R23-149 1 RESOLUTION NO. R23-149
2
3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA,
4 AUTHORIZING THE MAYOR AND POLICE CHIEF TO SIGN ALL
5 DOCUMENTS ASSOCIATED WITH THE ACCEPTANCE AND
6 GRANT AGREEMENT FOR THE FISCAL YEAR 2023 COPS
7 TECHNOLOGY AND EQUIPMENT PROGRAM SUBJECT TO
8 THE APPROVAL OF THE CITY ATTORNEY; AND PROVIDING
9 AN EFFECTIVE DATE.
10
11
12 WHEREAS,the City of Boynton Beach Police Department was awarded $1,025,000 from
13 the FY 2023 COPS Office Technology and Equipment Program (TEP)which is an invitation-only
14 grant program (Radio Project submitted through the Office of Congresswoman Lois Frankel);
15 and
16 WHEREAS, the program is designed to develop and acquire effective equipment,
17 technologies, and interoperable communications that assist in responding to and preventing
18 crime; and
19 WHEREAS, the awarded funds are allocated towards equipment for the radio tower
20 being replaced; and
21 WHEREAS, upon recommendation of staff, the City Commission has determined that
22 it is in the best interests of the residents of the City to authorize the Mayor and Police Chief
23 to sign all documents associated with acceptance and grant agreement for the FY 2023 COPS
24 Technology and Equipment Program subject to the approval of the City Attorney.
25 NOW,THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
26 BOYNTON BEACH, FLORIDA, THAT:
27 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
28 being true and correct and are hereby made a specific part of this Resolution upon adoption
S:\CA\RESO\Agreements\Grants\DOJ COPS Technology and Equipment Program 2023-2024-Reso.docx
29 hereof.
30 Section 2. The City Commission of the City of Boynton Beach, Florida does hereby
31 authorize the Mayor and Police Chief to sign all documents associated with acceptance and
32 grant agreement for the FY 2023 COPS Technology and Equipment Program subject to the
33 approval of the City Attorney. A copy of the Grant Agreement is attached hereto and
34 incorporated herein by reference as Exhibit "A".
35 Section 3. This Resolution shall become effective immediately upon passage.
36 PASSED AND ADOPTED this 17th day of October, 2023.
37 CITY OF BOYNTON BEACH, FLORIDA
38
39 YES NO
40
41 Mayor-Ty Penserga
42
43 Vice Mayor-Thomas Turkin
44
45 Commissioner-Angela Cruz
46
47 Commissioner-Woodrow L. Hay
48
49 Commissioner-Aimee Kelley
50
51 VOTE S O
52
53 AT E`T:
54
55 Li, ,,,
•
56 Mayle. De =sus, MPS M_- 2 / Ty Pen
57 City Cler f c GORPORAT ° �o Mayor
•581Z.1 °
SEAL•
59 INCORPORATED I APPROVED AS TO ORM:
60 (Corporate Seal) 1920
11%
61
62 FLORVOP David N. Tolces
63 Interim City Attorney
S:\CA\RESO\Agreements\Grants\DOJ COPS Technology and Equipment Program 2023-2024-Reso.docx
�f Department of Justice (DOJ)
,%?,•" Office of Community Oriented Policing Services(COPS
y. r Office)
Washington,D.C.20531
Name and Address of Recipient: CITY OF BOYNTON BEACH
PO BOX 310
City,State and Zip: BOYNTON BEACH, FL 33425
Recipient UEI: FYYMUAVJDKC6
Project Title: FY23 COPS Technology and
Equipment Program (Congressionally Award Number: 15JCOPS-23-GG-01894-TECP
Directed Spending)
Solicitation Title: FY 2023 COPS Technology and Equipment Program Invitational Solicitation
Federal Award Amount: $1,025,000.00 'Federal Award Date: 9/20/23
Awarding Agency: Office of Community Oriented Policing Services
Funding Instrument Type: Grant
Opportunity Category: D
Assistance Listing:
16.710- Public Safety Partnership and Community Policing Grants
'Project Period Start Date: 12/29/22 Project Period End Date: 12/31/24
Budget Period Start Date: 12/29/22 'Budget Period End Date: 12/31/24
Project Description:
The FY 2023 COPS Office Technology and Equipment Program (TEP)is an invitation-onlygrant program designed to
P 9 9
develop and acquire effective equipment, technologies, and interoperable communications that assist in responding to
and preventing crime.
The objective is to provide funding for projects which improve police effectiveness and the flow of information among
law enforcement agencies, local government service providers, and the communities they serve. Funding shall be used
for the projects, and in the amounts, specified under the heading "Community Oriented Policing Services,Technology
and Equipment Community Projects/COPS Law Enforcement Technology and Equipment" in the Joint Explanatory
Statement—Division B,which is incorporated by reference into Public Law 117-328.
•
Page: 1 of 19
Award Letter
September 20, 2023
Dear Joseph DeGiulio,
On behalf of Attorney General Merrick B. Garland, it is my pleasure to inform you the Office of Community Oriented
Policing Services (the COPS Office)has approved the application submitted by CITY OF BOYNTON BEACH for an
award under the funding opportunity entitled 2023 FY 2023 COPS Technology and Equipment Program Invitational
Solicitation. The approved award amount is$1,025,000.
Review the Award Instrument below carefully and familiarize yourself with all conditions and requirements before
accepting your award. The Award Instrument includes the Award Offer(Award Information, Project Information,
P 91
Financial Information, and Award Conditions)and Award Acceptance. For COPS Office and OVW funding the Award
Offer also includes any Other Award Documents.
Please note that award requirements include not only the conditions and limitations set forth in the Award Offer, but
also compliance with assurances and certifications that relate to conduct during the period of performance for the
award.These requirements encompass financial, administrative, and programmatic matters, as well as other important
matters (e.g., specific restrictions on use of funds).Therefore, all key staff should receive the award conditions, the
assurances and certifications, and the application as approved by the COPS Office, so that they understand the award
requirements. Information on all pertinent award requirements also must be provided to any subrecipient of the award.
Should you accept the award and then fail to comply with an award requirement, DOJ will pursue appropriate remedies
for non-compliance, which may include termination of the award and/or a requirement to repay award funds.
