HomeMy WebLinkAboutResolution No. 98-37 RESOLUTION NO. 98-37
` A RESOLUTION OF THE CITY OF FRIENDSWOOD, TEXAS, HEREINAFTER
REFERRED TO AS "APPLICANT", DESIGNATING CERTAIN OFFICIALS AS BEING
RESPONSIBLE FOR, ACTING FOR, AND ON BEHALF OF THE "APPLICANT" IN
DEALING WITH THE CRlMINAL JUSTICE DIVISION, OFFICE OF THE GOVERNOR,
HEREINAFTER REFERRED TO AS "DEPARTMENT", FOR THE PURPOSE OF
PARTICIPATING IN THE VICTIMS OF CRIME ACT FUNDING PROGRAM,
HEREINAFTER REFERRED TO AS THE "PROGRAM". ENDORSING GRANT
APPLIC�?1QN F.QB 7'�iE .CB1mE ll1�]'1� ASS1S7'AI�I�E .�'RD�RAAe FDR r1�iE
IMPROVEMENT OF CRIMINAL JUSTICE IN THE CITY OF FRIENDSWOOD.
WHEREAS, the applicant finds it in the best interest of the citizens of Friendsw�ood, that the Crime
Victims Assistance Pro.yram be operated for the 2000year; and
WHEREAS, the applicant has considered the proposed application for the State and Federal
Assistance for saidproject, in the amount of$45483_00 to be submitted to the Office of the
Governor, Criminal Justice Division, Victims of Crime Act Program; and
WHEREAS� the a..pplication has a_greed toprovide matchin� monies for the saidproject in the
amount of$9856.00,.or an amount equal to one-fourth of the total project cost, as required by the
grant application; and
HEREAS, the application has agreed that in the event of loss or misuse of the Criminal Justice
Uivision funds, the City of Friendswood assures that the funds will be returned to the Criminal
Justice Division in full.
BE IT RESOLVED BY THE "APPLICANT" that the City of Friendsw�ood approves submission of the
grant application for the Crime Victim Assistance Pro9ram to the Office of the Govemor, Criminal
Justice Division, Victims of Crime Act Program in the amount of$62061.00, which includes CJD
funds in the amount of$45483.00, Cash Match in the amount of$9856, and an in-kind match of
$6722 to be provided by volunteers.
PASSED, APPROVED, AND RESOLVED BY THE AFFIRMATION VOTE OF THE "APPLICANT"
ON THISr fT�� DAY OF/1/OV�m/�-eJZ. . 1998.
,
� _-
� ayor Haro L. Whitaker
City of Friendswood
ATTEST:
� �
�
De oris McKenzie, T MC
City Secretary
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r�';'��-�'��. �� � O�FICE OFTHEGOVERNOR�� �_ MIN.t,IfJ � VIS�� N .�:' �, :., , �,:�T .
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,. 3 .. . <P O.�BOX 12428;AUSTIN�TEXAS 78711 �
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t'� 1.. �syd name a oyardz.Uor,apply�ny. i o.Tius a ProJea
CITY OF FRIENDSWOOD CRIME VICTIM ASSI
2. Dlvision or unK wlthin the�ppQcant orpanization�o admintster fhe proJed. ».Ma��ad«,ior.
FRIENDSWOOD POLICE DEPARTMENT ❑ �al,Justtce Planntrq Fued(srate)
3. ����W��o ick Avenu� O JuvenfbJusdoeendDelkpuencyPrevaMbnAdFund((ederol)CF�A•�s.�ao
Fr i en C� 77tle V Qeirpue�Y Preve^tlo^Fund((ederal)CFDA-18.648
4. Type d AppAcent(chedc ons baoc only): ❑ Sa(e and DruQ-Free Sdwols and Cort�rtWnitles Ad Fund(lederai)CFDA-84.186
� � Vlctlms ot Crlme Act Fund(lederai)CFDA-18.575
❑ Reyional Counc�t ol Govemments 0 State Apency 0 Yalerwe Ayai�st Women Act Fund(lederal)CFDA-16.588
�] CUy ❑ Nonptoflt Orpnnizatbn O Texas Narcotics Confrol P►aGrem(federa�CFOW-16.578
O Courny ❑ NaWeAmericenTrbe O Crkne Stoppers Asslstetxe Fund(state)
0 UnNeraity or Collepe ❑ Catllied C�4ne Stoppera Pro�ram 0 Other
0 Independent School District ❑ FalUrbased apanization
0 Reg(onal Educatlon Setvice Center ❑ Local Qime Contrd 6PrevenUon Distrbt 12.Cou�ty where project is based:
GALVESTON COUNTY
5. Person who completed this applicatlon or can answer spedfic questbns 13.Population of the county where the project Is based.
about k. 25�,0�0
�Te. Jared D. S tout �a.ap anes and oounues in a,e cen�toe a�ea oi a,e�ea and a�e
populatbn a each.
T�: Chief of Police
�fe� Friendswood Police Department Friendswood 30,050
109 E. Willowick Ave Galveston County 250,000
Friendswood, TX 77546
7e�eptwnerwmber. �281)996-3300
(281)482-9318 15.Grent Start Date:
� Fe""°"'�e`' �p/O1/1999
e-mal address: ts. ae u,e activiues{xoposed in this eppPc�tlon too9c jwende-re�aled?
❑ Yes �No �
8. Apsrw7rs State Payee idendt(caUon Number: fl Yes.in bwc iderdtty the number ot the needs statement this
17414932024 aaa'�aaa�• s��oe o^e a a,��^•
7. s lasc eu,at dace. 17.Is nds an appticanon ror rrst-year tundinp?
09 1998 � Yes 0 No
e. is er,e a�q�,e oroa�rz�a«,de�,yuenc o�a�ry�caee«rede�debn H'+�'.�e�n,e rabwt�
0 Y�es(If'Y(ss'.attach an exManetlon.) � No Y�esr of Fundinp tor Uds appCication(chedc one):
❑Year 2 ❑Year 3 ❑Year 4 ❑Year 5 ❑Year_
6.RequostedFund6 BudyetYeerA ��y�g C�xrentQraM1�:-----_—_-----
ri�C7f8f1�F{NIdB • .' ' ' _. . . - r.....r �8•�8t8 Lfld C�O�Aj�.�Cati011^�^^o.^�Y BaAfld9d:
44494.00 43894.00 10/22/1998, Houston, TX
��� , t9.B a tocal;applicatt�on�COO to whk:h appticaUon is subrNtted. .
9518�.00 , 9518.00� _.::�g�uston-Galveston Area Council
�� 20.n projec�Is sraeewae,on wnac date was a oopy a u�appKNcadon
6722.00 6722.00 su�maedrorrw►csr��n _
mr�u. 60734.00 60134.00 - � � wFtcocusE"oi�Y�� , �
To the best d my krawledge.all information in this application is true and cor�'ect. :Is lhis appl�cation shared with another COG?
The aPPGcation had been duly authorized by the yoveming body of the aPP�icant and •
n to 0o with aM CJD�.indudi the attached assurances,H awarded. ` ' �
Typed,natne of Autliorized OffiCial: � �r' '..YM���:,� � R ,��# d ? � r� �"' } �'���'
K'
� �'((: '��y�% � �l:��'"AA�si�.MP'ya���l1A1 �'+�'
Mayor Aarold Whitaker ;,,¢�.� ' �ba���r�. ' � �° tt�
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DESIGNATION OF.GRANT OFFICIALS � `
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,JD n�les require that three pe�sons be des(gnated to the postttons of Autho�ized Offlclal,ProJect Di�ecto�,ond
,-mancial Offlcer for,the purposes of administe�ing a grant. The Financial Officer may not be tt�e same person as the
Project Director or the Author(zed Offic(al but,under extenuating circumstances,one pe�son may serve as both the
Authorized Offlciai and the ProJect Director.See page 17 of the Govemor's Crlminal Justice Plan forTexas:Applying
fora Grant:Step four.
� ---�
LEGALNAMEOFAGENCY: CITY OF FRIENDSWOOD
PROJECT TITLE: CRIME VICTIM ASSISTANCE PROGRAM
Mr. ❑ Ms. Jared D. Stout �7 Mr. O Ms. �Ro er Roecker
Pro ect D rec or ame (Type or P�int) Financia Offlcer Name (Type or nt)
Director, Administrative Services
Chief of Police, Friendswood Police City of :Fri�ndswood
lltle and Agency Tiiie and Agency
109 E. Willowick Avenue 910 S. Friendswood Drive
Official Agency Ma(ling Address Offlclal Agency Mailing Address
� Friendswood, TX 77546 Friendswood, TX 77546
CffY aP � Dp
281-996-3300 281 -:�996-3200
Telephone Number Telephone Number
281-482-9318
FaxNumber FaxNurnber
� Mr. ❑ Ms. Harold Whitaker
Authorized Official Name Cfype or Prfnt)
Mayor, City of Friendswood
lltle and Agency
910 S. Friendswood Drive
�Offlcial Agency Mailing Address
Friendswood, TX 77546
City aP
281 -996-3200
Telephone Number
Fax Number.. , ,: _ , , :;
y��
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� . �p.2 ' Issue September.1998
�
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COMM U N 1 TY PLAN ELIGI B!LITY FORM �<y���FOR��COG°USE ONLY'!��"�6+
,�EE PAGE I6 OF THE PLAN FOR INFORMATlON. �����+��.a .`��
c� •,�..� . •.���,� .
�, �
JTE; Thls form is for locai appllcations only.
� . . ����.�r�'.� .� .
1. Name the plan(s)' and last revisfon date(s) under which the applic4nt is submltting thls !
applicatton:
1999-2000 Galveston County Community Plan
' last revision: October, 1998 _�,
2. List fihe cities, counties, or parts thereof covered by each pian referenced under question one�
above:
All of Galveston County
3. For each commun(ty plan, state the problem(s) listed within it that this applfcation would impact:
Gaps in services that would enhance the community plan if funds�
were available
* Crisis intervention services and referrals to social service
agencies
* Provide services to domestic violence victims �
* Training �or victim service providers including instruction on
how to prevent persona]. burnout and how to handle stress° ``'
* Training for law enforcement and the general -community �on
domestic violence and sexual assault issues
* Increase community awareness of existing programs in the�`following
areas: domestic violence shelters and counseling programs, child
advocacy programs, crime victim assistance and advocacy for the
violent crime of drunk and drugged driving
* Increase awareness and referrals to existing organizations that
provide intervention services
* Increase networking between victim assistance coordinators
and area police departments.
'Be sure to�eference the name and submission date of each relevant community plan when aruwering the-questions
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FRIENDSWDOD POLICE DEPARTMENT
Crime Victim Assistance Pro�ram
Project Narrative
Section 1: Problem Statement and Statistics
There are problems and traurTia that exist for people who are victims of violent crime-and
crimes resulting in significant hardship. The Friendswood Police Department has
_ recognized the trauma experienced by innocent victims of crime. A lack of providing
needed help and services results in a re-victimization of the crime victim. This program is
designed to meet the needs of this specific target population.
• 41% of the crimes reported to the Friendswood Police Department in 1997
were major crimes.
• Of this 41% only 22% of these offenses were cleared and 73 arrests were
made.
Section 2: Goal Statement
• Reduce trauma and insensitive treatment victims/witnesses experience in the wake
of crime
• Increase victim/witness participation in the administration of justice by giving full
recognition andprotection to the n�hts of these individuals
• l��inimize and avoid inflicting"secondary victimization"that has often
characterized much of the ph�ht of the victims of crime.
Section 3: Target Group
A comprehensive victim assistance program that will provide assistance to victims of all
types of crime that occur with theJurisdiction of the City of Friendswood. This includes
victims of sexual assault, domestic abuse, child abuse and a previously under served
population of vietims of violent crimes that include homicide, physical assault, robbery,
bank robbery,families of kidnapped children, stalking victims and victims of theft resulting
in sigruficant hardship.
Section 4: Project Activities -
This program will provide a comprehensive system of services that is`�ictim-centered".
There are eleven core components of this system and they include:
1. Orientation to the law enforcement and investigatory process
2. Assistance to victims and witnesses who must testify
3. Information about individual case status and outcome
4. Referral and accompaniment to crisis intervention andpsychological first
aid � .
5. Accompaniment to emergency medical services in cases involving injury
.�..�, ,,.�
_ . .._-----___.�_ - ----- 'r - -------- ___�__
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6. Provide information to crime victims about their constitutional and
statutory rights, and the availability of crime victim compensation
7. Personal contacts with the victims by telephone or in person 24 to 48 hours
following the initial response to see if assistance has been sought and/or
received.
8. Immediate referrals to community agencies that offer emergency services
t0 Y1Ct1IriS,�l.i�aC � � gy,sictanr.P
9. Facilitati�g victim participation in the criminal justice system �
10. Facilitateproperty return
11. Education and training for departmental personnel, the public and other
local service providers about the needs and�ts of victims in the criminal
justice system.
Section 5: _ Project 06j'ectives .
