HomeMy WebLinkAbout2006 NS Manager - Matching Funds for Mental Health Association (JCPC)ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: February 21, 2006
Action AgenS a~
Item No.
SUBJECT: Matching Funds for Mental Health Association (JCPC)
DEPARTMENT: County Manager PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Program Agreement -Mental Health
Association and NC Dept. of Juvenile
Justice & Delinquency Prevention
INFORMATION CONTACT:
Sharron Hinton, 245-2300
PURPOSE: To request $5,269 of County funds as a 30% match requirement to draw down
state Juvenile Crime Prevention Council (JCPC) funds.
BACKGROUND: Due to the closing of Sheaffer House in July 2005, the Juvenile Crime
Prevention Council (JCPC) re-advertised a request for funding parent skills training classes.
The JCPC approved funding for the Mental Health Association of Orange County for the
amount of $45,585 to provide parent/family counseling to at-risk and adjudicated youth through
referrals from Juvenile Services and Orange-Person-Chatham Mental Health case managers.
The program agreement with the Mental Health Association and the NC Department of Juvenile
Justice and Delinquency Prevention is attached. Services will be provided by current staff and
include child and family team meetings, school conferences and youth planning team meetings.
All JCPC funds received from the NC Department of Juvenile Justice and Delinquency
Prevention require a 30% match from each respective county. In their deliberations, the JCPC
did not anticipate the need for the 30% local match since, at that time, the County's contract
with Sheaffer House (through the outside agency funding process) met this requirement.
Orange County currently maintains a contract with the Mental Health Association as an outside
agency. However, their contract amount totals $2,000 and does not meet the 30% match
requirement. An additional $5,269 is required to fulfill the state matching requirements.
FINANCIAL IMPACT:. Program services are primarily provided through JCPC grant funds.
Local funds totaling $5269 may be obtained from the County's Critical Needs Reserve in order
to satisfy the state match requirements.
I
2
RECOMMENDATION(S): The Manager recommends that the Board approve the request to
transfer funds from the Critical Needs Reserve to complete the 30% match to Mental Health
Association for JCPC program services.
.Program Agreement
DEPARTMENT OF JUVENILE JUSTICE AND
DELINQUENCY PREVENTION
SECTION
FUNDING PERIOD DJJDP PROGRAM FUNDING # (continuation only)
Jul 1, 2006-June 30, 2007
A
Oran a Central
MULTI-COMPONENTS ^ Yes ^ No
SPONSORING AGENCY Mental Health Association in Orange County
Please check type: ^ Public QNon-Profit Federal ID #
NAME OF PROGRAM Family Advocacy Network
PROGRAM COMPONENTS
DJJDP
COMP. ID#
NAME OF COMPONENT PROGRAM TYPE
(enter one choice per component) TOTAL COST OF
EACH COMPONENT
Famil Advocac Parent/Famil Skill Buildin $59,261
TOTAL COST OF COMPONENTS $59,261
Does this program have a Standardized Program Evaluation Protocol (SPEP) rating?
Comp. ID# Component Prevention
Comp.ID# Component Prevention
Comp. ID# Component Prevention
PROGRAM MANAGER name & address (same person on signature gage)
Q No ^ Yes
Court Supervision
Court Supervision
Court Supervision
NAME Mark Sullivan, MSW TITLE Executive Director
ADDRESS 302 W. Weaver St.
CITY Carrboro STATE NC ZIP 27510
PHONE 919-942-8083 EXT. FAX
EMAIL msullivan~a mhaoc.com
CONTACT PERSON (if different from program manager)
NAME Cindy Wilkins, BSW TITLE Family Advocate
ADDRESS 302 W. Weaver St.
CITY Carrboro STATE NC ZIP 27510
PHONE 919-942-8083 EXT. FAX
EMAIL cindywCc~mhaoc.com
PROGRAM FISCAL OFFICER (should not be program manager)
NAME Maft Pohlman TITLE Treasurer
ADDRESS 302 W. Weaver St.
