COPS Application Package

Section 2. Agency Eligibility Information (all programs)

Section 3. General Agency Information

Section 4. Executive Information

Section 5A. COPS Hiring Program Officer Request

Section 6A. Law Enforcement & Community Policing Strategy

Section 6B. Law Enforcement & Community Policing Strategy

Section 7. Need for Federal Assistance

Section 8. Continuation of Project After Federal Funding Ends

Section 9. School Safety Assessment

Section 10. Executive Summary

Section 11. Project Description (Narrative)

Section 12. Official Partner(s) Contact Information

Section 13. Application Attachments

Section 14. Budget Detail Worksheets

Section 15A. Assurances

Section 15B. Certifications

U.S. DEPARTMENT OF JUSTICE

Section 16 A. Disclosure of Lobbying Activities

Section 17. Reviews and Certifications

Section 18. Application Data Verification

Paperwork Reduction Act Notice

About the COPS Office

COPS Application Package

2A. CHP eligibility questions

Select One …
2B. CAMP eligibility questions

Select One …
2C. AHTF eligibility questions

Part 1.

Part 2.

Part 3.

Part 4.

Part 5.

Community policing definition framework

Proposed community policing strategy

Community policing strategy narrative

Community policing strategy

Community policing definition framework

I. Current organizational commitment to community policing

II (a). Proposed community policing strategy: Problem solving and partnerships

II(b). Proposed community policing strategy: Organizational transformation

III. General community support and engagement

A. Sworn officer positions

B. Base salary and fringe benefits for civilian/nonsworn personnel

Waiver of local match

Contact information for budget questions

Part I. Law enforcement agency operations

Part II. Contracting to receive law enforcement services

Part III. Law enforcement agency authority

Community partnerships

Problem solving

Organizational transformation

Technology

Child and youth safety focus

Drug abuse education, prevention, and intervention

Homeland security problems

Nonviolent crime problems and quality-of-life policing

Building trust and respect

Violent crime problems

Part 1. Instructions

Part 2. Sworn officer salary information

Part 3. Federal/Local share costs (for hiring awards)

Part 1. Instructions

ONLY ONE PROGRAM OPTION MAY BE CHECKED.

Your SAM Registration is set to expire on

Summary of Current/Active Non-COPS Office Awards that Support the Same or Similar Activities or Services as being Proposed in the COPS Office Application.

SAMPLE:

My agency:

P2) Routinely seeks input from the community to identify and prioritize neighborhood problems (through regularly scheduled community meetings, annual community surveys, etc.).

P3) Regularly collaborates with local government agencies that deliver public services.

P4) Regularly collaborates with nonprofit organizations and/or community groups.

P5) Regularly collaborates with local businesses.

P6) Regularly collaborates with informal neighborhood groups and resident associations.

P7) Regularly collaborates with federal government agencies through formal partnerships (task forces, working groups, etc.).

My agency:

PS2) Identifies and prioritizes crime and disorder problems through the routine examination of patterns and trends involving repeat victims, offenders, and locations.

PS3) Routinely explores the underlying factors and conditions that contribute to crime and disorder problems.

PS4) Systematically tailors responses to crime and disorder problems to address their underlying conditions.

PS5) Regularly conducts assessments to determine the effectiveness of responses to crime and disorder problems.

My agency:

OT2) Practices community policing as an agency-wide effort involving all staff (i.e., not solely housed in a specialized unit).

OT3) Incorporates problem-solving and partnership activities into personnel performance evaluations.

My agency:

TEC02) Uses technology (e.g., crime mapping or statistical software) to analyze and understand problems in the community.

TEC03) Uses technology (e.g., GIS/GPS for deployment or laptops for field reporting) to improve the agency’s overall efficiency and effectiveness.

TEC04) Provides officers with necessary equipment to better prevent and/or respond to crime and disorder problems.

CP1) To what extent is there community support in your jurisdiction for implementing the proposed award activities?

CP2) If awarded, to what extent will the award activities impact the other components of the criminal justice system in your jurisdiction?

Child sexual predators and internet safety

School-based policing through School Resource Officers

Children exposed to violence

Youth crime and delinquency

Other child and youth safety focus

Protecting critical infrastructure problems

Information or intelligence problems

Partnering with federal law enforcement to combat illegal immigration

Burglary

Fraud

Larceny/Theft (non-motor vehicle)

Motor vehicle theft/theft from motor vehicle

Vandalism

Social disorder

Quality-of-life problem

Prostitution

Misdemeanor crimes

Assault

Homicide

Rape

Robbery

Domestic/family violence

Gun violence

Human trafficking

Drug manufacturing, drug dealing, drug trafficking

ADD ATTACHMENTS

Instructions for completing the budget detail worksheets

If you need assistance completing the budget detail worksheets, please call the COPS Office Response Center at 800-421-6770.

Figure 1. Sworn officer base salary and fringe benefits calculations

For agencies purchasing items related to enhanced communications systems, the COPS Office expects and encourages that, wherever feasible, such voice or data communications equipment should be incorporated into an intra- or interjurisdictional strategy for communications interoperability among federal, state, and local law enforcement agencies.

Figure 3. Screenshot of equipment/technology calculations

Figure 4. Screenshot of supplies calculations

Figure 5. Screenshot of travel/training calculations

Figure 6. Screenshot of contracts calculations

Figure 7. Screenshot of consultant calculations

Figure 8. Screenshot of other costs calculations

Figure 9. Screenshot of indirect cost calculations

Below is a sample of the budget summary worksheet.

Figure 10. Budget summary worksheet

Figure 11. Lobbying disclosure form

Verify the COPS Office award program for which you are requesting federal assistance. A separate application must be completed for each COPS Office program for which you are applying. Please ensure that you read, understand, and agree to comply with the applicable award terms and conditions as outlined in the COPS Office Application Guide before finalizing your selection.

 COPS Anti-Gang Initiative

 COPS Hiring Program

 COPS Human Trafficking

 COPS Anti-Methamphetamine Program

 COPS Anti-Heroin Task Force

 COPS Collaborative Reform Initiative for Technical Assistance (CRI-TA)

 COPS PASS Program (Preparing for Active Shooter Situations)

 Community Policing Development

Please select a CPD topic area from the menu below:

Topic Area 1;

Topic Area 2;

Topic Area 3;

Topic Area 4;

Topic Area 5;

Topic Area 6;

Invitational Initiative

A1. Have you been provided an invitational code by the COPS Office? A2. If so, please enter your invitation code here:

Research & Development (R&D) Designation

B1. Could any portion of your project be considered research and development (R&D) as defined by 2 C.F.R. §200.87? (See definition below.)

“R&D means all research activities, both basic and applied, and all development activities that are performed by non-Federal entities. The term research also includes activities involving the training of individuals in research techniques where such activities utilize the same facilities as other research

and development activities and where such activities are not included in the instruction function. COPS defines ‘Research’ as a systematic study directed toward fuller scientific knowledge or understanding of the subject studied. ‘Development’ is the systematic use of knowledge and understanding gained from research directed toward the production of useful materials, devices, systems, or methods, including design and development of prototypes and processes.”

Type of Agency (select one)

 Law Enforcement  Non-Law Enforcement

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Select One …

From the list below, please select the type of agency which best describes the applicant. Law Enforcement Entities

Note to applicant: Choices in this drop-down menu are as follows:

Attorney/Court Consortium Constable Corrections County Police

Emergency Response/Management (non-police) Federally Recognized Tribal - Other

Federally Recognized Tribal Council Federally Recognized Tribal Courts Federally Recognized Tribal Fish & Wildlife Government

Marshall MultiJuris

Multijurisdictional Task Force Municipal

Municipal Government National Law Enforcement

Natural Resources Police (e.g. Fish and Wildlife, Park Police) New Start-Up (please specify)

Non-profit Park Police

Private University/College Police Profit Organization

Public Housing

Public University/College Police Regional Police Department

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Schools Sheriff State

State Associations Chiefs of Police (SACOP) State Associations of Sheriffs

Transit Tribal/NativeVillage

Value-based

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Note to applicant: Choices in this drop-down menu are as follows:

Attorney/Court

Community/Neighborhood Organization

Consortium/Partnerships(Other than police/public safety) Corrections

County Government

Emergency Response/Management (non-police)

Faith-based Organization

Federally Recognized Tribal - Other

Federally Recognized Tribal Council Federally Recognized Tribal Courts Government

Law Enforcement Stakeholder Association

MultiJuris

Multijurisdictional Task Force Municipal

Municipal Government National Law Enforcement Non-profit

Private University/College (Other than police/public safety) Profit Organization

Public Housing

Public University/College (Other than police/public safety) Public University/College Police

Schools State

State Associations Chiefs of Police (SACOP) State Associations of Sheriffs

State Government Transit

Tribal /Native Village Value-based

Select One …

Non-Law Enforcement Entities

In this section, we will ask you several questions about your law enforcement agency operations and authority to determine your eligibility to apply for a COPS Hiring Program (CHP) award. Please note that CHP applicants must have a police department that is operational as of 07/10/2017 date of this application or receive services through a new or existing contract for law enforcement services. Applicants must also maintain primary law enforcement authority for the population served.

If funds under this program are to be used as part of a written contracting arrangement for law enforcement services (e.g., a town which contracts with a neighboring sheriff’s department to receive services), the government agency wishing to receive law enforcement services must be the legal applicant (we will ask you to supply some information about the contract service provider later).

A law enforcement agency is established and operational if the jurisdiction has passed authorizing legislation and it has a current operating budget.

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Select One …

Q1) Is your agency established and currently operational?

Q2) Which of the following best describes your agency (check one)?

 We are planning to establish or begin operations as a newly authorized law enforcement agency.

If selected, proceed to Q3a and Q3b.

 We are planning to re-establish and resume operations for a previously operational law enforcement agency.

If selected, proceed to Q3b.

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Select One …

Q3a) Has your jurisdiction passed legislation which authorizes the creation of a new law enforcement agency?

Q3b) Will your law enforcement agency be operational as of 07/10/2017 (application close date)?

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Select One …

Q1) If awarded, does your agency plan to use funds awarded under this award to establish or supplement a written contract for law enforcement services (e.g., a town contracting for services with a nearby sheriff's department)?

Note to applicant: If you answer yes to Q1, the text below plus Q2 will display.

An agency may apply for funds under this program as part of a written contracting arrangement for law enforcement services (e.g., a town that contracts with a neighboring sheriff's department to receive services) and used specifically for this purpose.

However, the agency wishing to receive law enforcement services must be the legal applicant in this application (although we will ask you to supply some information about the contract service provider later).

Before proceeding with this application, we ask that you please log onto the COPS Office Agency Portal to update the agency providing law enforcement services as your Law Enforcement Executive/Agency Executive Information. The COPS Office Agency Portal in Section 4 pre-populates this information, so please ensure its accuracy.

Important Note: Two entities involved in a contracting relationship may not separately apply for funding to support the same officer position(s). For more information about contracting arrangements, please refer to the CHP application guide.

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Select One …

Q2) Is the legal applicant listed in this COPS Hiring Program (CHP) application and on the SF-424 the entity that will be receiving law enforcement services?

Q3) What is the legal name of the law enforcement agency that will be providing law enforcement services to your jurisdiction?

[Proceed to next section.]

An agency with primary law enforcement authority is defined as the first responder to calls for service for all types of criminal incidents within its jurisdiction. Agencies are not considered to have primary law enforcement authority if they only: respond to or investigate specific type(s) of crime(s); respond to or investigate crimes within a correctional institution; serve warrants; provide courthouse security; transport prisoners; and/or have cases referred to them for investigation or investigational support.

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Select One …

Q1) Based on the definition above, does your agency have primary law enforcement authority? [Or, if contracting to receive services, does the agency that will be providing law enforcement services have primary law enforcement authority for the population to be served?]

Note to applicant: The following questions apply to a subset of applicants [Sheriff, County Police, State Police, Regional PD, Public University, Private University, Natural Resources Police, Transit Police, Public Housing Police, Attorney/Court, Multijurisdictional Task Force, Consortium, Constable, Marshals, Corrections].

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Select One …

Is your agency the first responder to all types of criminal incidents within your jurisdiction?

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Select One …

Agencies with jurisdiction limited only to correctional institutes and/or courthouse settings are not eligible under this program. Is your agency the first responder to citizen-initiated calls for service outside of a correctional institute and/or courthouse setting?

1. Is your agency a State Law Enforcement Agency authorized by law or by a state agency to engage in or to supervise anti-methamphetamine investigative activities, such as locating and investigating illicit activities, precursor diversion, laboratories and/or methamphetamine traffickers? (See Application Guide for more information on anti-methamphetamine investigation authority.)

Is your agency a State Law Enforcement Agency authorized by law or by a State agency to engage in or supervise anti-heroin and/or other opioids investigative activities, such as locating and investigating illicit activities related to the unlawful distribution of heroin or unlawful distribution of prescriptive opioids, or unlawful diversion and distribution of prescriptive opioids?

Applicant ORI number:

The FBI assigns the ORI number and is your agency's unique identifier. The COPS Office uses the first seven characters of this number. The first two letters are your state abbreviation, the next three numbers are your county's code, and the next two numbers identify your jurisdiction within your county. If you do not currently have an ORI number, the COPS Office will assign one to your agency (to tracking this award). ORI numbers assigned to agencies by the COPS Office may end in “ZZ.”

