street2: City: Retaluma State: CA: California Zip Code: 94952 2. Authorized Representative's Name and Title: Prefix: First Name: Middle Name: Katherine Last Name: Suffix: McCoy- _ Title: Management Analyst, '- 3. Phone: F(7_07-) :.1-7,&-O$ _ 4. Fax: 5, Email: kmcaoy @ci`petaluma.ca:us - - - 6. Year Established: 7, Employer Identification Number (EIN): 8. DUNS Number: $rj$' 1040MIEK, 1046bbOk 71 9. Type of Organization: C] State Municipality ® Non- Profit ©Higher`Education ® Tribal fl- 110th I 6r: Resolution No. 2017 -137 N.C.S. Page 15 U.S. DEPARTMENT OF JUSTICE OMB Number: 1121 -0329 OFFICE OF JUSTICE PROGRAMS Expiration Date: 12/31/2018 — m- '-. AUDIT- ,INFORMATION -. An audit is conducted using generally accepted auditing standards (GAAS) or Generally Accepted Governmental Auditing Standards (GAGAS) and results in an audit report with an opinion. 10, The organization has undergone the following types of audit(s)(Please check all that apply): ❑ OMB A -133 Single Audit ❑ Financial Statement Audit ❑ Defense Contract Agency Audit (DCAA) ❑ None ❑ Programmatic Audit & Agency: ❑ Other Audit & Agency: 11. Most Recent Audit: ❑ Within the past 12 months Within the past two years []More than two years Name of Audit Agency /Firm: AUDITOR'S OPINION: 12, On the most recent audit, what was the auditor's opinion? ❑ Unqualified Opinion ❑ Qualified Opinion Disclaimer, Going Concern or Adverse Opinions Please enter the number of findings: Please enter the amount of questioned costs: Were material weaknesses noted in either the Financial Statement or Single Audit? ® Yes rl No AC -0 NTING STEIUI 13. Which of the following best describes your accounting system: n w ® Manual ❑x Automated r. C 0,mblna tio, 14. Does the accounting system Identify the receipt and expenditure Yes; . Q No ®; Not Sure of program funds separately for each grant? 15. Does the accounting system provide for the recording of expenditures ❑X YeS ` ❑ No ❑ Not Sure_ for each grant/contract by budget cost categories shown in the approved budget? 16. Does your accounting system have the capability to document the for Can determine if ❑X Yes - ❑ NQ ❑` Not Sure recording of cost sharing or match each grant? you documentation Is available to support recorded match or cost share? 17. Are time distribution records maintained for each employee that Yes ❑ No ❑ Not Sure specifically Identify effort charged to a particular grant or cost objective? 18. Does the accounting /financial system include budgetary controls to ©Yes ❑ No ❑'- Not Sure preclude incurring obligations or costs in excess of total funds available or by budget cost category (e.g. Personnel, Travel, etc.)? 19. Is the organization familiar with the existing Federal regulation and ©Yes;, [:I No ❑ Not Sure guidelines containing the Cost Principles and procedures for the determination and allowance of costs in connection with Federal grants? Resolution No. 2017 -137 N.C.S. Page 16 U.S. DEPARTMENT OF JUSTICE OMB Number: 1121 -0329 OFFICE OF JUSTICE PROGRAMS Expiration Date: 12/31/2018 _ -_ PRQp)aRTY STANp/CRDS, PitOGUREM�NT STANDARDS, r4ND fiRAUEL PQ� ICiES _ PROPERTY STANDARDS 20. Does your property management system(s) provide for maintaining: Yes'' ❑ No ❑ Not.Sore (1) a description of the equipment; (2) an identification number; (3) source of the property, Including the award number; (4) where title vests; (5) acquisition date; (6) federal share of property cost; (7) location and condition of the property; (8) acquisition cost; & (9) ultimate disposition information? PROCUREMENT STANDARDS 21. Does your organization maintain written procurement procedures which F0 Yes —0-No Not Sure (1) avoid unnecessary purchases; (2) provide an analysis of lease and purchase alternatives; and (3) provide a process for soliciting goods and services? 22. Does your procurement system provide for the conduct to determine No Not Su x Yes re ® ❑ selection on a competitive basis and documentation of cost or price analysis for each procurement action? 23. Does your procurement system Include provisions for checking the ❑Yes ❑ No ® Not Sure "Excluded Parties List" system for suspended or debarred sub - grantees and contractors, prior to award? Please visit www.sam.gov. TRAVEL POLICY 24. Does your organization: (a) maintain a standard travel policy? Yes No (b) adhere to the Federal Travel Regulation? (FTR) Yes No . SUBRECIPIENT MANAGEMENT AND MONITORING 25, (For Pass - through entities only). Does your organization have controls Sure. In place to monitor activities of subrecipients, as necessary, to determine that Federal awards are used for authorized purposes in compliance with laws, regulations, and the provisions of the award and that performance N/A (:Your organization does not make subawards,) goals are achieved (2 CFR200)? STANDAR00 FQRYINANGIAL MANAGEMENT SYSTEMS AND APPLICANT CERTIFICATION :; I certify that the above Information is complete and correct to the best of my knowledge. This document must be certified by the organization's Authorized Representative, Executive Director, Chief Financial Officer, Chairman of the Board of Directors, or similar position. Name: Date; r - Kafiherine McCoy Title: [� Executive Director% [� Chief Financial Officer ®; Chairman . E170t her lAuthorized Representative Phone: 707);778 -4375 Resolution No. 2017 -137 N.C.S. Page 17 U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS State or Local Government: FY 2017 Certification of Compliance with 8 U.S.C. § 1373 On behalf of the applicant government entity named below, and in support of its application, I certify under penalty of perjury to the Office of Justice Programs ( "OJP "), U.S, Department of Justice ( "USDOJ" ), that all of the following are true and correct: (1) 1 am the chief legal officer of the State or local government of which the applicant entity named below is a part ( "the jurisdiction "), and I have the authority to make this certification on behalf of the jurisdiction and the applicant entity (that is, the entity applying directly to OJP). I understand that OJP will rely upon this certification as a material representation in any decision to make an award to the applicant entity. (2) 1 have carefully reviewed 8 U.S.C, § 1373(a) and (b), including the prohibitions on certain actions by State and local government entities, - agencies, and - officials regarding information on citizenship and Immigration status. I also have reviewed the provisions set out at (or referenced in) 8 U.S.C. § 1551 note ( "Abolition ... and Transfer of Functions "), pursuant to which references to the "Immigration and Naturalization Service" in 8 U.S,C. § 1373 are to be read, as a legal matter, as references to particular components of the U.S. Department of Homeland Security. (3) 1 (and also the applicant entity) understand that the U,S, Department of Justice will require States and local governments (and agencies or other entities thereof) to comply with 8 U.S.C. § 1373, with respect to any "program or activity" funded in whole or in part with the federal financial assistance provided through the FY 2017 OJP program under which this certification is being submitted ( "the FY 2017 OJP Program" identified below), specifically including any such "program or activity" of a governmental entity or - agency that is a subrecipient (at any tier) of funds under the FY 2017 OJP Program. (4) 1 (and also the applicant entity) understand that, for purposes of this certification, "program or activity" means what it means under title VI of the Civil Rights Act of 1964 (see 42 U.S.C. § 2000d -4a), and that terms used in this certification that are defined in 8 U.S.C. § 1101 mean what they mean under that section 1101, except that the term "State" also shall include American Samoa (cf. 42 U.S.C. § 901(a)(2)), Also, I understand that, for purposes of this certification, neither a "public" institution of higher education ( /.e., one that is owned, controlled, or directly funded by a State or local government) nor an Indian tribe is considered a State or local government entity or - agency. (5) 1 have conducted (or caused to be conducted for me) a diligent inquiry and review concerning both — (a) the "program or activity" to be funded (in whole or In part) with the federal financial assistance sought by the applicant entity under this FY 2017 OJP Program; and (b) any prohibitions or restrictions potentially applicable to the "program or activity" sought to be funded under the FY 2017 OJP Program that deal with sending to, requesting or receiving from, maintaining, or exchanging information of the types described in 8 U.S.C. § 1373(a) or (b), whether imposed by a State or local government entity, - agency, or - official. (6) As of the date of this certification, neither the jurisdiction nor any entity, agency, or official of the jurisdiction has in effect, purports to have in effect, or is subject to or bound by, any prohibition or any restriction that would apply to the "program or activity" to be funded in whole or in part under the FY 2017 OJP Program (which, for the specific purpose of this paragraph 6, shall not be understood to Include any such "program or activity" of any subrecipient at any tier), and that deals with either— (1) a government entity or - official sending or receiving information regarding citizenship or immigration status as described in 8 U.S.C. § 1373(a); or (2) a government entity or - agency sending to, requesting or receiving from, maintaining, or exchanging information of the types (and with respect to the entities) described in 8 U.S.C. § 1373(b). I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and /or 1621, and /or 42 U.S, C. § 3795a), and also may subject me and the applicant entity to civil penalties and administrative remedies for false claims or othe . e (including under 31 U.S.C. §§ 3729 -3730 and §§ 3801 - 3812). 1 also acknowledge that OJP awards, including certificaf ns rovided in connection with such awards, are subject to review by USDOJ, Including by OJP and by USDOJ Office f th Inspector General. SignatureW Chief Legal Officer of the Jurisdiction Printed Name of Chief Legal Officer Date of Certification I Title of Chief Legal Officer of the J risdiction C/1 n D k Cl 10 OA ame of Applic nt Gover`nment Entity (i.e., the ap nt to the FY 2017 OJP Program identified below) FY2017OJP Program: Byrne Justice Assistance Grant ( "JAG ") Program Resolution No. 2017 -137 N.C.S. Page 18