1991-022-RES WHEREAS, under the provisions of the Anti-Drug Abuse Act of 1988 (Public Law 100-690), Texas will
RESOLUTION NO. 91-022
WHEREAS, under the provisions of the Anti-Drug Abuse Act
of 1988 (Public Law 100-690), Texas will receive federal
funds to provide funding for the Texas Narcotics Control
Program (TNCP), and the Criminal Justice Division, Office of
the Governor has been designated to administer the program in
the form of grants to units of government; and,
WHEREAS, the City Council of the City of Paris deems it
to be in the best interest of the citizens of Paris to seek
such assistance which will focus on drug law enforcement;
and,
WHEREAS, if such
approved, the project
and 25% local matching
application for grant assistance is
is to be funded by 7510 federal funds
funds; NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS:
1. That an application be made to the Texas Narcotics
Control progr am, Of f ice of the Governor, Cr imina 1 Jus t ice
Division for a Texas Narcotics Control Program, 1991 Grant,
and if such application for grant assistance is approved, the
project is to be funded by 75% federal funds and 25% local
matching funds.
2. That Michael E. Malone, City Manager of the City of
Paris, be, and he is hereby appointed as the Authorized
Official of said project and is authorized and directed to
execute on behalf of the City of Paris the application for
grant in the form attached hereto as Exhibit A.
3. That Karl Louis, Chief, Paris Police Department,
be, and he is hereby appointed as Project Director and is
hereby authorized to execute and deliver on behalf of the
City of Paris all reports, communications, assurances and
documents necessary for the completion of said project.
4. That W. E. Anderson, Director of Finance, be, and
he is hererby appointed as Financial Officer and is hereby
authorized to receive and distribute funds for purposes of
said project.
Passed and adopted this
Eric
Clifford, Ma
ATTEST:
'('.r--,,,~.
. ,~~~~,~"l
APPLICATION FOR
FEDERAL ASSISTANCE
OMS Approval No. O)"'~O"3
2. DATI SUIMlTTID .
AOO'
Ident,".'
I. TVH OP' SUIMtUM)tt:
ADpI#callon
o Construction
o Non-con'truelion
PreappJic.tion
o ConstrucltOn
: 0 Non-Q>nttrucllon
I. DAn AI!CI~D IV STAT! SI,te Application Idenlif..,
--'---
4. DATI R'CaIVED IY 'EDIAAL AQI!HC't' Feder'l Idenlih...
,. ."UCANf IN'ORMAnON
LlIQal Name:
O,g.n1lltional Unit
--
.-.--
__,__J
Address (gIve CIty, county, stale, and lip cOde):
Name.nd (elephone numbef of the pelson 10 be conla<:led on matlllr.. 1r.'If):"",~
thIS apphc.hon (give ..,... code)
P.O. Box 12428,
I
-_.._---~
I
i
I
I
j
,
I
I
Governor's Office .----1
Criminal Justice Divis'ion
Austin. Texas 78711
o
.. EMPLOYER IOENTIFICAnOH NUMBER !EUI!jI:
o New
o Continuation
o Revision
1. TVPE all' APPLICANT: (enter .tJProprillte lette' in. box,
A. Stale H. lndepend9nt School Oist.
B. County I. Slate Controlled Instllution of Higher l.M' "';"'J
C. Municipal J. Private UnNer5ity
D. Township K. Indian Tribe
E. Intentate L. Individual
F. Intermunicipal M Profit Organization
Q. Special Oi:llrict N. Other (Specify):
I. TYPE OF AP'LICA TlOH:
If Revision. enler appropriate lelter(s) in bolll(85): 0 0
A fnc,ease Award B. Decrease Award C. lncreue Duration
O. Decrease Duralion Olher (st><<d'i):
I. HAME Of flEDERAL AaI!HCY:
lG. CATALOO 0' 'EOI!RAL OOMEST1C
ASSIST ANel! HUMBER:
I
I
1.1
I
T
t 1. OESCRIPTlYE nTLE 0' APPLlCANT'S PROJECT:
TlTlE,
12. AREAS AFFECTED 8Y PROJECT (cUies. counti.,. st.t.s. .'c.J:
12. PROPOSED PROJECT:
Slarf Dale
Ending Oal8
104. CONQRI!SSIONAL DISTAICTS OF:
a. Applicant
~ b Project
:
15. ESTIMATED FUNDINQ:
. Fede,al I
b. Applicant I
C Slate I
d Local I
e Other I
I PrOQtam Incom. I
Q TOTAL I
.00
11.1$ A"L.ICAnON SUIJECT TO REVIEW B'i STATE EXECUnvE ORDER 12312 PROCESS?