Applicant Data Universal Numbering System (DUNS) number:

A Data Universal Numbering System (DUNS) number is required prior to submitting this application. A DUNS number is a unique nine or thirteen digit sequence recognized as the universal standard for identifying and keeping track of entities receiving federal funds. For more information about how to obtain a DUNS number, please refer to the "How to Apply" section of the COPS Office Application Guide.

System for Award Management (SAM)

The System for Award Management (SAM) replaces the Central Contractor Registration (CCR) database as the repository for standard information about federal financial assistance applicants, recipients, and sub-recipients. DOJ requires that all applicants (other than individuals) for federal assistance maintain current registrations in the SAM database. Please note that applicants must update or renew their SAM registration at least once a year to maintain an active status.

Previously registered CCR database applicants must, at a minimum:

Create a SAM account
Log into SAM and migrate permissions to the SAM account (all the entity registrations and records should already have been migrated).

Applicants that were not previously registered in the CCR database must register in SAM prior to registering in Awards.gov. Information about SAM Registration procedures are accessible at www.sam.gov.

For more information about how to register with SAM, please refer to the “How to Apply” section of the COPS Office Application Guide.

Please enter date in MM/DD/YYYY format.

Note: If your SAM registration is set to expire prior to September 30, 2018, please renew your SAM Registration prior to completing this application. Contact the SAM Service Desk at 866-606-8220 or view/update your registration information at www.sam.gov.

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OMB Control Number 1103-0098 Expiration Date: 05/31/2020

Geographic Names Information System (GNIS) ID:

Please enter your Geographic Names Information System (GNIS) Identification Number. This is a unique ID assigned to all geographic entities by the U.S. Geological Survey. To look up your GNIS Feature ID, please go to the website: geonames.usgs.gov/domestic/index.html. For more information about how to obtain a GNIS number,

please refer to the “How to Apply” section of the COPS Office Application Guide.

Select One …
Cognizant Federal Agency:

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Note to applicant: Choices in this drop-down menu are as follows.

Bureau of Indian Affairs Department of Agriculture Department of Commerce Department of Defense Department of Education Department of Energy

Department of Health and Human Services Department of Homeland Security

Department of Housing and Urban Development Department of Justice

Department of Labor Department of State Department of the Interior Department of Transportation Department of the Treasury Department of Veterans Affairs

Environmental Protection Agency Executive Office of the President Panama Canal Commission

Select the legal applicant’s Cognizant Federal Agency. A Cognizant Federal Agency, generally, is the federal agency from which your jurisdiction receives the most federal funding. Your Cognizant Federal Agency also may have been previously designated by the Office of Management and Budget. Applicants that have never received federal funding should select the “Department of Justice” as the Cognizant Federal Agency.

Fiscal Year: to

Please enter date in MM/DD/YYYY format.

OMB Control Number 1103-0098

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Expiration Date: 05/31/2020 Section 3. General Agency Information

Law Enforcement Agency Sworn Force Information

Enter the Fiscal Year Budgeted Sworn Force Strength for the current fiscal year below. The budgeted number of sworn officer positions is the number of sworn positions funded in your agency’s budget, including funded but frozen positions, as well as state, Bureau of Indian Affairs, and/or locally funded vacancies. Do not include unfunded vacancies or unpaid/reserve officers.

Number of officers funded in agency’s current fiscal year budget: Full time Part time

Civilian Staffing

Enter the number of civilian positions funded in agency's current fiscal year budget:

Number of civilian positions funded in agency’s current fiscal year budget: Full time Part time
1. U.S. Department of Justice and Other Federal Funding

Applicants are required to disclose whether they have, pending applications for federally funded assistance or active federal awards that support the same or similar activities or services for funding requests under this application.

Be advised, as a general rule you may not use COPS Office funding for the same item or service funded through another funding source. However, leveraging multiple funding sources in a complementary manner to implement comprehensive programs or projects is encouraged and is not seen as inappropriate. To aid the COPS Office in the prevention of awarding potentially duplicative funding, please indicate whether your agency has a pending application and/or an active award with any other federal funding source (e.g. direct federal funding or indirect federal funding through State sub-awarded federal funds) which supports the same or similar activities or services as being proposed in this COPS Office application (complete the tables below):

_{Federal Award}Describe how this _{Awarding Award}_NumberProgram _StartAward End Award project differs from the _AgencyName _DateDate Amount application for COPS

Office funding.

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Federal Awarding Agency	Award Number	Program Name	Award Start Date	Award End Date	Award Amount	Describe how this project differs from the application for COPS Office funding.
OVW	2013XXXXXXXX	2013 CTAS	9/1/2013	12/31/2014	$900,000	[Insert description]

Summary of Pending Non-COPS Office Awards that Support the Same or Similar Activities or Services as being Proposed in the COPS Office Application.

Federal Application Total ^{Describe
how this project}_{Awarding Number}Program Project _RequestedItems differs from the _Agency (if_known)Name Length _AmountRequested application for COPS

funding.

SAMPLE:

Federal Awarding Agency	Application Number (if known)	Program Name	Project Length	Total Requested Amount	Items Requested	Describe how this project differs from the application for COPS Office funding.
OJP	XXX-XXX-XXXX	OVC	24 months	$300,000	Civilian personnel	[Insert description]

Note: Listing individuals without ultimate programmatic and financial authority for the award could delay the review of your application or remove your application from consideration.

Law Enforcement Executive/Agency Executive Information

For Law Enforcement Agencies: This is the highest-ranking law enforcement official within your jurisdiction (e.g., Chief of Police, Sheriff, or equivalent). The section below has been pre-populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this application. For assistance, please call the COPS Office Response Center at 800-421-6770.

For Non-Law Enforcement Agencies: This is the highest-ranking individual in the applicant agency (e.g., CEO, President, Chairperson, or Director, etc.) who has the authority to apply for this award on behalf of the applicant agency. If the award is awarded, this position would ultimately be responsible for the programmatic implementation of the award. The section below has been pre-populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this application. For assistance, please call the COPS Office Response Center at 800-421-6770.

Note to applicant: The following text is displayed if you are contracting law enforcement services.

Your agency previously indicated that if awarded, this award would be used in a written contracting arrangement to receive law enforcement services (e.g., a town which is contracting with a neighboring sheriff’s department to receive services). Therefore, question 4A, should display the executive information for the agency that will provide the law enforcement services under this award (e.g., Sheriff). Question 4B, should display the executive information for the government agency that will be receive the law enforcement services under this award (i.e., Mayor, City Manager, etc.). Before proceeding with this application, we ask that you please log onto the COPS Office Agency Portal to update the agency providing law enforcement services as your Law Enforcement Executive/Agency Executive Information. That information will be used to populate Section 4 of this application, so please ensure its accuracy.

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OMB Control Number 1103-009 Expiration Date: 05/31/2020

Note to applicant: The tables below are prepopulated and are for reference only.

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	MI		Last Name:

Title: Interim/Acting: ^

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Select One …

First Name: Suffix:

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Note to applicant: Choices in the “Suffix” drop-down menu are as follows.

Jr.

Sr.

M.D.

Ph.D.

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Street Address 1:

Street Address 2:

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ZIP Code:

State:

City:

Telephone: Fax: E-mail:

Government Executive/Financial Official Information:

For Government Agencies: This is the highest-ranking government official within your jurisdiction (e.g., Mayor, City Administrator, or equivalent). The section below has been pre-populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this application. For assistance, please call the COPS Office Response Center at 800-421-6770.

For Non-Government Agencies: This is the financial official who has the authority to apply for this award on behalf of the applicant agency (e.g., CFO or Treasurer, etc.). If the award is awarded, this position would ultimately be responsible for the financial management of the award. Please note that information for non-executive positions (e.g., clerks, trustees, etc.) is not acceptable. The section below has been pre-populated from the information listed in your COPS Office Agency Portal Account. If this information is no longer correct, please log in to your COPS Office Agency Portal account and make the necessary corrections before proceeding with this application. For assistance, please call the COPS Office Response Center at 800-421-6770.

OMB Control Number 1103-0098

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Expiration Date: 05/31/2020 Section 4. Executive Information

Note to applicant: The tables below are prepopulated and are for reference only.

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	MI		Last Name:

Title: Interim/Acting: ^

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Select One …

First Name: Suffix:

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Note to applicant: Choices in the “Suffix” drop-down menu are as follows.

Jr.

Sr.

M.D.

Ph.D.

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Street Address 1:

Street Address 2:

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ZIP Code:

State:

City:

Telephone: Fax: E-mail:

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Application Contact Information:

Application Contact: Enter the application contact's name and contact information.

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Select One …

First Name: MI Last Name: Suffix:

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Note to applicant: Choices in the “Suffix” drop-down menu are as follows.

Jr.

Sr.

M.D.

Ph.D.

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Street Address 1:

Street Address 2:

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ZIP Code:

State:

City:

Telephone: Fax: E-mail:

Note to applicant: Section 5A below applies only if CHP is the selected program.

Enter the Fiscal Year Actual Sworn Force Strength as of the date of this application. The actual number of sworn officer positions is the actual number of sworn positions employed by your agency as of the date of this application. Do not include funded but currently vacant positions or unpaid positions.

Number of officers employed by your agency as of the date of this application: Full time Part time

Note to applicant: If you are contracting law enforcement services, only the question below is displayed.

Enter the Fiscal Year Actual Sworn Force Strength for officers your agency currently has under contract for law enforcement services as of the date of this application. The actual number of sworn officer positions is the actual number of sworn officers under all current contracts as of the date of this application. Do not include funded but currently vacant positions or unpaid positions.

Number of officers deployed by your agency as of the date of this application: Full time Part time

What is the actual population your department serves as the primary law enforcement entity?

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This may or may not be the same as your census population. For example, a service population may be the census population minus incorporated towns and cities that have their own police departments within your geographic boundaries or estimates of ridership (e.g., transit police) or visitors (e.g., park police). An agency with primary law enforcement authority is defined as having first responder responsibility to calls for service for all types of criminal incidents within its jurisdiction.

For FY 2018, COPS Hiring Program (CHP) applicants are eligible to apply for the number of officers equal to 5 percent of their actual sworn force strength up to a maximum of 25 officers. Agencies with a sworn force of twenty or fewer officers may apply for one (1) officer position. Agencies with a service population of 1 million or above may apply for up to 25 officer positions; however, agencies with a service population less than 1 million may apply for up to 15 officer positions.

FY 2018 CHP award funds cover 75 percent of the approved entry-level salary and fringe benefits of each newly- hired and/or rehired, full-time sworn career law enforcement officer for three years (36 months) up to $125,000 per officer position. CHP award funding will be based on your agency's current entry-level salaries and fringe benefits for full-time sworn officers.

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OMB Control Number 1103-0098 Expiration Date: 05/31/2020

If your agency request includes deploying officers as School Resource Officers (SRO), all of the officer positions requested below must be used to deploy full-time School Resource Officers. Do not request more officer positions than your agency can expect to deploy in this capacity. A School Resource Officer is a career

law enforcement officer, with sworn authority, who is engaged in community policing activities and is assigned by the employing agency to work in collaboration with schools. If the award is for SRO position(s), please note that the COPS Office requires that the officer(s) deployed into the SRO position(s) spend a minimum of 75 percent of their time in and around primary and secondary schools working on school and youth-related activities.

The placement of law enforcement officers in schools carries a risk of contributing to a “school-to-prison pipeline” process. Students may be arrested or cited for minor nonviolent behavioral violations and then diverted to the juvenile court. This pipeline wastes community resources and can lead to academic failure and greater recidivism rates for these students. If awarded, the recipient will agree that any officers deployed while implementing School-based Policing under the COPS Hiring Program (CHP) award cannot be involved in the administrative discipline of the students.

There must be an increase in the level of community policing activities performed in and around primary or

secondary schools in the agency’s jurisdiction as a result of the award. The time commitment of the funded officers must be above and beyond the amount of time that the agency devoted to the schools before receiving the award.

Recipients awarded CHP funding to hire and/or deploy School Resource Officers into schools must submit to the COPS Office a signed Memorandum of Understanding (MOU) between the law enforcement agency and the school partner(s) before obligating or drawing down funds under this award. An MOU is not required at time of application; however, if the law enforcement agency already has an MOU in place that is applicable to the partnership, the MOU can be submitted as an attachment in Section 13 of the CHP application. The MOU must contain the following; the purpose of the MOU, clearly defined roles and responsibilities of the school district and the law enforcement agency; focusing officers’ roles on safety, information sharing, supervision responsibility and chain of command for the SRO and signatures. If awarded, recipients must submit the MOU to the COPS Office within 90 days from the date shown on the award congratulatory letter. The implementation of the COPS Hiring Program (CHP) award without submission and acceptance of the required MOU may result in expenditures not being reimbursed by the COPS Office.

In addition, in section 6B you must select “School Based Policing through School Resource Officers” under “Child and Youth Safety Focus” as your focus area.

Is your agency requesting to deploy all of these officer positions as School Resource Officers (SROs)?