Prior to accepting the award, your Entity Administrator must assign a Financial Manager, Grant Award Administrator,
and Authorized Representative(s) in the Justice Grants System (JustGrants).The Entity Administrator will need to
ensure the assigned Authorized Representative(s)is current and has the legal authority to accept awards and bind the
entity to the award terms and conditions. To accept the award, the Authorized Representative(s) must accept all parts
of the Award Offer in the Justice Grants System (JustGrants), including by executing the required declaration and
certification,within 45 days from the award date.
To access your funds, you will need to enroll in the Automated Standard Application for Payments (ASAP)system, if
you haven't already completed the enrollment process in ASAP.The Entity Administrator should have already received
an email from ASAP to initiate this process.
Congratulations, and we look forward to working with you.
HUGH CLEMENTS
COPS Director
Office for Civil Rights Notice for All Recipients
The Office for Civil Rights (OCR), Office of Justice Programs (OJP), U.S. Department of Justice (DOJ) has been
delegated the responsibility for ensuring that recipients of federal financial assistance from the OJP, the Office of
Community Oriented Policing Services (COPS), and the Office on Violence Against Women (OVW) are not engaged in
discrimination prohibited by law. Several federal civil rights laws, such as Title VI of the Civil Rights Act of 1964 and
Section 504 of the Rehabilitation Act of 1973, require recipients of federal financial assistance to give assurances that
they will comply with those laws. Taken together, these civil rights laws prohibit recipients of federal financial
assistance from DOJ from discriminating in services and employment because of race, color, national origin, religion,
disability, sex, and, for grants authorized under the Violence Against Women Act, sexual orientation and gender
identity. Recipients are also prohibited from discriminating in services because of age. For a complete review of these
civil rights laws and nondiscrimination requirements, in connection with DOJ awards, see https://ojp.gov/funding/
Explore/LegalOverview/CivilRightsRequirements.htm.
Under the delegation of authority,the OCR investigates allegations of discrimination against recipients from individuals,
entities, or groups. In addition, the OCR conducts limited compliance reviews and audits based on regulatory criteria.
Page: 2 of 19
These reviews and audits permit the OCR to evaluate whether recipients of financial assistance from the Department
are providing services in a nondiscriminatory manner to their service population or have employment practices that
meet equal-opportunity standards.
If you are a recipient of grant awards under the Omnibus Crime Control and Safe Streets Act or the Juvenile Justice
and Delinquency Prevention Act and your agency is part of a criminal justice system, there are two additional
obligations that may apply in connection with the awards: (1)complying with the regulation relating to Equal
Employment Opportunity Programs (EEOPs); and (2)submitting findings of discrimination to OCR. For additional
information regarding the EEOP requirement, see 28 CFR Part 42, subpart E, and for additional information regarding
requirements when there is an adverse finding, see 28 C.F.R. §§42.204(c), .205(c)(5).
The OCR is available to help you and your organization meet the civil rights requirements that are associated with DOJ
grant funding. If you would like the OCR to assist you in fulfilling your organization's civil rights or nondiscrimination
responsibilities as a recipient of federal financial assistance, please do not hesitate to contact the OCR at
askOCR@ojp.usdoj.gov.
Award Information
This award is offered subject to the conditions or limitations set forth in the Award Information, Project
Information, Financial Information, and Award Conditions.
Recipient Information
Recipient Name
BOYNTON BEACH, CITY OF
UEI
FYYMUAVJDKC6 ORI Number
Street 1
PO BOX 310 Street 2
City State/U.S. Territory
BOYNTON BEACH Florida
Zip/Postal Code Country
33425 United States
County/Parish Province
Award Details
Federal Award Date Award Type
9/20/23 Initial
Award Number Supplement Number
15JCOPS-23-GG-01894-TECP 00
Federal Award Amount Funding Instrument Type
$1,025,000.00 Grant
Page: 3 of 19
Assistance Listing Assistance Listings Program Title
Number
16.710 Public Safety Partnership and Community Policing Grants
Statutory Authority
The Public Safety Partnership and Community Policing Act of 1994, 34 U.S.C. § 10381 et seq
I have read and understand the information presented in this section of the Federal Award Instrument.
Project Information
This award is offered subject to the conditions or limitations set•forth in the Award Information, Project
Information, Financial Information, and Award Conditions.
Solicitation Title Awarding Agency
COPS
2023 FY 2023 COPS Technology and Equipment
Program Invitational Solicitation
Application Number
GRANT13846730
Grant Manager Name
VERLENA BRAXTON
Phone Number
202-598-7372
E-mail Address
VERLENA.BRAXTON@USDOJ.GOV
Project Title
FY23 COPS Technology and Equipment Program (Congressionally Directed Spending)
Performance Period Start
Date Performance Period End Date
12/29/2022 12/31/2024
Budget Period Start Date Budget Period End Date
12/29/2022 12/31/2024
Project Description
The FY 2023 COPS Office Technology and Equipment Program (TEP) is an invitation-only grant program designed to
develop and acquire effective equipment, technologies, and interoperable communications that assist in responding to
and preventing crime.
The objective is to provide funding for projects which improve police effectiveness and the flow of information among
law enforcement agencies, local government service providers, and the communities they serve. Funding shall be used
for the projects, and in the amounts, specified under the heading "Community Oriented Policing Services,Technology
Page: 4 of 19
and Equipment Community Projects/COPS Law Enforcement Technology and Equipment"in the Joint Explanatory
Statement—Division B, which is incorporated by reference into Public Law 117-328.
[1
I have read and understand the information presented in this section of the Federal Award Instrument.
Financial Information
•This award is offered subject to the conditions or limitations set forth in the Award Information, Project
Information, Financial Information, and Award Conditions.
A financial analysis of budgeted costs has been completed.All costs listed in the approved budget below were
programmatically approved based on the final proposed detailed budget and budget narratives submitted by your
agency to the COPS Office.Any adjustments or edits to the proposed budget are explained below.