8. YES. TI-lIS PREAPPLICATIONlAF>PlICATlON WAS MAOE AVAILABLE TO THE
STATE EXECUnVE ORDER 12372 PROCESS FOR REVIEW ON'
.00
DATE
.00
b NO. 0 PROGRAM IS NOT COVERED BY E.D. 12372
.00
o OR PROGRA.... HAS NOT BEEN SELECTED BY STATE FOR REVIEW
.00
.00 17. IS TWE APPLICANT DELINQUENT ON ANY FEDERAL DEBn
,00
o Y..
II .Yes.. allach an ell plana Iron.
o No
II. ro THE BEST 0' MY KNOWlEOOE AND BEl.II'. ALL DArA IN THIS APPLICAnONiPAIAPPlICAnOH ARE TAVE AND CORRECT. THE DOCUMENT HAS BEEN DUL.Y
AUTHOAIl'fD BY THE GOYERNINO 10DY 0' THE APPLICANT AND THE APPLICANT WILl COMPLY WITH THE ATTACMED ASSURANCES IF THE ASSISTANCE IS AWARDED
a. TvPed Name 01 Aulhor'oI:ed RepresenloJllYe
b Tirle
c Telephone nurnoer
d SiQnJltur. 01 AUlhorlo1:ed Represenlal,,,.
e Dale 'i'lJned
EXHIBIT A
CJD-l
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:::alandard orm J24 ~v J.1l8.
Presctlbed Oy OMS \..".....1. 4. h;.!
PreviOUS I:Oll1ons NOI Usable
CONTINUATION PAGE
For continuation, if necessary, of any item on application page CJD-l.
Identify by number the item being continued.
May also be used for any other remarks, at the applicant's option.
STANDARD FORM 424 PAGE 2
CJD-2
Next page number is CJD-4
PART II
PROJECT APPROVAllNFORIIA TION
0... "O.'~IIIIO I"
It_I.
o;;;thi' ouis.ance ,equ..' '....if. S..,., l.col.
NtieMl, ., olh., pt'lority' '.ti..,?
_V.,_N.
No.. .1 Goy.mln, Body
Priority Rolin,
I.... ,.
0... ,his aui.....e. reque.t ,equi,. $..,., or local
"",ilOf)'. .duCOI1OMI .r ha.lth cloetOftu,?
_V.,_Ho
N.IM of A..",y ..
800,4
fAUoeh Oocu_"lation)
(Attach (ollll",_h)
II.... 3.
0...11,,11 .,.illanu ,oque,1 ,.quj.. cl.-orin,hou..
'....1.. In occOIdonU Wl,h OMB Cuculol ,A.9S?
_v.. ..,.
It.. ...
D;;;thil auistanco .oquo.' ,equiro Slot.. local,
,.,iaMI .r 011".. ploAnin, opp,ovol?
_V.,_No
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Dolo
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It ,h. ,.opond ';'010" c.......4 by On o..r.".d (_pt..
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local
R-vionol
location .f Plan
r'
.,
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"0.6.
i'iii"'ih. ...i.tance r.qu....ct ........ 0 F.d.,ol
Instoll.'ion? _ V.. _No
HOlM .f F.cI.ralln"ollolion
F.d.,ol Populo,ion tMn.lj,jnO ,,_ P'OI.c;I
11..1.
Will th. n,i,tonu r.q....,..d b. on F.ct.,.llond 0'
in,IaIl.'lClIn?
_V.,_Ho
HOMe of F.d.rallnt'allalion
Location a' Fed.,ol land
P.rc;QfIt 01 P,oi.e'
II.. e.
iiij"";'h. oui,lonc;. reqIMI,.d ..v. on illlpoc;l ... .ff.c;t
H I.... _"viro_.nt?
_V.,_Ho
s.. in,tr...ctions for oddilional inlo""OWion to b.
provid.d.
11_9.
Will ,he. ouiltOllu req".atred c;O",I. the "iaploc;MI""
.1 incli.,.id...oh. lo.iliu. bv,jn"..." 0' 'O,.I?
_Vel_Ho
H....b., 01:
Ifldi.,.iduol,
FaMilies
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Forllll
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..-n4int, Of .nticipat.d?
