HomeMy WebLinkAbout2003-108
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RESOLUTION NO. 2003-108
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
POLICE DEPARTMENT TO APPLY FOR AND ACCEPT A HOMELAND SECURITY
OVERTIME PROGRAM (HSOP) GRANT FROM THE U.S. DEPARTMENT OF
JUSTICE, COPS OFFICE.
SECTION 1:
That the Mayor and Common Council of the City of San
Bernardino hereby authorize the Police Department to apply for and accept a Homeland
Security Overtime Program (HSOP) grant in the amount of $250,000 from the U.S. Department
of Justice, COPS Office.
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26 BY:
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2003-108
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
POLICE DEPARTMENT TO APPLY FOR AND ACCEPT A HOMELAND SECURITY
OVERTIME PROGRAM (HSOP) GRANT FROM THE U.S. DEPARTMENT OF
JUSTICE, COPS OFFICE.
I HEREBY CERTIFY that the foregoing resolution was duly adopted by the Mayor and
Common Council of the City of San Bernardino at a j t. regular meeting thereof, held on
the 19th day of
,2003, by the following vote, to wit:
May
Council Members
Ayes
Abstain
Absent
Nays
ESTRADA
x
LIEN-LONGVILLE
x
McGINNIS
x
DERRY
x
SUAREZ
x
ANDERSON
x
McCAMMACK
x
Q,J<-L !.J. te~vJc
'--City Clerk
The foregoing resolution is hereby approved this 9.;;l,,~1 day of May ,2003.
~&74~
Esther Estrada, Mayor Pro Tern
City of San Bernardino
2003-108
u.s. Department of Justice
Office of Community Oriented Policing Services
.,
COPS
COPS Application Packet
www.cops.usdoj.gov
C:""""TI'ca-."III~~1nC"
1t.I:.~l'or.."sr...
Homeland Security Overtime Program
Application Packet
June 13, 2003 (priority consideration) and
June 27, 2003 final deadline
U.S. Department of Justice
Office of Community Oriented Policing Services
Carl R. Peed, Director
OMB Approval Number: 1103-0027
2003-108
Homeland Security Overtime Program
Application Packet
For more infonnation about COPS grants, call the U.S. Qepartment of Justice
Response Center at 800.421.6770.
~.
~~.,
.!..
U. S. Department of Justice
Office of Community Oriented Policing Services
Homeland Security Overtime Program (HSOP) Control Desk
1100 Vernlont Avenue, N.W.
7lh floor
Washington, D.C. 20530 (use zip 20005 for overnight mail)
Due to continued mail delays in the Washington, D.C. area, we strongly encourage
you to submit your application packet by an express or overnight delivery service. If
you choose to use an express delivery service, please use zip code 20005 for your
submission.
COPS Online: www.eoos.usdoi.~ov
Revised: April 2003
...
2003-108
Contents
Application Intructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Executive Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Department InfOlmation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Required Signatures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Terrorism Preparedness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Local Budget. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Budget for Requested Federally Funded Additional Overtime. . . . . . . 14
Addenda. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Assurances. . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . .. . . . . . . . . 19
Certifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Disclosure of Lobbying Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Sheriff's Department QuestiOlUlaire . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Special Department Questionnaire. . . . . . . . . . . . .'.'. . . . . . . . . . . . . 27
Return Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
2003-108
Letter From the Djrector
Dear Colleague:
The COPS Office is pleased to announce the new Homeland Security Overtime Program (HSOP),
which will offer state, local, and tribal law enforcement agencies the opportunity to apply for
additional officer overtime funding to support community policing and homeland security efforts.
HSOP will support programs that increase community safety and security, and reduce public fear.
HSOP grants will supplement the selected agencies' state or locally-funded officer overtime
budgets, increasing the amount of overtime funding available for these critical functions.
The National Strategy for Homeland Security, the Administration's roadmap for securing the
homeland, highlights the key role that state, local and tribal governments play in responding to a
terrorist attack. Terrorism preparedness and prevention have become key responsibilities for state
and local agencies. As such, while all policing agencies are eligible to apply for this program,
COPS will give priority consideration to applications that demonstrate the use of community
policing strategies to prepare for or respond to acts of terrorism through officer overtime.
HSOP grants can be used to pay officer overtime during homeland security training sessions and
other law enforcement activities that are designed to assist in the prevention of acts of terrorism
and other violent and drug-related crimes. Law enforcement agencies that have temporarily lost
sworn officers to military reserve duty and wish to deploy other officers on an overtime basis to
help address these temporary vacancies are also eligible to apply for HSOP grants. HSOP funds
may also be available to support the overtime efforts of non-supervisory sworn personnel
including intelligence officers, crime analysts, undercover officers, and other sworn personnel
who work on homeland securitylterrorism task forces (such as Joint Terrorism Task Forces). These
funds may only be used for non-supervisory sworn personnel and may not be applied towards
civilian or reserve officer costs. ~ .
HSOP funds must be used consistently with the agency's typical or average officer overtime pay
scale. In other words, HSOP funds must be used to support officer overtime at the same pay scale
that the agency would normally use for locally funded overtime. As stated above, HSOP grants
also must supplement the selected agency's state or locally funded officer overtime budgets. To
comply with the COPS statute, agencies may not rely on the availability of HSOP grant funding
to reduce the amount of state or local funds budgeted and expended for officer overtime in their
current or future budget cycles.
Up to $60 million is available under this program. We anticipate that funding for these grants will
be extremely competitive. Law enforcement agencies may apply for funding amouots based on the
size of the population they serve !![ the size of their budgeted sworn strength at the time of
application. Federal funds may be requested for up to 75 percent of the total requested additional
overtime costs, with a minimum 25 percent local cash match. The chart below represents the
maximum 75 percent federal share of HSOP funding that may be requested based on population
or budgeted sworn strength.
iii
2003-108
Homeland Security Overtime Program Application Packet
Please use the following guidelines when determining your department's request for HSOP:
AQ:encies servin!!
ponulations:
under 24,999
from 25,000 to 49,999
from 50,000 to 99,999
from 100,000 to 249,999
from 250,000 to 499,999
from 500,000 to 999,999
over 1,000,000
QR
Budeeted sworn
foree:
1-49
50-99
100-199
200-499
500-999
1,000-1,999
above 2,000
Mav aoolv for a federal
share of uo to:
$25,000
$50,000
$100,000
$250,000
$500,000
$1,000,000
$3,000,000
A local cash match of 25 percent is required for all HSOP grants. The match must be a cash
match, made from local, state or other non-COPS fnnds and may not he paid through
reallocating funds otherwise budgeted for specifie law enforcement purposes. Given the
expected demand and limited funding, waivers of the local match willl!Q1 be available for grants
awarded under this particular program. Overtime grants will be awarded for a one-year period.