Budget Clearance Date: 6/7/23 6:19 PM
Comments
No items
Budget Category Proposed Change Approved Percentages
Budget Budget
Sworn Officer Positions: $0 $0 $0
Civilian or Non-Sworn Personnel: $0 $0 $0
Travel: $0 $0 $0
Equipment: $0 $0 $0
Supplies: $0 $0 $0
SubAwards: $0 $0 $0
Procurement Contracts: $1,025,000 $0 $1,025,000
Other Costs: $0 $0 $0
Total Direct Costs: $1,025,000 $0 $1,025,000
Indirect Costs: $0 $0 $0
Total Project Costs: $1,025,000 $0 $1,025,000
Federal Funds: $1,025,000 $0 $1,025,000 100.00%
Match Amount: $0 $0 $0 0.00%
Page: 5 of 19
Program Income: $0 $0 $0 0.00%
Budget Category
Sworn Officer
Civilian Personnel
Travel
Equipment
Supplies
SubAwards
Procurement Contracts
Other Costs
Indirect Costs
[]
I have read and understand the information presented in this section of the Federal Award Instrument.
Other Award Documents
[]
I have read and understand the information presented in this section of the Federal Award Instrument.
No other award documents have been added.
Award Conditions
This award is offered subject to the conditions or limitations set forth in the Award Information, Project
Information, Financial Information, and Award Conditions.
1
Reporting Subawards and Executive Compensation
The recipient agrees to comply with the following requirements of 2 C.F.R. Part 170, Appendix A to Part 170—Award
Term:
I. Reporting Subawards and Executive Compensation
a. Reporting of first-tier subawards.
Applicability. Unless you are exempt as provided in paragraph d. of this award term,you must report each action that
equals or exceeds$30,000 in Federal funds for a subaward to a non-Federal entity or Federal agency(see definitions
Page: 6 of 19
in paragraph e. of this award term).
2.Where and when to report.
i.The non-Federal entity or Federal agency must report each obligating action described in paragraph a.1. of this
award term to http://www.fsrs.gov.
ii. For subaward information, report no later than the end of the month following the month in which the obligation was
made. (For example, if the obligation was made on November 7, 2010, the obligation must be reported by no later than
December 31, 2010.)
3.What to report.You must report the information about each obligating action that the submission instructions posted
at http://www.fsrs.gov specify.
b. Reporting total compensation of recipient executives for non-Federal entities.
1.Applicability and what to report. You must report total compensation for each of your five most highly compensated
executives for the preceding completed fiscal year, if—
i. The total Federal funding authorized to date under this Federal award equals or exceeds $30,000 as defined in 2
CFR 170.320;
ii. in the preceding fiscal year, you received—
(A)80 percent or more of your annual gross revenues from Federal procurement contracts (and subcontracts) and
Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards), and
(B)$25,000,000 or more in annual gross revenues from Federal procurement contracts (and subcontracts)and
Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards); and,
iii. The public does not have access to information about the compensation of the executives through periodic reports
filed under section 13(a)or 15(d)of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d))or section 6104 of
the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see the
U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.)
2.Where and when to report. You must report executive total compensation described in paragraph b.1. of this award
term:
i. As part of your registration profile at https://www.sam.gov.
ii. By the end of the month following the month in which this award is made, and annually thereafter.
c. Reporting of Total Compensation of Subrecipient Executives.
1.Applicability and what to report. Unless you are exempt as provided in paragraph d. of this award term,for each first-
tier non-Federal entity subrecipient under this award, you shall report the names and total compensation of each of the
subrecipient's five most highly compensated executives for the subrecipient's preceding completed fiscal year, if—
i. in the subrecipient's preceding fiscal year, the subrecipient received—
(A)80 percent or more of its annual gross revenues from Federal procurement contracts (and subcontracts)and
Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards)and,
(B)$25,000,000 or more in annual gross revenues from Federal procurement contracts (and subcontracts), and
Federal financial assistance subject to the Transparency Act(and subawards); and
ii.The public does not have access to information about the compensation of the executives through periodic reports
filed under section 13(a)or 15(d)of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d))or section 6104 of
the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see the
Page: 7 of 19
U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.)
2.Where and when to report.You must report subrecipient executive total compensation described in paragraph c.1.
of this award term:
i. To the recipient.
ii. By the end of the month following the month during which you make the subaward. For example, if a subaward is
obligated on any date during the month of October of a given year(i.e., between October 1 and 31), you must report
any required compensation information of the subrecipient by November 30 of that year.
d. Exemptions.
If, in the previous tax year, you had gross income,from all sources, under$300,000, you are exempt from the
requirements to report:
i. Subawards, and
ii.The total compensation of the five most highly compensated executives of any subrecipient.
e. Definitions. For purposes of this award term:
1. Federal Agency means a Federal agency as defined at 5 U.S.C. 551(1)and further clarified by 5 U.S.C. 552(f).
2. Non-Federal entity means all of the following, as defined in 2 CFR part 25:
i.A Governmental organization,which is a State, local government, or Indian tribe;
ii.A foreign public entity;
iii.A domestic or foreign nonprofit organization; and,
iv.A domestic or foreign for-profit organization
3. Executive means officers, managing partners, or any other employees in management positions.
4. Subaward:
i. This term means a legal instrument to provide support for the performance of any portion of the substantive project or
program for which you received this award and that you as the recipient award to an eligible subrecipient.
ii. The term does not include your procurement of property and services needed to carry out the project or program (for
further explanation, see 2 CFR 200.331).
iii.A subaward may be provided through any legal agreement, including an agreement that you or a subrecipient
considers a contract.
5. Subrecipient means a non-Federal entity or Federal agency that:
i. Receives a subaward from you (the recipient) under this award; and
ii. Is accountable to you for the use of the Federal funds provided by the subaward.
6.Total compensation means the cash and noncash dollar value earned by the executive during the recipient's or
subrecipient's preceding fiscal year and includes the following (for more information see 17 CFR 229.402(c)(2)).
2
Restrictions on Internal Confidentiality Agreements: No recipient or subrecipient under this award, or entity that
receives a contract or subcontract with any funds under this award, may require any employee or contractor to sign an
Page: 8 of 19
internal confidentiality agreement or statement that prohibits or otherwise restricts the lawful reporting of waste,fraud,
or abuse to an investigative or law enforcement representative of a federal department or agency authorized to receive
such information. Consolidated Appropriations Act, 2023, Public Law 117-328, Division E, Title VII, Section 742.