Output Measures—It is projected that 350 persons will be served in the first gant year.
The level of actiyi_ty is e�ected to increase by 10%in the secondyear.
Outcome Measures— Increase the number of persons receiving crime victim assistance by
25%in the�ne�ct24�01�ihs
Cunent Statistics—There is currently no measure for the amount of victims assistance
services and/or the number of�ersons receivi�crime victim assistance because no such�r�am
exists within the department. Referrals and assistance is inconsistent and not measurable.
Tar et Levels—Durin„�the firstyear of fundin�,the�rogam is expected to assist 50% of
all victims r—eport g violent crimes. During the second year of funding this percentage is expected
to increase to 75% of victims of violent crimes and victims ofproperty crimes resultin�in
hardship. _.
;
1`�� \
Project Summary
When crime strikes, its impact on victims and survivors is devastating and fax reaching.
For many victims, the aftermath of crime can be as traumatic as the crime itself. The inevitable
emotional turmoil often is compounded by serious physical injuries and significant financial
obligations. Crime is increasing in the United States. Unfortunately, the citizens of Friendswood
are not immune from this problem. With the increases in crime there is an increase in victims of
crime. We have become very aware of the trauma of victimization. '�
. An effective victim service program provided by a police department will allow law
enforcement officers to devote their time to the,primary law enforcement reponsibility of
investigating crime and arresting suspects. Victims will be well serviced because basic services
are provided by law enforcement. This is extremely important because in a lar�e majority of
crimes, no perpetrator is ever apprehended. This means that court-based programs will never
come into contact with the lar�e number of victims. Their only hope for assistance from the
criminal justice system will be at the police-based level. Police-based services provide essential
assistance to victims of crime. Thisproposal would expand the services available to crime victims
to more fully meet the needs of crime victims within the City of Friendswood. The program will
develop a comprehensive system of services that is"victim-centered"with components des�ed
to help victims navigate the criminal justice process, afford victims their legal rights, and make
their overallpartic�ation less intimidatin$ and burdensome. Its development will�rovide timely
assistance'for person who cannot or will not access services available through prosecution or
social senrice�encies. This comprehensive victim assistancepr�am willprovide assistance to
victims of all types of crime.
As the`�rst responders"to most crimes, the police department serves a critical and
primary role in.,providin.g immediate intervention and assistance to victims of crime. Unlike most
social service agencies, the police department is open every day of the year, 24 hours a day. As
such,there is tremendous responsibility on thepart of law enforcement to provide sensitive and
supportive victim services. When undertrained law enforcement personnel come into contact with
an emotional, distrau,�ht victim, the result is a combination of effects that decrease a victims
confidence and willingness to participate in the criminal justice system.
This progrram seeks to replace absent or inconsistent crime victim services and procedures.
It will increase the number of persons receiving assistance and increase the services currently
available to victims of crime. Progam evaluation will be based on dailypro�ram records
including telephone logs, tracking slips and referrals forms. Data will be collected on the types of
crime on a,monthl,y basis and reports will be�enerated and used to make decisions about changes
to the program. The success of this program will be measured by the quality of assistance and the
number of victims reached.
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Year A .V .,
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" ---f3UDGETSUMMARY , ,., : _ . , ��; _r� ..; ..
' LE PAGE 34 OF PtAN FOR tNSTRUCTIONS. �
� s (1) �2) �3) �4�
� o Buac�rC��cow�s �D Funds Cash Match In-Kind Match Total
d. cvocti v�wti unF a m.v ar,�
]. A. Personnel (Salaries) S 29389.00 S 3411.00 ,S 6386.00 $ 39186.00
2. A. Personne! (FringeBenef�fs) 9532.00 3181.00 12713.00
3. B. Contractuat
4. C. TravelandTraining 702.00 234.00 336.00 1272.00
5. D. Equipment 1550.00 i550.00 3100.00
6. E. Cost for Space
7. F. Supplies and Direct 3321.00 1142.00 4463.00
Opercrt�ng Expenses
8. TotalDirectCharges $ 44494.00 $ 9518.00 $ 6722.00 $ 60734.00
cs�„��r�-n
9. G. IndirectCosts
10 To�ta�s� S 44494.00 $ 9518.00 $ 6722.40 S 60734.00
11 Program Income S
(Tora Ir«r�saxces Nsted belo�
ASH ATCH _... ...- <,:...-. • PROGRAM INCOME
Enter separately each source oi matching tunds and the amounts. Total must agree wlth Une 11,Column 4 above.
Total must agree with Line 10,Column 2 above.
Source Amount Source . Amount
City of Friendswood 9518.00
,
__�AppRcan must isclose the source of cash match if any.
1 have read and agree to the accuracy of pages CJD-5 through CJD-30 of thts appllcatlon and have lnit(aled each page.
;t
Ro er Roecker �
Typed Name and Signoture of Financi Officer as designcrted on Page CJD-2.
_ ..:•<.. ..
.-en-� . Issued: September.1998
Year A
'��rhedule A - PERSONNEL SUMMARY
� t PAGE 24 OF THE PLAN FOR INSTRUCTIONS.
�. DIRECT$AURIES (�) (Z) (3) (4)
% of In-Kind
Title or Position Tlme CJD Funds Cash Match Match TOTAL
VOCA,VAWA.CSAF 6 Tllb V
' y��j�:.» v A
(A) Crime Victim Liaison 1 00 $29389 $ 341 1 ����� `:.,��." �32800
1 tY � 4 y "�u�:
�B� �M �
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(C� .rs' �.°
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(E) � ,'�.�
(F) ��.
�G� ��✓���
(H) ��� °�n
, �� � �A; .
(I) �_ ��umeer or� Volunteers � �,�,, � .� �;,��� Y ���'� �
TOTAL DIRECT SALARIES $ $ $ �
FRINGE BENEFITS
In-Kind
CJD Funds Cash Match Match TOTAL
� ^4�fY��$✓
FICA & Medfcare $ 18 8 2 S 6 2 8 ��.;�;., ,, ':: $ 2 510
"�a�c x
Retlrement 3225 1075 ` �r t ,� 4300
_ "�
Insurance (Ltfe & Health) 3 6 3 0 1211 ,�� *`; 4 8 41
Workers' Compensation � 682 228 �`.� 910
�ki�If[�{�Q�[�� AD&D 12 4 `� 16
Othe� (Explain) Lon Term Dis. 88 30 .��
�,, ...� 1 18
• Broker Fee 13 5 �'tN " 18
TOTAL FRINGE BENEFITS S 9 5 3 2 3181 �``'�'�' S 12 713
�.�.
TOTAL PERSONNEL BUDGET $ $
Financ al Officer Initials �p_b issued: September,1998
�
. �.�. ..�.�.
• � .
Year A
�' `��HEDULE A- PERSONNEL DETAIL
.E PAGE 24 OF THE PLAN FOR INSTRUCTIONS .
Use one page for each person paid by the CJD grant, match(ng funds, (n-kind donatfons,or a
any comb(natlon of them. Copy this form as many times as necessary.
JobTitle: �rime v�ct�m L.i a i Gnn
Percentage of time to be spent on grant-funded proJect: % � o o (at least 25%of a 40 hour week)
Totai annual salary of this staff member regardl�ss of source. S 32,soo
�
SALARY: (carry aN four toTals fo one row on fhe Personnel Summary page using ihe Job title Itsted above.)
CJD FUNDS MATCHING FUNDS TOTAL
29389 3411 32,800
FRINGE BENEFITS: (add these amounts wtth ihose for each Person el Detatl e and Iace tota�s on Personne�summa ge
RATE C.1D FUNDS MATCHING FUNDS TOTAL BENEFITS
FICA and Medicare :4 5 1 g g 2 6 2 8 2 510
Retirement 1 3.1 � 3 2 2 5 10 7 5 4 3 0 0
Insurance(Ufe and Health) 3 9 4� 3 6 3 0 1 21 1 4 8 41
,Jorkers'Compensation .7 7 6 8 2 2 2 8 910
��������,, 0 0 0 4� 1 2 4 1 6
'' �-- _ � ,:� _ - :� ---- - 30 1 18
Other ��'� �� �35�� -8�'
CHOOSE ONE:
❑ Appllcant Is using the agency"s classlflcation schedule that has been approvec! by The goveming board.
� Appllcant does not have an approved salary classlflcation schedule but has attached an exptonatlon of the salary structure
ihat includes Justiflcatlons for the amount of thfs solary requesi and compares thls satary to stmllar positions In the communtfy.
IF A CONTINUATlON APPUCATION,CHOOSE AS MANY AS APPLY:
❑ Thls positlon wos� funded under the prevlous grani.
❑ fils posttlon wc�s funded under the prevbus grant and there Is ns change fn salary or tftle from ihe prevtous grant for thfs posttlon.
❑ fils positlon was funded under the prevlous grant and ihere Is a change in salary irom the prevlous grant because of:
❑an across-the-board cost-of-IMng increase of % (copy of resolution Is attached)
❑a merit Increase of % CAn explanatbn Is attached.)
❑ a promotlon. (The prevlous title was and �was ❑ was not funded through the grant or match.
<An e�Wlanotlon of The increase In Job duties and amount of salary increose is attached).
❑ Thls positlon was funded under The prevlous grant,however,ihe title Ilsted in this appllcatlon d(ffers irom ihe prevlous grant. Ths
prevlous tltle wos
�D_7 tssued: September,1998
_ -- --------- h..
, _ ---_... __ ._.__�___.
_______.,---. ._:.
_. __.___ . _..____�_______`�-
�^
���
BUDGET NARRATIVE . .
A salary survey was done on Iocal police agencies that have a similar position that is aLso grant
funded. The results of the survey are:
Brazoria County
Crime Victim Coordinator $4I,334.00/year
Crune Victim Assistant �31,704.00/year °-�
� Alvin Police Department
Victim Liaison Officer $28,605.00/year
Houston Police Department
Crisis Counselor $30,236.00/year
We feel that the salary budgeted for is very competitive with the above salaries. Also included is
a copy of the job description which we feel will also substantiate the amount of salary we are
asking for.
*�• ,,...
�. - - ,...�. _ _._
�-.\
Position Title: Crime Victim Liaison October, 1998
Departme�t: Police Salary Grade:
Locadon:. 109 E. Willowick Avenue DOL Code:
Exemption Status: Non-Exempt
� � ��
PURPOSE.DF TSE JQB
--,
_ ► To protect the rights of and provide services to the victim and survivors of violent crimes
and crimes that create hardships.
► To alleviate the psychological and emotional trauma incurred as a result of the violent
crime
► To intervene on behalf of the victim, to prevent the consequences of crime.
► To meet the�ublic and to educate them re�ardin�victims'n�hts and available resources
► Create a positive image and reinforce the commitment of law enforcement in serving the
needs of the�eople.
► Identify the immediate and long-term needs of crime victims and facilitates access to
resources outside the criminal.justice system. Such resources will he�reduce the impact
of crime on the victim and also help reduce the likelihood of continuing victimization.
► To intervene in non-crime related calls and allowpolice offcers to retum to service as
soon as possible.
WORK PERTORMED
► Assistance through telephone contact or office visit to victims needing resolution to
problems resultin.�from crime, i.e. liaison with detectives, information concernin�the
status of their case, or accompaniment through the criminal justice system, as requested;
► Exp�anation of victims' nrghts, as defined in our Texas Gonstitution and in Article SS of .
the Texas Code of Criminal Procedure;
► Consultation with other local and State�encies, includi�the Lg,gislature, to maintain the
highest level of information available concerning victim issues;
► Referrals to support a�encies, as necessary;
► On-scene crisis intervention—24 hours a day
► Emergency assistance for transportation to the woman's shelter, etc.
► Intensive assistance to victims of family violence and sexual assault;
► Special hejp to children involvEd asprimary or secondary victims of crimes;
► Assistance in delivering death notifications and assisting police at death scenes;
� �
► Acco�paniment to ho�itals or other.service agencies
► Notification and assistance in filing Crime Victim Compensation claims, provide Notary
service and advocate with serviceproviders andlor the Attorney General's Office when
necessary
► Assistan��vsdrhPrnxectiyE Drders
► Court accompaniment;
► Follow-up concerning the case and the victim's involvement in the system;
► Liaison vYith outlying law enforcement agencies in communities with no Crime Victun
Assistance Program as part of their agency;
► Provide formal and informal trainin�to law enforcementpersonnel to increase their
awareness of the particulaz needs of victims.
► Liaison for the Friendswood Police Department with outside service a�encies;
► Responsible for inirial contact, follow up, and completion of all assigned cases and
activities;
SUPERV;SIQI�T FxF.grrsFn
1. Positions Direc�S�ervised: (Number and Titles)
Not Applicable
2. Positions Indirectly Supervised: (Number and Titles)
2 Victim Assistance Volunteers
�
--- _ .,w., _ ._ .
.!�'* _ ,.�,
r��.
i
SUPERVISION RECEIVED
1. Tide of Supervisor: Detective Sergeant
Z. Nature of Supervision:
Work is typically reviewed daily, weekly, with evaluation of program records.