When determining how much additional overtime funding to request within the limits noted
above, agencies should consider the one-year grant period; the amount of state or local funding
that they will otherwise budget for officer overtime; their ability to meet the 25 percent local cash
match; past officer overtime expenditures; and current and anticipated law enforcement needs that
will require additional officer overtime beyond the state or locally-funded amount. HSOP grants
cannot be used to reimburse grantees for overtime expenditures that occur prior to the award start
date.
There are two application deadlines for this program. Applications that are postmarked on or
before June 13, 2003 will receive priorjty consideration. However, COPS will also accept
applications that are postmarked on or before June 27, 2003. Applications postmarked after June
27, 2003 will not be considered. The application kit includes the specific mailing address and
unique zip code for overnight mail deliveries.
Agencies are strongly encouraged to electronically download the HSOP application kit from
COPS Online at www.coos.usdoi.eov. To have a paper copy mailed to your agency, please
contact the U.S. Department of Justiee Response Ceoter at 800.421.6770.
We look forward to your interest in this program.
Sincerely,
(\ r, () f\n
~\,~i
Carl R. Peed
Director
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2003-108
Application Packet
I. Application Instructions
Applications without all requested information and the required original
signatures will not be considered for funding. Please send the original
application and two copies to the COPS Office by June 13, 2003, or by
the second deadline of June 27, 2003. Applications received by the first
deadline will receive priority consideration.
Before mailin~ vour aoolication. olease ensure that the followin~ are
included:
o Please complete Sections II, III, IV, V. Under Section V, please
include origjnal signatnres from the appropriate law
eoforcement executive and government executive.
o Please complete Section VI, answering all questions when
appropriate for your agency. In particular, please provide a
narratjve for Question 8 describing how your department
plans to nse the overtime funding to improve or build upon
your homeland security efforts, and for Question 9 describing
your agency's specific need for federal assistance,
o Please complete Sections VII and VIII, providing accurate
and complete financial and budget jnformation.
o Please complete and provide the appropriate original
signatures for the followjog documents tocated in. Section IX:
. Assurances (please sign and return)
. Certifications (please sign and return)
. Disclosure of Lobbying Activities
(please sign and return, if applicable)
. Sheriff's Department Questionnaire
(please sign and return, if applicable)
. Special Department Questionnaire
(please sign and return, if applicahle)
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2003-108
Homeland Security Overtime Program Application Packet
II. General Information
Applicant Organization's Legal Name:
Applicant Agency ORI Nnmber: ..k..!l.. (L --I ~ 1- (L
The ORI number is assigned to your agency by the FBI for purposes of
UCR crime reporting. It begins with your state abbreviation followed by
five dil!its. If your agency does not have an ORI number, leave this blank.
and the COPS Office will assign one to you.
Applicant Agency EIN Number: -9- .5.- JL -1l Jl. .L L L L
The EIN number is assigned to your agency by the Internal Revenue
Service (IRS) and consists of nine dil!its. If the Office of Justice Programs
has assigned your department an EIN number, please use that assigned
number. Otherwise, use your IRS EIN number.
Federal Congressional District Number: 43
Do not substitute state or local congressional districts. If your agency
spans more than one congressional district, please list all of those
districts above.
Is your agency contracting for law enforcement services?
[Check one)
[ ] Yes [X] No
If 'yes." enter the name and agency information of the contract law
enforcement department in Section III., Executive Information.
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2003-108
Application Packet
III. Executive Information
The law enforcement and government executives that appear in this
section must be those individuals who will have ultimate financial and
Dro~rammatic authoritv for this grant. Typically, thesc are the highest-
ranking officials within your jurisdiction (e.g., Chief of Police, Sheriff, or
equivalent for law enforcement executives, and Mayor, City
Administrator, or equivalent for government executives). Listing
individuals without ultimate financial and programmatic authority for the
grant could delay the review of your application or remove your
application from consideration.
Law Enforcement Executive's Name: Garrett W. Zimmon
Titlc: Chi ef of Pol ice
Agency Name: San Bernardi no Pol ice Department
Address: 710 North '0' Street
(PO Box 1559)
City: San BernarSrlino
CA Zip Code: 92401
Telephone: 909-384-5607
Fax: 909-38~-4950
E-mail (if applicable): zimmon_9a@sbcity.org
Type of Law Enforcement Agency:
!!:J Municipal CI State CI County Police Department
o Sheriff*
CI School'
o Tribal
LJ Transit*
CI Public Housing'
CI University/College' Please indicate: (C1 Public or CI Private)
OOther' (please specilY):
, Agency types with an asterisk next to them must complete the
appropriate additional questionnaire found in Section IX
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2003-108
Homeland Security Overtime Program Application Packet
Government Executive's Name:
Judith Valles
Title: Mayor
Name of Government Entity: City of San Bernardino
Address:
300 North '0' Street
City:San Bernardi nOState:
CA
Zip Code: 92402
Telephone: 909-384-5133
Fax: 909-384-5067
E-mail (if applicable): valles ju@sbcity.orq
Type of Government Entity:
CI State 1(1 City 0 Town 0 County
CI Village 0 Borough 0 Township CI Territory
CI Region 0 Council 0 Community 0 Pueblo
o Nation 0 School District
o Othcr (pleasc specilY}: _
Contact Information:
Contact person in your dcpartment who is familiar with this grant:
Name:
Robert Curtis
Title:
r."phin
Telephone: 909-384-5606
Fax: 909-388-4950
E-mail (if applicable): curt i s_ro@Sbcitv.or9
4
2003-108
Application Packet
IV. Department Information
Population served as of 2000 U.S. Census:
1Ar; 4n1
.
If the population that your agency serves is not represented by U.S.
Census figures (e.g., colleges, special departments), please indicate
the size of the population served here:
Exclude the population primarily served by other law enforcement
agencies within your jurisdiction. For example, a sheriff's department
must exclude populations covered by a city police department for which
the sheriff's department has no primary law enforcement authority.