CITY Carrboro STATE NC ZIP 27510
PHONE 919-942-8083 EXT. FAX
EMAIL shelbynmatt(c~hotmail.com
Subunit 5 copies with
Orlgirlal SlgllatUl'ES REVISED 2005
.DJJDP USE ONLY:
Date received in Area Office
Page 1 of 10
S C 10' Il
Multi Components: ^ Yes Q No
~~
If YES, please attach Program Component Evaluation Information, Component Summary, and Component Narrative pages for
each component. These additional pages are available on the additional component tabs in this file.
PROGRAM COMPONENT INFORMATION FOR APPLICATION YEAR
Component Name Family Advocacy ID#
What is this component's maximum client capacity at any given time? 30
Frequency: Contacts per Client ~ per month Anticipated Average Length of Stay 90 days
Estimated number of youth to be admitted during funding period 100
Component Cost $59,261.00 Estimated average cost per youth $ 593
Recidivism
Describe how you will obtain and analyze data to determine the court involvement of clients one year following
termination from the program.
Data will be obtained from Orange County Juvenile Services. Staff members will follow up with Office of Juvenile
Justice every 90 days to track subsequent adjudications. Additionally, Advocates maintain a presence in court,
participate in Child and Family Treatment Team, and interact with other youth-serving agencies in the community.
CONTINUATION PROGRAM INFORMATION
IS THIS COMPONENT CURRENTLY FUNDED? ^ Yes ^ No
IF YES, COMPLETE THE INFORMATION BELOW. IF NO SKIP TO SECTION III.
Evaluation of Measurable Objectives (first six months of current fiscal year)
Please list each Measurable Objective in your current program agreement and indicate the degree to which your
program has been successful in achieving each. These objectives should include reductions in court referrals, and
may include runaway behavior, disruptive behavior in school, and improvement in school attendance and academic
achievement. (Use data from program operation through December 31st of current funding year.)
MEASURABLE OBJECTIVES 6 MONTH RESULTS
Component Service Statistics for Past Fiscal Year
WAS THIS COMPONENT FUNDED DURING THE LAST FULL FISCAL YEAR? ^ Yes ^~ No
IF YES COMPLETE THE INFORMATION BELOW. IF NO SKIP TO SECTION III.
Continuation Actual number of youth admitted last fiscal ear
programs only # of admissions Juvenile Court referred #DIV/0! of total admissions
# of law enforcement referred #DIV/0! of total admissions
Page 2 of 10
SECTION 111
.r__:.r _ .... ....... .... COMPONENT SUMMARY (attach for each component) ,5
Statement of the Problem
In concise terminology, describe the juvenile justice problem(s) to address and how These services meet the needs or
service gaps identified in the JCPC Annual Plan.
Needs assessments indicate that victimization by of youth by caregivers in Orange County is higher than the state
average. Families involved in the juvenile justice system exhibit conflictual relationships, and a significant percentage
of parents have disabilities that interfere with their abilities to successfully parent the youth. Data also indicate that
school bahavior problems precede referrals to the juvenile justice sytem in the 12 months prior to the youth's first
referral to juvenile services. The JCPC Annual Plan calls for increased opportunities for parents of court-involved
youth to receive parent skills training and parent counseling. Family Advocates will teach effective discipline,
communication and conflict resolution skills, provide supportive counseling, assist parents with meeting basic needs in
order to reduce family stress, and advocate for needed services for the family.
Target_Population
Describe the tar of o elation and ste s taken to insure That the tar et o elation is served.
The target population is at risk youth and court-involved youth. At-risk youth will be served through referral from
Boomerang, an alternative to suspension program in Orange County, as well as through referral from schools in the
county. Referrals will also be received from the county mental health system. Court-involved youth will be served
throw h court referral.
Program Goal(s) State the effect this component is designed to have onsolving The problem described above.