 Yes  No

Based on the information provided in this application:

Your agency is eligible to apply for up to the number of officer position(s) shown below.

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How many entry level, full-time officer positions is your agency requesting in this application?

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IMPORTANT: If you later return to this section of the application and change the above number of officers you are requesting, you must then go to Section 14A, Part 1 to allow the application to recalculate your budget figures. You will also need to adjust your projection of your Federal/Local share costs in the chart located in Section 14A, Part3. Failure to do this will cause a conflict in your budget submission.

Next, your agency must allocate the number of positions requested under each of the three hiring categories described below based on your agency's current needs at the time of this application. Please be mindful of the initial three-year award period and your agency's ability to fill and retain the officer positions awarded while following your agency's established hiring policies and procedures. The COPS Office will make CHP awards for officer positions requested in each of the three hiring categories, and recipients are required to use awarded funds for the specific categories awarded.

It is imperative that your agency understand that the COPS Office statutory nonsupplanting requirement mandates that award funds may only be used to supplement (increase) a recipient’s law enforcement budget for sworn officer positions. It may not supplant (replace) state, local, or tribal funds that a recipient otherwise would have spent on officer positions if it had not received an award. This means that if your agency plans to:

Hire new officer positions (including filling existing vacancies no longer funded in your agency's budget): It must hire these new additional positions on or after the official award start date, above its current budgeted (funded) level of sworn officer positions, and otherwise comply with the nonsupplanting requirement as described in detail in the Award Owner’s Manual.
Rehire officers who have been laid off by any jurisdiction as a result of state, local, or tribal budget cuts: It must rehire the officers on or after the official award start date, maintain documentation showing the date(s) that the positions were laid off and rehired. Your agency must also otherwise comply with the nonsupplanting requirement as described in detail in the Award Owner’s Manual.
Rehire officers who are (at the time of application) currently scheduled to be laid off (by your jurisdiction) on a specific future date as a result of state, local, or tribal budget cuts: It must continue to fund the officers with its own funds from the award start date until the date of the scheduled layoff (for example, if the CHP award start date is September 1 and the layoffs are scheduled for November 1, then the CHP funds may not be used to fund the officers until November 1, the date of the scheduled layoff); identify the number and date(s) of the scheduled layoff(s) in this application(see below); maintain documentation showing the date(s) and reason(s) for the layoff; and otherwise comply with the

nonsupplanting requirement as described in detail in the Award Owner’s Manual. [Please note that as long as your agency can document the date that the layoff(s) would occur if CHP funds were not available, it may transfer the officers to the CHP funding on or immediately after the date of the layoff without formally completing the administrative steps associated with a layoff for each individual officer.]

Documentation that may be used to prove that scheduled layoffs are occurring for local economic reasons that are unrelated to the availability of CHP award funds may include (but are not limited to) council or departmental meeting minutes, memoranda, notices, or orders discussing the lay-offs; notices provided to the individual officers regarding the date(s) of the lay-offs; and/or budget documents ordering departmental and/or jurisdiction-wide budget cuts. Your agency must maintain these records with your agency’s CHP award records during the award period and for three years from the date of the submission of the final expenditure report in the event of an audit, monitoring, or other evaluation of your award compliance.

If your agency's request is funded, your agency will have the opportunity after the award announcement to request an award modification to move awarded funding into the category or categories that meet your agency's law enforcement needs at that time (including updating the dates of future scheduled layoffs).

If you need additional information regarding requesting a modification, please contact the COPS Office Response Center at 800-421-6770.

Category A: New, additional officer positions (including filling existing vacancies no longer funded in your agency’s budget).

Category A Request: <<insert>>

Category B: Rehire officers laid off (from any jurisdiction) as a result of state or local budget reductions.

Category B Request: <<insert>>

Category C: Rehire officers scheduled to be laid off (at the time of the application) on a specific future date as a result of state or local budget reductions.

Category C Request: <<insert>> (total)

We also need some information about when the layoff of officers in this category is scheduled to occur. In the space below, please indicate when the officer(s) specified in this category are scheduled to be laid off.

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Number of officers:

Date these officers are scheduled to be laid off: Number of officers:

Date these officers are scheduled to be laid off:

Note to applicant: This section is hidden unless category C in the previous section is not null.

Since your agency plans to use CHP funds to rehire officers who are currently scheduled to be laid off on a future date (under Category C above), please certify (by checking the appropriate boxes) to the following:

Certification:

 My agency has and will maintain documentation showing the date(s) of the scheduled layoff(s) and demonstrating that the scheduled layoff(s) is/are occurring for fiscal reasons that are unrelated to the availability or receipt of CHP award funds.

 My agency will use its own funds to continue funding these officers until the scheduled date(s) of the layoff(s) and will use CHP funds to rehire these officers only on or after the scheduled date of the layoff(s).

 My agency recognizes that the CHP program provides funding based on our entry-level salary and benefits package and that any additional costs for rehired officers beyond entry-level are our responsibility to pay with other sources of funding.

If an applicant receives an award and needs to change the hiring categories after receiving the award, it must request a post-award modification to change the categories of hiring and receive prior approval before spending CHP funding by calling the COPS Office Response Center at 800-421-6770.

As noted previously, the number of officers an applicant can request under the COPS Hiring Program in 2018 is capped. However, the COPS Office is interested in learning more about the overall need for officer positions within your department. Therefore, if no officer caps were in place, what is the total number of officers that your agency would be requesting in this application?

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Hire

Re-hires

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Lay off

Under the 2018 COPS Hiring Program, applicants are not required to hire military veterans as new hires. However, the COPS Office supports the attorney general’s commitment to hiring military veterans whenever possible. Please note that if your agency checks “yes” to the question below, your agency will be required to maintain documentation that it made every effort possible (consistent with your internal procedures and policies) to hire at least one military veteran.

Does your agency commit to hire and/or rehire at least one military veteran (as defined in the Application Guide) for the officer position(s) you have requested?

 Yes  No

If yes, how many officer position(s) from your total 2018 CHP request does your agency anticipate filling with military veterans?

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The following questions will help Congress and the Department of Justice identify potential gaps in training. The COPS Office will not use this information in the scoring/evaluation of your application.

Does your agency administer a police training academy? If Yes, please answer questions 1 and 2. If No, please skip question 1 and only answer question 2.

 Yes  No

How many total hours of basic/recruit academy training are required for each of your agency’s officer/deputy recruits in the following categories? (If none, please indicate 0 hours.):

Use of force hours

De-escalation of conflict hours

Racial and ethnic bias that includes elements of Implicit/unconscious bias hours

Gender bias in response to domestic violence and sexual assault hours

Bias towards lesbian, gay, bisexual, and transgender (LGBT) individuals hours

Community engagement (e.g. community policing and problem solving) hours

On average, how many hours of in-service (non-recruit) training (e.g., FTO, continuing professional education, roll call standard) are required annually for each of your agency’s officers/deputies in the following categories? (If none, please indicate 0 hours.):

Use of force hours

De-escalation of conflict hours

Racial and ethnic bias that includes elements of Implicit/unconscious bias hours

Gender bias in response to domestic violence and sexual assault hours

Bias towards lesbian, gay, bisexual, and transgender (LGBT) individuals hours

Community engagement (e.g. community policing and problem solving) hours

Note to applicant: Section 6A is for non-hiring applicants only.

Your agency must use COPS Office funding to reorient the mission and activities of law enforcement agencies through initiating community policing or enhancing their involvement in community policing. If awarded funds, your responses to this section will constitute your agency’s community policing strategy under this award. Your organization may be audited or monitored to ensure that it is initiating or enhancing community policing in accordance with this strategy. The COPS Office may also use this information to understand the needs of the field and potentially provide for training, technical assistance, problem solving, and community policing implementation tools.

We understand that your community policing needs may change during the life of your award (if awarded), and minor changes to this strategy may be made without prior approval from the COPS Office. We also recognize that this strategy may incorporate a broad range of possible community policing strategies and activities and that your agency may implement particular community policing approaches from the strategy on an as-needed basis throughout the life of the award. If your agency’s community policing strategy changes significantly, however, you must submit those changes in writing to the COPS Office for approval. Changes are significant if they deviate from the range of possible community policing activities identified and approved in this original community policing strategy submitted with your application.

The following is the COPS Office definition of community policing, which emphasizes the primary components of community partnerships, organizational transformation, and problem solving.

Community policing is a philosophy that promotes organizational strategies that support the systematic use of partnerships and problem-solving techniques to proactively address the immediate conditions that give rise to public safety issues such as crime, social disorder, and fear of crime.

The COPS Office has completed the development of a comprehensive community policing self-assessment tool for use by law enforcement agencies. Based on this work, we have developed the following list of primary sub-elements of community policing. Please refer to the COPS Office website (www.cops.usdoj.gov) for further information regarding these sub-elements.

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OMB Control Number 1103-0098 Expiration Date: 05/31/2020

Community Partnerships:

Organizational Transformation:

Problem Solving:

Collaborative partnerships

between the law enforcement agency and the individuals and organizations they serve to both develop solutions to problems and increase trust in police

Other government agencies Community members/groups Nonprofits/service providers Private businesses

Media

The alignment of organizational

management, structure, personnel, and information systems to support community partnerships and proactive problem-solving efforts

Agency Management Climate and culture Leadership

Labor relations Decision making Strategic planning Policies

Organizational evaluations Transparency

Organizational Structure Geographic assignment of officers Despecialization

Resources and finances

Personnel

Recruitment, hiring, and selection Personnel supervision/evaluations Training

Information Systems (Technology)

Communication/access to data

Quality and accuracy of data

The process of engaging in the

proactive and systematic examination of identified problems to develop effective responses that are rigorously evaluated

Scanning: Identifying and prioritizing

Analysis: Analyzing problems Response: Responding to problems Assessment: Assessing problem- solving initiatives

Using the crime triangle to focus on immediate conditions (victim/offender/location)

COPS Office awards must be used to initiate or enhance community policing activities, either directly by your law enforcement agency, or (for non-law enforcement applicants) in collaboration with law enforcement. Please complete the following questions to describe your agency’s community policing activities that will result from COPS Office funding. For each question, answer on behalf of the applicant law enforcement agency, or for non-law enforcement applicants, the law enforcement agency with whom you will collaborate.

More detailed information about community policing is located on the COPS Office website: www.cops.usdoj.gov/Default.asp?Item=36.

Community partnerships are ongoing collaborative relationships between law enforcement and the individuals and organizations they serve to both develop solutions to problems and increase trust in the police.

P1) Regularly distributes relevant crime and disorder information to community members.

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

Problem solving is an analytical process for systematically (1) identifying and prioritizing problems, (2) analyzing problems, (3) responding to problems, and (4) evaluating problem-solving initiatives. Problem solving involves an agency-wide commitment to go beyond traditional police responses to crime to proactively address a multitude of problems that adversely affect quality of life.

PS1) Routinely incorporates problem-solving principles into patrol work.

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

Organizational transformation is the alignment of organizational management, structure, personnel, and information systems to support community partnerships and proactive problem-solving efforts.

OT1) Incorporates community policing principles into the agency’s mission statement and strategic plan.

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

Technology provides agencies with the tools to communicate more effectively externally with the public and internally with their own staff and the ability to understand and analyze community problems.

TEC01) Ensures that agency staff have appropriate access to relevant data (calls for service, incident and arrest data, etc.).

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

 YES

If yes, do you plan to use award funding to enhance or expand this activity?

 YES

 NO

 NO

If no, do you plan to use award funding to initiate or implement this activity?

 YES

 NO

Please describe your agency’s implementation strategy for this program (if awarded), with specific reference to each of the following elements of community policing: (a) community partnerships and support, including consultation with community groups, private agencies, and/or other public agencies; (b) related governmental and community initiatives that complement your agency’s proposed use of COPS Office funding; and (c) organizational transformation—how your agency will use these funds, if awarded, to reorient its mission to community policing or enhance its involvement in and commitment to community policing.

In the space provided, please address your agency’s implementation strategy for this program with specific reference to each of the following elements of community policing:

Community partnerships and support, including consultation with community groups, private agencies, and/or other public agencies.

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[Responses are limited to a maximum of 5,000 characters.]

Related governmental and community initiatives that complement your agency’s proposed use of COPS Office funding.

[Responses are limited to a maximum of 5,000 characters.]

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Organizational transformation—how your agency will use these funds, if awarded, to reorient its mission to community policing or enhance its involvement in and commitment to community policing.

[Responses are limited to a maximum of 5,000 characters.]

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 a) High level of support

 b) Moderate support

 c) Minimal support

 a) Potentially decreased burden

 b) No change in burden

 c) Potentially increased burden

Note to applicant: Section 6B is for CHP applicants only.

COPS Office funding must be used to reorient the mission and activities of law enforcement agencies through initiating community policing or enhancing their involvement in community policing with the officers hired under this award program, or an equal number of veteran officers who have been redeployed to implement this plan after hiring the entry-level COPS-funded officers. If awarded funds, your responses to sections II(a) and II(b) that follow will constitute your agency’s community policing strategy under this award. Your organization may be audited or monitored to ensure that it is initiating or enhancing community policing in accordance with this strategy. The COPS Office may also use this information to understand the needs of the field, and potentially provide for training, technical assistance, problem solving and community policing implementation tools. Please note that the COPS Office recognizes that your COPS-funded officer(s) (or an equal number of veteran officers who are redeployed after hiring the entry-level COPS-funded officers) will engage in a variety of community policing activities and strategies, including participating in some or all aspects of your identified community policing strategy. Your community policing strategy may be influenced and impacted by others within and outside of your organization; this is considered beneficial to your community policing efforts.