-�. -�
RESPONSIBILITY AND AUTHORITY
1. Decision Making:
► Policies, general procedures and past practices cover some,but not all of the
problems address. May require specific knowled�e of law or re�ulations
governing the area.
► Decisions are typically made independent of direct supervision. May involve
consultation with le�al authorities
2. Equipment:
► Constantly uses computer-based systems to generate correspondence,update
program records, and analyze crime trends usin�computer data
► Frequently uses regular telephone, occasionally uses emergency telephone system
and cellular telephone and radio eguipment.
► Frequently uses typewriter, printer, 10-key calculator, fax machine, copier,
dictation machine and laminatin�egui�ment.
3. Finances:
► Keeps records on program expenses and costs
4. Public Contacts (Nature and Identify) �
► I Exchanges information with Department Heads, Supervisors, and City employees
► Continuous telephone contact and direct contact with crime victims and citizens
seeking services or information
► Provides information to social service agencies, other law enforcement_a_gencies,
State and Federal agencies.
:__�
�
5. Internal Contacts
► Exchanges routine information with staff of the police department, fire department,
public works, emer$ency medical services,finance department, fire marshal's
office and�ity manager's office
► Exchange information with investigators regarding case status and court
_� �
appearances.
SI�LLS. KNOWLEDGE AND ABILITIES
1. Minimum Education and Eaperience to Perform the Jo6
► High school diploma or G.E.D. required
► 7 years of progressively responsive, responsible communica.tions or administrative
experience, 2 years of which were within a municipal government
► Experience in the use of police software for automated record keeping
► College level courses in sociology, and/orpsychology preferred
2. Knowledge or Skill Proficiencies
► Ability to understand laws and ordinances in the law enforcement context
► Ability to relate to members of the public and communicate effectively with person
of all ethnic, social and economic backgrounds
► Strong grammar,word usage, and punctuation skills
► CRT/PC data and word processing
► Type 60 WPM
► Strong knowledge of procedures,techniques and needs of office management and
government protocol
3. Special Aptitudes and Abilities Required
► Ability to remain calm and effective when confronted by hostile, angry or confused
P�PIe .
► Observant in attention to detail
� �
. ,ur�r. _ ,,M,s, - . - -
► Ability to keep confidential information
► Sensitivity to those who are victimized
► Ability to process messages quickly and accurately
' ► Ability to manage multiple demands an�tasks, establishing and acting on priorides
Set by analysts
► Excellent reading comprehension. Position requires the ability to read and
interpret state law and regulation, ordinances,policies and a variety of complex
documents
► Excellent interpersonal skills. Must effectively use discretion, good judgement,
tact, diplomacy and negotiation skills
► Excellent organization and time management skills. Must be able to effectively
execute multple tasks havin�various and n�gid deadlines.
4. Required Licenses, Registries and Certifications
► Va1id State of Texas Class C Driver's License
WORI�NG CONDITIONS (GENERAL)
► Work is_typically executed indoors
► Work schedule is typically Monday through Friday, 8:00 a.m. to 5:00 p.m. with
possible overtime
► Occasional physical effort to handle file boxes/cabinets and material within the
work place or in a stora�e area.
Note: All positions at the City of Friendswood require documentation of employment eligibility
in accordance with federal le�slation
--
-_- _ _ _� . .
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�� •+ . . . . . . _" - ..
�
"�_` Crime Victim Assistance Program
Volunteer Job Description
Position: Victim Contact Assistant
, : � �
Background Information: Crisis intervention to victim of crimes agaiast persons(sexual assault,
aggravated assault and robbery, homicide survivors), follow-up services and assistance
throughout criminal justice process.
Responsible To: Crime Victim Liaison
Responsibi[ities:
1. Advise victims of target crimes regarding departmental and community assistance
available to them and of their legal rights.
2. Lia.ison with victim service agencies and coordinate resources for utilization of victims
3. Direct needs assistance to victims(e.g., victim compensation applications, transportation,
etc.)
4. Coordinate activities and information with other department personnel(e.g., submission of
reports, schedules,etc. to supervisor)
Time Requlred:Minimum six months commitment to program;ten hours weekly to program
Training:Will be provided by Crime Victim Lia.ison
Qualifuations: Sensitivity to persons in physical and emotional trautna, good communications
skills,public spealdng or public relations experience is desirable.
Benefits: Personal satisfaction
_ �
. __ ___.�� _ ._;�- -- __ -_- _ . _ -"�'' `�"'�, ��� . _
" Crime Victim Assistance Program '
Chaplain Job Description
Position:Police Chaplain
, :� <: ��
Background Information: Crisis intervention to victim of crimes against persons(sexual assault,
aggravated assault and robbery,homicide survivors), follow-up services and assistance to family
members and victims
Responsible To: Crime Victim Liaison
Responsibilities:
1. Counseling and referral services to community and social service agencies
2. Liaison with victim service agencies and coordinate resources for utilization of victims
3. Direct needs assistance to victims(e.g., accompaniment to hospital and Christian
resources)
4. Death notification
5. Incident stress debriefing
Time Required:Minimum�six months commitment to program; on-call and as needed
Qualifications: Sensitivity to persons in physical and emotional traurna,good communications
skills,public speaking or public relations experience is desirable. Reverend,priest or minister of a
local church
Benefits:Personal satisfaction
: �
_ _
z
/"_�.
f�
IN-KIND DONATIONS -- VOLUNTEERS
Estimate the number of voluntee�s who will contribute time to the pro)ect and complete the table below.
Include only those hours which can be supported later by monthly time and attendance records to be main-
tained by the grantee.
,�
�
Posit�on Number of Hours Hourly Rate Total Value
(2) Volunteers 1040 $ 5.15 $ 5356
(2) Chaplains 200 $ 5. 15 $
1030
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total $ 6386
Provide justification if the hourly rate exceeds minimum wage.
�/�
��
�
. . .� ..�,,
...►� __._._. _
YearA
� ` ��;HEDULE B- PROFESSIONAL AND CONTRACTUAL SERVtCES
c PAGE 25 OF THE PLAN FOR INSTRUCTIONS.
(1) (2) (3) (4)
In-Kind
Des tPTiON OF SERVICE CJD Funds Cosh Match Match TOTAL
�, voc�..v�w�,csn�.mu v
(A) S S S S
. �B�
(C)
(D)
(E)
(�)
G
(H)
(�)
(�)
�'�)
�L)
TOTAL PROFESSIONAL AND
CONZRACTUA! SERVlCES S S $
CHOOSE ONE:
❑ No coniract or group of contracts to a single vendor will exceed S 15,000.
❑ One or more contracis or group of confracts to a single vendor will exceed S1 . Draft contracts are not availvble but the
appqcant agency undersfands that these draft contracts must be approved by D prlor to their executlon and the release of
funds.
� One or mo�e contracts or group of confracts to a single vendor wlll exceed S15A00. Dr contracts are attached.
CHOOSE ONE:
❑ All professional and contractual costs requested are tlsted In the CJD Maxlmum Rote Schedule on ge 26 of the Plan and the
amounts requested are w)thln those allowabte rates.
❑ Wtth the exceptlon of ihe toAowing, oll professlonal and coniractual costs requested are Ilsted in the CJD axlmum Rate Schedule
on page 26 of the Plan and the amounis requested are wtthin those allowable rates.
(explanaffon Is atfached.)
narie or controct
(expianat(on Is aifached.)
name a controct
c61UiRED BUDGET NARRATIVE: Use as many additionai pages as needed to briefly describe and usti any
anticipated contractua(arrangement and work products expected. Describe basis for arriving at the cost of
each I(ne item. Professionai services(such as consultants,trainers,counselors,etc.)should be described by type
of servlce,number of hours,rate per hour,and travei costs,if any. Use additional pages as needed.
FinancialOfficerinitfals CJD-8 Issued: September,t99s
__ . . _ _ _ _____ .__
- _:," �..�:.� _...__. __ _ .w, .
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�.t�,..1� ' _1 r�`'�'�c� � �� t7� � j !' rtf'. -'r
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. Year�A°}..�.�,� �., r ���,� _ . � , �- . �
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,--SCHEDULEC;.�'RAVELSUMMARY�' . . _. .
�. _„. .;:.;.
CJD Funds Cash Match (n-Ktnd TOTAC
� VOC.A,VAW�CSAF.Tma V
Local Personai Vehicle Mileage Costs $ 252 � 84 $ 336 $ 672
�
�
NON-LOCAL TRAVEL
Destination or name ot con(erence CJD Funds Cash Mcitch In-Ktnd TOTAL
VOC�VAWA,CSAF.Tmi
Texas Clearing House Conf.Austin,TX � 450 a 150 � � 600
NON-tOCAL TOTAL � 450 $ 150 $ $ 600
TOTAL TRAVEL BUDGET S 7p2 $ 234 $ 336 $ 1272
� . _' . ' _... -r- _.. .,r .
CHOOSE ONE:
❑App9cant has an offic�al fravel policy opproved by the goveming board and the relevant porflons are attached.
L�9 App(fcant does not have an otYidQl travet poBcy and has used ihe sfafe guldeAnes to prepare this appAcatlon.
,
�
�:
�
C:.....,...�,1 or lnitialc � �
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.�.�.
, _ ,,..,_ _ ,,.,u, _ _
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Year A
.,-_-.,.
;`• ;HEDULE C- LOCAL MILEAGE�OR PERSONAI VEHICLE
.,zE PAGE 30 OF THE PLAN FOR INSTRUCTIONS.
Copy page as many times as needed.
Pos(Non traveffng: Crime Victim Liaison
Estlmated number of miles during grant year 12 0 0 at S0. 2 8 per mfle= 3 3 6
FUNDING BREAKDOWN:
C�D FUNDS MATCHING FUNDS IN-KIND DONATIONS TOTAL MILEAGE COSTS
252 84 336
PURPOSE FOR MILEAGE:
Local travel to and from the Friendswood Police Department to various
victim related services is estimated to be 1200 miles per year
Position travelfng: VoluntePr�
Estimated number of miles dur(ng grant year � 2 0 0 at S0. 2 8 per mile= 3 3 6
VDING BREAKDOWN:
CJD FUNDS MATCHING FUNDS IN-KIND DONATIONS TOTAL MILEAGE COSTS
336 336
PURPOSE FOR MILEAGE:
Local travel to and from the Friendswood Police Department to various
victim related services is estimated to be 1200 miles per year.
Position trweHng:
Est(mated number of mlles dur(ng grant year at S0. per mile=
FUNDING BREAKDOWN:
CJD FUNDS MATCHING FUNDS IN-K(ND DONATIONS TOTAL M1�EAGE COSTS
PURPOSE FOR MILEAGE:
�
`` _
CJD-10 Issued: September,1998
'•-:; 'bt''?!�. a . �NrA�4+ .';,R i i�•� �r -r2�t '
�i �„_ � . .. . •�aa , -. i ♦
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. � . ����:' . •��� . �#. . .'���� �Yrl}.i'.S t4=ti���:�•
' �
', � .yr-� '� -�r� « b � . .'Y .' . rt . n..� Y C+'1 s` � • ..
�Year A � �_ � �. t . ,� , kf � �.Yrr� � ��.� ,�. .3 r� � = t�: ,�.� : .-.
� ?t, t�.'S `. �-.�. �., :�.F �;.. �'���t -�' ,r � r *F�t-d^�i� -+..L+... �._ :� +
� .'��; i fi"BC�'
� "SCHED LE�C ON�,LOC�AL�TRAVEL DETAII '' , '� �',��','�}�� `" '
'�"t .q r t 1`'t � �i 'x'�N 1 1 . �_.r..,,.�.�+J �.. � .p`t:.
K -s�.� ,: � s i,s . _ .. � ' e'ar+rtit �?R v�sr ��M�e H,r:y � .
.�EF�P�►��OF THE:PLAN FOR INSTRUCTIONS : ; . �r,�,�:�, i�a�'`�t�-;;
�;,y�.v�t S-e7!lk�.�.s�.'�_Ca�9� .. . �r.:?'�. .. ; .. t��,� �N,�,
l�se one page per fiip. Copy page as many fimes as needed, _
Destlnatlon:,=' .� Texas Clearinghouse Conference, Austin, Texas
Purpose'oftrip: ='Training Seminar/Conference �
�
�POStTiONS TRAVELING:
(If more than one person Is t�aveling on this trip,attach'a justiflcatlon for muitfple trovelers.) �
Crime Victim Liaison
n�►rusPOaranoN: .
p people trwel(ng In agency-owned vehlcle.
(No costs may be requested here for veh(cle expenses,see Suppl(es and Direct Operating Expenses.)
t� 1 people traveling ln 1 personally owned vehicle(s), 200 . miles at 50.28 per mile= S 56
p people travelfng via commerciai afr at per person = S
' people traveling using other means,desc�ibe and provide cost breakdown.