Current budgeted sworn strength as of the date of application. The
budgeted sworn strength is the number of sworn officer positions your
department has allocated for its budget. This number will include all
budgeted officer positions, including locally-fimded, COPS-funded,
vacancies, and other grant-funded officer positions:
Full-time officers: 297
Part-time officers:
-0-
5
2003-108
Homeland Security Overtime Program Applicalion Packel
V. Required Signatures
IMPORTANT! PLEASE READ PRIOR TO SIGNING BELOW:
Prior to receiving an HSOP grant award, your agency must
comply with all application and program requirements set forth
in the Public Safety Partnership and Community Policing Act of
1994 and all other requirements of federal law. Your signatures
below certify that by submitting this application, your agency is
requesting COPS fimding only for officer overtime which would
not othenvise be fimded in your agency's budget with state or
local funds. Reminder: In order to process your agency's
filllding request, original signatures of the law enforcement and
government executives who will have ultimate financial and
programmatic authority for this grant are required on all
application documents. Faxed copies will not be accepted.
Stamped or electronic signatures also willl!ll1. be accepted. It is
not permissible for someone to sign application forms in place of
the law enforcement and/or government executives named in the
application. Applications with missing, incomplete or inaccurate
signatures or re'ponses may not be considered for funding.
By signing below, I certilY that the information provided on this form and
on the attached forms is true and accurate to the best of my knowledge. I
understand that false statements or claims made in connection with COPS
grants may result in fines:imprisonment, debarment from participating in
federal grants or contracts, and/or any other remedy available by law. I
also acknowledge that a hold may be placed on this application if it is
deemed that the applicant agency is not in compliance with Federal civil
rights laws and/or is not cooperating with an ongoing Federal civil rights
investigation.
Law Enforcement Executive's Signature:
Date:
(Signature of person named in Section 1lI of this fonn)
Garrett W. Zimmon
(Print name)
Government Executive's Signature:
Date:
(Signature of person named in Section III of this fonn)
Judi th Vall es
(Print name)
6
2003-108
Applicalion Packet
VI. Terrorism Preparedness
Thc questions bclow relate to your agency's present and anticipatcd
homeland security/anti-terrorism efforts. Please answer all questions
below as completely and accurately as possible for your agency as a
whole. Please do not include any confidential or classified information in
your responses. For the questions that require a written explanation, do
not exceed the maximum number of words specified. Additionally, your
responses must be consistent with the definitions of homeland
security/anti-terrorism and terrorism as defined below.
Homeland Security/Anti-Terrorism: Your agency's efforts to detect,
prepare fOl; prevent. protect against. respond to, and recover from
terrorist attack., within your jurisdiction.
Terrorism: An act that I) is dangerous to human life or potentially
destructive of critical infrastructure or key resources. and is a violation of
the criminal laws of the United States or of any state or other subdivision
of the United States, and 2) appears to be intended to intimidate or coerce
a civilian population, to influence the policy of a government by
intimidation or coercion, or to affect the conduct of a government by mass
destruction, assassination, or kidnapping.
1. In the past fiscal year, on average, how many overtime hours
per week did your current officers engage in homeland security-
related activities?
[Check one]
!XI 0 hours or only on an as-needed basis
o 1-5 hours per week
o 6-10 hours per week
o 11-261iours per week
o 21-30 hours per week
o 30+ hours per week
2. On average, how many additional hours per week do you
antieipate the relluested overtime funding would be used
specifically for anti-terrorism/homeland security activities?
[Check onel
!XI 0 hours or only on an as-needed basis
o 1-5 hours per week
o 6-10 hours per week
o 11-20 hours per week
021-30 hours per week
o 30+ hours per week
3. What is the average number of annual hours for homeland
security/anti-terrorism training that your agency anticipates
providing for officers this year?
[Check one]
o 0 hours or only on an as-needed basic
o 1-5 hours per year
o 6-10 hours per year
IlD 11-20 hours per year
o 20+ per year
o Don't know
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2003-108
Homeland Security Overtime Program Application Packet
4. Do you have any of the following critical infrastructures within
your law enforcement jurisdiction? [Please check all that apply,
and provide a one to three word description for each item that is
checked. ]
III Major bridges or tunnels
o Significant national or regional monuments
CI Major sites of historical significance
ti Skyscrapers or tall apartment/commercial buildings
o Nuclear reactors/plants
III Dams or hydro-electric facilities
III Reservoirs or other major public water systems
~ Major electric or other power plants (non-nuclear or
hydro-electric)
III Chemical plants or storage facilities
ti Buildings that house/dcvelop/maintain biologically hazardous
materials
8
o Borders with other countries (e.g., Mexico, Canada)
III Airports utilized by cornmercial aircraft
~ Trains or subway systems
CI Major waterway ports of entry
III Oil/petroleum refineries, pipes, or storage facilities
CI Major tourist attractions (e.g., major theme parks, zoos)
~ Major sporting arenas (e.g., collegiate or professional stadiums)
Arrowhead stadium, Western Regional Little League
III M . rt' bl' Is Route 66 Rendezvous, Nat i ona 1
aJor spo 109 or pu lC even 6 ~I
I all~:l'::: .,) lun
o Active military bases
CI Major communication centers (e.g., TV, radio, internet, satellite,
newspapers)
o Strategic missile or other weapon sites
GI Centers of government (e.g., state capitals) r.OImty ~P"t. ~ity seat
CJ Major financial centers
o Major industrial centers
CI Immigration ports of entry
o Other
CI Other
2003-108
Application Packel
5. Has your agency participated in any type of joint terrorism task
force activity, or are such activities planned in the near future?
[Check one]
!!J Yes CI No
6. Does your agency/jurisdiction have any of the following currently
in place, or do you plan to implement any of the following if
awarded in this grant?
[Please cheek llll that apply]
1[1 Public anti-fear campaigns
I) Riot control protocols
III Evacuation plans
III Decontamination units/plans
~ Bomb threat protocols
CI Protection protocols against major cyber-attacks
!!J Public broadcast systems/reverse 911lemail notification protocols
1!J Printed and publicly disseminated documents on citizen
preparedncss (including website information)
1[1 Public/community meetings focused on homeland security/citizen
preparedness
I) Increased sworn officer presence at potential terrorism targets.
7. How many offieers within your ageney have been called up as full
time military reservists in the past year <and are therefore no
longer available for loeal policing services)?