At any time during your award period you should be prepared to demonstrate (1) community policing activities engaged in prior to the award award that are detailed in Section I of this application, and (2) how the award funds and award-funded officer position(s) (or an equal number of redeployed veteran officers) were specifically used to enhance (increase) or initiate community policing activities according to your community policing strategy contained in Sections II(a) and II(b) of this application.

Finally, we also understand that your community policing needs may change during the life of your award. Minor changes to this strategy may be made without prior approval of the COPS Office; however, recipients will be required to report on progress and/or changes to the community policing strategy (if any) through required progress reports. If your agency’s community policing strategy changes significantly, you must submit those changes to the COPS Office for approval. Changes are “significant” if they deviate from the specific crime problems(s) originally identified and approved in the community policing strategy submitted with the application. In some cases, changes to the approved community policing approaches may be deemed significant and may require approval of a modified community policing strategy by the COPS Office, depending on the scope and nature of those changes as identified in the quarterly progress reports.

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OMB Control Number 1103-0098 Expiration Date: 05/31/2020

The following is the COPS Office definition of community policing that emphasizes the primary components of community partnerships, organizational transformation, and problem solving. Please refer to the COPS Office website (www.cops.usdoj.gov) for further information regarding this definition.

The COPS Office has completed the development of a comprehensive community policing self-assessment tool for use by law enforcement agencies. Based on this work, we have developed the following list of primary sub- elements of community policing. Please refer to the COPS Office website (www.cops.usdoj.gov) for further information regarding these sub-elements.

Community Partnerships:

Organizational Transformation:

Problem Solving:

Collaborative partnerships

between the law enforcement agency and the individuals and organizations they serve to both develop solutions to problems and increase trust in police

Other government agencies Community members/groups Nonprofits/service providers Private businesses

Media

The alignment of organizational

management, structure, personnel, and information systems to support community partnerships and proactive problem-solving efforts

Agency Management

Climate and culture Leadership

Labor relations Decision making Strategic planning Policies

Organizational evaluations Transparency

Organizational Structure Geographic assignment of officers Despecialization

Resources and finances

Personnel

Recruitment, hiring, and selection Personnel supervision/evaluations Training

Information Systems (Technology) Communication/access to data

Quality and accuracy of data

The process of engaging in the

proactive and systematic examination of identified problems to develop effective responses that are rigorously evaluated

Scanning: Identifying and prioritizing

Analysis: Analyzing problems Response: Responding to problems Assessment: Assessing problem- solving initiatives

Using the crime triangle to focus on immediate conditions (victim/offender/location)

For each of the following statements, please answer in terms of existing agency policies and practices as they relate to collaborative partnerships and problem solving activities. (Please check all that apply.)

Activity

Community Partnerships

Problem Solving

Q1a. The agency mission statement, vision, and/or goals includes references to:



Q1b. The agency strategic plan includes specific goals and/or objectives relating to:



Q1c. The agency recruitment, selection, and hiring processes include elements relating to:



Q1d. Annual line officers’ evaluations assess performance in:



Q1e. Line officers receive regular (at least once every two years) training in:



Which of the following internal management practices does your agency currently employ? (Please check all that apply.)

 Assignment of officers to specific neighborhoods or areas for longer periods of time to enhance customer service and facilitate more contact between police and citizens

 Assignment of officers to geographic hot spots that are defined statistically by creating incident maps to identify geographic clustering of crime or disorder

 In-service training for officers on basic and advanced community policing principles

 Early Intervention Systems that help identify officers who may be showing signs of stress, personal problem, and questionable work conduct

 Alternatives to formal disciplinary practices that encourage ethical behavior

 None of the above

Which of the following do you count or measure (annually) to assess your agency’s overall performance? (Please check all that apply.)

 Response times

 Reported crimes

 Reported incidents

 Arrests and citations

 Problem solving outcomes

 Department employee satisfaction

 Clearance rates

 Complaints of officer behavior

 Reduction of crime in identified hot spots

 Repeat calls for service

 Social disorder/nuisance problems (graffiti, panhandling, loitering, etc.)

 Satisfaction with police services

 Fear of crime

 Victimization (i.e., non-reported crime)

 Community meetings held or attended

 Use of force incidents

 Meeting the priorities as identified in your agency strategic plan

 My agency does not conduct annual assessments of overall performance

Through which of the following does your agency routinely share information with community members? (Please check all that apply.)

 Neighborhood, beat, and/or school meetings

 Local media outlets

 Agency newsletter

 Neighborhood newsletters

 Agency website

 Social networking (blogs, Twitter feeds, Facebook pages, etc.)

 Citizen alert system (telephone, e-mail, text, etc.)

 Citizen alert system that is geographically targeted, based on updated hot spots

 Public access television/radio

 Community organization board membership

 Public forums with chief/sheriff/command staff

 Posters, billboards, flyers

 None of the above

In which of the following ways does your agency formally involve community members in influencing agency practices and operations? (Please check all that apply.)

 Citizen police academies

 Volunteer activities

 Auxiliary police programs

 Civilian review boards (e.g., disciplinary review boards)

 Citizen advisory groups (i.e., informal advisory function)

 Involvement in hiring decisions (interview panels, selection boards, etc.)

 Involvement in contributing to annual line officer performance reviews

 Representation on promotional boards

 Participation in accountability and performance reporting and tracking meetings

 Participation in complaint resolution process (formal mediation, disciplinary boards, etc.)

 None of the above

COPS Office awards must be used to initiate or enhance community policing activities with the newly-hired officers funded by this award program, or an equivalent number of veteran officers who are redeployed to implement this community policing strategy after hiring the additional entry-level officers with COPS Office award funds. In this section you will be asked to identify the crime and disorder problem/focus area and the partners to be engaged through your requested COPS Office funding. Identifying the specific problem/focus area and partnerships that your agency plans to focus on is important to ensure that you satisfy the requirements for COPS Office funding. Under this program, the additional award-funded officers (or equivalent number of redeployed veteran officers) will initiate or enhance your agency’s capacity to implement community policing strategies and approaches.

Using the following list, select a problem/focus area that your agency will address by the officers requested in this application. Please choose the option that best fits your problem. You may select one problem/focus area to address through this award funding.

When identifying a problem, it is important to think about the nature of similar incidents that taken together comprise the problem, and accordingly describe it in precise, specific terms (e.g. “burglary of retail establishments,” rather than just “burglary”). In doing this, it can be helpful to consider all aspects of the problem, including the likely offenders, the suitable targets/victims, and how these come together in time and space.

Please specify your child sexual predator focus; for example, noncompliant sexual offenders, trafficking in children, child sexual abuse offenses, cyber-related crimes, etc.

By selecting this focus area your agency is committing that, if awarded, all officer positions requested in this application (or the equivalent number of redeployed veteran officers) will be used to deploy School Resource Officers and address problems in and around primary and secondary schools.

Please specify the areas the School Resource Officer(s) would address (check all that apply):

 address crime problems, gangs, and drug activities affecting or occurring in or around an elementary or secondary school,

 develop or expand crime prevention efforts for students,

 educate youth in crime prevention and safety,

 develop or expand community justice initiatives for students,

 train students in conflict resolution, restorative justice, and crime awareness,

 assist in the identification of physical changes in the environment that may reduce crime in or around the school, and,

 assist in developing school policy that addresses crime and recommend procedural changes to enhance school safety.

Please specify your children exposed to violence focus. For example, children’s reactions to domestic violence; witnessing community violence; exposure to catastrophic events; etc.

Please specify your youth crime and delinquency focus. For example, teen gang activity, bullying, truancy, loitering in public places, etc.

Shape210 Please specify.

Please specify your focus on education, prevention, and intervention to combat drug use and abuse. For example, marijuana, heroin, prescription opioids, etc.

Please specify your critical infrastructure problem. For example, addressing threats against facilities, developing and testing incident response plans, etc.

Please specify your information and/or intelligence problem. For example, the need for criminal intelligence capacity, engaging in information sharing, expanding utilization of fusion centers, etc.

Please specify your focus on collaborating with federal law enforcement to address illegal immigration for information sharing, 287(g) partnerships, task forces and honoring detainers.

Please specify your burglary problem. For example, burglary of single family houses, burglary of retail establishments, burglary of construction sites, etc.

Please specify your fraud problem. For example, check fraud, identity theft, credit card fraud, fraud of the elderly, etc.

Please specify your larceny/theft problem. For example, shoplifting, pickpocketing, etc.

Please specify your motor vehicle theft problem/theft from motor vehicle. For example, organized motor vehicle theft, joy riding, theft of motor vehicles from parking garages, theft from motor vehicles in targeted area, etc.

Please specify your vandalism problem. For example, graffiti, vandalism of public parks, tagging, etc.

Please specify your disorder problem. For example, disorder in public places, disorder at day laborer sites, disorder on school grounds, etc.

Please specify your quality-of-life problem. For example, abandoned vehicles, panhandling, fear of crime, vacant properties, etc.

Please specify your prostitution problem; for example, street prostitution, organized prostitution, etc.

Shape212 Shape213 Please specify. Disorderly activity Please specify.

Please specify your focus on mutual respect and understanding between police and the communities they serve; for example, impartial policing, transparency, fairness and respect, community engagement, diversity, etc.

Please specify your assault problem; for example, assaults in and around bars, gang violence, etc.

Please specify your homicide problem; for example, gun homicide by serious previous offenders, gang related homicide, domestic homicides, etc.

Please specify your rape problem; for example, acquaintance rape, rape in college dorm rooms, child or domestic rape, etc.

Please specify your robbery problem; for example, robbery of convenience stores, robbery of taxi drivers, bank robbery, etc.

Please specify your domestic/family violence problem; for example, domestic violence, stalking, child abuse, elder abuse, etc.

Please specify your gun violence problem; for example, gun violence by juvenile gang members, drug related gun violence, etc.

Please also include the number of aggravated assaults with a firearm in your jurisdiction during the last calendar year:

Shape215 Shape216 Please specify. Criminal gangs Please specify.

Shape217 Please specify.

COPS Office awards must be used to initiate or enhance community policing activities. In this section, we will ask you to identify the organizational change(s) that your agency plans to focus on through your requested COPS Office funding. Identifying the specific organizational change(s) that your agency plans to focus on is important to ensure that you satisfy the requirements for COPS Office funding under this program, and to ensure that ultimately the use of these funds will initiate or enhance your agency’s capacity to implement community policing approaches.

If awarded funds, will your agency initiate or enhance any of the following internal changes to personnel management? (Select no more than 2 internal changes to personnel management that will be addressed with these award funds.)

 Flexibility in officer shift assignments to facilitate addressing specific problems

 Assignment of officers to specific neighborhoods or areas for longer periods (of time) to enhance customer service and facilitate more contact between police and citizens

 Recruitment and hiring practices that reflect an orientation towards problem solving and community engagement

 In-service training for officers on basic and advanced community policing principles

 Field training officer (FTO) programs that teach and test problem solving, community engagement, and critical thinking skills

 Measurement and inclusion of non-enforcement proactive community engagement efforts as part of officer performance evaluations

 De-escalation training to sworn personnel and promotion of de-escalation as an important strategy to diffuse potentially volatile situations

 Implicit bias (fair and impartial) training to sworn personnel

 Early intervention systems that help identify officers who may be showing early signs of stress, personal problems, and questionable work conduct

 Career development and/or promotional processes (e.g., sergeant exams) that reinforce problem solving and community engagement

 Specific programs that improve the safety and wellness of personnel throughout your organization.

 None of the above

Note to applicant: Please provide a narrative for each internal change to personnel management identified (2,000 characters or less).

If awarded funds, will your agency initiate or enhance any of the following internal changes to agency management? (Select up to 2 internal changes to agency management that will be addressed with these award funds.)

 Agency mission statement, vision, and/or goals that reflect the core values of community policing

 Agency strategic plan that outlines the goals and objectives around community policing and other departmental priorities

 Organizational performance measurement systems that include community policing metrics, and conduct annual assessments of agency performance

 Technology systems that provide officers, analysts, and the community better and timely access to data and information

 Mediation strategies to resolve citizen complaints

 Collection, analysis, and use of crime data and information in support of problem solving goals

 Formal accreditation process

 System to capture and track problem solving and partnership efforts and activities

 An organizational assessment of community policing

 Level and frequency of communication with the community on crime problems and agency activities to enhance transparency

 None of the above

Note to applicant: Please provide a narrative for each internal change to personnel management identified (2,000 characters or less).

Did your agency consult with any of the following groups or organizations on the development of this community policing strategy? (Please check all that apply.)