EXPENSES:
1 hotel rooms x 5 nights at S �� per night= S 350
If not tax exempt,S (total hotel costs)x. ('°J6)state/local trnces=S
5 full days stay x 1 people at S 25 per diem = S 125
� . " � . . —._ ,.r�_...-.r.
partlal days stcry x people at S pc�rfial per diem = S
Par{cing,ground transportation,or other costs(show break down of costs): �
CONFERENCE FEES:
1 people at S 125 conference fee= S 125
. ,
JNDING BREAKDOWN:
CJD FUNDS.:_ , _ : . MATCHING FUNDS IN-KIND DONATIONS� , TOTAL_COST FOR TRIP
_ . ,. ,- -; ..� __. .___ :. ,}
.
_ . ... f:.
- -
4.��... . :k; ,. ..�. �.� . " ,,.-150. .. . _ _ _. _. — �---r� :§--�"fi00" :
...,. ,�.:;: � _
. �.. �
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r.ka ��t �, ,
a
..�: 1=. . .�-- ::+'!"s s*-a,�r'.re!�c �4 c����s' i ;�e .. � . _._ . -- T`_ »�yj.�n :g`��t r* y � ... . � .. �
. . . . . . . ,. . . ,�a:_ .. . . .. ' .. ._ ...v,.f.. - . . . . . .. _a_...,�-....�AAa
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12�i { ,yy �p
51��• �A f l r,F . .. . . f, 1^�v rt��4 A .�.�� I 'Yw.Ii � 4'.,l 1f . .
^T-t+ Isekt �` , " ' ,.'��± ,_,,.,,,,_'' .a 3z�,"�"��i`' ��a�x' s'�1?i-'�`j ,yF,�.� .
i , <.�+"c}n r? w r� r�•, '�qd9.Itit�: { , Ri sr
� {.:�'} . , � . � �'• . . . . .._. - . . ... r..�.. .:� r- ':5lt--•a • .
:Year:A� . . _ � . , � . . ' '' .
. ... .,_,.. .
_
"'CHEDUL� D = EQUlPMENT PURCHASES . . ` ` � �
.,EE PAGE 31 OF THE PLAN FOR INSTRUCTIONS.
��) �2) 3 �4�
� Equ(pment Name or Descrtption and In-Klnd
6luantity (Do Not Ust Brand Names) CJO'Funds Cash Match Match TOTAL�
VOf'a,VAWA,CL1F,T�a V
(A) Computer System $ 800 � 800 S $ I600
�B� 35mm camera 2 500
�C) Tape Recorder 7� 75
��) Cellular Phone 150 150 00
�E) Desk 200 200
�F) Chair 75 75 1 0
(G)
(H)
��)
(J)
K)
(L) �
(M)
(N)
(0)
(P)
(�) �
(R)
/Q� _. . -- .' ' _. .-- �r.....r..
\�7
l�/
TOTAL E61U(PMENT PURCHASES $ I,550. S 1,550. $ � S 3,Z00.
REQUIREDBUDGETNARRAT(VE: Describethebasfsforarrivingatthecostofecrchllneitem. Provide
justification and explanation of use. Use additional pages as needed.
_
_ :;
Year A
SCHEDULE D -EQUIPMENT PURCHASES
REQUIRED BUDGET NARRATIVE
A. Computer System—A Pentium system with modem sound card, speakers, color printer,
keyboard and monitor. To be used to type required reports, victim and witness statements
and database for victim`c'ontacts and social service refenal contacts. A complete�system
can be purchased for$1600.00 with all necessary warranties and Windows environment
software. System will be Y2K complaint.
B. 35mm Camera—a quality camera with time stamp for use in taking victim photographs
to be used on scene and at off-site locations. A camera and the required attachments and
carrying case can be purchased with necessary warranties for$500.00
C. Tape Recorder—A sensitive tape recorder with attachments for use on the telephone
with the required adapters and to be used on scene and at off-site locations. To be used in
recording victim and witness interviews. All necessary equipment and warranties can be
purchased for$150.00
D. Cellular Telephone—A mobile telephone can be used during on scene assistance and off-
site follow ups for official business only. A complete cellular phone with charger and caz
adapters can be purchased for $300.00
E. Desk—A suitable desk to be used in the Victim Liaison office with ample storage
capabilities for victim files and reporting paperwork and enough space for computer
equipment,telephone, printer,typewriter and desk accessories can be purchased for
$400.00
F. Chair—To be used in the Victim Liaison office and suitable for desk height can be
purchased for$150.00
T'he initial start up coast for equipment int he Victim Liaison office total$3100.00. The City will
cash match CJD funding 50% for equipment purchases.
,4
�
. � �.�..
•�•►
+�, .
.,r.._Year A
;� ;HEDU�E E -COSTS FOR SPACE
.cE PAGE 32 OF THE PIAN FOR INSTRUCTIONS.
(1) (2) (3) (4)
mized Cosfs for Space CJD Funds Cash Match !n-Kind Match TOTAL
VOCA.VAWA.CSAF.fnit V
<A� a $ s ' �
. (B)
(C)
(D)
(E)
(F)
(G)
tH)
(�)
(.1)
(K)
1)
(M)
(N)
(0)
(p)
(62)
(R)
tS)
('�?
(U)
rn
cw�
TOTAt $ $ $ $
' If thls appl(cation is for a 421 fund Juvenlle proJect and renovating or retrofitting existing facilities to be used for ne wenfle
detentlon beds Is being requested,provide that Information In this schedule.
REQUIRED BUDGET NARRATIVE: Attach as mQny pages as necessary to describe the basis for
�rriving at the cost of each llne(tem. Provide justification and explanatfon of use.
F(nanc(al Officer lnitials
CJD-13 Issued: September,1498
Year A
�� �HEDULE E - COSTS FOR SPACE ' r;���;
+ �t;��'��t��w�
�:;u� ,;;,
Leased Pr perty: ,r., .,.
Rental '�osts are aifowable to the extent thot the rates are reasonable in iight of such foctors os: rehtai costs�
of com �' rable property,If any;market condltlons in the orea;altematives available;and,the type,l(fe "�"°'r
expecta cy,cond(tion and value of the property leased. Rental costs under less-than-arms-length(bocud ���<
member, ployee,relative,etc.)leases are allowable oniy up to the amount that would be allowed had .
property be n owned by the grantee(if so,go to next section,Owned Property).
Nam of Lessor:
„
Total sp ce leased In buildfng square Feet ��
Space le ed for grant square Feet
Monthly lea rate S
Total annual � nt S
Owned Ptoperty:
ihe computatlon of dep eciation or use allowances shail be based on the acquisition cost of the auets
involved. Where actuol st records have not been maintained,a reasonable est(mate of the origlnal
acquisitlon cost may be us d. Depreciation is generally acceptable where properfy is new constructlon,
newly acqu(red based on quisition costs,or a depreciat(on schedule has been previously establ(shed.
Usage aliowance fs generall used for properties that do not meet criteria for depreciatfon ore have been
fully depreciated. Charges fo use ailowance or depreciatfon must be supported by adequate properfy
records. Check efther deprecl tion or use allowance and complete that sectf on below. (See UGMS page 26
for guidefines)
0 Deprecfation:
Date placed(n servtce (basls for depreclaifon)
Valuation
Useful Iife (If other ihan 40 years,expbin�
Depreciation rate 96 Naivatron/userui ate,or rate If previously eslablishecn
Annual rate $
❑Use ailowance:
��ate placed in seMce (basts for depreciatlon)
Valuation
US@ful lif@ $ (If oiher than 40 years,explaln)
Depreclation rate % Naivarion/userui nte,or rate If prevlousry establW�ed)
Annua!rate S
Donated Property:
Cost of donated space must meet the same allo b!!(ty and reasonableness crlterla as leosed space above.)
Name of donor:
Total space donated fn building square Feet
Space donated for grant square Feet
Market value of monthly lease S
Total annual donated rent S
�'ities and cost ot ownership:
Ut(1lties(gas,elect�icity,etc.) S
Maintenance $
Other expenses S
:2�'
a Y=Yi':
��`�4:,
CJD-14 Issued: September 1998
,A.,..
. � � ...
..., .
Year A
:HEDULE F-SUPPLIES AND DIRECT OPERATING EXPENSES
:E PAGE 32 OF THE PLAN FOR INSTRUCTIONS.
(1) (2) (3) (4)
Directiy Charged Supplies and CJD Funds Cash Match �n-Ktnd TOTAL
Other Operating Expenses Match
VOCA.VAWA.CSAF.Tmt V
(A) Office Supplies a 1500 $ 500 $ $
• (B) Postage 356 119 475
(C) Printing 825 275 1100
(Dy Alpha pager rent/serv 200 68 268
(E) Memberships 60 ZO 8Q
(F) Cellular Phone Serv 200 100 300
(G) Internet Service 180 60 240
(H)
��)
��)
(K)
L)
(M)
(N)
(0)
(P)
(�)
(R)
(S)
(T)
(U)
M
(w>
TOTAL � 3321 � 1142 a � 4463
RE6IUIRED BUDGET NARRATIVE: Describe the basis for arriving at the cost of each line item and
justification for requesfing ecrch item. Use additional pages as needed.
Fina cial Officer Init(als
CJD-15 Issued: Sepfember,i998
, ,� _. , .
'�`� Year A
SCHEDULE F—SUPPLIES AND DIRECT OPERATTNG EXPENSES
REQUIRED BUDGET NARRATIVE
A. Office Supplies—includes organizational folders and accessories, end tabbed victim
folders, hanging file folders, file jackets, binders, report covers, paper products, cazd files,
� appointment book, wall planner, media storage;envelopes, post-it notes;copier toner,
letterhead, stamps, time books, paper clips, computer disks, and various other expendable
office supplies, including camera film and cassette tapes. Estimated at$167 X 12 months
equals just over$2000.00
B. Postage—Attorney General, social service, victim and other law enforcement agency
conespondence. Estimated postage $475.00 for the yeaz
C. Printing—business cazds 1000 @$120.00, hand outs and pamphlets, and film processing
fees$980.00
D. Alpha pager rental and air time—$22.33 X 12 months= $267.96
E. Memberships— Justice for All $10.00/year
National Victim Center $50.00/year
Micsa $20.00/yeaz
F. Cellular Phone Service—$25.00 X 12 months- $300.00
G. Internet Service—$20.00 X 12 months=$240.00
�
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"�CHEDULEG �INDIRECTCOSTS �� ' � " � �
, . ,.
� .,. . . .; � _
. ._
_ _
r..a�..,,ya.��r�.�.�. . . ._ ;.. ,
...;. :.. . . . :
.,EE PAGE 34 OF THE PLAN FOR INSTRUCTIONS. , �
;, .
The maxfmum amount of indirect costs that may be applted for is not to exceed a total of two-
percent of the total direct costs prov(ded by CJD, unless the applicant has an approved cost
allocation plan.
�
�
�
Cost Categortes CJD Funds
(A) TOtCd DlfeCt C06ts(m�stec�aol pc�e C,AS.Ane 8,c�lum 1) $ 44494 '�
(B) Tofa(Indtrect Costs(must equar page c,to,5,Nnne 9,cacxm 1) S .00
� Appficant �S using the CJD two-percent rule to determine the amount of indirect costs.
❑ Appticant is using crn approved cost allocation plan to determtne indirect costs.
(Aftach the relevant pages from the approved cost alloccrtion plan.)
If using an approved cost allocatlon plan, indirect costs were determined by applying % of:
_
� . ,�
._. ,. , __ .:,-, .:_ _ _
�rr: _.._ �=.I�ta...���t..(1f.-.f...-. . . . � � � . , , . . . . . . . . .
. . _ .. . . . . . . , . � . , _ � . ..- "�M�
,__Year A
�!' 9TAL PROJECT BUDGET
.�E PAGE 34 OF THE PLAN FOR INSTRUCTIONS.
Is th(s project completely supported by CJD grant doilars and grantee match?
S] Yes, there are no other local, state, federal, foundation, or donated funds grant dollars assisting
this proJect.
� -�.
If 'yes', the financial officer should initial below and may disregard the rest of this form.
� ❑ No
If 'no', please indicate below the amounts, sources, and purposes of all funding for this proJect
that are not included within the total amounts listed on page CJD-1, line 15d.
Source Purpose/Use Amount
(A) $
(B)
(C)
(D)
)
(F)
(G)
(H)
(�)
(.1)
(K)
(�)
TOTAL GRANT DOLLARS EXCLUDING THIS CJD APPLICATION _ $
(Use addltional pages as needed.)
CJD funding and grantee match represents % of the total funding of this project.
Finan lal Officer Initials
CJD-U Issued: Sepiember,1998
,�...
_ . .�.�. .__. .�..
�_ . �,, .
.���d, �.�„�•. . .
.. <.. � ,.,�s .