3
Prohibited conduct by recipients and subrecipients related to trafficking in persons (including reporting requirements
and COPS Office authority to terminate award): The recipient and subrecipient agree to comply with the requirements
in 2 C.F.R. § 175.15(b)–Award Term:
I. Trafficking in persons.
a. Provisions applicable to a recipient that is a private entity.
1.You as the recipient, your employees, subrecipients under this award, and subrecipients'employees may not—
i. Engage in severe forms of trafficking in persons during the period of time that the award is in effect;
ii. Procure a commercial sex act during the period of time that the award is in effect; or
iii. Use forced labor in the performance of the award or subawards under the award.
2. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if you or a subrecipient
that is a private entity—
i. Is determined to have violated a prohibition in paragraph a.1 of this award term; or
ii. Has an employee who is determined by the agency official authorized to terminate the award to have violated a
prohibition in paragraph a.1 of this award term through conduct that is either—
A. Associated with performance under this award; or
B. Imputed to you or the subrecipient using the standards and due process for imputing the conduct of an individual to
an organization that are provided in 2CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and
Suspension (Nonprocurement),"as implemented by DOJ at 2 C.F.R. Part 2867.
b. Provision applicable to a recipient other than a private entity. We as the Federal awarding agency may unilaterally
terminate this award, without penalty, if a subrecipient that is a private entity-
1. Is determined to have violated an applicable prohibition in paragraph a.1 of this award term; or
2. Has an employee who is determined by the agency official authorized to terminate the award to have violated an
applicable prohibition in paragraph a.1 of this award term through conduct that is either—
i. Associated with performance under this award; or
ii. Imputed to the subrecipient using the standards and due process for imputing the conduct of an individual to an
organization that are provided in 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and
Suspension (Nonprocurement),"as implemented by DOJ at 2 C.F.R. Part 2867.
c. Provisions applicable to any recipient.
1.You must inform us immediately of any information you receive from any source alleging a violation of a prohibition
in paragraph a.1 of this award term.
2. Our right to terminate unilaterally that is described in paragraph a.2 or b of this section:
i. Implements section 106(g)of the Trafficking Victims Protection Act of 2000 (TVPA), as amended 22 U.S.C. 7104(g),
and
ii. Is in addition to all other remedies for noncompliance that are available to us under this award.
3.You must include the requirements of paragraph a.1 of this award term in any subaward you make to a private
entity.
d. Definitions. For purposes of this award term:
1. "Employee" means either:
i. An individual employed by you or a subrecipient who is engaged in the performance of the project or program under
this award; or
ii.Another person engaged in the performance of the project or program under this award and not compensated by you
including, but not limited to, a volunteer or individual whose services are contributed by a third party as an in-kind
contribution toward cost sharing or matching requirements.
2. "Forced labor" means labor obtained by any of the following methods: the recruitment, harboring, transportation,
provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of
subjection to involuntary servitude, peonage, debt bondage, or slavery.
3. "Private entity":
i. Means any entity other than a State, local government, Indian tribe, or foreign public entity, as those terms are
defined in 2 CFR 175.25.
ii. Includes:
A.A nonprofit organization, including any nonprofit institution of higher education, hospital, or tribal organization other
than one included in the definition of Indian tribe at 2 CFR 175.25(b).
B.A for-profit organization.
4. "Severe forms of trafficking in persons,""commercial sex act,"and "coercion" have the meanings given at section
Page: 9 of 19
103 of the TVPA, as amended (22 U.S.C. 7102).
4
Duplicative Funding: The recipient understands and agrees to notify the COPS Office if it receives, from any other
source,funding for the same item or service also funded under this award.
5
Termination: Recipient understands and agrees that the COPS Office may terminate funding, in whole or in part,for
the following reasons:
(1)When the recipient fails to comply with the terms and conditions of a Federal award.
(2)When an award no longer effectuates the program goals or agency priorities,to the extent such termination is
authorized by law.
(3)When the recipient agrees to the termination and termination conditions.
(4)When the recipient provides the COPS Office written notification requesting termination including the reasons,
effective date, and the portion of the award to be terminated. The COPS Office may terminate the entire award if the
remaining portion will not accomplish the purposes of the award.
(5) Pursuant to any other termination provisions included in the award.
2. C.F.R. §200.340.
6
Award Owner's Manual:The recipient agrees to comply with the terms and conditions in the applicable 2023 COPS
Office Program Award Owner's Manual; DOJ Grants Financial Guide; COPS Office statute (34 U.S.C. § 10381, et
seq.)as applicable; Students, Teachers, and Officers Preventing (STOP)School Violence Act of 2018 (34 U.S.C. §
10551, et seq.)as applicable; the requirements of 2 C.F.R. Part 200 (Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards)as adopted by the U.S. Department of Justice in 2 C.F.R. §
2800.101;48 C.F.R. Part 31 (FAR Part 31)as applicable (Contract Cost Principles and Procedures); the Cooperative
Agreement as applicable; representations made in the application; and all other applicable program requirements,
laws, orders, regulations, or circulars.
Failure to comply with one or more award requirements may result in remedial action including, but not limited to,
withholding award funds, disallowing costs, suspending, or terminating the award, or other legal action as appropriate.
Should any provision of an award condition be deemed invalid or unenforceable by its terms, that provision will be
applied to give it the maximum effect permitted by law. Should the provision be deemed invalid or unenforceable in its
entirety, such provision will be severed from this award.
7
Authorized Representative Responsibility: The recipient understands that, in accepting this award,the Authorized
Representatives declare and certify, among other things,that they possess the requisite legal authority to accept the
award on behalf of the recipient entity and, in so doing, accept(or adopt) all material requirements throughout the
period of performance under this award.The recipient further understands, and agrees,that it will not assign anyone to
the role of Authorized Representative during the period of performance under the award without first ensuring that the
individual has the requisite legal authority.
8
Award Monitoring Activities: Federal law requires that recipients receiving federal funding from the COPS Office must
be monitored to ensure compliance with their award conditions and other applicable statutes and regulations. The
COPS Office is also interested in tracking the progress of our programs and the advancement of community policing.