 Local government agencies (non-law enforcement, e.g., probation/parole, parks and recreation, code enforcement)

 Community based organizations (e.g., faith-based, community redevelopment groups, social service providers, resident associations)

 Businesses operating in the community

 Tribal law enforcement agencies (outside your jurisdiction)

 Other federal, state, or local law enforcement agencies

 Multijurisdictional or regional task forces/partnerships

 Local educational institutions (schools/colleges/universities)

 Local government officials

 Individual stakeholders residing, working or with an interest in the community and/or problem

 None of the above

To what extent are there related governmental and/or community initiatives that complement your agency’s proposed community policing strategy?

 a) There are a significant number of related initiatives

 b) There are a moderate number of related initiatives

 c) There are a minimal number of related initiatives

 d) There are no related initiatives

To what extent is there community support in your jurisdiction for implementing the proposed community policing strategy?

 a) High level of support

 b) Moderate level of support

 c) Minimum level of support

If awarded funds, to what extent will the community policing strategy impact the other components of the criminal justice system in your jurisdiction?

 a) Potentially decreased burden

 b) No change in burden

 c) Potentially increased burden

Explanation of need for federal assistance

All applicants are required to explain their inability to address the need for this award without federal assistance. Please do so in the space below.

[Please limit your responses to a maximum of 4,000 characters.]

Service population

Enter the total population of the government entity applying for this award using the latest census estimate available in the American Fact Finder at FactFinder2.census.gov.

Check here if the population of the entity applying for this award is not represented by U.S. Census figures (colleges, special agencies, school police departments, etc.).  Note to applicant: If this box is checked, complete 2a–2b.]

2a. If the population of the entity applying for this award is not represented by U.S. Census figures, please indicate the size of the population as of the latest available estimate:

2b. Please indicate the source of this population estimate (e.g., website address):

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OMB Control Number 1103-0098 Expiration Date: 05/31/2020

What is the actual population your department serves as the primary law enforcement entity?

This may or may not be the same as the population specified above. For example, a service population may be the census population minus incorporated towns and cities that have their own police department within your geographic boundaries or estimates of ridership (e.g., transit police) or visitors (e.g., park police). An agency with primary law enforcement authority is defined as having first responder responsibility to calls for service for all types of criminal incidents within its jurisdiction.

Note to applicant: This number should be prepopulated from section 5A.

3a. If applicable, please explain why the service population differs from the census population:

Fiscal health

Note: If your application involves a contract for law enforcement services, please refer to the instructions regarding contracting arrangements found in section 7 “Fiscal Health” of the Application Guide before completing this section.

Enter your law enforcement agency’s total operating budget for the current AND previous two fiscal years. Please note: All figures must be rounded to the nearest whole dollar.

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CURRENT FISCAL YEAR (2017) PREVIOUS FISCAL YEAR (2016) PREVIOUS FISCAL YEAR (2015)

Since January 1, 2016, what percentages of the following employees in your jurisdiction (city, county, state, tribal, university) have been reduced through layoffs? Please note: All figures must be rounded to the nearest whole percent.

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Civilian Law Enforcement Agency Personnel %

Sworn Law Enforcement Agency Personnel %

Other Government Agency Personnel %

The U.S. Census Bureau American Community Survey (ACS) provides multi-year poverty rate estimates for

communities. Please go to the U.S. Census Bureau’s American FactFinder (FactFinder2.census.gov) to determine the percentage of individuals in poverty in your jurisdiction. For jurisdictions not included in the census

(e.g., schools, universities, transit, parks), please check the box for “Not Applicable.” Please see the program Application Guide for additional information and help in using the American FactFinder. Please note: Round all figures to the nearest whole percent.

Shape243 Percentage of individuals in poverty %

 Not Applicable

The Bureau of Labor Statistics’ Local Area Unemployment Statistics (LAUS) program provides monthly estimates of unemployment for communities. Please go to the Bureau of Labor Statistics’ LAUS website (www.bls.gov/lau/data.htm) to find detailed instructions for looking up your local area’s unemployment rate. It may be necessary to select the nearest best match to your jurisdiction (for example, a city of fewer than 25,000 people may report their county level rate). Please see the program Application Guide for additional information and help in using the LAUS data. For jurisdictions not included in the census (e.g., schools, universities, transit, parks), please check the box for “Not Applicable.” Please note: All figures must be rounded to the nearest whole percent.

Shape244 Percentage unemployed for 2016: %

 Not Applicable

Indicate if your jurisdiction has experienced any of the following events since January 1, 2016: (Check all that apply.)

 A declaration of natural or other major disaster or emergency has been made pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.).

 A designation as an economically or financially distressed area by the state in which the applicant is located.

 Downgrading of the applicant’s bond rating by a major rating agency.

 Has filed for bankruptcy or been declared bankrupt by a court of law.

 Has been placed in receivership or its functional equivalent by the state or Federal Government.

 Has taken on additional law enforcement duties and responsibilities resulting from an agency merger or the disbanding of a neighboring law enforcement agency (which did not result in a new or supplemented funded contract to provide these law enforcement services).

In addition to the data collected elsewhere in this application, the COPS Office would like to capture information from jurisdictions that may have faced an unanticipated catastrophic event that has a significant impact on the delivery of law enforcement services or experienced an unusually large increase in the number of homicides in the past year. Examples of unanticipated catastrophic events include mass shootings, terrorist attacks, natural disasters, or other events leading to mass casualties that would not necessarily be reflected in the UCR crime statistics previously reported.

Please note that if your jurisdiction is faced with an unanticipated catastrophic event (e.g., mass shooting, terrorist attack, other mass casualty event) after submission of this application but before the application closing date, you should contact the COPS Office immediately at 800-421-6770 to update your application to include this information.

If your agency has experienced an unanticipated catastrophic event or an unusually large increase in the number of homicides in the time period from January 1, 2016 to present, check this box. 

Note to applicant: If this box is checked, these instructions will be provided.

You indicated that your jurisdiction has experienced an unanticipated catastrophic event. You must submit a narrative description of the catastrophic event with as much detail as possible. Please address the following:

Description of Event (including number of casualties)
Type of Event (natural disaster, mass shooting, bombing, unusually large increase in the number of homicides, etc.)
Impact of the Event on Delivery of Law Enforcement Services
Duration of the Event (how long will law enforcement services be impacted by the event until recovery)
Law Enforcement Response and Recovery Efforts

Please attach a narrative with the above information in section 13 of this application. Attachment must be in Microsoft Word or Adobe PDF format.

Property/Violent crime

Please select at least one statement below:

 My agency can report crime data for all 3 years (please input in table below).

 My agency cannot report crime data for 2016.

 My agency cannot report crime data for 2015.

 My agency cannot report crime data for 2014.

1) Using UCR crime definitions, enter the actual number of incidents reported to your agency in the previous three calendar years (2012–2014) for the following crime types. Note that only those incidents for which your agency had primary response authority should be provided. Please enter 0 (zero) to indicate no incidents in a particular year/type. Leave blanks only where data is unavailable.

UCR Data *	2016	2015	2014
Criminal Homicide
Forcible Rape
Robbery
Aggravated Assault
Burglary
Larceny (except motor vehicle theft)
Motor Vehicle Theft

Please note: Only those incidents for which your agency had primary response authority should be provided. An agency with primary response authority is defined as the first responder to calls for service for all types of criminal incidents within its jurisdiction. Agencies are not considered to have primary response authority if they only respond to or investigate a specific type(s) of crime(s); respond to or investigate crimes within a correctional facility; serve warrants; provide courthouse security; transport prisoners; and/or have cases referred to them for investigation or investigational support.

*Note: If your agency currently reports to NIBRS or does not report crime incident totals at all, please ensure that your data is converted to UCR Summary Data style. Please see the COPS Office Application Guide or the FBI’s UCR Handbook (www.fbi.gov/about-us/cjis/ucr/additional-ucr-publications/ucr_handbook.pdf/at_download/file) for more information.

If you are applying for a COPS Office award with a post-award retention requirement, please complete A. If you are applying for a COPS Office award without a post-award retention requirement, please complete B.

Continuation of project after federal funding ends (for COPS Office awards with a retention plan requirement)

Applicants must plan to retain all sworn officer positions awarded under your COPS hiring award for a minimum of 12 months at the conclusion of 36 months of federal funding for each position. The retained COPS Office funded positions should be added to your agency’s law enforcement budget with state and/or local funds at the end of award funding, over and above the number of locally-funded sworn officer positions that would have existed in the absence of the award. These additional position(s) must be retained using state, local, or other non-federal funding only. You may not use funds awarded by other federal awards to cover the costs of retention. At the time of award application, applicants must affirm that they plan to retain the positions and identify the planned source(s) of retention funding. We understand that your agency’s source(s) of retention funding may change during the life of the award. Your agency should maintain proper documentation of any changes in the event of an audit, monitoring or other evaluation of your award compliance. Please refer to the frequently asked questions on retention, located here: www.cops.usdoj.gov/Default.asp?Item=2115.

Does your agency plan to retain the additional position(s) awarded for a minimum of 12 months at the conclusion of federal funding?

 YES  NO

Note: Agencies that do not plan to retain all the positions awarded are ineligible to receive CHP funding.

Please identify the source(s) of funding that your agency plans to use to cover the costs of retention (check all that apply):

 General funds

 Raise bond/tax issue

 Private sources/donations

 Nonfederal asset forfeiture funds (subject to approval from the state or local oversight agency)

 Fundraising efforts

 State, local, or other nonfederal award funding

 Other (Please provide a brief description of the source(s) of funding not to exceed 500 characters.)

Continuation of project after federal funding ends (for COPS Office awards with no retention plan requirement)

Please complete these questions to indicate any plans you may have to continue this program, project, or activity after the conclusion of federal funding.

Does your agency plan to obtain necessary support and continue the program, project, or activity following the conclusion of federal support?

 YES  NO

Please identify the source(s) of funding that your agency plans to use to continue the program, project, or activity following the conclusion of federal support (check all that apply):

 General funds

 Raise bond/tax issue

 Private sources/donations

 Nonfederal asset forfeiture funds (subject to approval from the state or local oversight agency)

 Fundraising efforts

 State, local, or other nonfederal award funding

 Other (Please provide a brief description of the source(s) of funding not to exceed 500 characters.)

Applicants need not worry about this section.

Please provide a brief summary of how your agency will use this federal funding. Refer to the COPS Office Program Specific Application Guide for clarification on specific information to include in your summary, and be sure to provide a description of how you expect this award to impact public safety and/or crime prevention in your community. The Executive Summary may be used to keep Congress or other executive branch agencies informed on law enforcement strategies to deter crime in your community.

[Responses are limited to a maximum of 4,000 characters.]

Please include in your application an in-depth narrative response detailing your proposed project. Please refer to the COPS Office Application Guide: "How to Apply" for information on what should be included in your response, as well as any additional formatting requirements and page length limitations. Note: Community Policing Development (CPD), COPS Anti-Methamphetamine Program (CAMP), and Anti-Heroin Task Force (AHTF) Program applicants must submit their entire project description as an attachment in Section 13 of this application.

Problem Identification [Responses are limited to a maximum of 4,000 characters.]

Project Goals/Objectives [Responses are limited to a maximum of 4,000 characters.]

Building Relationships and Solving Problems [Responses are limited to a maximum of 4,000 characters.]

Implementation Plan [Responses are limited to a maximum of 4,000 characters.]

Evaluation Plan/Effectiveness of Program [Responses are limited to a maximum of 4,000 characters.]

Project Description (Narrative) Attachment:

Community Policing Development (CPD), COPS Anti-Methamphetamine Program (CAMP), and Anti-Heroin Task Force (AHTF) Program, Collaborative Reform Initiative for Technical Assistance (CRI-TA) Program, and Preparing for Active Shooter Situations (PASS) Program applicants must submit their entire project description as an attachment in Section 13 of this application.

An official "partner" under the award may be a governmental, private, school district, or other applicable entity that has established a legal, contractual, or other agreement with the applicant for the purpose of supporting and working together for mutual benefits of the award. Please see the COPS Office Application Guide for more information on official partners that may be required.

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	MI		Last Name:		Suffix:	Select One …

Title:

First Name:

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Note to applicant: The choices in the “Suffix” drop-down menu are as follows:

Jr.

Sr.

M.D.

Ph.D.

Shape290 Name of Partner Agency (e.g., Smithville High School)

Type of Partner Agency (e.g., School District):

Street Address 1:

Street Address 2:

Shape291 Shape292

ZIP Code:

State:

City:

Telephone: Fax: E-mail:

 Click here to add additional partners.

This section should be used to attach any required or applicable attachments to your award applications (e.g., Memorandum of Understanding).

To complete the CRI-TA and PASS Projects, applicants are required to provide a brief, high-level project abstract that summarizes the proposed project in 400 words or less. Project abstracts should explain to the reader about the projects’ purpose, scope, activities, and key partners, if applicable. An abstract should be coherent, concise, and able to stand alone as a summary of the project. Project abstracts should be written for a general public audience.

To complete the CAMP Project and Budget Narratives, applicants must follow each link to obtain the required forms. Your Project Narrative attachment must address each element on the following form: https://cops.usdoj.gov/pdf/2017AwardDocs/camp/2017_CAMP_Project_Narrative_508.pdf.