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�-k�. ...'. �" � . �?'�i.°'L, "7�'r� � l 7 -r-- . . � '�fj�� f�'u�'r _ _ _
�a, � +r r--.J � ti"- -- — . . � � ' ;�w --
� � 4
_�Year B _ � .�,.: � �r _ --
.. � ��
--�BUDGETSUMMARY
SEE PAGE 34 OF PLAN FOR INSTRUCTIONS.
n� s (�) (2) (3) (�J
h BUDGET CATEGORlES
• o CJD Funds Cash Match In-Ktnd Match Total
d. cvoG.v�w�.unF.,w v
1. A. Personnei (Salartes) � 29389 $ 3411 S 6386 39186
2. A. Personnel (F�IngeBenefits) 9532 3181 127i3
3. B. Conhactuai
4. C. TravelandTratntng 1152 384 336 1872
5. D. Equtpment 500 500 1000
6. E. Cost tor Space
7. F. Suppiles cnd Direct
Operating Expenses 3321 2042 5363
8. Total Direct Chcarges $ $ $ $
c�ma�-n 43894 9518 6722 60i34
9. G. Indirect Cosfs
10 T�a� $ 43894 $ 9518 S 6722 S 60134
11 Progrom Income $
(Tad rrom sources asted below)
ASH ATCH -. .._— -. .J.. . PROGRAM INOOME
Enter separatey oach souroo of matchinfl funds and the amounh. Total must agree wtth Line 11,Column 4 above.
Totd must agree wtth Une 10,Column 2 arbove.
Source Amounf Source Amount
City of Friendswood 9518
!
- Applicant must cilsdose the source of cash maich any. ,
I have read and apree to the accuroc ages CJD-5 through CJD-30 of this appl(catlon and have in�laled each,�age.
Ro er Roecker
�� '�
Typed Name and Signature of Financi Officer as designated on Page C.lD-2. �
.,�..,�ear B
ihedule A - PERSONNEL SUMMARY
�EE PAGE 24 UF THE PLAN FOR lNSTRUCTIONS.
�. DIRECT$ALARtES (�) (2) (3) (4)
% of In-Kind
Title or Position Time CJD Funds Cash Match Match TOTAL
� vocw.v�w�,c�.r�v
�
,�,. , , ': �
(q) Crime Victim Liaison 100 $ 29389 $ 3411 �'`> �� � $ 32800
��) �s"'�;� '� H �`
, ;.
�. ;..� ; �;,:
��/ g k'*.[ �j'����
Y n FrN�-�J���s
\D/ �������t�t r,��.�.
'b�:�..r..$?�l�r�ar;:
ia k
(E) �;���°°��'�
:xK�: a
\�/ �j3 `.�.�w.�:
s'�
(G) ��
(H) �� ;
(I) 4 (numeer or� Volunteers `� '
�>, �������,�4 � 6386 6386
TOTAL DIRECT SALARIES $ 2 $ $ $
, FRINGE BENEFITS
In-Klnd
CJD Funds Cash Match Match TOTAL
FICA & Medlcare $ � 882 $ 628 ���,�5;;, ;' S 2510
Retirement �,#r����,�;�,;
� �� � v
Insurance (Life & Healfh) 3 6 3 0 1211 ��� � � � `�
� �• .,� .�:.
Workers' Compensation 6 8 2 2 2 8 � `F= �' ��`4 ' 910
� g��
�.�.�. �. ,..
��l���y�361$�X�IQE9�1C1@ AD&D 12 4 = `����`�` � „�M'� 1 6
, .� �v �
s� �;;. , .�.,;,•
Other (Explain) Long Term Dis. 88 30 ���``�`�`��_�• ., ��:. 1 1
Broker Fee � 3 5 �� ° ''
�,�r
TOTAL FRINGE BENEFITS $ $12 713
TOTAL PERSONNEt BUDGET 38921 6592 � $
Finc� cialO�cerinitials CJD-19 I��ued: September.1998
�
. � _. __ ..�.. „r,.,
___ .
�, .
�'Year B
�CHEDULE A- PERSONNEL DETAII
SEE PAGE 24 OF THE PLAN FOR INSTRUCTIONS
Use one page for each person pald by the CJD grant, matching funds, in-kind donatlons,or a
any combinatlon of them. Copy th(s form as many t(mes as necessary.
JobTltle: Crime Victim Liaison
Percentage of time to be spent on grant-funded proJect: °� � o o (at least 2596 of a 40 hour weel�
Total annual salary of this staff member regardless of source, S 32goo
� SAIARY: (carry all four totats to one row on ihe Personnel Summary page using ihe Job Title Ilsted above.)
CJD FUNDS MATCHING FUNDS TOTAL
29389 3411 328QQ
FRINGE BENEFITS: (add these omounts wfth those for each Personnei DetaN e and lace totals on Personnel Summa 8
RATE CJD FUNDS MATCHlNG FUNDS TOTAL BENEFITS
FlCA ond Medicare 6'2$ � $8 2 6 2 8 2 510
i .45
Reiirement 1 3.1 � 3 2 2 5 10 7 5 4 3 0 0
��surance(Ufe and Health) '2 6$ 3 6 3 0 1 21 1 4 8 41
394.
Workers'Compensaiion 2,7� 6 g 2 2 2 g 910
��l��b�X]C� .0 0 0 4$ 1 2 4 16
CalaJal on M{9AOD r
Other LTD .3 6� 8 8 3 0 118
Broker Fee
CHOOSE ONE:
❑ Appl�ant is using the agency's c�assiflcatlo� schedule that has been approved by ihe govem(ng board.
� AppAcant does not have an approved salary classiflcatlon schedule but has attached an e�lanafbn of The salary stn�cture
ihat InGudes)ustiflcatbns for the amount of thls salary requesi and compares thls satary to sfmqar posttions in ihe community.
IF A CONTINUATiON APPLICATlON,CHOOSE AS MANY AS APPLY:
0 TMs posttion was�funded under ihe preNous gront.
C}� fi(s position was funcled under the prev�ous grant and lhere!s�change In salary or tltle irom the prevlous gront for this posltion.
D This positlon was funded under the prevlous grant and ihere Is a change!n salary from the prevlous grant because of:
❑an across-the-board cast-of-pvtng increase of X (copy of resolution Is attachecn
❑a merlf Increase of 96 (An explanatlon Is attached.)
❑ a promotlon. (Ihe p�evlous tltle wos and ❑wy� 0 wos not funded through ihe grant or match.
G4n e�lanatlon of the Increase In Job dutles and amount of salary Increase Is attachec�.
❑ This positlon was funded under the prevlous grant, however,ihe tltle Nsfed In ihis oppilcatlon diffe�s from ihe prevlous grant. The
prevlous tiile was
CJD-20 issued: September,1998
�_�.�
`\
IN-KIND DONATIONS -- VOLUNTEERS
Estimate the number of volunteers who will conffibute time to the project and complete the table below.
Include o�ly those hours which can be supported later by monthly time and attendance reco�ds to be matn-
talned by the grantee.
�
�
Postfion Number of Hours Hourly Rate Total Value
(2) Volunteers 1040 $ 5. 15 $ 5356
(2) Chaplains 200 $ 5. � 5 $ 1030
S $
S $
$ S
S S
$ �
S $
$ $
Tofal $ 6386
Provide justification if the houriy rate exceeds minimum wage.
�/�
� ��
�
. *�* ...
.,w .
Year B
�;HEDULE B- PROFESSIONAL AND CONTRACTUAL SERVICES
_:.E PAGE 25 OF THE PLAN FOR INSTRUCTIONS.
(1) (2) (3) (4)
In-Kind
�
Desc ON OF SERVICE CJD Funds Cash Match Match TOTAI
-3 VOCA.VAWA.CSAF.init V
(B)
(C)
(D)
(E)
(F)
G
(H)
(�)
(.1)
0
(�)
TOTAL PROFESSIONAL AND
CONTRACTUAL SERVtCES $ $ $ $
CHOOSE ONE:
❑ No contract or group of contracts to a single vendor wql exceed S15,000.
❑ One or more contracts or group of contracts to a singfe ve�dor wiN exceed S 15.000. Draft contracfs are not av able but the
apppcant agency understands that these draft contracts must be approved by CJD prlor to ihe►r executlon and e release of
funds.
❑ One or more coMrQCis or group of coniracts to a single vendor will exceed S 15,000. Draft contracfs are attached.
CHOOSE ONE:
0 All professional and coniracTual costs requested are Ilsted In the CJD Maxlmum Rate Schedule on page 26 of the Plan and the
amounts requested are wfthln those allowable rates.
❑ Wfth the exceptbn of the foftowtng,a�professlonal and contractua!costs requested are Iisted In the CJD Maxlmum Rc�te Schedule
on page 26 of ihe Plan ond ihe amounts requested are within those allowable rates.
(explanatlon is aTtached.)
narne of confraef
� (expianatlon Is attached.)
rwme a cror�hu�.i
..E6lUIRED BUDGET NARRATIVE: Use as many additionai pages as needed to briefly describe and usti any
anticipated cont�actual ar�angement and wo�ic products expected. Describe basis for arrfvfng at the cost of
each Iine item. Professional senr(ces(such as consuftants,tralners,counselors,etc.)should be described by type
of service,number of hours,rate per hour,and travel costs,if any. Use additlonal pages as needed.
FinancialOfficerinitials �D_21 Issued: September,t�8
'._...__"--!" ..} _ _ ' .—.... . -••_-_....._ .__.."'Y......�...�.�._...�.""_...»_"`° . . . .. ._._'.._.__. __�.'.. ..._..�
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♦ i � ,x� +�
:: �:�'�-"��t� .ol��T.{{ci�j+e'f ��s A T� 'if t't x. _ 1� €.][ � .i T� 9�:�� l�.Ti..'�R� ' ' � ,
t t�_ wY� � -1-•a F � .0
••M 'lFVi�+�3 �i�T l 1 -+.r_� 1 'Y�YJ � ] jft.Y ' ..
�' f .i:4i�1�'.`�_ �.t:S 4 ..R"' r'T'T"r'�� .. . f. .
. .
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. t s ��3�� f .,
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`'� SCHEDULE C'=TRAVEL SUMMARY ���
, . . � �f.: � . . . . , . .
' CJD Funds Cash Match In-Kind TOTAL
� VOCJ1,VAWA,CiAF.Ty V
Local Personal Vehide Mileage Costs S zsz S s4 $ 336 $ 6�2
>
:a
3
NON-LOCAL TRAVEL
Destination or name of conierence CJD Funds Ccsh Match In-Kind TOTAL
xx.�v�w�,cs�,rm. '
Texas Victim Service Association,Aust 450 s 150 S � b00
Texas Clearinghouse Conf, Austin,TX 450 150 600
NON-LOCAL TOTAL $ 900 $ 300 S S 1200
TOTAL TRAVEL BUDGEt � 1152 $ 384 � 336 $ 1872
CHOOSE ONE:
O Apppcant has an oMGal travel poAcy appro�ed by ihe govemMg board and the rele�nt porflons cue attached.
�Appdca�t does not have an offlc�al trwel policy and hos used the state guldetines to prepare this apppcatlon.
�w
'�
�. � �^'_'�_-_..�..��Mo
�,
- � *�.+ �r.,,
_. - _--- ,_. _._
."�►, ____ . ____
Year B
' � �rHEDULE C-LOCAL MILEAGE FOR PERSONAL VEHICLE
,cE PAGE 30 OF THE PLAN FOR lNSTRUCTIONS.
Copy page as many times as needed.
Position traveiing: Crime Victim Liaison
Estlmated number of mlles during grant year � 2 0 0 at SO.��pe�mlie= 3 3 6
FUNDING BREAKDOWN:
CJD FUNDS MATCHIN6 FUNDS IN-KIND DONATIONS TOTAL MILEAGE COSTS
252 84 336
� PURPOSE FOR MILEAGE:
Local travel to and from the Friendswood Police Department to various
victim related services is estimated to be 1200 miles per year
Position travel(ng: v�i,�„�Pr
Estimated number of mlles during grant year � a p�at SO.��per mfle= ��6
'NDING BREAKDOWN:
CJD FUNDS MATCHING FUNDS IN-KIND DONATIONS TOTAL MILEAGE COSTS
336 336
PURPOSE FOR MILEAGE:
Local travel to and from the Friendswood Police Department to various
victim related services is estimated to be 1200 miles per year
Position trwel(ng:
Estlmated number of m!!es du�ing grant year at S0. per mile= �
FUNDING BREAKDOWN:
CJD FUNDS MATCHING FUNDS IN-KIND DONATIONS TOTAL MILEAGE COSTS
PURPOSE FOR M�LEAGE:
`
�_
CJD-23 Issued: September;1998
.- ______ _ ,.�,.., . ___ ..__.__._.. .___. ----
_ , �,_ +..�n►,, . � :a.,� �,^�,?�F'#":� � .r y�g i�p�� - �i�2:'x^ ' a�ry"
r : , x•" ,. w �.., .i: -"r� 'I
f .: 1 '!]!'.i MT• ' ��' �: t � j •. t?wf�n , .y.
,Y �. .:*� + �'P�� a?�7i1' r
� � . %'^{ t ''9 �~
� �.«. Z..s.� .r7 +R 4Pl ,� 'F„<'t{� �:`y a,t': .��'Wid-a{i# t . +:�;.. ,�„ �ik�'�.