[Check one]
C10
!!J 1-5
CI 6-10
D 11-50
CI Over 50
9
2003-108
Homeland Security Overtime Program Applicalion Packel
8. Overtime grants can be used to pay for additional officer overtime,
over and above your agency's state and locally-fundcd overtime
budget, in connection with training and other law enforcement
activities that are designed to assist in the prevention of acts of
terrorism and other violent and drug-related crimes. While all
policing agencies are eligible to apply for this program, priority
consideration will be given to applications that demonstrate the use of
community policing strategies to prepare for or respond to acts of
terrorism. Please explain how your agency will use the additional
officer overtime funded through HSOP, if awarded, to improve or
enhance your current homeland security efforts. Please exnlain in
250 words or less (You may attach an additional sheet if necessary,
but do not exceed the 250 words allotted).
See attached
10
2003-108
SECTION 8:
In 1984, the police department adopled Community Oriented Policing and Problem Solving
(COPPS). The city was divided into five geographical area commands and police services are
tailored to individual neighborhoods within each area.
In the wake of the September 11 th lerrorisl attacks, the department has taken a lead role
implementing a comprehensive citywide homeland security plan. We have incorporated a
terrorism prevention/preparedness component within our COPPS program and enlisted lhe
support and participation of key community stakeholders and groups.
The department would use HSOP grant funding to facilitate the following improvements in
training, deployment, service, and protection.
Overtime Purpose Projected Overtime Hours
45-personnel Rapid Deployment Force 2,000
v' Personal protective equipmenl
v' Force proteclion
v' Response to a WMD event
v' Crowd control/civil disobedience
v' Tactical operations in a contaminated environment
First responders training at the Cenler for Domeslic Preparedness
v' CERT
v' Incident command
v' HOT . .
v' IRTB
800
First responder's POST certified training
v' Terrorism
v' WMD
v' Tactics
100
Training and deployment of Terrorism Liaison Officer
v' Training
v' Operations
v' Public meetings
100
Enforcement activities to assist in the prevention of acts of
terrorism and other violent and drug-related crimes.
1,000
Homeland Security Plan updates.
400
Backfill shifts for police officers on active military duly
due to presidenlial recall of reservists
1,500
Total overtime hours requested
6,150
2003-108
Application Packet
9. In reference to Qucstion #8, please describe what specific goals or
public safety needs your agency would be able to address using additional
officer overtime that it would JW! be able to address without these funds.
Please exolain in 150 words or less (You may attach an additional sheet
if necessary, but do not exceed the 150 words allotted).
1. Enhance the ability of personnel to respond
to a terrorist incident by attending the Center
for Domestic Preparedness.
2. Assigning a Terrorism Liaison Officer will
provide the agency with a point of contact.
3. Conducting PPE training with first responders
will allow officers to become proficient in
the use, deployment, and maintenance of PPE
issued to them.
4. Training exercises for the department's Rapid
Deployment Force will allow the unit to develop
procedures, plans, tactics, and the ability to
deploy using PPE in support of missions through
mutual aid, incident command, or unified command.
5. Allow for the broader training of line personnel
at California POST certified training courses.
6. Enhance the caoabilitv to work with a broader
spectrum of stakeholders under mutuil aid,
incident command, or unified command.
11
2003-108
Homeland Securily Overtime Program Application Packet
VII. Local Budget
Overtime funds being rcquested must be in addition to overtime already
funded in your agency's budget. In other words, COPS funds cannot be
used to pay for any overtime for which your agency has already budgeted
(or will otherwise budget during the grant period). HSOP provides for 75
percent of anticipated additional overtime costs for non-supervisory
sworn personnel based on an average overtime rate specific for your
department (please refer to the example provided in Section VIII for
assistance when determining your department's average overtime rate).
Federal funds may be requcsted for up to 75 percent of the total requested
additional overtime costs, with a minimum 25 percent local cash match.
The match must be a cash match. made ji-om local, state or other non-
cOPSfimds and may not be paid through reallocating funds otherwise
budgeted for specific law enforcement pwposes.
In the spaces provided below, please identify the amount of state and/or
local funding for officer overtime currently budgeted in your fiscal year
2003 budget, and your anticipated budgeted level of officer overtime
funding for fiscal year 2004 (in the absence of HSOP funding). You may
provide additional comments below, but please do not exceed the space
provided. The COPS Office reserves the right to request documentation
demonstrating state and/or local funds budgeted for overtime; however,
this documentation should not be submitted at the time of application.
State and/or local (undine currentlv bud~eted for officer overtime:
Fiscal Year 2003
$ 1 . 511 , 400
State andlor local fundinl! anticioated for officer overtime:
Fiscal Year 2004
$1.511.400
Comments: (please do not exceed the space allotted)
The State
affectinq
of California's budget crisis is
local qovernment's abilitv to
adversely
maintain
current services. Locallv. the citv is facing a
minimum deficit of $3 million. which has been made
up by reducinq the city's budget reserves and budget
reductions for all city departments.
12
2003-108
Application Packet
Locallv Funded Fiscal Year
Starting date of your fiscal year: 07 I 01
I
2003
Ending date of your fiscal year:
06
I 30 I
2004
COl!nizant Federal Aeencv
Many state and municipal agencies that receive federal grants are required
to have audits of those grants forwarded to a single federal agency (e.g.,
Justice, HUD, HHS, Transportation). The single federal agency where
such audits are sent is known as your "Cognizant Federal Agency."
Please enter the name of your Cognizant Federal Agency (typically the
federal agency that provides your government entity with the most federal
funding) in the space provided. If your department does not receive
federal funds. enter "U.S. Department of Justice."
Health & Ruman Services
(Cognizant Federal Agency)
13
2003-108
Homeland Security Overtime Program Application Packet
VIII. Budget for Requested Federally Funded Additional Overtime:
Please read through the following example for guidance when determining and calculating your
department's need for additional overtime.
The COPSville Police Department applies for an HSOP grant for overtime to allow officers to assist
with the Molina County Task Force. The additional overtime funding will allow these officers to
perform task force duties on an overtime basis while not reducing the patrol staffing levels.
COPSville Police Department is requesting 1540 hours to complete this project, which will be in
addition to the $53,600 that is budgeted in their Fiscal Year 2003 for officer overtime. The
COPSville Police Department serves a population of 30,000 and currently has a budgeted sworn
strength of 53 sworn officers.
When calculating your department's average overtime hourly estimate, please average the overtime
rate paid within your agency for non-suoervison' sworn personnel.
Overtime rate for OfficerlDeputy level:
Overtime rate for JourneymanlPFC level:
Overtime rate for Master/MPO level:
$26.45 hourly
$32.16 hourly
$36.33 hourly
Average Overtime Estimate Per Hour: '
$31.65 hourly
'To calculate your average overtime estimate per hour, please add all applicable categories, and
divide by the number of total categories. , '
$31.65 hourly x 1540 hours requcsted = $48,741 total overtime (before fringe benefits)
When calculating your fringe benefits, please use the standard rate specific for you,. department,
based on the total overtime requested before fringe benefits.