Your Budget Narrative attachment must address each element on the following form: https://cops.usdoj.gov/pdf/2017AwardDocs/camp/2017_CAMP_Budget_Narrative_508.pdf.

Once completed, all CAMP applicants must attach both the Project Narrative and Budget Narrative to Section 13 using the appropriate titles in the drop down menu below. Additional information is also provided in the CAMP Application Guide.

To complete the AHTF Project and Budget Narratives, applicants must follow each link to obtain the required forms. Your Project Narrative attachment must address each element on the following form: https://cops.usdoj.gov/pdf/2017AwardDocs/ahtf/2017_AHTF_Project_Narrative_508.pdf.

Your Budget Narrative attachment must address each element on the following form: https://cops.usdoj.gov/pdf/2017AwardDocs/ahtf/2017_AHTF_Budget_Narrative_508.pdf.

Once completed, all AHTF applicants must attach both the Project Narrative and Budget Narrative to Section 13 using the appropriate titles in the drop down menu below. Additional information is also provided in the AHTF Application Guide.

Community Policing Development applicants should submit the required Project Description described in Section 11 (maximum 20 pages or 10 pages for Microawards), up to three Resumes/Vitas, the Budget Narrative (see Community Policing Development (CPD) COPS Office FY2017 Application Guide), Indirect Cost Rate Agreement (if applicable), Sole Source Justification (if applicable), budget justification documentation (pay scales, travel policies, etc.), and documentation justifying consultant rates over $650 per day if the consultant is hired through a noncompetitive bidding process (if applicable).

Additional attachments are strongly discouraged. Applicants should attach the vitae/resumes of up to three key project staff detailing work and educational history and highlighting any experience that is relevant to their ability to successfully carry out the proposed project. Vitae and resumes of key project personnel attachments do not count toward the page limit. All CPD applicants must attach a Budget Narrative. Your agency must create and attach a document that (1) describes each item requested or group of similar items requested; and (2) links each item or group of items to the proposed project. COPS will review all items on a case-by-case basis and in context of the allowable and unallowable costs lists. Budget narratives do not count toward the 20-page limit. See section 14 “Budget Detail Worksheets and Budget Narrative” for instructions and sample information.

The MOU must contain the following: the purpose of the MOU; clearly defined roles and responsibilities of the school district and the law enforcement agency, focusing officers’ roles on safety; information sharing; supervision responsibility and chain of command for the SRO; and signatures. If awarded, recipients must submit an MOU to the COPS Office within 90 days from the date shown on the award congratulatory letter. The implementation of the COPS Hiring Program award without submission and acceptance of the required MOU may result in expenditures not being reimbursed by the COPS Office and/or award deobligation. Please refer to the program-specific application guide to determine if an MOU or other application attachments are required. The guide will also specify if optional attachments are permitted for submission.

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Select One …

<<Upload Attachment 1 Name>>

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Select One …

<<Upload Attachment 2 Name>>

Please use appropriately descriptive file names (Program Narrative, Budget Detail Worksheet and Budget Narrative, Timelines, Memoranda of Understanding, Resumes, etc.) for all attachments.

Please do not submit executable file types as application attachments. These disallowed file types include, but are not limited to, the following extensions: .com, .bat, .exe, .vbs, .cfg, .dat, .db, .dbf, .dll, .ini, .log, .ora, .sys, and .zip. The system may reject applications with files that use these extensions.

The following budget detail worksheets are designed to allow all COPS Office award and cooperative agreement applicants to use the same budget forms to request funding. Allowable and unallowable costs vary widely and depend upon the type of COPS Office program. The maximum federal funds that can be requested and the federal/local share breakdown requirements also vary.

Please refer to the program-specific application guide to determine the allowable/unallowable costs, the maximum amount of federal funds that can be requested, and the federal/local share requirements for the COPS Office program for which your agency is applying. To assist you, sample budget detail worksheets are included in each application guide.

Please complete each section of the budget detail worksheets applicable to the program for which you are applying (see the program-specific application guide for requirements). If you are not requesting anything under a particular budget category, please check the appropriate box in that category indicating that no positions or items are requested.

All calculations will be rounded to the nearest whole dollar. Once the budget for your proposal has been completed, a budget summary page will reflect the total amounts requested in each category, the total project costs, and the total federal and local shares.

How many new entry level, full-time sworn officer positions not currently funded in your agency(s) local budget are your agency requesting in this application?

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If your agency is not requesting funding for new entry level, full-time sworn officer positions in this application, please insert a zero (0) in the response box. Please note that you should not account for requests for officer overtime here.

No sworn officer positions requested 

This worksheet will assist your agency in reporting your agency’s current entry level salary and benefits and identifying the total salary and benefits request per officer position for the length of the award term. Please list the current entry level base salary and fringe benefits rounded to the nearest whole dollar for one full-time sworn officer position within your agency. Do not include employee contributions. (Please refer to the program-specific application guide for information on the length of the award term for the program under which you are applying.)

Special note regarding sworn officer fringe benefits: For agencies that do not include fringe benefits as part of the base salary costs and typically calculate these separately, the allowable expenditures may be included under part 1, section B. Any fringe benefits that are already included as part of the agency’s base salary (part 1, section A of the sworn officer budget worksheet) should not also be included in the separate fringe listing (part 1, section B). [There will be a pop-up certification check box for the applicant to certify that duplicate fringe benefit payments will not be incurred.]

Please refer to the program-specific application guide for information about allowable and unallowable fringe benefits for sworn officer positions requested under the program to which your agency is applying.

Below is a sample of the worksheet for sworn officer positions.

Figure 1 shows a screenshot of this worksheet from the online application.

Base salary information

Year 1 salary

Shape331 Shape332

Enter the current first year salary for one sworn officer position.

% of time on project =

Year 2 salary (as applicable)

Shape333 Shape334

Enter the second year base salary for one sworn officer position.

% of time on project =

Year 3 salary (as applicable)

Shape335 Shape336

Enter the third year base salary for one sworn officer position.

% of time on project =

Fringe benefit costs should be calculated for each year of the award term.

Fringe Benefits

Year 1 Fringe Benefits

Year 2 Fringe Benefits

Year 3 Fringe Benefits

Social Security: Exempt 

6.2%  Fixed rate 

Cannot exceed 6.2% of total base salary

Cost: $

% of base salary: 6.2

Cost: $

% of base salary: 6.2

Cost: $

% of base salary: 6.2

Medicare: Exempt  1.45%  Fixed rate  Cannot exceed 1.45% of total

base salary

Cost: $

% of base salary: 1.45

Cost: $

% of base salary: 1.45

Cost: $

% of base salary: 1.45

Health insurance: Individual  Family 

Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Life insurance: Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Vacation:

Number of hours annually

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Sick leave:

Number of hours annually

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Retirement: Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Worker’s Compensation:

Exempt  Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Unemployment insurance: Exempt  Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Cost: $

% of base salary:

Benefits subtotal per year (one position)

C. Total salary + benefits per year (one position)

D. Total salary and benefits for years 1, 2, and 3

(one position)

If your agency's second- and/or third-year costs for salaries and/or fringe benefits increase after the first year, check the reason(s) why in the space below:

 Cost of living adjustment (COLA)  Step raises  Change in benefit costs

 Not applicable

As part of the local matching requirement for the 2017 COPS Hiring Program, recipients must assume a progressively larger share of the cost of the award with local funds over the three‐year award period. This means that your local match must increase each year, while the federal share must decrease.

Total salary and benefits for year 1, 2, & 3 (all positions):	Actual amount prepopulated from the budget:
Total federal share:	Actual amount prepopulated from the budget:	Percentage prepopulated from the budget:
Total local share required (sworn officer costs):	Actual amount prepopulated from the budget:	Percentage prepopulated from the budget:

Please project in the chart below how your agency plans to assume a progressively larger share of the award costs during each year of the program. The chart is only a projection of your plans; while your agency may deviate from these specific projections during the award period, it must still ensure that the federal share decreases and the local share increases. For more details on local matching requirements for this program, please refer to the program‐ specific application guide.

Shape337

Percent of the total local share required your agency plans to assume in year 1 Percent of the total local share required your agency plans to assume in year 2 Percent of the total local share required your agency plans to assume in year 3 Percent total

Local share year 1 Local share year 2 Local share year 3 Local total

Federal share year 1 Federal share year 2 Federal share year 3 Federal total

No civilian/nonsworn officer positions requested 

Please complete the questions below for one nonsworn position salary and benefits package. As applicable per the program-specific application guide, you may also be required to project year 2 and year 3 salaries.

Below is a sample of the worksheet for civilian/nonsworn personnel positions. Figure 2 shows a screenshot of this worksheet from the online application.

Base salary information

Shape338 Position title: Description:

(One position per worksheet) Year 1 salary

Shape339 Shape340

Enter the current first year salary for one civilian/nonsworn position.

% of time on project =

Year 2 salary (as applicable)

Shape341 Shape342

Enter the second year base salary for one civilian/nonsworn position.

% of time on project =

Fringe benefit costs should be calculated for each year of the award term.

Fringe Benefits

Year 1 Fringe Benefits

Year 2 Fringe Benefits

Social Security: Exempt  6.2%  Fixed rate 

Cannot exceed 6.2% of total base salary

Cost: $

% of base salary: 6.2

Cost: $

% of base salary: 6.2

Medicare: Exempt  1.45%  Fixed rate 

Cannot exceed 1.45% of total base salary

Cost: $

% of base salary: 1.45

Cost: $

% of base salary: 1.45

Health insurance: Individual  Family  Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Life insurance: Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Vacation:

Number of hours annually

Cost: $

% of base salary:

Cost: $

% of base salary:

Sick leave:

Number of hours annually

Cost: $

% of base salary:

Cost: $

% of base salary:

Retirement: Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Worker’s Compensation: Exempt  Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Unemployment insurance: Exempt  Fixed rate 

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Other:

Select One …

Cost: $

% of base salary:

Cost: $

% of base salary:

Benefits subtotal per year (one position)

C. Total salary + benefits per year (one position)

D. Total salary and benefits for years 1 and 2 (one position)

Figure 2. Civilian/nonsworn personnel base salary and fringe benefits calculations

Equipment/Technology

No equipment/technology requested 

Instructions. List nonexpendable items that are to be purchased. Provide a specific description for each item in the description boxes below and explain how the item supports the project goals and objectives as outlined in your application. Nonexpendable equipment is tangible property (e.g., information technology systems) having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. Expendable items should be included either in the Supplies or Other categories. Applicants should analyze the cost benefits of purchasing versus leasing equipment, especially for high-price items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the Contracts/Consultants category.

Please be advised that, to the greatest extent practical, all equipment and products purchased with these funds must be American-made.

See www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for this program. Please limit your descriptions to 1000 characters.

Below is a sample of the worksheet for equipment/technology costs. Figure 3 shows a screenshot of this worksheet from the online application.

Name Cost Qty Sub Total Description

Base cost:

Total:

Supplies

No supplies requested 

Instructions. List items by type (office supplies; postage; training materials; copying paper; books; hand-held tape recorders; computing devices costing less than $5,000; etc.) Provide a specific description for each item in the description boxes below and explain how it supports the project goals and objectives outlined in your application. Generally, supplies include any materials that are expendable or consumed during the course of the project, costing less than $5,000.

See www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for this program. Please limit your descriptions to 1000 characters.

Below is a sample of the worksheet for supplies costs. Figure 4 shows a screenshot of this worksheet from the online application.

Name Cost Qty Sub Total Description

Base cost:

Total:

Travel/Training/Conferences

No travel/training requested 

Instructions. Travel costs are the expenses for transportation, lodging, subsistence, and related items incurred by employees who are in travel status on official business of the nonfederal entity. Itemize award-related travel expenses of recipient personnel (excluding consultants, list those expenses in section F) by event (e.g., mandatory training, staff to training, field interviews, advisory group meetings). Identify the location of travel whenever possible, and show the number of staff expected to attend each event. List training fees, transportation, lodging, and per diem rates for trainees as separate travel items. Base recipient travel costs specific to the award project on the recipient’s written travel policy, assuming the costs are reasonable. Recipients without a written travel policy must follow the established federal rates (found at www.gsa.gov) for lodging, meals, and per diem. For all recipients (with or without a written travel policy), airfare travel costs must be one of the following: the lowest discount commercial airfare, standard coach airfare, or the Federal Government contract airfare (if authorized and available).

See www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for this program. Please limit your descriptions to 1000 characters.

Below is a sample of the worksheet for travel/training costs. Figure 5 shows a screenshot of this worksheet from the online application.

Event Title and Location

Contracts/Consultants

Below are samples of the worksheet for contract and consultant costs. Figure 6 and Figure 7 show screenshots of these worksheets from the online application.

No contract costs requested 

Instructions. See www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for the particular program to which you are applying. Provide a specific description in the description boxes below for each item and explain how the item supports the project goals and objectives as outlined in your application. Please limit your descriptions to 1000 characters.

Contracts. Provide a cost estimate for the product or service to be procured by the contract. Applicants are encouraged to promote free and open competition in awarding contracts. If awarded, requests for sole source procurements of equipment, technology, or services in excess of $150,000 must be submitted to the COPS Office for prior approval. (See www.cops.usdoj.gov/Default.asp?item=46 for more information on the required submission.)