Both aspects of award implementation—compliance and programmatic benefits—are part of the monitoring process
coordinated by the U.S. Department of Justice.Award monitoring activities conducted by the COPS Office include site
visits, enhanced office-based grant reviews, alleged noncompliance reviews,financial and programmatic reporting, and
audit resolution.As a COPS Office award recipient, you agree to cooperate with and respond to any requests for
information pertaining to your award. This includes all financial records, such as general accounting ledgers and all
supporting documents.All information pertinent to the implementation of the award is subject to agency review
throughout the life of the award, during the close-out process and for three-years after the submission of the final
expenditure report. 34 U.S.C. § 10385(a)and 2 C.F.R. §§ 200.334 and 200.337.
Page: 10 of 19
9
Contract Provision:All contracts made by the award recipients under the federal award must contain the provisions
required under 2 C.F.R. Part 200,Appendix II to Part 200—Contract Provisions for Non-Federal Entity Contracts Under
Federal Awards. Please see appendices in the Award Owner's Manual for a full text of the contract provisions.
10
Assurances and Certifications: The recipient acknowledges its agreement to comply with the Assurances and
Certifications forms that were signed as part of its application.
11
Conflict of Interest: Recipients and subrecipients must disclose in writing to the COPS Office or pass-through entity, as
applicable, any potential conflict of interest affecting the awarded federal funding in 2 C.F.R. §200.112.
12
Debarment and Suspension: The recipient agrees not to award federal funds under this program to any party which is
debarred or suspended from participation in federal assistance programs. 2 C.F.R. Part 180 (Government-wide
Nonprocurement Debarment and Suspension)and 2 C.F.R. Part 2867 (DOJ Nonprocurement Debarment and
Suspension).
13
Employment Eligibility: The recipient agrees to complete and keep on file, as appropriate, the Department of Homeland
Security, U.S. Citizenship and Immigration Services (USCIS) Employment Eligibility Verification Form (1-9).This form is
to be used by recipients of federal funds to verify that persons are eligible to work in the United States. Immigration
Reform and Control Act of 1986 (IRCA), Public Law 99-603.
14
Enhancement of Contractor Protection from Reprisal for Disclosure of Certain Information: Recipients and
subrecipients agree not to discharge, demote, or otherwise discriminate against an employee as reprisal for the
employee disclosing information that he or she reasonably believes is evidence of gross mismanagement of a federal
contract or award, a gross waste of federal funds, an abuse of authority relating to a federal contract or award, a
substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a Federal
contract(including the competition for or negotiation of a contract)or award. Recipients and subrecipients also agree to
provide to their employees in writing (in the predominant native language of the workforce)of the rights and remedies
provided in 41 U.S.C. §4712. Please see appendices in the Award Owner's Manual for a full text of the statute.
15
Equal Employment Opportunity Plan (EEOP):All recipients of funding from the COPS Office must comply with the
federal regulations pertaining to the development and implementation of an Equal Employment Opportunity Plan. 28
C.F.R. Part 42 subpart E.
16
False Statements: False statements or claims made in connection with COPS Office awards may result in fines,
imprisonment, debarment from participating in federal awards or contracts, and/or any other remedy available by law.
31 U.S.C. §3729-3733.
17
Federal Civil Rights: The Applicant understands that the federal statutes and regulations applicable to the award (if
any)made by the Department based on the application specifically include statutes and regulations pertaining to civil
rights and nondiscrimination, and, in addition—
a.the Applicant understands that the applicable statutes pertaining to civil rights will include section 601 of the Civil
Rights Act of 1964 (42 U.S.C. §2000d); section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794); section 901 of
the Education Amendments of 1972 (20 U.S.C. § 1681); and section 303 of the Age Discrimination Act of 1975 (42
U.S.C. §6102);
Page: 11 of 19
b.the Applicant understands that the applicable statutes pertaining to nondiscrimination may include section 809(c)of
Title I of the Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. § 10228(c)); section 1407(e)of the
Victims of Crime Act of 1984 (34 U.S.C. §20110(e)); section 299A(b)of the Juvenile Justice and Delinquency
Prevention Act of 2002 (34 U.S.C. § 11182(b)); and that the grant condition set out at section 40002(b)(13)of the
Violence Against Women Act(34 U.S.C. § 12291(b)(13)),which will apply to all awards made by the Office on Violence
Against Women, also may apply to an award made otherwise;
c. the Applicant understands that it must require any subrecipient to comply with all such applicable statutes (and
associated regulations); and
d. on behalf of the Applicant, I make the specific assurances set out in 28 C.F.R. §§42.105 and 42.204.
The Applicant also understands that(in addition to any applicable program-specific regulations and to applicable
federal regulations that pertain to civil rights and nondiscrimination)the federal regulations applicable to the award (if
any)made by the Department based on the application may include, but are not limited to, 2 C.F.R. Part 2800 (the
DOJ "Part 200 Uniform Requirements")and 28 C.F.R. Parts 22 (confidentiality-research and statistical information),
23 (criminal intelligence systems), 38 (regarding faith-based or religious organizations participating in federal financial
assistance programs), and 46 (human subjects protection).
18
Mandatory Disclosure: Recipients and subrecipients must timely disclose in writing to the Federal awarding agency or
pass-through entity, as applicable, all federal criminal law violations involving fraud, bribery, or gratuity that may
potentially affect the awarded federal funding. Recipients that receive an award over$500,000 must also report certain
civil, criminal, or administrative proceedings in SAM and are required to comply with the Term and Condition for
Recipient Integrity and Performance Matters as set out in 2 C.F.R. Part 200,Appendix XII to Part 200. Failure to make
required disclosures can result in any of the remedies, including suspension and debarment, described in 2 C.F.R. §
200.339. 2 C.F.R. §200.113.
19
Reports/Performance Goals: To assist the COPS Office in monitoring and tracking the performance of your award,
your agency will be responsible for submitting semi-annual programmatic performance reports that describe project
activities during the reporting period and quarterly Federal Financial Reports using Standard Form 425 (SF-425). 2
C.F.R. §§200.328-200.329. The performance report is used to track your agency's progress toward implementing
community policing strategies and to collect data to gauge the effectiveness of increasing your agency's community
policing capacity through COPS Office funding. The Federal Financial Report is used to track the expenditures of the
recipient's award funds on a cumulative basis throughout the life of the award.