This component will reduce indivudual risk factors related to the family, including poor family management practices,
inadequate supervision and monitoring, unspecified expectations for behavior, and excessively severe or inconsistent
punishment. Family Advocates will provide support and education to parents with high needs children to help them
increase their abilities to parent effictively and reduce acting out behavior in youth. This will be evidenced by reduced
referrals to the Juvenile Justice system and reduced recidivism among court-involved youth over the period of 18
months.
Measurable Objective(s)
State in measurable terms the intended effect on specific undisciplined and/or delinquent behaviors. Example: anticipated
reductions in court referrals, runaway behavior, disruptive behavior at school, anticipated improved school attendance and academic
achievemenf. These objectives must include participant outcomes and may include program outcomes.
Participant outcomes: 1.) 75% of parents who receive at least 10 contacts from Family Advocates will show
improvement in their ability to handle the responsibilities of parenthood as evidenced in gains in scores from pre-test
to post-test on the FAN Copability Survey. 2.) At least 75% of parents who receive FAN will demonstrate increased
knowledge of how to access community services for their family 3.) 50% of parents who receive FAN services will
show gains in ability to successfully handle conflict Pragram outcomes: 1.) At least 22 families of youth will be
served
Priority Community Risk Factor(s) Addressed
State how riorit risk factors identified b the JCPC will be addressed.
The component will increase individual and family problem solving, interaction, and life skills, which will address family
discord, marginal supervision, and parental disabilities that interfere with the success of caring for youth.
Protective Factors Utilized (Ex. Healfhy beliefs & clear standards, skills, opportunities; recognition)
Improved family communication, strengthened child/parent attachment, improved youth relationship with parents,
clear standards, and academic success will be utilized.
Page 3 of 10
SECTION 111 (cont.) COMPONENT SUMMARY CONTINUED (attach for each component)
Areas of Concern Discuss any areas of concern that could affect success.
Busy parent schedules and parent resistance to participation could compromise the program's effectiveness.
However, the Family Advocacy Network enjoys positive relationships with referring agencies, including juvenile
services and the school system. Advocates are able to have flexible schedules to meet the needs of the families.
Documentation "List the data elements. or records to be maintained: A) in confidential files to document
com liance' and 8) to document each measurable ob ~ective:
The Family Advocacy Network will maintain confidential files to document contacts and services. The Family Cope-
ability Scale will be used to measure family cohesion.
Treatmenf Element Describe what the component will do to redirect inappropriate youth behavior or how the
component will,impact inappropriate behavior.
Family Advocates strengthen families of children who are court involved and have complex needs (mental
health/behavioral disorders, substance abuse, learning disabilities). Protective factors are bolstered through the
provision of one-on-one support to parents, parent support groups, and attendance of juvenile justice and school
meetings. Advocates teach parents about resources available to them in the community and, when necessary,
advocate for the procurement of appropriate services. Advocates teach parents how to interact effectively with the
juvenile justice, school, and mental health systems. Parents learn how to communicate effectively, manage conflict,
and set reasonable and consistent limits of their children.
IV-A COMPONENT NARRATIVE (attach for each component)
Component Narrative (attach for each component).
(1) Describe the physical facilities, including the address, in which the services will be delivered. If services are
delivered at multiple locations, please include information for all locations.
Family Advocates facilitate parent support groups in 3 locations currently: P.A.C.E. Academy (an alternative charter
high school) at 1713 Legion Rd., Chapel Hill, NC 27514; the Orange County Public Library, 300 W. Tryon Street,
Hillsborough, NC 27278; EI Centro Latino, 110 W. Main St., Carrboro, NC 27510. Families also meet with
Advocates in their offices at the Mental Health Association in Orange County, 302 W. Weaver St., Carrboro, NC
27510. Family Advocates participate in Youth Planning Team Meetings in all middle schools and high schools in
Orange County where court-involved youth are enrolled.
(2) Identify paid or volunteer staff qualifications, (certifications, degrees, work experience) and their responsibilities
relative to this com onent.