F1. Contract costs

Name Cost Qty Sub Total Description

Base cost:

Total:

No consultant fees requested 

Consultant fees. For each consultant, enter the name (if known), service to be provided, hourly or daily fee (based upon an 8-hour day), and estimated length of time on the project. Unless otherwise approved by the COPS Office, approved consultant rates will be based on the salary a consultant receives from his or her primary employer.

Consultant fees in excess of $650 per day require additional written justification and must be preapproved in writing by the COPS Office if the consultant is hired via a noncompetitive bidding process.

F2. Consultant Fees

Name Cost Qty Sub Total Description

Base cost:

Total:

No consultant travel requested 

Consultant travel. List all travel-related expenses to be paid from the award to the individual consultants (e.g., transportation, meals, lodging) separate from their consultant fees.

F3. Consultant Travel

No consultant expenses requested 

Consultant expenses. List all other expenses to be paid from the award to the individual consultants separate from their consultant fees and travel expenses (e.g., computer equipment and office supplies).

F4. Consultant Expenses

Name Cost Qty Sub Total Description

Base cost:

Total:

Other costs

No other costs requested 

Instructions. List other requested items that will support the project goals and objectives as outlined in your application. Provide a specific description for each item in the description boxes below and explain how the item supports the project goals and objectives as outlined in your application.

Please be advised that, to the greatest extent practical, all equipment and products purchased with these funds must be American-made.

See www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for this program. Please limit your descriptions to 1000 characters.

Below is a sample of the worksheet for other costs. Figure 8 shows a screenshot of this worksheet from the online application.

Name Cost Qty Sub Total Description

Base cost:

Total:

Indirect costs

No indirect costs requested 

Instructions. Indirect costs are allowed under a very limited number of specialized COPS Office programs. Please see www.cops.usdoj.gov/Default.asp?item=46 for a list of allowable/unallowable costs for the particular program to which you are applying.

If indirect costs are requested, a copy of the agency’s fully executed, negotiated federal rate approval agreement must be attached to this application.

If your organization is requesting indirect costs for this project, please include a copy of your current, signed federally approved indirect cost rate negotiated agreement. If the applicant does not have an approved rate, a rate can be requested by contacting the applicant’s cognizant federal agency, which will review all documentation and approve a rate for the applicant organization. Please limit your description to 1000 characters.

Below is a sample of the worksheet for indirect costs. Figure 9 shows a screenshot of this worksheet from the online application.

Indirect Cost Description

Name Cost Qty Sub Total Description

Base cost:

Total:

Budget summary

Instructions: Please review the category totals and the total project costs below. If the category totals and project mounts shown are correct, please continue with the submission of your application. Should you need to make

revisions to a budget category, please return to the budget detail worksheet.

Figure 10 shows a screenshot of that worksheet from the online application.

Budget Category	Category Total	Edit
A. Sworn officer positions	$
B. Civilian/nonsworn personnel	$
C. Equipment/Technology	$
D. Supplies	$
E. Travel/Training	$
F. Contracts/Consultants	$
G. Other costs	$
H. Indirect costs	$
Total project amount	$
Total federal share amount (total project amount x federal share percentage allowable)	$	%
Total local share amount (if applicable) (total project amount–total federal share amount):	$	%

If your application is funded but for a reduced number of officer positions, the percentage of the local share provided above will be applied to the total project cost of the awarded officers.

The COPS Office may waive some or all of a recipient’s local match requirement based on severe fiscal distress. During the application review process, your agency’s waiver request will be evaluated based on the availability of funding, a demonstration of severe fiscal distress as reflected through the fiscal health data in section 7 of this application, and a comparison of your fiscal health data with that of the overall CHP applicant pool.

Q1: Are you requesting a waiver of the local match based upon severe fiscal distress? YES/NO

If applicant answers “NO”, they would continue with the application; if “YES”, the following questions would appear:

Q1a: If awarded, please indicate the maximum local share your agency would be able to contribute to the total project cost in order to implement the award. Please enter a value in dollars only.

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Based on the waiver request above, your federal share would be and your local share would be

if your application is funded.

We anticipate that waivers of the local match will be limited. The COPS Office will carefully review your request for a waiver when your application is submitted.

Q1b: If your agency does not qualify for a waiver, do you still wish to be considered for a CHP award?

Yes, please continue to review my agency’s application even if we are not eligible for a waiver of the local match.

No, my agency could not implement this award without a waiver of the local match, so please do not continue processing our application if we are not eligible for the waiver.

Please provide contact information of the financial official that the COPS Office may contact with questions related to your budget submission.

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Authorized Official’s Typed Name: Title:

Phone: Fax:

E-mail address:

U.S. DEPARTMENT OF JUSTICE CERTIFIED STANDARD ASSURANCES

On behalf of the Applicant, and in support of this application for a award or cooperative agreement, I certify under penalty of perjury to the U.S. Department of Justice ("Department"), that all of the following are true and correct:

I have the authority to make the following representations on behalf of myself and the Applicant. I

understand that these representations will be relied upon as material in any Department decision to make

an award to the Applicant based on its application.

I certify that the Applicant has the legal authority to apply for the federal assistance sought by the application, and that it has the institutional, managerial, and financial capability (including funds sufficient to pay any required non-federal share of project costs) to plan, manage, and complete the project described in the application properly.

I assure that, throughout the period of performance for the award (if any) made by the Department based on the application--

the Applicant will comply with all award requirements and all federal statutes and regulations applicable to the award;
the Applicant will require all sub-recipients to comply with all applicable award requirements and all applicable federal statutes and regulations; and
the Applicant will maintain safeguards to address and prevent any organizational conflict of interest, and also to prohibit employees from using their positions in any manner that poses, or appears to pose, a personal or financial conflict of interest.

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--

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);
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 award 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;

the Applicant understands that it must require any sub-recipient to comply with all such applicable statutes (and associated regulations); and
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).

I assure that the Applicant will assist the Department as necessary (and will require subrecipients and contractors to assist as necessary) with the Department's compliance with section 106 of the National Historic Preservation Act of 1966 (54 U.S.C. § 306108), the Archeological and Historical Preservation Act of 1974 (54 U.S.C. §§ 312501-312508), and the National Environmental Policy Act of 1969 (42 U.S.C. §§ 4321-4335), and 28 C.F.R. Parts 61 (NEPA) and 63 (floodplains and wetlands).

I assure that the Applicant will give the Department and the Government Accountability Office, through any authorized representative, access to, and opportunity to examine, all paper or electronic records related to the award (if any) made by the Department based on the application.

I assure that, if the Applicant is a governmental entity, with respect to the award (if any) made by the Department based on the application--

it will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C. §§ 4601-4655), which govern the treatment of persons displaced as a result of federal and federally-assisted programs; and
it will comply with requirements of 5 U.S.C. §§ 1501-1508 and 7324-7328, which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by federal assistance.

If the Applicant applies for and receives an award from the Office of Community Oriented Policing Services (COPS Office), I assure that as required by 34 U.S.C. § 10382(c)(11), it will, to the extent practicable and consistent with applicable law—including, but not limited to, the Indian Self- Determination and Education Assistance Act—seek, recruit, and hire qualified members of racial and ethnic minority groups and qualified women in order to further effective law enforcement by increasing their ranks within the sworn positions, as provided under 34 U.S.C. § 10382(c)(11).

I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34 U.S.C. §§ 10271-10273), and also may subject me and the Applicant to civil penalties and administrative remedies for false claims or otherwise (including under 31 U.S.C. §§ 3729-3730 and 3801-3812). I also acknowledge that the Department’s awards, including certifications provided in connection with such awards, are subject to review by the Department, including by its Office of the Inspector General.

________________________________________ ___________________________

Signature of Law Enforcement Executive/Agency Executive Date

(For your electronic signature, please type in your name)

______________________________________________ _____________________________

Signature of Government Executive/Financial Official Date

(For your electronic signature, please type in your name)

CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS

Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. The certifications shall be treated as a material representation of fact upon which reliance will be placed when the U.S. Department of Justice (“Department”) determines to award the covered transaction, award, or cooperative agreement.

LOBBYING

As required by 31 U.S.C. § 1352, as implemented by 28 C.F.R. Part 69, the Applicant certifies and assures (to the extent applicable) the following:

No Federal appropriated funds have been paid or will be paid, by or on behalf of the Applicant, 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 award, the entering into of any cooperative agreement, or the extension, continuation, renewal, amendment, or modification of any Federal award or cooperative agreement;

If the Applicant’s request for Federal funds is in excess of $100,000, and 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 award or cooperative agreement, the Applicant shall complete and submit Standard Form - LLL, “Disclosure of Lobbying Activities” in accordance with its (and any DOJ awarding agency’s) instructions; and

The Applicant shall require that the language of this certification be included in the award documents for all subawards and procurement contracts (and their subcontracts) funded with Federal award funds and shall ensure that any certifications or lobbying disclosures required of recipients of such subawards and procurement contracts (or their subcontractors) are made and filed in accordance with 31 U.S.C. § 1352.

DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS

Pursuant to Department regulations on nonprocurement debarment and suspension implemented at 2

Part 2867, and to other related requirements, the Applicant certifies, with respect to prospective participants in a primary tier “covered transaction,” as defined at 2 C.F.R. § 2867.20(a), that neither it nor any of its principals—

is presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency;

has within a three-year period preceding this application been convicted of a felony criminal violation under any Federal law, or been convicted or had a civil judgment rendered against it for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, tribal, or local) transaction or private agreement or transaction;

violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion or receiving stolen property, making false claims, or obstruction of justice, or commission of any offense indicating a lack of business integrity or business honesty that seriously and directly affects its (or its principals’) present responsibility;

is presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, tribal, or local) with commission of any of the offenses enumerated in paragraph

(b) of this certification; and/or

has within a three-year period preceding this application had one or more public transactions (Federal, State, tribal, or local) terminated for cause or default.

Where the Applicant is unable to certify to any of the statements in this certification, it shall attach an explanation to this application. Where the Applicant or any of its principals was convicted, within a three-year period preceding this application, of a felony criminal violation under any Federal law, the Applicant also must disclose such felony criminal conviction in writing to the Department (for OJP Applicants, to OJP at [email protected]; for OVW Applicants, to OVW at [email protected]; or for COPS Applicants, to COPS at [email protected]), unless such disclosure has already been made.

FEDERAL TAXES

If the Applicant is a corporation, it certifies either that (1) the corporation has no unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, or (2) the corporation has provided written notice of such an unpaid tax liability (or liabilities) to the Department (for OJP Applicants, to OJP at [email protected]; for OVW Applicants, to OVW at [email protected]; or for COPS Applicants, to COPS at [email protected]).

Where the Applicant is unable to certify to any of the statements in this certification, it shall attach an explanation to this application.

DRUG-FREE WORKPLACE (RECIPIENTS OTHER THAN INDIVIDUALS)

As required by the Drug-Free Workplace Act of 1988, as implemented at 28 C.F.R. Part 83, Subpart F, for recipients, as defined at 28 C.F.R. §§ 83.620 and 83.650:

The Applicant certifies and assures that it will, or will continue to, provide a drug-free workplace by—

Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in its workplace and specifying the actions that will be taken against employees for violation of such prohibition;

Establishing an on-going drug-free awareness program to inform employees about—

The dangers of drug abuse in the workplace;

The Applicant’s policy of maintaining a drug-free workplace;

Any available drug counseling, rehabilitation, and employee assistance programs; and
The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

Making it a requirement that each employee to be engaged in the performance of the award be given a copy of the statement required by paragraph (a);

Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the award, the employee will—

Abide by the terms of the statement; and

Notify the employer in writing of the employee’s conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

Notifying the Department, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title of any such convicted employee to the Department, as follows:

For COPS award recipients - COPS Office, 145 N Street, NE, Washington, DC, 20530;

For OJP and OVW award recipients - U.S. Department of Justice, Office of Justice Programs, ATTN: Control

Desk, 810 7th Street, N.W., Washington, D.C. 20531.

Notice shall include the identification number(s) of each affected award

Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted:

Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or

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; and

Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).

COORDINATION REQUIRED UNDER PUBLIC SAFETY AND COMMUNITY POLICING PROGRAMS

As required by the Public Safety Partnership and Community Policing Act of 1994, at 34 U.S.C. § 10382(c)(5), if this application is for a COPS award, the Applicant certifies that there has been appropriate coordination with all agencies that may be affected by its award. Affected agencies may include, among others, Offices of the United States Attorneys; State, local, or tribal prosecutors; or correctional agencies.

are subject to review by the Department, including by its Office of the Inspector General.

__________________________________________ ___________________________

Signature of Law Enforcement Executive/Agency Executive Date

(For your electronic signature, please type in your name)

______________________________________________ _____________________________

Signature of Government Executive/Financial Official Date

(For your electronic signature, please type in your name)

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subrecipient or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.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 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 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.

Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

Identify the status of the covered Federal action.

Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subrecipient, e.g., the first subrecipient of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subawards and contract awards under awards.

If the organization filing the report in item 4 checks "Subrecipient," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known.

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.

Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for awards, cooperative agreements, loans, and loan commitments.

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 (IFB) number; award announcement number; the contract, award, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."

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.

(a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action.