�.�Year�B ����,�,� ��� � ;. -� :��� � �k��� ,� � , , : '�`'��° .. � �`
�Y . r.ti.w N.. ._Sy.
S.n. �...A`.+li :.:.h. 4 4.�Y'��W 4l.Yi ...1,..�R . J �t_�'T'�I w ����7�h Y ,:k.
. ".K'. T 4, � 4
��CHEDULE C„�NON=LOCAL�TRAVEL DETAIL - � hr"'"t".'�° � • - � - � - -
� ; �.�. ,�w
,EE PA�GE 30�OF,TNE PLAN FOR INSTRUCTIONS� ' �`' _
,. ,,�a�a,+�:�t., . : . ,. ., �` . . � '� ��:; !� �
'�Use one pcige.pe�trip:�Copy page os many times os needed :
DestlnC�tfon: Texas Clearinghouse Conference, Austin, TX _ _
Purposeoftrip: � Training Conference �
.;:;, . .
POSITIONS TRAVEUNG:
(If more than one person Is trave�ing on thls tr(p,attach a Justlftcatlon for multiple trwelers.)
Crime Victim Liaison
�sPOarAnoN:
❑ peopie traveling In agency-owned vehlcle.
(No costs may be requested here for vehlcle expenses,see Supplies and Direct Operating Expenses.)
�9 1 people travel(ng in 1 personally owned vehicie(s), 200 miles cit S0.28 per mile= S 56
O people traveling vla commerclal air at per pe�son= S
'1 people traveling using other means,describe and provlde cost breakdown.
EXPENSES:
1 hotel �ooms x 5 nights at S �� per nlAht= S 350
If not trnc exempt,S (totai hotel costs)x. � ('°J6)state/loca�taxes=S
5 full days stay x 1� peopie at S 25 per diem = S 125
_ .- - - _..._..��_...,.,-.
parfiai days stcry x people at S pcartial per diem= S
Paridng,ground Nansportation,or othe�costs(show break down of costs): �
CONFERENCE FEES:
1 people at S 125 conference fee= S 125
�
JNDING BREAKDOWN:
C.1D FUNDS MATCHING FUNDS IN-KIND DONATIONS TOTAL COST FOR TRIP
:.. , _ , ;
_ _ ,
:.
- - a..�.�«.. .�: ,_ _ _ .
. .. �5�;- � .r ._ .__.. _ __ .. .... . . . _ . ... .
. : - 130: : .. ...600
__ _, ..�
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.:. . . �.
.,, ..� .
-� ,z- x x. � , � . � .
� i s.,. �n> `' &s :i. R1�� � �,��s�'(�a:uS'. � �'� s ' . ' :
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. . . � . . ... ......... __. .. . . � . .. . . , ��. I ... . . .. _. �__a_��......��ex�o
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_� _ .._._ _�_�,,,��..._
� � -- -- --- _._ _
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�Year. 6 .z � �� $� ,�� tt , :
��i�xFa. +ai ,�, y{'�t"'„�r��3v °•Y 3�. � r �j,�o: . .�� ,k � ',d�q
:�r a J� .�.h �e�i�rw� .aci3: ����3 �,,�t }� .k���M�. `� i ,.• � ,, .�"
. .
SCHEDULE:C�.��7�NON-LOCAL�TRAVEL DETAII �
KR+�i'kl;f':�.�"�F'e'�"1��r1f�';.y-w:y n�.ae er+;�.. s,;.s r ..p . i�:; ....:"'^�'�'�''1��„`�Z"'"'�s i Y"��y��"F�'�� �'",•�,� _.,�, e �H��-
" 7F
�� d �•7! � �i h�r ,}M �' �
,fE�AGE 30 OF� E PLi�N R INSTRUCiIONS�'�'� �,.F i , � �;�' �; �'.}�u, ,r: ,�:;
- -y,?�r+'':Mc�.�'@!:.tr.S a��"�'@n�' *�1�t,'¢+Yti:l'a,+"4.;,yjre�+�{-+r* »�_."-`�-� -• ' � • �^°�� � � ' f:{ i - � t�'4��?+` 1 �, , �. � ,M' 4. �-;:,,��l
C1 ,�
;:Userone page per trtp.�CoPY Pa9e as many times as needed '' � .� � : � r `�` �`� � � " � �`
. F .. .. - . . . '.. . � . � . . . . . . . .
_.�y.���; �����Texas Victim Service Assoeiation Conference, �Austin, TR
Purpose of trip c �=Training Conference . `: . : _ _
� �.' . -.... . �
, . . . �-T.�',i�7'1� .. . � • . . . . . � �,�.� ..
POSITIONS TRAVEUNG: �
(if more than one person Is f�avelfng on tf�(s tr(p,attach a Justfflcat(on for muftfple trav�lersJ
Crime Victim Liaison
�rat�spoaranonr:
C1 people trave(ing in ogency-owned vehlcle.
(No costs may be requested here for vehlcle expenses,see Supplies and D(rect Operating Expenses.)
�5 1 people traveiing In 1 personally owned vehlcle(s), 200 mlles crt S0.28 per m((e�= $ 56
CI people traveling vla commercfca(a(r at per person=S
� people trweling using other means,describe and provide cost breakdown.
EXPENSES:
1 hotef rooms x 5 nlAhts at S �� per nlAht= S 350
If not tax exempt,S (total hotei costs)x. � (96)state/local taxes=S
5 full dc�ys stay x 1� people at S 25 per diem= $ 125
� '� _. - . . —...�-.r-s,_.r.. .
partial days stay x peopte crt S partial per dlem=S
Pa�idng,ground fransportatlon,or other costs(show break down of costs): �
CONFERENCE FEES: �
1 people at S 125 conference fea= S 125
�
►NDING BREAKDOWN:
CJD FUNDS MATCHING FUNDS !N-KIND DONATlONS TOTAL COST FOR TRIP
.�l_.�+�.0 -' -�-,' ,�,�.ti�x , .__ --�, _.�`1SO' ' , � ' _ ����'�` '� �� ' �-
_ . ,..�-��-�.�- _
.i.. �r,> �_S. .�t- ...��.1 �� r�t-L<vh�' L-Nht:�...L.. .i.r, i;:�
. �1 ^ � d- -'{ . - ., . � .. . ~ , .
'� � f 3.�} # , : �� ris r,�'{ ,r N � �t 1��
3'' ��':s�, r s�� �^av.^c�2�:'"px""!f�`�;tLk�'t'z`�'"F'SF �f �`%f:�'1�'+j � �4 a . �-* r :�a ^.� it..C"- vZD..�`�`Y.t'�`-tFt �1?.1#,-�^� a ���_�"" �� ��:
. . 1 ._ � ., _ , . � - � - ._ . . . ..�r..:� l,xs.slst. o-�', �;�.�; 'a;� 1�J'
� iMe'
f_.Year B
( \::HEDULE D -EQUIPMENT PURCNASES
,EE PAGE 31 OF THE PLAN FOR lNSTRUCTIONS.
��) (2) �3) �4�
Equipment Name or Descrfption and In-Kfnd
6luantity (po Not list Brand Names) CJD Funds Cash Match Match TOTAL
� -� VOCA.VAWA,CSAF,Tmt V
(A) Video Camera $ 150 $ 150 $ $ 300
CB) Fax Machine 15Q 150
(C) Software 100 100 200
(D) Scanner 100 100 200
(E)
(F)
(G)
(H)
(�)
(.1)
'C)
<<)
(M)
(N)
(0)
(P)
(Q)
(R)
(S)
(r)
TOTAL E6IUIPMENT PURCHASES $ 500 $ 500 S S 1000
RE6IUIRED BUDGET NARRATIVE: Describe the basis for arriving at the cost of each line item. Provide
Justiflcation and explanation of use. Use additional pages as needed.
Fin cialOfficerinitials CJD-25 Issued: September,i998
�
. ,,.., �""� ,�,�, _
�� ' �
Year B
SCHEDULE D -EQUIPMENT PURCHASES
REQUIRED BUDGE NARRATIVE
A. Video Camera—to be used for witness and victim video taped interviews. Use will
be on scene, off-site and in office. Estimated cost for equipment and necessary
" accessories and warranties= $300.00 =�
B. Fax Machine—a secure faxing system to be used for timely correspondence and
information sharing between referral agencies, prosecutor's office and other victim liaison
offices= $300.00
C. Software—Victim assistance report software, Y2K compliant in a windows environment
_ $290.00
D. Flatbed Scanner—to be used to scan in reporting forms and other materials and pictures
for use in victim packets and folders= $200.00
__ Year B
'CHEDULE E -COSTS F�R SPACE
SEE PAGE 32 OF THE PLAN FOR INSTRUCnONS.
(1) (2) (3) (4)
itemized Costs tor Space CJD Funds Cash Match In-Kind Match TOTAL
�' VOCA.VAWA.C5/1f.1nu V
3
(A) S $ S $
- (B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(.1)
(K)
:�)
(M)
(N)
(0)
(P)
(Q)
(R)
(S)
(�
(U)
(�
(W)
TOTAL S S � S
' If this appBcation Is for a 421 fund Juvenfle proJect and renovating or retrofitFing existing facilftfes to be used for new) enile
dete�tion beds is being requested,provide that InfoRnation In thfs schedule.
RE6ZUIRED BUDGET NARRATIVE: Aitach as many pages as necessary to describe the basls for
�rriv(ng at the cost of each line item. Provide Justification and explanatfon of use.
Flnanc(ai Officer Initfals
CJD-26 Issued: September,1998
..�.,..
_ .wr. �r,,
__ _. _��.wi.,. :- -__
.__Year B
` ;HEDULE E - COSTS FOR SPACE
leased Property:
Re al costs are allowable to the extent that the rates are reasonable In Iight of such factors as: rental costs
of co parable property,if any;market conditfons in the area;alternat(ves ava(lable;and,the type,Ufe
expec ncy,condition and value of the property leased. Rental costs under less-than-arms-tength(board
membe employee,relattve,etc.)leases are allowable only up to the amount thc�t would be allowed had
properfy een owned by the grantee(if so,go to next secfion,Owned Property).
„ Na of Lessor:
�
Total s ce leased in build(ng square Feet '
Space le ed for gront square Feet
Monthiy lea e rate S
Totpl annual r nt S
Owned Property:
The computation of depr c(ation or use allowances shall be based on the acquisltion cost of the assets
involved. Where actual co reco�ds have not been maintained,a reasonable estlmate of the orlglnal
acquisition cost may be use Deprecfation is generally acceptable where properfy Is new construction,
newly acqufred based on ac isition costs,or a depreclatf on schedule has been prev(ously estabiished.
Usage allowance!s generaAy u d for properties that do not meet criterfa for depreciatfon ore have been
fully depreclated. Charges for us dllowance or depreciation must be supported by adequate properfy
records. Check either deprec(atio or use allowance and complete that section below. (See UGMS page 26
for guidelines)
❑Depreclation:
Date placed in serv(ce (basis for depreclation)
Valuation
� Useful Nfe S Of oTher ihan 40 years,expbin)
Depreciafion rafe % Naruar�on/useru�ute,a rate if prevlously esTabpshecq
Annual rate S
0 Use aUowance:
Dote placed in service (basis for depreclatbn)
Valuatlon
USefUI life S q ther thon 40 years,exptaln)
Depreciafion rafe % ivatton/usetv�Nfe,or rate if previously establlshed)
Annual rate S
Donated Properiy:
Cost of donated space must meet the same allowability and re sonableness c�(ter(a as ledsed space above.)
Name of dor�or:
Totai space donafied(n bu(Iding square Fee
Space donated for grant square Feer
Market value of monthly lease S
Total annual donated rent S
ities and cost of ownershlp:
Utllities(gas,electricity,etc.) S
Malntenance S
Other expenses S
CJD-27 Issued: September,1998
A�
- ---- ._ ___;_ ___ __-----:R�: ------ -_—__� ___ __....--__ _ _. _ ,�.. -----__ ___ __._ __.
. ,F_� Mwdr.., . � } _' r 'T��..��.. �. `� d>�"� s�, > �±� �°.Z� }�`' {_ ; � ��,y�.�!1�.j �3�1LL�1i�, �
� �' :;. J.a"�`iti.w .:i. :' �t ..n y��'rti d � .. �i7 �� '��:,.� :.�.. .7-�� '' .t..7'.:r�f .C�;�F`�i� •r _ _� �j, +�_�,���:5.:;.
~ .1. �a.. ,r't6 .Y- .1 t ' ti..� j . 3 - �'? i �.�: �
..
. . •. . ,. . . .., ..
... .. ....... . . .. . . .. . -� . ... . .. . . � . . .... . . ... . .+,7.
Year 6 � ; . : . ._ . , : _ _.. .:�w
� "CHEDULE F-SUPPLIES AND DIRECT OPERATING EXPENSES �
.cE PAGE 32 OF THE PLAN FOR INSTRUCTIONS.