1) Program Manager: Mark Sullivan, MSW, 7 yrs. experience providing services to at-risk and adjudicated youth and
their families, including juvenile probation/diversion counseling at juvenile court in Arizona.
2) Family Advocate/Peer Parent Coordinator: C. Wilkins, BSW, Early Childhood Eduction Certificate
10 Years experience teaching preschool. Experience teaching in aself-contained preschool class for autistic and
developmentally disabled children.
3) Family Advocate: L. Boldin, Associate Degree in Business Administration; 12 years advocacy experience working
with families of children with special needs. Parent of child with special needs.
4)Spanish-Speaking Family Advocate: L. Canino, Fluent in Spanish and American Sign Language; HS graduate
Page 4 of 10
I I - (cont. COMPONENT NARRATIVE CONTINUED (attach for each component)
(3) Describe the specific referral, screenin ,admission and termination procedures.
Family Advocates receive parent referrals from mental health caseworkers, public school staff, juvenile justice
counselors, and marketing via newspaper advertisements, flyers, and the program's mailing list. Advocates respond t
referrals within 24 hours to complete a Family Referral Sheet or aShort-Term Contact Form. Advocates meet with
parents who are interested in one-on-one advocacy services and complete 1) a strengths assessment, 2) a consent-t
share information, and 3) Advocacy services are family-driven and person-centered. Families involved with FAN after
3 months are assessed for improvement using the FAN Cope-ability scale and the One Voice Impact Survey at 3
months or upon leaving the program. Peer Parent Coordinator recruits experienced parents from support groups and
community events to connect with new referrals of parents in similar situations. Parents are connected based on
mutual. consent and agreement to maintain principles of confidentiality.
a) The primary and supplemental services provided, if applicable:
Primary services consist of providing skills training and information to parents/caregivers of children with behavioral
and disciplinary problems. Support involves phone calls and meetings with parents, attending child and family team
meetings, attending school conferences and youth planning team meetings (for court involved youth), researching
community resources and providing contact information. Advocates model and teach communications skills, conflict
resolution skills, and effective discipline strategies. Peer Parent Coordinator recruits and trains experienced parents to
connect with newly referred families. Supplemental services include Chapel Hill Police Department Crisis Intervention,
Campus Y--Big Brothers Big Sisters, Boomerang (an alternative-to- suspension program), and Volunteers for Youth
(mentoring program), and referral to mental health services.
b) The means of working with youth and families:
Monthly Support Groups: 7 Support groups are facilitated each month in 3 different locations
Individual Family Advocacy: Modeling and mentoring parent-involvement in school and community settings
.Participating in Youth Planning Meetings (YPC): Attending meetins and following-up with parents to offer FAN
'services. Attending monthly YPC Committee Meetings with other agencies to monitor program efficacy.
Providing 2 parent education trainings per year on "Writing Effective IEP's, 504 Plans, and Behavioral Interventions.
Make referrals to other agencies or community resources to address and improve parent disabilities that interfere with
the success of caring for youth including public and private agencies that can provide emergency food, housing, and
crisis intervention. Training Peer
Parents to expand FAN services to reach and support more families in Orange County.
c) The daily activities:
Family Advocates check emails and voice messages to respond to a referral or a family crisis in a timely manner.
Advocates review case files and contact parents to offer support, give them resource information, or dates of
upcoming support groups or parent education seminars. Advocates may contact supplemental service providers or
other agencies involved with the family, such as Juvenile Justice, Department of Social Services, case managers, or
private therapists to expedite system response or share information to initiate a service that aparent/caregiver has
identified. All actions are documented in case files and families and open cases are entered into a data base. A
mailing list is updated regularly as new families are referred. Family
Advocates participate on many community service committees including the Orange County Collaborative, the Youth
Planning Committee (156 Judicial Court Program for court-involved youth) Healthy Carolinians, Boomerang
;(Executive Advisory Council) , CALDO, EI Futuro, Nuestra Condado, North Carolina Central University Juvenile Ju
Page 5 of 10
T - (cont.) COMPON NT NARRATIVE CONTINUED (attach for each component)
(5) Describe the interaction with juvenile court and other referring agencies.