_V.,_No
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II tM "'OJ-CI In. ....,gnat" 11004 haurd ....1
_'.._No
Se. Inat"lCll~ lor ~ltlo....1 InlorfNIllon-lo
be ...owW-.d.
CJD-4
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Suggested Format
Other Budget Information
Governor's Criminal Justice Division
Part III
Section F
Line 21
BUDGET NARRATIVE
Begin helow and add as many continuation pages following each schedule (AI, DI. etc.) as may
be needed to explain each item of the project budget. Narrative should Include explanation of
the basis for arriving at the cost of each item including Grantee Local Cash Contribution items.
All amounts should be shown In whole dollars.
SCHEDULE A
PERSONNEL
J. Direct Salaries
% OF TIME
TO THIS REg~EST LOCAL CASH
TITLE OR POSITION I PROJECT2 CONTRIBUTION TOTAL3
(A) S S S
(B) $ $ $
(C) S S S
(D) $ $ $
(E) S S S
(F) $ $ $
(G) S S S
(H) $ $ $
TOTAL DIRECT SALARIES $ $ $
2. Fringe Benefits, % or $ Rate
FICA @ S $ S
RETIREMENT @ $ S S
INSURANCE @ S $ S
OTHER (EXPLAIN) @ $ S S
TOTAL FRINGE BENEFITS
%
s
s
s
TOTAL PERSONNEL BUDGET
$
$
$
J. Include only one position per line. Briefly describe the duties or responsibilities of each position.
2. Express as a percent of total time (2080 hrs. per year).
3. Should reflect employee's gross salary attributable to the project.
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Suggested Format
Other Budget Information
Governor's CrIminal JustIce Division
Part ill
Section F
Lfnc 21
SCHEDULE B
PROFESSIONAL AND CONTRACTUAL SERVICES
CJ LOCAL CASH
DESCRIPTION OF SERVICE REQUEST CONTRIBUTION TOTAL
(A) S S S
(8) S S S
(C) S S S
(0) S S S
(E) S S S
(F) S S S
(G) S S S
(H) S S S
TOTAl;. PROFESSIONAL AND
CONTRACTUALSER~CESBUDGET S S S
REQUIRED NARRATIVE: Briefly describe any anticIpated contractual arrangement and wor',
products expected. Describe the basis for arriving at the cost (if
each line Item.
NOTES: 1. Grant applications in which the proposed program will be operated by a third
party, under contract from the grantee, should complete and attach applica-
tion CJD-11.1.
2. Personal services (such as consultants, trainers, counselors. evaluators,
etc.) should be described by type of service, number of hours, rate per
hour, and travel costs if any.
CJD-ll
BUDGET SCHEDULE B
SUPPLEMENTAL BUDGET DATA FOR CONTRACTORS
Sources of Revenue
This form is required for contractor organizations that, under contract from the
grantee, will operate the program described in the application. Leave this page
blank under all other circumstances.
List the Contractor's Revenue from all Sources for all Programs and PurposeG
Revenue Sources For the Year Projected for
('List each source lnunediately the Period of
and amount separately) Preceding this this Grant
Grant Period
$ $
I. State and Federal government*
2. City and County government.
3. United Way ..................
4. Foundations .................
5. Corporate ...................
G. Private/individual...........
7. Fund raising events. . . . . .. .. .. .. .
8. Fees and sales ...............
9. Interest ......................
10. Seized property and funds. . . .
II. other (describe)
TOTAL REVENUE.................
Revised December 199Q
CJD-ll.l
Suggested Format
Other Budget Information
Governor's Criminal Justice Division
Part III
Section F
Line 21
SCHEDULE C
TRAVEL
I. Local Travel
MILES
TRAVELED $ CJ LOCAL CASH
POSITION /TITLE ANNUALLY RATE REQUEST CONTRIBUTION TOTAL
(A) $ $ S
(B) S S S
(C) S S S
(D) $ S $
(E) $ $ $
IF) $ S S
(G) $ S S
(H) $ S $
LOCAL TRAVEL TOTAL S S S
2. In-State Travel (Specify Clearly)
PURPOSE DESTINATION
IN-STATE TRAVEL TOTAL
S
$
$
S
S
S
$
S
$
S
$
S
$
$
$
3. Out-or-State Travel (Specify Clearly)
$
S
S
S
S
$
S
S
$
$
$
$
S
S
S
OUT-OF-STATE TRAVEL TOTAL
TOTAL TRAVEL BUDGET
NOTE: If personally owned v('''lcles are to be used, transportation costs should be shown on
Schedule C; If agency or leased vehicles are to be used, the vehicle operation/main-
tenance costs should be shown on Schedule F, "Suppltes and Direct Operating Expense."