FrinQe Benefits
Social Security
Medicare
$48,741 x 6.2%
$48,741 x 1.45%
Total Fringe Benefits
$3,022
L.1Q1
$3,729
Total HSOP Project Costs ($48,741 + $3,729)
$52.470
Federal Request (75 pereent of total project eosts)
$39.353
Non-Federal Amount (25 percent Local Cash Match)
$13 117
Based on the population and budgeted sworn force strength of COPSville, they would be eligible to
apply for up to $50,000 (please refer to the funding chart found in Overtime Request Summary
below). Based on COPSville's specific needs, their request for federal funds will be $39,353, with a
local match of$13,117.
14
2003-108
Application Packet
Calculating Your Department's Average Overtime Rate Per Hour
When calculating your department's average overtime rate per hour; please average the overtime
rate paid within your department for non-sul1ervisorv sworn personnel at the base salary. Please
list below the personnel rankslcategories, their current overtime rate, and the calculations from
averaging these categories to determine your Averal1'e Overtime Rate Per Hour. Please use the
number of categories that is appropriate for your agency. however; do not exceed 5 personnel
ranks/categories when calculating your overall average. For those agencies who have more than 5
ranks/categories, please select those that are representative of your non-supervisory sworn
personnel. Once you have determined your department's Avera"e Overtime Rate Per Hour please
multip~v by tire number of hours your department anticipates a need for above and beyond what is
local~v budgeted in Fiscal Year 2003 for officer overtime. The Additional Overtime Hours
Reauested is used for the purpose of determining your specific overtime request. If awarded, you
will not be required to expend overtime at the level of hours requested, as long as your department
can demonstrate that the goals and objectives of the program were met, and all overtime used under
the grant was paid within the personnel categories listed below.
1.
2.
3.
4.
5.
Personnel Category
Police officer
Corporal/investigator
Overtime Rate Per Hour
46.99
53.26
.
Overtime Rate Per Hour
Across All Cate~ories
Number of Catel!ories
Average Overtime
Rate Per Hour
$ 100 .00 / 2
Average Overtime Additional Overtime
Rate Per Hour Hours Reauested
$ 50 .00 x 6,150
= $
50
.00
Total Cost of Overtime
(Before Frin~e Benefits)
=
$ 307,500 .00
15
2003-108
Homeland Securily Overtime Program Application Packet
Fringe Benefits
Fringe benefits should be based on known actual costs or an established formula. On(v fringe
benefits associated with overtime hours are provided. Include the computation for each benefit
requested. When calculating your fringe benefits. please use the total of the
Total Cost of Overtime (Before Frinl'e Ben~fits) completed above.
Your computation will consist of Total Cost of Overtime (Before Frinlfe Ben~fits) multiplied by
standard rate for fringe benefits specific to your department.
Annual Frin~e Benefits:
Comnutation"
Social Security
Medicare 6,150 hrs X $50 x 1.45%
Worker's Compensation
Other. emp 10 yment
Other. insurance
.00 (not 10 exceed 6.2%)
4 4~Q .00 (not to exceed1.45%)
.
.00
7fiq .00
.00
$
$
$
6,150 hrs X $50 X 0.25% $
S
.if requesting other fringe benefits. please include a copy of your fringe benefits section from your
personnel handbook or department's official policy for verification purposes.
Fringe Benefits Total:
$ 5,228 .00
16
2003-108
Application Packet
Overtime Request Summary
When you have completed the average overtime rate per hour and the fringe benefits. transfer the
totals for each category to the spaces below. Please compute the total overtime costs and place that
amount on the applicable line
Average Overtime Rate Per Hour
$ _ .s.o .00
Additional Overtime Hours Requested
x 6.-1..50
Total Cost of Overtime (Before Fringe Benefits)
Fringe Benefits Total
+
Total HSOP Project Costs
=
Federal Request (up to 75 percent of the Total HSOP Project Costs)
Non-Federal Amount (25 percent Minimum Local Cash Match)
- ,
$ 307.500 .00
$ 5,228 .00
$'312.728 .00
S 250.000.00
S 62,728.00
The Non-Federal Amount or your Local Match must represent, at a minimum, 25 percent
of the Total Overtime Costs.
As a reminder, law enforcement agencies can apply forfunding based on the size of the population
they serve, Ill: their budgeted sworn force at the time of application using the following guidelines:
Agencies servin~
populations:
under 24,999
from 25,000 to 49,999
from 50,000 to 99,999
from 100,000 to 249,999
from 250,000 to 499,999
from 500,000 to 999,999
over 1,000,000
QB.
Budgeted sworn
~
1-49
50-99
100-199
200-499
500-999
1,000-1,999
above 2,000
May apply for a federal
share of un to:
$25,000
$50,000
$100,000
$250,000
$500,000
$1,000,000
$3,000,000
,._.:.;~,
17
2003-108
Homeland Security Overtime Program Application Packet
IX. Addenda
. Assurances (please sign and return)
. Certifications (please sign and return)
. Disclosure of Lobbying Activities (please sign and return if applicable)
. Sheriff's Department Questionnaire (if applicable)
. Special Department Questionnaire (if applicable)
Please be advised that a hold may be placed on this application if it is
deemed that the applicant agency is not in compliance with federal civil
rights laws and/or is not cooperating with an ongoingfederal civil rights
investigation.
Paperwork Reduetion Act Notice
The public reporting burden for this collection of informatiol/ is
estimated to average 8 hours per response, including time for reviewing
instructions, searching existing data sources, gathering and
maintail/ing the data needed, al/d completing and reviewing the
application. Sel/d comments regarding this burden estill/ate or any
other aspect of this collectiol/ of informatiol/, including sl/ggestions for
reducing this burden, to the Office of Community Oriented Policing
Services, U.s. Department of Justice, IlOO Vermol/t Avenue, N. w.,
Washington, D.C. 20530; and to the Public Use Reports Project, Office
of Informatiol/ and Regulatory Affairs, Office of Managemel/t and
Budget, Wasllington, D.C. 20503.
18
2003-108
Assurances
Application Packet
,several provisions of fcucrn.llaw and policy apply to all grant programl1. We (the Office of Community Oriented Policing Services) need to
secure your ;lSI1UranCC that the applicant will comply with these provisions. If you would like further information about any of these
assurances, please contact your state's COPS Grant Program Specialist at (800) 421-6770.