Family Advocates connect with parents of youth involved in juvenile court by attending Youth Planning Committe
meetings in county middle schools and high schools. Advocates follow-upon service plans implemented at YPC
meetings, encourage parents to participate in Family Advocacy parent support groups and parent education trainings
to improve parent involvement and reduce youth involement in negative peer groups and illegal acitivities, and
communicate with court counselors and YPC Coordinator to monitor youth and parent participation in the service plan.
Advocates collaborate with educators at Boomerang alternative to suspension program to identify and meet family
needs. Advocates attend meetings between school personnel and parents to facilitate positive outcomes in the school
envronment.
SECTION,.IV-B THIS. SECTION~OR PILOT COUNTIES .ONLY
.FOR PILOT COUNTY LISTING, PLEASE SEE "TIPS" TAB. OTHERS SKIP TO SECTION V.
(7) Elevated Risk and Needs: Describe how you will address one or more of the elevated risk and needs of
ad'udicated youth in the county. (Please see the county JCPC Request For Proposal for elevated risk/needs. )
(2) Protective Factors: Describe how you will address one or more of the Priority Protective Factors listed in the local
JCPC Request for Proposal.
Page 6 of 10
'SECTIQN V BUDGET NARRATIVE
Line Item: Provide justification of each line item entry in the Budget Information section. Indicate In-Kind items by YES
Item# Justification In-Kind ? Expense
120 C. Wilkins $15.97/hr X 30 hrs/wk X 26 wks = 12456.60 $12,457
L. Boldin $15.97/hr x 20 hrs/wk x 26 wks = $8,278.40 $8,279.00
L. Canino $15/hr X 12 hrs/wk x 26 = $4,680 $4,680
C. Mor an $11/hr x 26 hrs/wk x 26 wks = $7,436 x .25 = $1859 $1,859
M. Sullivan $38,500/ r/2= .25 = $4,812.50 $4,813
180 FICA 8% of $34,654 $2,567
210 Household cleanin $20/wk x 26wks =$480 $480
220 Food 4 groups/ month x 6/mo. X $100= $2,600 and incentives for participation $4,000
260 Office su lies rinter cartri es, a er,et. $70/wk x 26 = $1,820
310 Travel miles a $3,000
320 Stamps, 1/3 newsletter costs, 1/2 Advocates cell phones, office phone $800
340 Printin brochures, newsletter, fl ers $800
370 Advertisin for events, services $500
410 Rental of Carrboro office 532' $585 x 6 mos. $3,510
450 WC and liabil insurance and bondin $684
510 conference table, chairs, filin cabinets $1,213
490 Accountant, conferences $850
530 LCD Pro'ector, books videos $3,000
390 Com uter su ort services $950
550 2 la to com uters $1200 each + software $600 $3,000
IVIAL
$ 59,261 ~
mp oyee s : or eac emp oyee Ist t e o owing m ormatlon
Job Title Annual or Hourl Wa a Months of Employment
Mark Sullivan, MSW Executive Director/Pro ram Mana er $38,500/ r 6
C nd Wilkin, BSW Famil Advocate $15.97/hr 20
Linda Boldin, Famil Advocate $15.92/hr 48
Linda Canino, Bilin ual Famil Advocate $15.00/hr 10
Catherine Mor an, Administrative Assistant $11.00/hr 9
Page 7 of 10
BUDGET INFORMATION
Program: Family Advocacy Network
Fiscal Year: 2005-2006 Number of Months: 6
Cash In-Kind Total
I. Personnel Services $34,654 $ - $34,654
120 Salaries & Wages $32,087 S32,os~
180 Fringe Benefits $2,567.00 $2,567
190 Professional Services $ -
I1. Supplies & Materials $ 6,300 $ - $6,300
210 Household & Cleaning
220 Food & Provisions
230 Education & Medical
240 Construction & Repair
250 Vehicle Supplies & Materials
260 Office Supplies & Materials
280 Heating & Utility Supplies
290 Other Supplies & Materials
$ 480
$ 4, 000
$ 1,820
$ 480
$ 4,000
$ -
$ -
$ -
$1,820
$ -
$ -
III. Current Obligations 8< Services $ 6,050 $ - $6,050
310. Travel & Transportation $ 3,000 $3,000
320 Communications $ 800 $ 800
330 Utilities $ -
340 Printing & Binding $ 800 $ 800