20
Recipient Integrity and Performance Matters: For awards over$500,000, the recipient agrees to comply with the
following requirements of 2 C.F.R. Part 200, Appendix XII to Part 200—Award Term and Condition for Recipient
Integrity and Performance Matters:
A. Reporting of Matters Related to Recipient Integrity and Performance
1. General Reporting Requirement
If the total value of your currently active grants, cooperative agreements, and procurement contracts from all Federal
awarding agencies exceeds $10,000,000 for any period of time during the period of performance of this Federal award,
then you as the recipient during that period of time must maintain the currency of information reported to the System
for Award Management(SAM)that is made available in the designated integrity and performance system (currently the
Federal Awardee Performance and Integrity Information System (FAPIIS))about civil, criminal, or administrative
proceedings described in paragraph 2 of this award term and condition. This is a statutory requirement under section
872 of Public Law 110-417, as amended (41 U.S.C. 2313).As required by section 3010 of Public Law 111-212, all
information posted in the designated integrity and performance system on or after April 15, 2011, except past
performance reviews required for Federal procurement contracts,will be publicly available.
2. Proceedings About Which You Must Report
Submit the information required about each proceeding that:
a. Is in connection with the award or performance of a grant, cooperative agreement, or procurement contract from the
Federal Government;
b. Reached its final disposition during the most recent five-year period; and
Page: 12 of 19
c. Is one of the following:
(1)A criminal proceeding that resulted in a conviction, as defined in paragraph 5 of this award term and condition;
(2)A civil proceeding that resulted in a finding of fault and liability and payment of a monetary fine, penalty,
reimbursement, restitution, or damages of$5,000 or more;
(3)An administrative proceeding, as defined in paragraph 5. of this award term and condition, that resulted in a finding
of fault and liability and your payment of either a monetary fine or penalty of$5,000 or more or reimbursement,
restitution, or damages in excess of$100,000; or
(4)Any other criminal, civil, or administrative proceeding if:
(i) It could have led to an outcome described in paragraph 2.c.(1), (2), or(3)of this award term and condition;
(ii) It had a different disposition arrived at by consent or compromise with an acknowledgment of fault on your part; and
(iii)The requirement in this award term and condition to disclose information about the proceeding does not conflict
with applicable laws and regulations.
3. Reporting Procedures
Enter in the SAM Entity Management area the information that SAM requires about each proceeding described in
paragraph 2 of this award term and condition. You do not need to submit the information a second time under
assistance awards that you received if you already provided the information through SAM because you were required
to do so under Federal procurement contracts that you were awarded.
4. Reporting Frequency
During any period of time when you are subject to the requirement in paragraph 1 of this award term and condition, you
must report proceedings information through SAM for the most recent five year period, either to report new information
about any proceeding(s)that you have not reported previously or affirm that there is no new information to report.
Recipients that have Federal contract, grant, and cooperative agreement awards with a cumulative total value greater
than $10,000,000 must disclose semiannually any information about the criminal, civil, and administrative proceedings.
5. Definitions
For purposes of this award term and condition:
a.Administrative proceeding means a non judicial process that is adjudicatory in nature in order to make a
determination of fault or liability(e.g., Securities and Exchange Commission Administrative proceedings, Civilian Board
of Contract Appeals proceedings, and Armed Services Board of Contract Appeals proceedings). This includes
proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It
does not include audits, site visits, corrective plans, or inspection of deliverables.
b. Conviction,for purposes of this award term and condition, means a judgment or conviction of a criminal offense by
any court of competent jurisdiction,whether entered upon a verdict or a plea, and includes a conviction entered upon a
plea of nolo contendere.
c.Total value of currently active grants, cooperative agreements, and procurement contracts includes—
(1)Only the Federal share of the funding under any Federal award with a recipient cost share or match; and
(2)The value of all expected funding increments under a Federal award and options, even if not yet exercised.
21
System for Award Management(SAM) and Universal Identifier Requirements:The recipient agrees to comply with the
following requirements of 2 C.F.R. Part 25,Appendix A to Part 25—Award Term:
I. System for Award Management and Universal Identifier Requirements
A. Requirement for System for Award Management
Unless you are exempted from this requirement under 2 CFR 25.110, you as the recipient must maintain current
Page: 13 of 19
information in the SAM. This includes information on your immediate and highest level owner and subsidiaries, as well
as on all of your predecessors that have been awarded a Federal contract or Federal financial assistance within the
last three years, if applicable, until you submit the final financial report required under this Federal award or receive the
final payment,whichever is later. This requires that you review and update the information at least annually after the
initial registration, and more frequently if required by changes in your information or another Federal award term.
B. Requirement for Unique Entity Identifier
If you are authorized to make subawards under this Federal award, you:
1. Must notify potential subrecipients that no entity(see definition in paragraph C of this award term) may receive a
subaward from you until the entity has provided its Unique Entity Identifier to you.
2. May not make a subaward to an entity unless the entity has provided its Unique Entity Identifier to you.
Subrecipients are not required to obtain an active SAM registration, but must obtain a Unique Entity Identifier.
C. Definitions
For purposes of this term:
1. System for Award Management(SAM) means the Federal repository into which a recipient must provide information
required for the conduct of business as a recipient.Additional information about registration procedures may be found
at the SAM Internet site (currently at https://www.sam.gov).
2. Unique Entity Identifier means the identifier assigned by SAM to uniquely identify business entities.
3. Entity includes non-Federal entities as defined at 2 CFR 200.1 and also includes all of the following,for purposes of
this part:
a.A foreign organization;
b.A foreign public entity;
c.A domestic for-profit organization; and
d.A Federal agency.
4. Subaward has the meaning given in 2 CFR 200.1.
5. Subrecipient has the meaning given in 2 CFR 200.1.
22
Additional High-Risk Recipient Requirements: The recipient agrees to comply with any additional requirements that
may be imposed during the award performance period if the awarding agency determines that the recipient is a high-
risk recipient. 2 C.F.R. §200.208.