(1) (� (3) (4)
Directly Charged Supplies and CJD Funds Cash Match �n-Kind TOTAL
Other Operating Expenses Match
V�OCA,VAWA,CSAf.Tu V
�� Office Su lies � 1500 a 500 a � 2
�B) Postage 356 119 475
(C) Printin 825 275 1100
(�) Pager Rental/Service 200 68 268
(E) Membershi s 60 20 8�
(F� Cellular Phone Service 200 100 300
(G) Internet Service 180 60 240
(H) Local/Long Distance Service 900 900
��)
��� �
.K�
(�)
(M)
(N)
(0)
(P)
(�) �
(R)
(S)
m -
cu>
M
(1N) -
TOTAL � 3321 $ 2042 � $ 5363
RE6IUIRED BUDGET NARRATIVE: Descrlbe the basls for arriving at the cost of each line item and
justification for requesting each Item. Use additional pages as needed.
� �
�R
♦
��.,
_ _ _., __ _
y�� _, _. d� . .. . - _ t ._ .. . 1,,� . -
<:S • � ..�i.xF1��r� , . � . �: . . ._ ' .
j Yeaz'B
SCHEDULE F—SUPPLTES AND DIRECT OPERATING EXPENSES
REQUIRED BUDGET NARRATIVE
A. Office Supplies—includes organizationat folders and accessories, end tabbed victim
folders, hanging fiIe folders, fiie jackets, binders, report covers,paper products, card files,
appointment book'wall planner, media storage,envelopes,post-it notes,=capier toner,
letterhead, stamps,time books, paper clips, computer disks, and various other expendable
office supplies, including camera fiim and cassette tapes. Estimated at $167 X 12 months
equals just over$2000.00
B. Postage—Attorney General, social service, victim and other law enforcement agency
conespondence. Estimated postage $475.00 for the year
C. Printing—business cards 1000 @ $120.00, hand outs and pamphlets,and film processing
fees $980.00
D. Alpha pager rental and air time—$22.33 X 12 months=$267.96
E. Memberships— Justice for All $10.00/year
National Victim Center $50.00/yeaz
Micsa $20.00/year
F. Cellular Phone Service—$25.00 X 12 months- $300.00
G. Internet Service—$24.00 X 12 months=$240.00
H. Local and Long Distance Service for ca1Ls to Galveston County Courthouse and calls to
State contacts in Austin—$900/year
.t
_
, _
. . _ _
. �. . � - .�,,. . .,..�.,�trt���`S�N;�; . . ��<� __..�_, �-°-�.,___c_�,':�'.'r�.".�..r .. �
, .�..,;;� "`��+i,w�;t�.�� .,},'..y a:a. '"r ,�s ..x`' t� :f.:� � ~� ,i� c..v
i0i ��
�_�i 'r����C���� �} A G�".�� 'i���:
i r c . ` � a
a� .Y = .� t�J .�..{.. aiR J. 'di�"�.y„ r �!��! ��1'L` } �.
. .Year B , ? , . w � , � �.
s .e ..t!, va+�.",,,y3�s �c � �y.c.ix...x s � s � x7. Jn; ....XC C' t : <.
.--,:�S t. � ��� - :.. ...�':` .. s.',15�%w:� t „�.,ti..�4� •�7���:.. Y tvriF��4+i �iw�.` ..� �`�'���, �,�,'j;1`'�.. � ' �k:'�F t> r �..
�CHEDULE G INDIRECT COSTSc��.,A� �� �� � ' ��� ^' �' `�' "��;�'� t,�= �.��
� ��{ � h!.:: .!A..� , . ..�•R:�nw '4'�W;����. � � *.��a! . e'��Y .
-�SEE PAGE 34 OF iNE PUIN,FOR INSTRUCflONS =� , t , '�; ,�' `_ � _.:1 r" �F :
� . . . . �y� , � M ��r� .
. . . . , . . ' ' . . h.�,` ;;1 (:, .
The maxtmum amount of Indirect costs that may be applied for is not to exceed a�total of_two-
percent of the total d�rect costs provtded by CJD, unless the appl(cant has an'approvetl cost
alfocation plan. � .
s
,:;
Cost Categortes CJD Funds
(A) Total Ditect Costs(must equd pcqe C 1D-18,Ine 8,co(�,rm i) S 43894 �
(B) Totai Indirect Costs(must equa paAe c,.ro-t8.ane 9,cau�rx� t) S .�
❑ Applicant is us(ng fihe CJD fwo-percent ruie to determine the amount of indirect costs.
❑ Applicant is using an approved cost allocatfon plan to determine indirect costs.
(Attach the relevant pages from ffie approved cost crltocatfon plan.)
If using an approved cost allocation plan, indirecfi costs were determined by apptying 96 of:
� . ._ _ _ -........r'-'li.t�.wj�•. .
. (
;^ ..�, . . .: .' � .
i.
1
�..�. .�.._ .. . � .
.�•,.. ...- . . . . . . � �l�` t . ��� ' _ . -
" .`"': ' � -... . .,.._._ ,+a� ..�.�" ..y � ' ... . -- .. . . ..
..,...:. . .. .� .... . j^."C. -._...._.._. ... . -.- . _ _ . .
.._, .... . . , .. ;�-:. .` .. . ��� . .. . . .. .
..�r:-u �.- � . T�.:�'^.S'F5 i:R7k-�u'�'f..j� � . � . .
., . . f � _ . '. . . . , ..
. ... -- �-+�. ... : - �� -. ,. ,�( � . .
. ... . - - , ,,'i;'°'f.ro�+4i?...��i�i*�� - . .. "
'� ,:
�
• • . ._. n� .n�.,
_ _ """",� _._ . .
,= Year B �
� �TAL PROJECT BUDGET
SEE PAGE 34 OF THE PtAN FOR INSTRUCTIONS.
Is thfs project completely supported by CJD grant dollars and granfee match?
� Yes, there are no other local, state, federa(, foundation, or donated funds grant dollars assistfng
this project.
,�
If 'yes', the financial officer should initial below and may disregard the rest of this form.
� No
If 'no', please indicate below the amounts, sources, and purposes of all funding for this proJect
that are not included within the total amounts listed on page CJD-1, line 15d.
Source Purpose/Use Amount
(A) $
(B)
(C)
(D)
c)
(F)
(G)
(H)
(�)
(.1)
(K)
(�)
TOTAL GRANT DOLLARS EXCLUDING THlS CJD APPLICATION - $
(Use additional pages as needed.)
CJD funding and grantee match represents % of the totai funding of fhis project.
Financi IOfficerinitials CJD-30 Issued: September.i�a
CERTIFIEDASSURANCES
•applicant hcrcby u�ures and certlfles that the pmject wili comply with the rogulaHo�,polidca,guidelines and requircments including OMd Clrtular�No.A-122,A-71Q A-
A-!7,and A-21 a�Ihey rclate to the appUcatlon,acceptance and use of lunds Eo�thl� project. Alw tl�e appltunt auures and teRiBer W tht srant thak
1. It possesses legal authority roapplyfor thegrant;thata resolutiocL motionorsimilaraction has beendulyadopted orpaued a�ano(fidaladoEtluapplicanCsgovemtng bpdy,
authorir�ng thefilingof�eapptintianindudingall understandingsandassurancvscontairud therein,and directingandauthorivngthepersonidaitified a�theotfidal
repr�sentativeo[theapplicant loactinc�au�ectionwiththe applintionsnd toprovidesuchadditional informationasmaybe required.
2. Federalfundamadeavailableunderthisforutulagrantwillnotbeusedtosupplantatateorlocalfunds,butwillbeusedtouiaeasetheamountSOfsaehfund�thatwould,tnthe
absenceoffederai fund4,bemadeavailableforlawenforcementactivitirs.
3. Matdw�g(undsrequircdbopaythetwmfedvalportionofthecostofeachprogramandproject,forwhichgrantfundsaremadeavailable,shallbeinadditionto[undtthatwould
otherwi.se be made available for law enforcement by the redpienb oEgrant funds.
4. It will mmply with requirements of the provistons o(the Uniform Relocation Assistarxe and Rcal Property Acquisitions Act o(1970(P.L.91-646)which provides for fairand
eq ui tabte treatment of persons displaced as a resul t of federal and federally ass is ted progra ms.
S.� ItwillmmplywiththeatinimumwageandmaximumhoursprovisionsofthefederalFa'vLaborStandardsAct,astheyapplytohospitalandeducaHonalinttitutio�employees
ofstateandlocalgovemaients. �
,�
6. It will establishsafeguards toprohibiteatployees from using theirpositiKass for a purpose that is or gives the appearanceo(being mocivated by a daire forprivategain for
themselves orothers,particularly those with whom they have family,business,orother ties.
7. Fundaccounting,audituig,monitoring,andsuchevaluationproceduresasmaybenecessarytokeepsu�recordsasCJDortheComptrollerGeneralshallpresaibe,shallbe
' providedtoassurefsscalcontrol,propermazwgement,andeffidaitdisbursemaitoffundsreceivedunderthegront.
8. It shall maintainsuchdataandinformationandsubmitsuch repo�,insuch(orm,atsuch times,and containingsuch informationasCJDmayrequire.
9. Theprogramsmntainedinitaapplicadonmeetallreyuireu�ents,thatslltheinformationismrrect,thattherehasbeenappropriaMCOOrdina4onwithaffectiedagendes,endthat
the applirant will mmplywithallprovisions of thegrantand all otherapplicable federal and state laws,regulati�s,and guidelines.
]0. It will mmply with all req uiremenls imposed by the federal sponsoring agency mnceming special requirements of law.Prograzn requirements,and other administra tive
m9uir�+ents.
I1. PursuanttoSection4223(aj(ISjand296ofehejJDPAct,theGranteeassuresthatprocedureshavebeenestablishedtoensurethatprograatafundedundertheJJDPpttshallrot
disdaseprogram recordsmntaitung the identity of individual juveniles.Fxceptions to this requirement(a)authorizationbylaw;(b)conuntofeitherthejuvenileorhiskgally
authorized representa4ve;or(c)justification that otherwise the functi�s of this title cannot be perfortned.Undernodreumstances maypablieprojectreportsorfindings contrin
names of actua!j u venile service redpients.
12. It wil]insure that thefacilities undezifs ownership,lease orsupervisi�whichshall beu6lized in theacmmplistvnentof theprojectazenotlistedon the Fnvironmatta!
Protections Agauy's(EPA)listof ViolatingFacilitiesand that it willnotify the federal grantoragency of the receiptof anymmmuniption from theDitt�ctorof theEPAOfficeof
Federal Activities indicating thata faality robe used in theproject is undermnsideration for listing by the EPA.
13. It will mmply with the flood i�ssurance purchase requirements of§102(a)of the F7ood Disaster Protection Act of 19T3,Public Law 93-234,87Stat.975,approved[)ecember 31,
]976.Seccion 102(a)requires,on and aher March 2,1975,the purchase of flood insurance in mmmunities where such insurance is available as a condition for the receiptofany
federall"vtancial assistanceformnstruction oracquisitionpurposes forusein any area thathas been identified by theSeaetaryof the DepartmentofHousingand Urban
Development as an area having special flood hazards.
' 1 t will assist the grantor aga�cy in its mmpliance with§]06 of the Nafional Historic Preservation Act o!1966 as amended(16 U.S.C.470),ExecutiveOrder 11593,and�e
Archeological and HistoricPreservabmAd of 1966(16 U.S.C.469a-1 etsey.)by(a)consulting with theState HistoricPreservationOfficeron thecandudof investigatiau,as
necessary,to identifyproperties listed inoreligible for inclusion in theNational RegisMrof Historic Places thataresubject to adverseeffects(see36CFRPart800$)by the
activity,and rotifying the grantoragencyof the existence o(anysuch properties,arod by(b)mmplying with all requirements established by thegrantoragency tn avoid or
mi6gate advene effects uponsuchproperties.
15. Itwillmmplywiththe Un�brm GrontMarwgemrnfs SfanMrds(UGMS)developed underthed'uectiveo(the UniformGrantManagement Act,Chapter 183,Govemaia�tCode.
16. It,ifa county,has takenorwill fakesllactionnecessary toprovide theTexas Department ofCrimina!Justice and the DepartmentofPublicSafetyanycrimina!historyreoords
u�aintainedbythecoantyin thearw�erapecifiedforthepurposesoEtkwsedeparements.
17. It will mmply with Title VI of the Civil Rights Ad of 1964,42 US.C.2000d(protubiting disvimination on the basis of race,mlor,or national origin),Section 504 of the
Rehabilitatia�Adof 1964,42 US.C.,794(protubidngdiwiminationon thebasis ofhandicap),the Age DisaiunuwtionAdof 1975,42,US.C.6101,etseci.,snd the Deparlmmt
of)usticeNondivQiminationttegulabans,28CFR,Part42,SubpartsC.D,andG.
18. itwill,intheeventafederalorstatemurtorfederalorswteadministrativeagencymakesafindingofdiscrimirationaheradueprocesshearing,onthegroundofrace,mlor,
religiay nadonal origin,aex,age,or t�andicap against the Prolec4 forward a mpy of the finding to the Criminal Jus ticr Di visio�(CJD).