By the applic:Ulr's authorized reprcsl...'11tativc's sib'tl:lture, the appliClot assures that it will comply with all legal and administmtivc m..JlUrcments
that govern the applicant for acceptance and use of federal grant funds. In particular, the applicant al'i!1Ures u:; thar:
1. It has been legally and officially authorized by the appropriate
governing body (for example, mayor or city council) to apply for
this grant and th~J.[ the persons sibrnmp; the application and these
assur:lncc~ on its behalf arc authorized to do ~o and to act on it~
behalf with re~pect to any i~~ues th:lt may ari~e during procc~~ing
of thi~ application.
2. It will comply with the provi~ions of fcdcr.tllaw which limit
certain political activities of gran tel.: l.'lTlployccs wh()~e:: prinrip:ll
employment is in connection with an activity financed in whole or
in parr wirh this grnllt. These restrictions arc set forth in 5 US.C
~ 1501, et Sl~.
3. It will comply with the minimum wage ::md maximum hours
provisions of the:: Fede::ral Fill Labor Standards ;\ct, if applicable.
4. It will establish safeguards, if it has not done ~o already, to
prohibit cmployee::s from using their positions for a pU1l'ose that
is, or ho1.ves the appearance of being, motivated by a desire for
private g-ain for themselves or othen;, particularly those with
whom rhey have family, busil1es~ or other tics.
5. It will give the Department of Justice or rhe Comptroller
General :lccess to and the right to examine records and
documents related to the ",>rant.
6. It will comply with all n'quirements imposed by the
Department of Justice as a condition or administrative
requirement of the grant, including but not limited to: the
rcyuirements of Ol\lB Circulars A-87, A-21, ;\-12:!, or the
Federal AC(luisition Regulations, as applicable (governing cost
principles); OMB Circulars ,\-102 or A-II0, as applicable
(Uniform ,\dministrntive Requirements for Grants and
Cooperativc Agreements); OMB Circular A-133 (governing
:llIdin;); the applicable provisions of the Omnibus Crime Control
and Safe Streets Act of 1968, as amended; the current edition of
the COPS Grant Monitoring Standards and Guidelines; and with
all other applicable program rt."qwrements, laws, orders,
regulations, or circulars.
7. If applicable, it will. to the cxtt'tlt practicable and consistent
with applicablt: law, seck, recruit and hire qualifil>d members of
racial and ethnic minority groups and yualifit:d WOml'tl in order to
further effective law enforcement by increasing dleir ranks within
the sworn positions in the agency.
8. It will not, on the ground of race, color, religion, national
origin, gender, disability or age, unlawfully exclude an)' person
from participation in, deny the benefits of or l'tl1ployment to an)'
person, or subject any person to discrimination in connection
with any programs or activities funded in whole or in part with
federal funds. 111cse ci\lil rights reyuirements arc found in the
non-di~crimination provisions of the Omnibus Crime Control
and Safe Streets Act of 1968, as amt'tlded (4:! US.c. ~ 3789(d)):
Tide VI of the Civil Rights Act of 1964, as :unt..'tlded (42 use ~
2000d); the lndian Civil Rights Act (25 USe. ~~ 1301-1303):
Section 504 of the Rehabilitation Act of 1973, as amended (29
U.S.c. ~ 794); Tide II, Subtitle A of the Americans with
Disabilities Act (ADA) (42 US.C ~ 12101, et sey.); the Age
Discrimination .Act of 1975 (42 U$.c. ~ 6101, ct seq.); amI
Department of Justice Non-Discrimination Regulations contained
in Title 28, Parts 35 and 42 (subparts (~ D, E and G) of the Code
of Federal Regulations.
A. In the eVt.'llt that any court or administrative agl.'tlcy makes a
finding of discrimination on gwunds of race, color, relif.,>1on,
national origin, gender, disability or age against the applicant after
a due process hearing, it agrees to forward a copy of the finding
to the Office of Civil Rights, Office of Jmtice Progr:ams, 810 7th
Street, N\V, Washington, o.c. 20531.
B. Grantees that have 50 or more empl{)yee~ and grants over
$500,OOO.(or over $1,000,000 in grants owr an eighteen-month
period), must submit an acceptable Equal Employment
Opportunity Plan CEEOP'') or EEOP short form (if grantee is
rj;quired to submit an EEOP under 28 CFR 42.302), that is
;pprovcd by the Office of Justice Programs, Office for Civil
Rights within 60 days of the award srart date. For grants under
5500,000, but over $25,000, or for grantees with fewer than 50
employees, the gr....ntee must submit an REOP Certification.
(Grantees of less than $::!5,OOO arc not subject to the HEOP
reyuirt.-'lTlt.'llt.)
9. Pursuant to Department of .Justice guidelines Oune 18, 20m
Federal Register (Volume 67, Number 117, pages 41455-41472)),
under Title VI of the Civil Rights Ac[ of 1964, it will ensure
meaningful access to its programs and activities by persons with
limited English proficiency.
10. [t will ensure that any facilities under its ownership, lease or
supervision which shall be utilized in the accomplishment of the
project arc not listed on the Environmental Protection Agency's
(EPA) list of Violating Facilities and that it will notify 1I~ if
advised by [he EPA that a facility to be used in this grant is tinder
consideration for such listing by the EllA.
11. If the applicant's state has established a re\'iew and comment
procedure mlder Executive Order 12371 and has selected this
program for review, it has made this application available for
review by the state Single Point of Contact.
19
2003-108
Homeland Security Overtime Program Applicalion Packel
13. it willllot use COPS funus to supplant (replace) state,local.
or Bureau of indian Affairs funds that otherwise would be made
:l\'aibblc for the purposes of this grant, as applicable.
14. If the awarded grant contains a retention requirement, it will
rctain th~ increased officer suffing level and/or the increased
officer redeployment level, as applicable, with state or local funds
fOf a minimum of nne fulllncal budget cycle following expiration
of the grant period.
12. Pursuant to Executive Order 13043, it will enforce on.the-job
seat belt policies and programs for L>JTlployccs when operating
agency-owned. fl.'tltcd or pcrsnnal1y~owncd vehicles.
False statt.'mcnts or claims made in connection with COPS grants
(including cooperative agreements) may (c:;ub in fines,
imprisonment, disbarment from participating in federal grants or
contracts, and/or any other remedy available by law.
I certify that the assurances provided are true and accurate to the best of my knowledge.