REQUIRED NARRATIVE: Briefly describe the applicant's travel policy (I.e., mileage rates and
per dIem rates). Specify purposes for each Item of travel. Break out
costs of each In-state and each out~f-state trip to separately show
the speclfjc costs of transportatlon and of per diem.
CJD-12
Suggested Format
Other Budget Information
Governor's Criminal Justice Division
SCHEDULE D
P art III
Section F
Line 21
EQUIPMENT PURCHASES
EQUIPMENT NAME OR DESCRIPTION
AND QUANTITY
(Al
(Bl
(C)
(D)
(E)
(F)
(G)
(Hl
(I)
(J)
TOTAL EQUIPMENT BUDGET
CJ
REQUEST
$
$
$
$
$
$
$
$
$
$
$
LOCAL CASH
CONTRIBUTIONl TOTAL
$ S
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
REQUIRED NARRATIVE: Describe the basts for arriving at the cost of each line item.
SCHEDULE E
CONSTRUCTION
ACTIVITY J
(Al
(B)
(C)
(D)
(El
-;rJTJ..L CO!lSTRUCTION BUDGET
CJ
REQUEST
$
$
$
$
$
$
FACILITY
LOCAL CASH
CONTRIBUTION TOTAL
$ $
$ $
$ $
$ $
$ $
$ $
l. State whether request Is for construction or renovation. Renovation of $5,000 or less should
be shown on Schedule F, .Suppl1es and Direct Operating Expense."
REQUIRED NARRATIVE: Descrlbe the basis for arriving at the cost of each ltne item.
CJD-13
Suggested Format
Other Budget Information
Governor's Criminal Justice Division
SCHEDULE F
Part III
S<?ctlor F
Line 21
SUPPLIES & DIRECT OPERATING EXPENSE
DIRECTLY CHARGED SUPPLIES
& OTHER OPERATING COSTS
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
m
(J)
TOTAL SUPPLIES & DIRECT OPERATING
EXPENSE BUDGET
cr
REQUEST
s
S
S.
S
S
S
S
S
S
S
S
LOCAL CASH
CONTRIBUTION
S S
S S
S S
S S
S S
S S
S S
S S
S S
S S
s
TOTAL
S
REQUIRED NARRATIVE: Describe the basis for arriving at tl.e cost of each line. item.
SCHEDULE G
INDIRECT COSTS
CJ LOCAL CASH
REOUEST CONTRIBUTION
TOTAL
(A) Indirect Costs Per Approved Cost
Allocation Plan S
(B) Indirect Costs Per CrD Compl: '~tlon Table S
S S
S XXX XXX XXX S
NO'rE: Indirect costs are authorized in an amount not to exceed the computation table
in the CJD Financial and Administrative Requirements section of the grant
application kit, or as authorized per the applicant' s cost allocation l'lan.
REQUIRED NARRATIVE: If method (A) Is used, specify the rate and attach a copy of the docu-
ment by which the current cost allocation plan was approved.
CJl}-14
INSTRUCTIONS
PART IV
PROGRAM NARRATIVE
c. Identify th. kind, 0' dlta to be collected and mun-
.tined and dilCuu the criled. to 1:,e u~'i \0 .whl~~"
the (.-JIb WId IUCCeues of ch. proj-.r.t. ::",p:~in tI....
methodology th.. will be used to dt.r.rRlin. it th.
nMdI identified and di.:::ulMd Ir. bti~ me1 ..,d U
th. '....111 .-'leI berM'its Identified in item 2 .r. bl1na
Khi.,ed.
d. Lht Ofgllniutlona. cooperators. col'ttulllnts. Of utll.1'
by IndNidu.l, who will Vll'Ork on th. project .Iono
with . thorl deoKription of the M1ur. of th,ir .HOt t
Of contribution.
4. GEOGRAPHIC LOCATlrN.
Gtv. . precise loc.tion 0' thl project or .t.. to b4 _lVed
by thl proposed project. Meps ()I' oth.... graphic .td. m.y be
.nIChed.
I. IF APPLICABLE. PROVIDE THE FOLLOWING IN.
FORMATION:
PI...... th. r
the fptlow'
-.