I9. [twiitoomplywithSubtideA,TYtleUoftheAmericsnsWithDisabilitiesAdjADA),42US.C12131-12139,andDepartmentofJusticeimplementingregulaticm,28CFRPart35,
whereu state and local govemments auy not refuse to allow a person with a disability ro participate in a service,program,or activity simply because the petson has a
disabiliry.
Z0. Cifiesandmun4eswillmmplywiththefollowingsectionsoftheJwenileJusbceandDelinqueruyPreventionAct,US.C.5671,asamended.
2]. (a)(12)(A)regazding removal of status offenders from secvre faqlifles.
22. (a)(13),regacdingsight-azid-soundseparationofjuveniles(romadultswhendetainedinthesamesecvmfadlity.
23. (a)(14),regardingre�wvalofjuv«Wesfromadultjailsandlockups.
24. It witt mmplywith theprovisia�so[theHatch Accwhich limit thepolitical activityofemployees.
25• ltwillcomply,andassuretfiemmplianceofallitsmntracGors,withtheapplicableprovisionsof�tleloftheOmnibusGimeControlandSafeStreetsActof1968,asannended,
theJuvenileJugticeand DelinquairyPreventionAct,orthe VictiauofCrimeAct,aaappropriate;theprovisioru of thecuirentediHonoEtheOffieeofJusHcePrograau F'inandat
Guide azd atl other applicable(ederal tawa,cirnilars,orregulations.
26. Itwill complywith duprovisianaof 28CFRapplicable togrants andcooperative agreements includingPart 18,Administrative ReviewProcedure;Part20,Criminal Justice
InforawtionSystems;Part22,Ca�fiden6slityoEldentifiableResearchandSwtisNcal Information;Part23,Criminal IntelligenceSysMuuOperatingPolicies;Part30,Intergovem-
mentaI KeviewotDepartu�t ofJu4tice Programs and Activities;Part42,Nondisaiminallon/Equal OpportunityPolides and Procedures;Part 61,Prau.dura EorImplema�ting
the National Environmental Potiry Act;Part63,F7oodplain Management and Wetland Protection Procedures;and federal laws or regula6ons applicable to federal auistance
P��-
27. It will comply,and all its eontractors wi!!comply,with the nondisaunination reqwrements of the Omnibus Crime and Sa(e Streets Ad of 1968,as amended,42 US.C.3789(d),
the juvenile Justice and Delinquency Prevendon Act,or the Victims of Criaie Ad(ag appropriate);Title Vi of the Civil Rights Act ot 1964,as amended;$edion5pq of the
Rehabilitaeon Act oE 197d,as amended;Sub6Ue A,Tide II of the Americans with Disabilities Ad of 1990;Title IXof the Education Amend�nts of 2972;the Age Disaiminati�
Ad of 1975;Department of Justice NomDiuTiatination Regulations,28 CFR Pact 42,SubpartsC,D,E,andG;and the Depaztment o(JusHce regulatiau w�disability disaimins-
don,28 CFK Part 35 and Part 39.
It will provide an Equal Opportunityprogam i(required to maintainone,where theappGcadon is forSS00,OQpormore.
It will mmplywith th rovisiona o(the tal Barrier Resources Act(P.L.97-348)dated October 19,1982(16 US.C.3501,et sey.),which prohibits the expenditure of most new
federalfunda ' unitsof e ur S m.
- Signature of the Authorized O�cial
_ Citv of Friendswood Name of Agency
�'�n-�� lssued: September,1998
�
. • ,w.. .�r.
� .
CIVIL RIGHTS LIAISON CERTIFICATION
Instructions:
All appIicants for Victims of Crime Act(VOCA)grants must name a civil rights contact person.
As required by federal guidelines and the Governor's Criminal Justice Plan for Texas governing the
�, Crime Victims Assistance Program under the Victims of Crime Act of 1984, the following person is
named as the civil rights contact person who has Iead responsibility for insuring that alI applicable civil �
rights requirements are met and who shall act as liaison in civil rights matters with the Criminal Justice
� Division and with the Office of Justice Programs(U.S. Department of Justice).
William Bender
(Name, typed or printed)
Human Resources
(Position or Title)
910 S. Friendswood Drive
Friendswood, TX 77546
(Mailing Address)
281 -996-3226
(Telephone Number)
�
CJD Forms Packet
Rcviscd: September, 1995
DRUG-FREE WORKPLACE CERTIFICATION
By signing this application or grant agreement, the graniee is providing the certification set out below.
This certification is a material representation of fact upon which reliance was placed with the agency
determined to award the grant. If it is later determined that the grantee�owingly rendered an erroneous
certification,the agency, in addition to any other remedies available to the federal government,may take
available action.
I. The grantee certifies that it wili provide a drug-free workplace by:
A. Publishing a statement notifying e�mployees that the unlawfuI 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 viotation of such prohibition.
� B. Establishing a 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.
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 of any criminal drug statute conviction for a violation occurring in the
workplace not later than five days after such conviction.
E. Notifying the agency within ten days after receiving notice under subparagraph(D)(2)from an
employee or otherwise receiving actual notice of such conviction.
F. Taking one of the following actions with respect to any employee who is so convicted:
1. taking appropriate personnel action against such an employee,up to and including termination;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 the implementation
of paragraphs(A), (B), (C),(D),(E),and(F).
II. The grantee shall insert in the space provided below the site(s) for the performance of work done in
connection with the specific grant.
Place of Performance:
Ci tv nf Fri r�nr�Swnnr7
orpnimion -
109 E. Willowick Ave, Friendswood, Galveston Co, Texas 77546
Strat Addra� Ciry f_qunq Stne Zip Code
Ma or Harold Whitaker
AuNw;zee o d
`�
11 � 10 / 98
si ature �Datc
10
CJD Forms Packet
Rcviscd: Septembcr, 1995
• • ..�► ...�.
� .
� EQUAL EMPLOYMENT PROGRAM CERTIFICATION
Grantee Agencies that employ fewer than 50 people or receivc
less than $25,000 in Federal funds
I, , certify that: This agency employs
fewer than 50 people; therefore,the is not required to file an
�
(GrantedApplicant Agency)
equal employment opportunity program in accordance with 28 CFR 42.301 et se ., Subpart E.
PROJECT TITLE:
Authoriud Ofticial(Signature) Project Director(Signature)
/ / / /
Date Date
Grantee
For Grantee Agencies that employ 50 or more people
I, Harol d Whi t-aker , certify that: This agency employs
50 or more people and has received or applied to the Criminal Justice Division, Office of the Governor
for total funds in excess of$25,000; therefore,the City of Friendswood
has formulated an equal employment opportunity �Grantee/Applicant Agency)
program in accordance with 28 CFR 42.301 et seg., Subpart E and that it is on file in the o�ce of
William Bender
(Name)
910 S. Friendswood Dr,Eriendswood,TX Human Resources
(Address) (Title)
for review or audit by an official of the Criminal Justice Division, ffice of the Governor as required
by relevant laws and regulations.
PROJECT TITLE: Crime Victim Assistance r gra
, -
Authonzed Of�icial(Signatu ) Project Director(Signature)
11 � 10 � 98 11 � 10 � 98
Date Date
Citv of Friendswood
Grantee
19
CJD Forms Packet
Reviscd: September, 199S
r� INDEPENDENT ANNUAL AUDIT CERTIFICATION
I `
The grantee hereby assures compliancc by itself and its applicable sub-recipients (contractors) with the Single
Audit Act Amendments of 1996,PL 104- 156 and,particularly,with the requirements of OMB Circular A-133
as foltows(check one):
1. Grant(s)expenditures of$300,000 or more in federal funds-
An annual single sudit by an independent auditor made in accordance with the
' Single Audit Act Amendments of 1996 and OM�Circular A-133.
2. Grant(s)expenditures of $300,000 or more in state funds-
. An annual singlc audit by an independent auditor made in accordance with the
Uniform Grant Management Standards(UGMS).
3. XXX Grant(s)expenditures of less than$300,000 in federal funds-
Exempt from the Single Audit Act. However, CJD may require a limited scope
audit as defined in OMB Circular A-133. �
NOTE: Grantees exempt from the Single Audit Act requirements (i.e. those expending less than $300,000 in
total federal financial assistance)aze prohibited from charging the cost of a Single Audit to a Federal awazd.
� .c�
Authorized O�cial ignature) ancial Officer(Signature)
11 , 1� , 98 ���, !�'
Date Date
City of Friendswood
Grantee 4rganization
Regardless of items checked above, the grantee should, within 60 days following the date of the grant award,
furnish the following informarion:
I. The identity of the organization conducting the audit Null & Associates
2. Approximate time audit will be conducted Fourth quarter of each calendar year
3. Audit coverage to be provided Comprehensive Annual Financial Report
General Purpose Financial Statements
20
CID Forms Packet
R��,•�ced� September, 199S
_ . _
, .�., ,,.�
,,..,. _ ____._.__._
'� NONPROCUREMENT DEBARMENT CERTIFICATION
Instructionr.
First,read the instructions and guidelines on the following two pages. Then,complete this certif cation form
and retum it to CJD.
�
,��
U.S.DEPARTMENT OF NSTICE
OFFICE OF NSTICE PROGRAMS
' , OFFICE OF THE COMPTROLLER
Certificarion Regazding
Debarment, Suspension,Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions
(Sub-Recipient)
This certification is required by the regularions implementing Executive Order 12549, Debarment and
Suspension, 28 CFR Part 67, Section 67.510, Participants'responsibilities. The regulations were published as
Part VII of the May 26, 1988 Federal Register(pages 19160-19211).
� �
� 1 The ro ctive lower rier artici ant certifies b submission of this ro sal that neither it nor its
' � ) P � P P , Y P Po �
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded&om participation in this transaction by any federal deparhnent or agency.
(2)Where the prospecdve lower tier participant is unable to certify to any of the statements in this certification,
such prospective participant shall attach an explanation to this proposal.
Harold Whitaker Mavor
Name of Authorized Official Tide of Authorized Official
11/10/98
Signature Date -
City of Friendswood
Name of Organization
910 S. Friendswood Drive, Friendswood, TX 77546
Address of Organizadon
(
22 . .
CJD Forms Packet ' '
Revised: September, 1998 �
- VOCA Supplemental Form � � .
� ,�entify the percentages of victims to be served under the VOCA grant for each of the following. The total should be 100°�6.
(i.e.if the total of victims to be served is 400 and 200 are chiid obuse victims then enter 50°k next to child obuse),
8•5 �ChOd abuse 2•9 96 Sexual assault 1�Suniivors of homicide victims
1 7•4%Assautt � d %Elder abuse 3 3 96 Other Wolent c�imes
�0 96 Domestic vtolence �OUI/DW!crashes 100�TOTAL
•9 96 Adults molested as children ?_q �Robbery
The�urpose of the VOCA grant wilt be to(Check one):
Q Start up a new v(ctim services p�oJect �
0 Continue a VOCA funded victim project funded(n a previous year
� ❑ Expand or enhance an existing project not funded by VOCA in the previous year
fiese VOCA funds will primariiy be used to(Check one);
❑ Expand senrices into a new geograph(c area ❑ Conttnue Existfng Services to Crime Victims
0 Offer new types of senrices 0 Other
l� Serve additional victim populcrtions
Within ihe victim services prog�am indlcate the fol(owi�g':
1. Number of pc�id staff �._ Cn fud tirne equhra/ents)
2. Number of volunteer staff �_ (!n full tlme equhra/ents)
'fie vicilm services prog�am includes ad vlctim seMces staff and volunteers.inciuding VOCA funded.but not ony VOCA funded.
Fstimate the number of victims to be served during the grant period for each category.lnctude only those victlrtu to be
served tfi�ough the VOCA grant:
2� Child victims of physical abuse 7 Victims of DUI/DWI crashes � � Victfms of robbery
5 Child victims of sexual assault .�_ Sunrivors of homicide victims 1 I 1 Vfcttms of staikt�g
^TT�
5 Other fomns of child abuse 6� Victims of assault 6 Other victims of violent crime
1 0 5 Vlctims ot domestic violence �_ Adutts molested as children 1 110 Other
�_ Adult victims of sexud ossault 5 Eider abuse victirtu
Indicate the number of services to be provided through the VOCA project(VOCA grcant including any match):
Crisis Counseling Shelter/Safe House XX Assistance Filing Compensatlon
�,_ Follow-up Contact XX In-Person Infomnation&Referral Ciaims
fieropy
XX Justice Support/Advocacy XX Personal Advocacy
XX Teiephone Information&Refenc
Group Treatment Emergency Fnancial Assistance
C�isis Hotline Counseling Emergency Legal Advocacy
XX Other
Provide the total amounts of funding allocated to victim services based on the opplicant's cunent fiscol year budget(use
addiNonat sheets if necessary):
Souices Amounl Sources Amoun/
F@defal (excludiny VOCA) LoCal
State Other