Elections or other selections of new officials will not relieve the grantee entity of its obligations under this grant.
Sih'llature of Law Enforcement Executive (or Official with
Programmatic Authority, as applicable)
l),,,,
Signature of Government Executive (or Official with
Financial Authority, as applicable)
Date
, -
20
2003-108
Application Packet
Certifications
Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Drug-Free Workplace
Requirements and Coordination with Affected Agencies.
Although the Department of Justice has made every effort to simplify the application process, other provisions of federal law require us
to seek your certification regarding certain matters. Applicants should read the regulations cited below and the instructions for
certification included in the regulations to understand the requirements and whether they apply to a particular applicant. Signature of
this fann provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," and 28 CFR
Part 67. "GovemmenH;alide Debannent and Suspension (Nonprocurement) and Government-wide Requirements for Drug-Free
Workplace (Grants)," and the coordination requirement of the Public Safety Partnership and Community Policing Act of 1994. Thc
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 grant.
I. Lobbying
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 28 CFR Part 69, for persons entering into a
grant or cooperative agreement over SlOO,OOO, 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)
As required by Executive Order 12549, Debannent and
Suspension, and implemented at 28 CFR Part 67, for
prospective participants in primary covered transactions, as
defined at 28 CFR Part 67. Section 67.510-
A. The applicant certifies that it and its principals:
(i) Are not presently debarred, suspended, proposed for
debarment, declared ineligible, sentenced to a denial offederal
benefits by a state or federal court, or voluntarily excluded from
covered transactions by any federal department or agency:
(ii) 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;
(iii) Are not presently indicted for or otherwise criminally or
civilly charged by a governmental entity (federal, state or local)
with commission of any of the offenses enumerated in
paragraph (A)(ii) of this certification; and
,
(iv) 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; and
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shaH attach an
explanation to this application.
3. Drug-Free Workplace (Grantees Other Than Individuals)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67, Sections 67.615 and 67.620-
A. The applicant certifies that it will. or will continue to,
provide a drug-free workplace by:
(i) 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;
(ii) Establishing an on-going drug-free awareness program to
inform employees about -
(a) The dangers of drug abuse in the workplace;
(b) The grantee's policy of maintaining a drug-free
workplace;
(c) Any available drug counseling, rehabilitation and
employee assistance programs; and
21
2003-108
Homeland Security Overtime Program Application Packet
(d) The penalties that may be imposed upon employees for
drug-abuse violations occurring in the workplace;
(iii) 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 0);
(iv) Notifying the employee in the statement required by
paragraph (i) that, as a condition of employment under the
grant, the employee will -
(a) Abide by the tenns of the statement; and
(b) 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;
(v) Notifying the agency. in writing, within lO calendar days
after receiving notice under subparagraph (iv)(b) from an
employee or otherwise receiving actual notice of such
conviction. Employers of convicted employees must provide
notice, including position title, to: COPS Office, 1100
Vermont Ave., NW, Washington. DC 20530. Notice shall
include the identification number(s) of each affected grant;
(vi) Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph (iv)(b). with
respect to any employee who is so convicted -
(a) Taking appropriate personnel action against such an
employee, up to and including temlination, consistent with
the requirements of the Rehabilitation Act of 1973, as
amended; or
(b) 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;
(vii) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (i),
(ii), (iii), (iv), (v) and (vi).
B. The grantee may insert in the space provided below the
site(s) for the performance of work done in connection with the
specific grant:
Place of performance (street address, city, county, state, zip
code)
Check KJ if there are workplaces on file that are not identified
here.
Section 67.630 of the regulations provides that a grantee that is
a state may elect to make one certification in each federal fiscal
year, a copy of which should be included with each application
for Department of Justice funding. States and state agencies may
elect to use OJP Form 406117.
Check CJ if the state has elected to complete DlP Form 406117.
4. Coordination
The Public Safety Partnership and Community Policing Act of
1994 requires applicants to certify that there has been
appropriate coordination with all agencies that may be affected
by the applicant's grant proposal if approved. Affected agencies
may include, among others, the Office of the United States
Attornel sfate or local prosecutors, or correctional agencies.
The applicant certifies that there has been appropriate
coordination with all affected agencies.
CA 92401
Grantee Name and Address: San Bernardi no Po 1 ice Deoartment 710 North '()' St.. San Rernardi no
Application No. and/or Project Name: HSOP r,rflnt
Grantee IRSIVendorNumber: Q~hnn77?1
Garrett W. Zimmon. Chief of Police
Typed Name and Title of Law Enforcement Executive:
Signature:
Date:
As the duly authorized representative of the governing body, I hereby certify that I am binding the governing body to the above
certifications, including the plan to retain. Elections of new officials will not relieve the governing body of its obligations under this
grant.
Typed Name and Title of Government Executive:
Signature:
Judith Valles. Mayor
Date:
22
2003-108
Application Packet
Disclosure of Lobbying Activities
Instructions for Completion of SF-Lll, Disclosure of Lobbying Activities
This disclosure form shall be completed by the rcporting entity, whether subawardee or prime federal recipient, at
the initiation or receipt of a covered federal action, or a material change to a previous filing, pursuant to tide 31
US.c. section 1352. The filing of a form is required for each payment or agreement to make payment to any
lobbying entity for influencing or attempting to influenec an offieer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a ~rembe[ of Congress in connection with a
covered federal action. Complete all items that apply for both the initial filing and material change report. Refer
to the implementing guidance published by the Office of Management and Budget for additional information.
I. ldenti fY the type of eovered federal action for which
lobbying activity is and/or has been secured to influence the
outcome of a covered federal action.
2. IdentifY the status of the covered federal action.
3. IdentifY the appropriate classification of this report. If
this is a follow-up report eaused by a material change to the
infonnarion previously reported, enter the year and quarter
in which the ehange occurred. Enter the date of the last
previously submitted report by this reporting entity for this
covered federal action.
4. Enter the full name, address, city, state and zip code of
the reporting entity. Include Congressional District number,
if known. Check the appropriate c1assifieation of the
reporting entity that designates if it is, or expects to be, a
prime or subaward recipient. ldentiry the tier of the
subawardee, e.g., the first subawardee of the prime is the
1 st tier. Subawards include but are not limited to
subcontracts, subgrants and contract awards under grants.
5. Iltbe organization filing the report in item 4 checks
"Subawardee," then enter the full name, address, city, state
and zip code of the prime federal recipient. Include
Congressional District, if known.