-,
!CY
",m n..uliv. st.t.mentln 1CC00d.nc. with
'uctiam 'Ot .11 new ....., progrlml. R.
Ion or refunding If\d chaJl98l on an
. "'p::Ind to item 6b only. Req.....ts
'I "'ould '..pond to question 6c
1.
Pinpo.
InItituU...
ewtttut, tho
.,bordin.t. L
...ion 01 oth.r
.In thl IPpliciIIll .
pfenning .rudi" $hau.
2. RESULTS OR 8ENH,
Identify ,nulls and benefit a
-"1In applyinO 'ot . ..nt It.
hulth cente' provide I dncriptlOt.
'Kility, how the tlCilily will be u..c.,
will beMfit the ernetll pubhc.
''lR THIS ASSISTANCE.
..,.,ic. lOCial. tinWM;:'''.
'q I solution. Oem.
.he princip.1 and
'j"" documen.
",n1S olher
"'sod on
1>
~
""
~
1>
.. For ,.....rch Ot demonstration _istanee requnt_.
pr...nl . blOgtaphic.1 sketch of the program director
with the following in'orm.tion; name, eddreu. phOhe
number, tMekground. and oth. qualifying ..periencl
'Of the proieC1. Also, list the n.me, t(linin, .nd bJell.
pound tOf ottoM, key ..rsonnal ...~ in the
project.
...~ lCI:ompllshmenb to dll. end lilt in ct\rono-
.....1 ordef I Kftedul, of Kcompli.nmenu. progrea
"'uton. Iftticlpllltd with the MW funding r.
. INrI h.1 been ,ignlfic." d1InQltl in the
'dlv.. loeation Ipproec:h. or time dellyl.
~lfy. for oth... ttqUltU 'or manges Of
"Illln thl r.non for th, chlingeh), If
'iyn halt, changed Or In ..tlnsion
..pllin the circumsuncn WId
'... h. been ,.ceeded. or if
" changed moll thWl thl
AnKhmilnl K 10 Q,.
Cireul.r No. "'.102,
, ita .If.:t on th,
)-
o
U'
(,
.()
.()
<
~~
.() ~
.., 1-
1> )-
)- ..,
/l- <
I. APPROACH.
/"
o
'"
.. Dutil", . pl,n 0' Kllon panaining 10 ttk.
dat,n 0' how the propoted work will ta
plillwd 'or Md'l .,nt prog..."" 'unction Of IC..
providtd in the budQllt. Cite 'ectOI'1 ~ich might
wl.,"e Of decelerat. Ih, work and your r.eIOn '0.
tlking this 8pPfolCh .. oppond to others. Dn::ribe
..y unulU" f,atur" of the pro)ect ..ch .. design or
technologic.. innovali.ons, reductions in ~I or tlma.
Of .xtr.:wdinary lOCi,1 end communiry involvamant.
b. 'rewD fOf elCh or.,1 prOQrItn. funcllon or actNitv.
quantit.tive monrh1v or qu.rteriy projeclions 0' the
-=complittunetlb to be 1Ctl~ in ..n:1\ term. ..It'l.
number of ;Obi c:r.'t.d; thl number of peopl. MrYed;
end thl number of peti.nU "..ted. When -=com-
p1ilfvn~tI cannot be qu.,titifd by Kliviry or func:-
tion, Iisl them in chronologic:al ord... 10 ...OW the
Id'ledul. of 8C:Compli....manb end th.ir lIirQllt dates.
,/
1-
U'
)-
1>
(,
('
)-
,/
o
1-
U'
..
..~
Pf'Oj<<.
c. For ..pp..
IOn fOf the I
funding.
',In the fl.
1dltlonal
CJD-15
INSTRUCTIONS FOR COMPLETING PROGRESS REPORT I PROJECT GOAL
ACHIEVEM""TS FORMS Cm-16-a, cm-16-r w') cm-16-c
This progress report form is a multi-purpose form. It is to be completed, as applicable,
with the *grant application, al).d completed fully for the **semi-annual progress report
and the ***final progress report. Applicants must retain a ~ of these pages since the
information will be needed to complete, in full, the semi-annual and final reports.
Additional forms will not be provided routinely.
.AT THE TIME OF APPLICATION. Only pages CJD-16-a and continuation page(s)
CJD-16-b will be completed. Columns 2 and 4 are to be left blank at this stage.