(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI).

The certifying official shall sign and date the form, print his/her name, title, and telephone number.

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According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 4040-0013. Public reporting burden for this collection of information is estimated to average 10 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 regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (4040-0013 ), Washington, DC 20503.

OMB Control Number 1103-0098

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Expiration Date: 05/31/2020 Section 16. Disclosure of Lobbying Activities

Below is a sample of the lobbying disclosure form. Figure 11 is a screenshot of the actual form including OMB approval.

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352. (See reverse for public burden disclosure.)

Type of Federal Action:

 a. contract

award
cooperative agreement
loan
loan guarantee
loan insurance

Status of Federal Action:

 a. bid/offer/application

initial award
post-award

3. Report Type:

 a. initial filing

b. material change For Material Change only: year quarter date of last report

4. Name and Address of Reporting Entity:

 Prime  Subrecipient Tier , if known:

Congressional District, if known:

5. If Reporting Entity in no. 4 is a Subrecipient, enter name and address of Prime:

Congressional District, if known:

6. Federal Department/Agency:

7. Federal Program Name/Description:

CFDA number, if applicable:

8. Federal Action Number, if known:

9. Award amount, if known:

10. a. Name and Address of Lobbying Registrant (if individual: last name, first name, MI)

b. Individuals Performing Services

(including address if different from no. 10.a.) (last name, first name, MI)

11.

Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of 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 information will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more

than $100,000 for each such failure.

Signature: Print name: Title: Telephone No.: Date:

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107

Section 16 B. Certification of Compliance with 8 U.S.C. § 1373

The following Certification must be completed by all State or local government entities and, for the Community Policing Development Program, by non-State or local government entities that intend to use these funds, if awarded, to make subawards to a State or local government entity. To determine whether this Certification applies to your application, please check the appropriate box below:

[checkbox] The applicant entity is a State or local government entity OR will use these funds, if awarded, to make subawards to a State or local government entity. (Certification Required)

[checkbox] The applicant entity is a Tribal entity, non-profit entity, private entity, or other entity that is not a State or local government entity AND will not use these funds, if awarded, to make subawards to a State or local government entity. (Certification Not Required)

Certification of Compliance with 8 U.S.C. § 1373

On behalf of the applicant entity named below, I certify under penalty of perjury to the Office of Community Oriented Policing Services, U.S. Department of Justice, that all of the following is true and correct:

(1) I am chief legal officer for the applicant entity named below and have the authority to make this certification on behalf of the applicant entity (that is, the entity applying directly to the Office of Community Oriented Policing Services). For purposes of this certification, the applicant entity’s “chief legal officer” is that of the applicant’s State or local governing body (e.g., State, City, County) or of the non-State or local government entity that is applying for funds and will make subawards to a State or local government entity.

(2) I have carefully reviewed 8 U.S.C. § 1373(a) and (b), including the prohibitions on certain actions by State and local government entities and officials regarding information on citizenship and immigration status. I have reviewed the provisions set out at 8 U.S.C. § 1551 note, pursuant to which references to the Immigration and Naturalization Service in 8 U.S.C. § 1373 are to be read, as a legal matter, as references to particular components of the U.S. Department of Homeland Security.

(3) I understand that the U.S. Department of Justice will require States and units of local government to comply with 8 U.S.C. § 1373 with respect to any “program or activity” funded in whole or in part with the federal financial assistance provided under the FY 2018 Office of Community Oriented Policing Services programs, including any such program or activity of a governmental entity that is a subrecipient (at any tier) of funds under an FY 2018 program.

(4) I understand that, for purposes of this certification, “program or activity” means what it means under section 606 of title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d-4a).

(5) I have conducted (or caused to be conducted on my behalf) a diligent inquiry and review concerning both—

the “program or activity” to be funded (in whole or in part) with the federal financial assistance sought by the applicant entity under the FY 2018 program, and

any prohibitions or restrictions potentially applicable to the program or activity funded under the FY 2018 program that deal with sending to, requesting or receiving from, maintaining, or exchanging information of the types described in 8 U.S.C. § 1373(a) or (b), whether imposed by a State or local government entity or official.

(6) As of the date of this certification, no State or local government entity or official has in effect (or purports to have in effect) any prohibition or restriction that is applicable to the program or activity to be funded in whole or in part under the FY 2018 program and that deals with sending to, requesting or receiving from, maintaining, or exchanging information of the types described in 8 U.S.C. § 1373(a) or (b).

I acknowledge that a false statement in this certification, or in the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 42 U.S.C. § 3795), of administrative action, and/or of civil action in court. I also acknowledge that Office of Community Oriented Policing Services awards, including certifications provided in connection with such awards, are subject to review by the Office of Community Oriented Policing Services and/or by the Department of Justice’s Office of the Inspector General.

______________________________________ ________________________________________

Signature of Chief Legal Officer Printed Name of Chief Legal Officer

_____________________________________ ________________________________________

Date of Certification Title of Chief Legal Officer

______________________________________________________________________________________

Name of Applicant Entity

Section 16 C. Certification of Illegal Immigration Cooperation

Certification of Illegal Immigration Cooperation

As the Law Enforcement Executive or Government Executive for the applicant entity named below, I have the authority to make this certification on behalf of the applicant entity (that is, the entity applying directly to the Office of Community Oriented Policing Services) and its governing body (i.e., city, county, or state).

The applicant entity and/or its governing body has implemented or, before drawing down award funds if awarded, will implement rules, regulations, policies, and/or practices that ensure that U.S. Department of Homeland Security (“DHS”) personnel have access to any of the governing body’s correctional or detention facilities in order to meet with an alien (or an individual believed to be an alien) and inquire as to his or her right to be or to remain in the United States.

The applicant entity and/or its governing body has implemented or, before drawing down award funds if awarded, will implement rules, regulations, policies, and/or practices that ensure that any of the governing body’s correctional and detention facilities provide advance notice as early as practicable (at least 48 hours, where possible) to DHS regarding the scheduled release date and time of an alien in the jurisdiction’s custody when DHS requests such notice in order to take custody of the alien. This certification does not require holding an alien beyond his or her scheduled time of release.

Name of Applicant Entity

______________________________________ ______________________________________

Signature of Law Enforcement Executive Signature of Government Executive

______________________________________ ______________________________________

Printed Title and Name of Law Enforcement Executive Printed Title and Name of Government

Executive

________________________________________ ______________________________________

Date Signed Date Signed

Federal Civil Rights and Award Reviews:

Please be advised that an application may not be funded and, if awarded, a hold may be placed on the award if it is deemed that the applicant is not in compliance with federal civil rights laws, and/or is not cooperating with an ongoing federal civil rights investigation, and/or is not cooperating with a Department of Justice award review or audit.

Certification of Review of 28 C.F.R. Part 23/Criminal Intelligence Systems:

Please review the COPS Office Application Guide: Legal Requirements Section for additional information. Please check one of the following, as applicable to your agency’s intended use of this award:

 No, my agency will not use these COPS Office funds (if awarded) to operate an interjurisdictional criminal intelligence system.

 Yes, my agency will use these COPS Office funds (if awarded) to operate an interjurisdictional criminal intelligence system. By signing below, we assure that our agency will comply with the requirements of 28 C.F.R. Part 23.

Certification of Review and Representation of Compliance with Requirements:

The signatures of the Law Enforcement Executive/Agency Executive, Government Executive/Financial Official, and the Person Submitting this Application on the Reviews and Certifications represent to the COPS Office that:

the signatories have been legally and officially authorized by the appropriate governing body to submit this application and act on behalf of the applicant entity;

the applicant will comply with all legal, administrative, and programmatic requirements that govern the applicant for acceptance and use of federal funds as outlined in the applicable COPS Office Application Guide, the COPS Office Award Owner’s Manual, Assurances, Certifications, and all other applicable program regulations, laws, orders, and circulars;

the applicant understands that false statements or claims made in connection with COPS Office programs may result in fines, imprisonment, debarment from participating in federal awards, cooperative agreements, or contracts, and/or any other remedy available by law to the federal government;

the information provided in this application, including any amendments, shall be treated as material representations of fact upon which reliance will be placed when the Department of Justice determines to make the covered award;

the applicant understands that as a general rule COPS Office funding may not be used for the same item or service funded through another funding source; and

the applicant and any required or identified official partner(s) listed in Section 12 are partners in this award project and mutually agreed to this partnership prior to this application.

The signatures of the Law Enforcement Executive/Agency Executive and the Government Executive/Financial Official on this application must be the same as those identified in Section 4 of this application. Applications with missing, incomplete, or inaccurate signatories or responses may not be considered for funding.

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Signature of Law Enforcement Executive/Agency Executive Date (For your electronic signature, please type in your name)

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Signature of Government Executive/Financial Official Date (For your electronic signature, please type in your name)

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Signature of Person Submitting This Application Date (For your electronic signature, please type in your name)

ELECTRONIC SIGNATURE: By clicking this box  , the applicant understands that the use of typed names in this application and the required forms, including the Assurances and Certifications, constitute electronic signatures and that the electronic signatures are the legal equivalent of handwritten signatures.

By signing below, I certify that I have read, understand and agree to the following:

my agency has been requested by the COPS Office to review, confirm and/or update specific data items that were previously submitted in our COPS Office application and our failure to respond to the request may eliminate our application from funding consideration;
my agency has reviewed, confirmed and/or updated the specific data items identified by the COPS Office, and certify that the information is true and accurate;
I am authorized by the appropriate governing body to act on behalf of the applicant entity to make changes to our COPS Office application which will be considered for funding;
the information provided in this application, including any amendments, shall be treated as material representations of fact upon which reliance will be placed when the Department of Justice determines to make the covered award ; and
the applicant understands that false statements or claims made in connection with COPS Office programs may result in fines, imprisonment, debarment from participating in federal awards, cooperative agreements, or contracts, and/or any other remedy available by law to the federal government.

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Signature of the Person Completing this Form Date Completed (For your electronic signature, please type in your name)

ELECTRONIC SIGNATURE: By clicking this box  , I understand that typing in my name on this form constitutes an electronic signature and that the electronic signature is the legal equivalent of a handwritten signature.

The COPS Office may request verification of your application data or any other updates to your application. In order for your agency to continue to be considered for COPS Office funding, all such application updates must be submitted through the COPS Office website (www.cops.usdoj.gov) by the deadline identified in the request for updates you receive from the COPS Office. For technical assistance with submitting your updates or to withdraw your agency's application from funding consideration, please call the COPS Office Response Center at 800-421-6770.

The public reporting burden for this collection of information is estimated to be up to 11.3 hours per response, depending upon the COPS Office program being applied for, which includes time for reviewing instructions. Send comments regarding this burden estimate or any other aspects of the collection of this information, including suggestions for reducing this burden, to the Office of Community Oriented Policing Services, U.S. Department of Justice, 145 N Street, NE, Washington, DC 20530; and to the Public Use Reports Project, Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

You are not required to respond to this collection of information unless it displays a valid OMB control number. The OMB control number for this application is 1103-0098 and the expiration date is 05/31/2020.

The Office of Community Oriented Policing Services (COPS Office) is the component of the U.S. Department of Justice responsible for advancing the practice of community policing by the nation’s state, local, territory, and tribal law enforcement agencies through information and award resources.

Community policing begins with a commitment to building trust and mutual respect between police and

communities. It supports public safety by encouraging all stakeholders to work together to address our nation’s crime challenges. When police and communities collaborate, they more effectively address underlying issues, change negative behavioral patterns, and allocate resources.

Rather than simply responding to crime, community policing focuses on preventing it through strategic problem solving approaches based on collaboration. The COPS Office awards awards to hire community police and support the development and testing of innovative policing strategies. COPS Office funding also provides training and technical assistance to community members and local government leaders, as well as all levels of law enforcement.

Another source of COPS Office assistance is the Collaborative Reform Initiative for Technical Assistance (CRI-TA). Developed to advance community policing and ensure constitutional practices, CRI-TA is an independent, objective process for organizational transformation. It provides recommendations based on expert analysis of policies, practices, training, tactics, and accountability methods related to issues of concern.

Since 1994, the COPS Office has invested more than $14 billion to add community policing officers to the nation’s streets, enhance crime fighting technology, support crime prevention initiatives, and provide training and technical assistance to help advance community policing.

To date, the COPS Office has funded the hiring of approximately 129,000 additional officers by more than 13,000 of the nation’s 18,000 law enforcement agencies in both small and large jurisdictions.
Nearly 700,000 law enforcement personnel, community members, and government leaders have been trained through COPS Office-funded training organizations.
To date, the COPS Office has distributed more than eight million topic-specific publications, training curricula, white papers, and resource CDs.
The COPS Office also sponsors conferences, roundtables, and other forums focused on issues critical to law enforcement.

The COPS Office information resources, covering a wide range of community policing topics—from school and campus safety to gang violence—can be downloaded at www.cops.usdoj.gov. This website is also the award application portal, providing access to online application forms.

U.S. Department of Justice

Office of Community Oriented Policing Services 145 N Street NE

Washington, DC 20530

To obtain details on COPS Office programs, call the COPS Office Response Center at 800-421-6770.

Visit the COPS Office online at www.cops.usdoj.gov.

Published 2018

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