23
Criminal Intelligence Systems: Recipients using award funds to operate an interjurisdictional criminal intelligence
system must comply with the operating principles of 28 C.F.R. Part 23.At the time of application, the recipient assured
the COPS Office that it will comply with the requirements of 28 C.F.R. Part 23.
24
State Information Technology Point of Contact: The recipient agrees to ensure that the appropriate State Information
Technology Point of Contact receives written notification regarding any technology or information-sharing project
funded by this award during the obligation and expenditure period.This is to facilitate communication among local and
state governmental entities regarding various information technology projects being conducted with these award funds.
In addition, the recipient agrees to maintain an administrative file documenting the meeting of this requirement. For a
list of State Information Technology Points of Contact, go to https://it.ojp.gov/technology-contacts.
Page: 14 of 19
25
Requirement to report actual or imminent breach of personally identifiable information (PII).
The recipient(and any subrecipient at any tier) must have written procedures in place to respond in the event of an
actual or imminent breach (as defined in OMB M-17-12) if it(or a subrecipient)-- 1)creates, collects, uses, processes,
stores, maintains, disseminates, discloses, or disposes of personally identifiable information (PII) (as defined in 2
C.F.R. 200.1)within the scope of a COPS Office grant-funded program or activity, or 2) uses or operates a Federal
information system (as defined in OMB Circular A-130). The recipient's breach procedures must include a requirement
to report actual or imminent breach of PII to the recipient's COPS Office Program Manager no later than 24 hours after
an occurrence of an actual breach, or the detection of an imminent breach.
26
Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment: Recipient agrees that it,
and its subrecipients, will not use award funds to extend, renew, or enter into any contract to procure or obtain any
covered telecommunication and video surveillance services or equipment as described in 2 CFR§200.216. Covered
services and equipment include telecommunications or video surveillance services or equipment produced or provided
by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities); Hytera
Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company(or
any subsidiary or affiliate of such entities); or an entity that the Secretary of Defense, in consultation with the Director of
the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity
owned or controlled by, or otherwise connected to, the government of China. The use of award funds on covered
telecommunications or video surveillance services or equipment are unallowable.
2. C.F.R. § §200.216 &471. See also Section 889 of the John S. McCain National Defense Authorization Act of Fiscal
Year 2019, Public Law 115-232.
27
Modifications: Award modifications are evaluated on a case-by-case basis in accordance with 2 C.F.R. §200.308(f).
For federal awards in excess of$250,000, any modification request involving the reallocation of funding between
budget categories that exceed or are expected to exceed 10 percent(10%)of the total approved budget requires prior
written approval by the COPS Office. Regardless of the federal award amount or budget modification percentage, any
reallocation of funding is limited to approved budget categories. In addition, any budget modification that changes the
scope of the project requires prior written approval by the COPS Office.
28
The Paperwork Reduction Act Clearance and Privacy Act Review: Recipient agrees, if required, to submit all surveys,
interview protocols, and other information collections to the COPS Office for submission to the Office of Management
and Budget(OMB)for clearance under the Paperwork Reduction Act(PRA). Before submission to OMB, all
information collections that request personally identifiable information must be reviewed by the COPS Office to ensure
compliance with the Privacy Act. The Privacy Act compliance review and the PRA clearance process may take several
months to complete. 44 U.S.C. §§3501-3520 and 5 U.S.C. § 552a.
29
Computer Network Requirement: The recipient understands and agrees that no award funds may be used to maintain
or establish a computer network unless such network blocks the viewing, downloading, and exchanging of
pornography. Nothing in this requirement limits the use of funds necessary for any federal, state,tribal, or local law
enforcement agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities.
Consolidated Appropriations Act, 2023, Public Law 117-328, Division B, Title V, Section 527.
30
Domestic preferences for procurements: Recipient agrees that it, and its subrecipients, to the greatest extent
practicable, will provide a preference for the purchase, acquisition, or use of goods, products, and materials produced
in, and services offered in,the United States. 2. C.F.R. §200.322 and Executive Order 14005, Ensuring the Future is
Made in All of America by All of America's Workers, January 25, 2021.
31
Page: 15 of 19
Sole Source Justification: Recipients who have been awarded funding for the procurement of an item (or group of
items)or service in excess of$250,000 and who plan to seek approval for use of a noncompetitive procurement
process must provide a written sole source justification to the COPS Office for approval prior to obligating, expending,
or drawing down award funds for that item or service. 2 C.F.R. §200.325(b)(2).
32
Supplementing, not Supplanting: State, local, and tribal government recipients must use award funds to supplement,
and not supplant, state, local, or Bureau of Indian Affairs (BIA)funds that are already committed or otherwise would
have been committed for award purposes (hiring, training, purchases, and/or activities)during the award period. In
other words, state, local, and tribal government recipients may not use COPS Office funds to supplant(replace)state,
local, or BIA funds that would have been dedicated to the COPS Office-funded item(s) in the absence of the COPS
Office award. 34 U.S.C. § 10384(a).
33
Travel Costs: Travel costs for transportation, lodging and subsistence, and related items are allowable with prior
approval from the COPS Office. Payment for allowable travel costs will be in accordance with 2 C.F.R. §200.475.
34
Extensions: Recipients may request an extension of the award period to receive additional time to implement their
award program. Such extensions do not provide additional funding. Only those recipients that can provide a
reasonable justification for delays will be granted no-cost extensions. Extension requests must be received prior to the
end date of the award. 2 C.F.R. §§200.308(e)(2) and 200.309.
35
Allowable Costs:The funding under this award is for the payment of approved costs for program-specific purposes.
The allowable costs approved for your agency's award are limited to those listed in your agency's award package. In
accordance with 2 C.F.R. §200.400(g), the recipient must forgo any profit or management fee. Your agency may not
use award funds for any costs not identified as allowable in the award package.
36
Evaluations:The COPS Office may conduct monitoring or sponsor national evaluations of its award programs.The
recipient agrees to cooperate with the monitors and evaluators. 34 U.S.C. § 10385(b).
37
Contracts and/or MOUs with Other Jurisdictions: Items funded under this award must only be used for law enforcement
activities or services that benefit your agency and the population that it serves and cannot be utilized by other agencies
unless the items benefit the population that your agency serves.