No.1 - Grantee Name:, Enter name of grantee organization.
No.2 - Grant No: 'Leave blank.
No. 3 - Project Title: Enter the project title as used in the grant application.
No.4 - Report Time Period: Leave blank.
Column I: In the space provided following numbers ~ through 20, enter the
Performance Indicators exactly as specified in the "Assessment Requirements" of
the Program Description section of your Application Kit. List all Indicators, even
though some may not be applicable to your specific program. If desired, add
optional Indicators.
In each of the blocks (under the numbered items) for the Indicator cited, enter
the estimated annual level of achievement/performance as of the date on which the
grant will start. Enter "N/A" if the Indicator is not applicable to your specific
program.
Column 3: In each of the blocks (under the numbered items) for the indicator
cited, enter the projected number to be achieved during this grant period.
**FOR SEMI-ANNUAL REPORT. The report, covering the first six months of the grant
period and consisting of pages CJD-16-a, 16-b, and 16-c is due at cm 20 days after the
report period ends. Headings and entries on pages 16-a and 16-b, which were submitted
with the application, should be entered exactly the same into this report. In addition,
complete and add the following:
Line 2, Grant No: Enter the grant number cited in the Statement of Grant Award.
Line 4, Report Time Period: Enter the dates for the first six months of the grant.
Column 2: In each of the blocks, enter the actual number (as an update of the
earlier estimate in the corresponding block in Column 1) of the annual
achievement/performance as of the date on which this grant started.
Column 4: In each of the blocks, enter the cumulative year-to-date achievement
level.
~ CJD-16-c: Complete the narrative in the outline provided on the form.
Include signature, date, and telephone number.
***FOR FINAL REPORT. The report, covering the entire grant period and consisting
of pages CJD-16-a, 16-b, and 16-c is due at CJD 20 days after the grant period ends.
With the exception of the "Report Time Period" and entries in Column 4, all other entries
on pages 16-a, 16-b of the ~ ,u-annual report should be copied identically into this
report. In addition, complete and add the following:
Line 4, Report Time Period: Enter the dates of the entire grant period.
Column 4: In each of the blocks, enter the cumulative year-te-date achievement
level.
~ CJD-16-c: Complete the narrative in the outline provided on the form.
Include signature, date, and telephone number.
Revised December 1989
SEE FOLLOWING PAGES FOR EXAMPLES OF COMPLETED FORM
CJD-16
1. Grantee Name:
PROGRESS REPORT/PROJECT GOAL ACHIEVEMENTS
2. Grant J:
"Column 1
Estimated
NUlllber at
Start of Grant
Period
1.
2.
3.
4.
5.
6.
7.
6.
9.
10.
12/4/69
3. Project Title:
4. Report Time Period: --1--1_ to --1--1_
**Colurnn 2 "Colwnn 3 **Column 4***
Actual NUlllber proiected Actual Number
at Start of Number at Achieved at:
Grant Period Completion 1. Semi-Annual
'of Grant Report
2. Final Report
(Crcle One)
I
L
CJD-16-A
ASSURANCES
I'ARTV
Th. Applicontheraby allure. and certifies that h. will comply with the regulation., policle., guid.line. and re-
quiremenh, including OMB Circular. No. "'-95, A-102 and No <\.87, a. they ,..Jote to th. application, accept-
cmc. and u.e of Federal fund. for this f.derally_olli".d project. Also the Applicant allure. and certifie. to
lit. grant lito!:
I. II po_ legol IUtharity to opply lar lhe grlnt; thlt I
RSOIulion, motion or simil.r IctiOf) M1 been duly
.topted Of passed as an offici.1 <<:1 of the applicant's
goyerning body. IUthoriling the filing of the ~pliClltion.
including ,II undentandings and IlSS1Jrances conuined
therein, end directing and authorizing the person identi.
fied as the offici,1 representit;ye of the ilPplM:ant to act
in connection with th4J appliation and to provide ..,ch
Idditional infonnation as may be ,e-quired.
2. II will comply with Title VI 01 !he Civil Ril#lts Act 01
1964 CP.L. 88-352) 1100 in M:COrd.nce with Tide VI of
tNt Act. no penon in ~e United Slllei "'aI'. on the
ground of r~. color. or nltjonal origin, be n:eluded
from pmicipation in, be denied the beneflU of, or be
otherwi$e R.Ibjecled to discrilJlinltion under <<'Iy pro.