6. Enter the name of the federal agency making the award
or loan commitment. Include at least one organizational
level below agency name, if known. For example,
Department of Transportation, United States Coast Guard.
7. Enter the federal program name or description for the
covered federal action (item I). If known, enter the full
Catalog of Federal Domestic Assistance (CFDA) number
for grants, cooperative agreements, loans and loan
conunitrnents.
8. Enter the most appropriate federal identifYing number
available for the federal action identified in item 1 (e.g..
Request for Proposal (RFP) number; Invitation for Bid
(TFB) number; grant announcement number; the contract,
grant. or loan award number; the application/proposal
control number assigned by the federal agency). Include
prefixes, e.g., "RFP-DE-9()-(lO I."
9. For a covered federal action where there has been an
award or loan commitment by the federal agency, enter the
federal amount of the award/loan commitment for the
prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code
, of the lobbying entity engaged by the reporting registrant
identified in item 4 to influence the covered federal action.
(b) Enter the full name(s) of the individual(s) performing
serviees, and include full address if different from 10 (a).
Enter Last Name, First Name, and Middle Initial (MI).
I I. The certifYing offieial shall sign and date the form, print
his/her name, title and telephone number.
Public reporting burden for this collection of information is
estimated to average 30 minutes per response, including time fOr
reviewing instructions, searching existing data sources. gathering
and maintaining the data needed. and completing and reviewing
the collection of information. Send comments regarriing the
burden estimate or any other aspect qf this collection of
infonnation, including suggestions jar reducing this burden. to the
Office of Management and Budget. Paperwork Reduction Project
(0348-0046). Washington. D.C. 20530.
'~'..-
23
2003-108
There have been no lobbying activities.
Homeland Security Overtime Program Application Packet
Disclosure of Lobbying Activities
Approved by OMS
0348-0046
(as amended)
Complete this form to disclosc lobbying activities pursuant to 31 U.S.c. 1352
(See reverse for instructions and public burden disclosure)
2. Status of Federal Action:
a. bid/offer/application
b. initial award
c. post-award
3. Report Type: _____
a. initial filing
b. material change
1. Type of Federal Action: _____
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f loan insurance
4. Name and Address of Reporting Entity:
D Prime D Subawardee
Tier _, ifknown:
Congressional District (number), if known: _
6. Federal Department/Agency:
For Material Change Only:
Year:
Quarter:
Date of last report
5. If Reporting Entity in No.4 is Subawardee, Enter
Name and Address of Prime:
Congressional District (number), if known: _
7. Federal Program NamelDescription:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant
(if indil'iduai, last name, first name, MI):
11.lnfonnatlon requested through this lonn is authorized
by Title 31 U.S.C. Section 1352. This disclosure 01 lobbying
activities is a material representation of fact upon which
reliance was placed by the tier above when this transaction
was made or entered Into. This disclosure is required
pursuant to 31 U.S.C. 1352. This inlonnatlon will be
reported to the Congress semi-annually and will be
available lor public inspectlon. Any person who fails to file
the required disclosure shall be subject to a civil penalty 01
not less than $10,000 and not more than $100,000 lor each
such failure.
Federal Use Only:
24
$f .
10. b. Individuals Performing Services
(including address if different from No.1 Oal
(last name, first name, Ml):
Signature:
Print Name: Garrett W. Zimmon
Title: Ch i ef of Po 1 i ce
Telephone No.: 909-384-5607
Date:
Authorized for Local Reproduction, Standard Fonn - LLL
2003-108
NOT APPLICABLE
Application Packet
Sheriff's Department Questionnaire
Please answer the following questions if the legal applicant is an established sheriffs department.
Attach additional pages if needed.
If yes, what is the actual population for which your department has primary
law enforcement authority? In other words, the 2000 Census population minus
the incorporated towns and cities that have their own police departments. If
no, please explain below.
I. Do deputies have orimarv law enforcement authority for the popolation
to be served?
[Check ooe]
CI Yes [] No
2. In the space below, break down the time spent by your entire department on various
types of activities. For example: 50 percent law enforcemeot duties; 30 percent
courthouse/bailiff duties; 20 percent jail duties (total should equal 100%).
3, Of the total percentage of time spent on law enforcement duties (as indieated in question
#2), what percentage of that is spent on community policing aetivities?
4. Briefly describe some of the community policing activities your department partieipates
in and/or coordinates.
If you have questions about applying for overtime under the Homeland Security Overtime
Program (HSOP), please contact your COPS Grant Program Specialist through the U.S.
Departmcnt of Justice Response Center at 800.421.6770.
25
2003-108
NOT APPLICABLE
Application Packet
Special Department Questionnaire
Plcase answer the following questions if the legal applicant is an established
special department. Examples of special departments are housing authority, transit
police, university/school police, and park police.
If no, please explain:
1. Do officers have orimarv law enforcement authority for the population to
be served?
[Check one]
CI Yes CI No
2. What legislation gives officers their police officer status and enforcement authority?
[Cheek one]
CI State CI Local CI Both
Important! Your agency must attach a copy of the legislation documenting your
enforcement authority.
3. Do officers have full and unrestricted arrest authority? If not, what are their limitations?
4. Do officers have full powers over the entire jurisdietion? If not, what area(s) are they
restricted to? (e.g., parks, campus)
5. Do officers provide full police services 24 hours a day, 7 days a week? If not, what are their
hours?
If you have questions about applying for overtime under the Homeland Security Overtime Program
(HSOP), please contact your COPS Grant Program Specialist through the U.S. Department of
Justice Rcsponse Center at 800.421.6770.
27
2003-108
Application Packet
X. Return Address
Submit one original and two copies to:
U.S. Department of Justice
Office of Community Oriented Policing Services
Homeland Security Overtimc Program (HSOP) Control Desk
1100 Vermont Avenue, N.W.
7" floor
Washington, D.C. 20530 (use zip 20005 for overnight mail)
Due to continued mail delays in the Washington, D,C. area, we strongly
encourage you to submit your application packet by an express or
overnigllt delivery service. If you choose to use an express delivery
service, please use zip code YJJ!.f1ifor your submissiOl'.
$ -
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2003-108
FOR MORE INFORMATION:
U.S. Department of Justice
Office of Community Oriented Policing Services
1I00 Vermont Avenue, N.W.
Washington, D.C. 20530
To obtain details on COPS programs, call the
U.S. Department of Justice Response Center at 800.421.6770
Visit COPS Online at the address listed below.
c04031932
Created Date: April 24, 2003