38
Community Policing: Community policing activities to be initiated or enhanced by your agency were identified and
described in your award application.All equipment, technology, training, and civilian positions awarded under the TEP
award must be linked to the implementation or enhancement of community policing. 34 U.S.C. § 10382 (c)(10).
39
Build America, Buy America Act(BABAA):To the extent that provisions found in Pub. L. No. 117-58, §§70901-52, as
supplemented by OMB guidance M-22-11 (April 18, 2022)are applicable, recipients must use iron, steel, manufactured
products, and construction materials produced in the United States for any infrastructure projects funded under this
award unless they first request and obtain a waiver from the Office of Community Oriented Policing Services (COPS
Office).
The Build America, Buy America Act(BABAA), Pub. L. No. 117-58, §§70901-52, requires all federal agencies,
including the COPS Office, to ensure by May 14, 2022, that no federal financial assistance for"infrastructure" projects
is provided"unless all of the iron, steel, manufactured products, and construction materials used in the project are
produced in the United States."
Page: 16 of 19
In accordance with section 70914 of the BABAA, COPS Office recipients receiving funding for infrastructure projects
(e.g., construction, renovation, and broadband infrastructure) may not use their grant funds for these infrastructure
projects or activities unless they comply with the BABAA sourcing requirements or request and obtain a waiver of the
requirements from the COPS Office.
The COPS Office may approve, subject to notice and comment requirements and OMB review, the following types of
waivers in accordance with sections 70914(b)and (d), 70921(b), 70935, and 70937 of the Build America, Buy America
Act:
1. Nonavailability Waivers—Waivers addressing the unavailability of American made iron, steel, manufactured
products, or construction materials.
2. Unreasonable Cost Waivers—Waivers reflecting that the overall cost of the infrastructure project with domestic iron,
steel, manufactured products, or construction materials exceeds by more than 25 percent the overall cost of the project
with foreign iron, steel, manufactured products, or construction materials.
.3. Public Interest Waivers,which include:
i. de minimis standard waivers that exempt up to 5% of project costs up to the Simplified Acquisition Threshold when
this would advance the public interest;
ii. small grants waivers for grants below the Simplified Acquisition Threshold when this would advance the public
interest;
iii. adjustmentperiod waivers such as brief, time limited waivers to allow recipients to transition to new rules and
J P
processes when this would advance the public interest;
iv. international trade obligations waivers when a recipient has assumed procurement obligations pursuant to the
Government Procurement Agreement or any other trade agreement, and waivers to ensure compliance with such
obligations may be in the public interest; and
v. general applicability waivers that are issued under limited conditions, e.g., product-specific waivers for which there
are known domestic sourcing challenges.
4. Exigent Circumstances Waivers: In limited situations where there is an urgent need in an unforeseen and exigent
circumstance, the COPS Office may waive the BABAA sourcing requirements without subjecting such waiver to public
comments and the Office of Management and Budget's Made in America Office (MIAO) review.
Recipients do not need to obtain a waiver of the BABAA sourcing requirements from the COPS Office if they will use
only American produced iron, steel, manufactured products, and construction materials for the project.
If a recipient determines a waiver is necessary, an application for a waiver should be submitted as soon as possible
and provide detailed information to expedite the COPS Office's review. Recipients agree not to obligate, expend or
draw down funds for infrastructure projects or activities unless they comply with the BABAA sourcing requirements or
request and obtain a waiver of the requirements from the COPS Office.
If you have any questions about this requirement or requesting a waiver of the requirement, please contact your COPS
Office Program Manager at 800-421-6770.
40
Compliance with National Environmental Policy Act and related statutes: Upon request, the recipient must assist the
COPS Office in complying with the National Environmental Policy Act(NEPA), the National Historic Preservation Act,
and other related federal environmental impact analyses requirements in the use of these award funds.Accordingly,
the recipient agrees to determine if new construction or renovation or remodeling of a property will be funded by the
grant, and if so, agrees to comply with all NEPA requirements prior to obligating, expending, or drawing down award
funds for any award purposes. The recipient understands and agrees that complying with NEPA may require the
preparation of an environmental study, including an Environmental Assessment(EA)and/or an Environmental Impact
Statement(EIS), as directed by the COPS Office. The NEPA compliance process may take several months to
complete.42 U.S.C. §§4321 et seq.
[]
1 have read and understand the information presented in this section of the Federal Award Instrument.
Award Acceptance
Page: 17 of 19
Declaration and Certification to the U.S. Department of Justice as to Acceptance
By checking the declaration and certification box below, I--
A. Declare to the U.S. Department of Justice (DOJ), under penalty of perjury, that I have authority to make this
declaration and certification on behalf of the applicant.
B. Certify to DOJ, under penalty of perjury, on behalf of myself and the applicant, to the best of my knowledge and
belief, that the following are true as of the date of this award acceptance: (1) I have conducted or there was conducted '
(including by applicant's legal counsel as appropriate and made available to me)a diligent review of all terms and
conditions of, and all supporting materials submitted in connection with, this award, including any assurances and
certifications (including anything submitted in connection therewith by a person on behalf of the applicant before, after,
or at the time of the application submission and any materials that accompany this acceptance and certification); and
(2) I have the legal authority to accept this award on behalf of the applicant.
C. Accept this award on behalf of the applicant.
D. Declare the following to DOJ, under penalty of perjury, on behalf of myself and the applicant: (1) I understand
that, in taking (or not taking)any action pursuant to this declaration and certification, DOJ will rely upon this declaration
and certification as a material representation; and (2) I understand that any materially false, fictitious, or fraudulent
information or statement in this declaration and certification (or concealment or omission of a material fact as to either)
may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34 U.S.C.§§
10271-10273), and also may subject me and the applicant to civil penalties and administrative remedies under the
federal False Claims Act(including under 31 U.S.C. §§3729-3730 and/or§§ 3801-3812)or otherwise.
Agency Approval
Title of Approving Official Name of Approving Official Signed Date And Time
COPS Director HUGH CLEMENTS 9/13/23 5:35 PM
Authorized Representative
Page: 18 of 19