.,..m or ectivity for whtch the .ppliunt rKeives Federal
fiMnci.1 auistance and will immediately take Ifly mea.
air. necessMy to effectuate this IIgreement.
3. II will comply with Title VI of Ihe Civ~ Ril#lts -":t 01
1964 (42 use 2000d1 prohibiting employment diocrimi.
Mtion where (1) the prim.ry purpose of a gr.nt is to
pnwide employment or (21 discrimiNtory employment
puctices will result in unequal treatment of penons who
we Of should be beoefiti"9 from the grant.aided -=tivity.
4. It will comply with requirements of the provisions
of the Uniform Relocation Assisunce and Real Property
Acquisitions Act of 1970 (P.L. 91-6461 wI1ich p,,,,,ides
for fair and equitable treatment of penons displ.ced. a
mull of Fe(tenl end federally Issisted programs.
5. II will comply with the p,ovisions of the HOlm Act
which limit the politiul activity of employees..
6. It will comply with the minimum wage and maximum
hours provisions of the Federal Fair L,bor Standard~
Act, M they apply to hospital and education.1 institu.
tion employees of Sute and loca' governments.
1. It will ntllblish ....f..,.,.rds to prohibit employlft from
using their positions for .' purpose that is or gives the
IppelrlOCe of being motivated. by a" desir. for private
.in for themselves or othen, particul.rly thow with
W'hom they ~ve fa'1\ily. business, or other ties.
B. It will give the lponsad.,g agency.. the Comptrollo,
General through any authorized repre.entative the"
aeee.. to and the right to examine all record., bOok..
papers, or documents related to the grant.
9. It will comply with all ..qui......nts imposed by lhe
Federal sponsoring ogency concerning special
requirements 0' low, program requirements, and other
odministrotiye requirements.
10.It will insure thAt the facilities under its ownership, lease or
supervision which shall be utilized in the accomplishment of the
project are not listed on the Environmental Protection Agency's
(EPA) list of Violating Facilities and that it will notify the
Federal grantor agency ,of the receipt of any communication from
the Director of the 'EPA Office of Federal Activities indicating
that a facility to he used in the project is under consideration
for listing by the EPA.
ll.It will comply with the flood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973, Public
Law 93-234, 87 Stat. 975, approved December 31, 1976. Section
102(a) requires, on and after Karch 2, 1975, the purchase of flood
insurance in communities where such insurance is available as a
condition for the receipt of any Federal fin~icial assistance for
construction or acquisition purposes for use in any area that has
been identified by the Secretary of the Department of Housing and
Urban Development as an area having special flood hazards.
CJD-17
PART V (Continued)
The phrase -Federal financial assistance- includes any form
of loan, grant, guaranty, insurance payment, rebate, subsidy,
disaster assistance loan or qrant, or any other form of
direct or indirect Federal assistance.
12. It will assist the Federal grantor agency in its compliance
with Section 106 of the National HistQric Preservation Act
of 1966 as amended (16 U.S.C. 470), Executive Order 11593,
and the Archeological and Historic Preservation Act of
1966 (16 U.S.C. 469a-l et seq.) by (a) consulting with the
State Historic Preservation Officer on the conduct of
investigations, as necessary, to identify properties listed
in or eligible' for inclusion in the National Register of
Historic Places that are subject to adverse effects (see 36 CFR
Part 800.8) by the activity, and notifying the Federal
qrantor agency of the existence of any such properties, and
by (b) complying with all requirements established by the
Federal grantor agency to avoid or mitigate adverse effects
upon such properties.
13. It will comply with the Uniform Grant and Contract Management Standards
(UGCMS) developed under the directive of the Uniform Grant and Contract
Management Act of 1981, Texas Civil Statutes, Article 4413(329).
CJD-18
DESIGNATION OF GRANT OFFICIALS
In compliance with CJD rules relating to Eliqible Applicants and
Application Processinq, Subsection 3.48(c), applicants must provide
the full names, titles, addresses, and telephone numbers for the auth-
orized official, financial officer, and project director for each grant
submitted for consideration by the governor.
APPLICANT:
PROJECT TITLE:
Project Di rector (Type or Print)
Title
Address (Street or P. O. Box)
City Zip
Financial Officer (Type or Print)
Title
Address (Street or P. O. Box)
City
Zip
Telephone Number
Telephone Number
Authorized Official (Type or Print)
Title
Address (Street or P. O. Box)
City
Zip
Telephone Number
CJD-19