350 Repairs & Maintenance $ -
370 Advertising $ 500 $ 500
380 Data Processing $ -
390 Other services $ 950 $ 950
395 Contingency (Grp. Hm. Only) $ -
IV. Fixed Charges & Other Expenses $ 5,044 $ - $5,044
410 Rental of Real Property $ 3,510 $3,510
430 Equipment Rental $ -
440 Services & Maint. Contracts $ -
450 Insurance & Bonding $ 684 $ 684
490 Other Fixed Charges $ 850 $ 850
V. Capital Outlay $ 7,213 $ - $7,213
510 Office Furniture & Equipment $ 1,213 $1,213
530 Educational Equipment $ 3,000 $3,000
540 Motor Vehicle ~_
550 Other Equipment $ 3,000 $3,000
580 Buildings, Structures & Improv. $ -
Total $59,261 $ - $59,267
Page 8 of 10
SECTION VII PROVISIONS
Indemnification and Hold Harmless
The program manager agrees at all times during .the term of this agreement to indemnify and hold harmless th
Department of Juvenile Justice and Delinquency Prevention against liability, loss, damages, costs, or expense which
the Department of Juvenile Justice and Delinquency Prevention may be requested to pay by reason of any client'
suffering personal injury, death, or property loss, or damage either while participating in or receiving from the program
services to be furnished by the program under this agreement, operated, leased, chartered or otherwise contracted fo
by the program or any employee who is furnishing services called for under this agreement; provided, however, tha
the provisions of the paragraph shall not apply to liabilities caused by or resulting from the acts of the Department o
Juvenile Justice and Delinquency Prevention or any of its officers, employee, agents or representatives.
Grantee Audit Requirement
Local Government or Public Authority
A. Local Government or Public Authorities in accordance with N.C.G.S.§159-34, must have an audit performed in
conformity with generally accepted auditing standards. The audit shall evaluate the pertormance of a unit of local
government or public authority with regard to compliance with all applicable federal and State agency regulations.
This audit, combined with the audit of financial accounts, shall be deemed to be the single audit described by th
"Federal Single Audit Act of 1984". At a minimum, the required report shall include the financial statements prepared
in accordance with generally accepted accounting principles, all disclosures in the public interest required by law, and
the auditor's opinion and comments relating to financial statements. The audit shall be performed in conformity with
generally accepted auditing standards and audits of non-governmental entities, both for-profit and not-for-profit, and
must meet the requirements of OMB Circular A-133. The audit report is to be submitted to the Department of Juvenil
Justice and Delinquency Prevention, the appropriate county finance office, and to other recipients
as appropriate within nine months after the end of your program's fiscal year.
In accordance with N.C.G.S.§143-6.2 recipients of State funds must 1) Ensure funds received are spent in
accordance with the purposes for which they were granted and be accountable for the legal and appropriat
expenditure of State grant funds; 2) Maintain reports, records, and other information to properly account for the
expenditure of all State grant funds received by the grantee and to make reports, records and other information
available to the Department or the State Auditor for oversight, monitoring and evaluation purposes;3) Hold any non
State entity to which the grantee provides a grant of State funds accountable for the legal and appropriate expenditure
of State grant funds.
Non-State Entities
B. Entities/Organizations receiving, using or expending State funds between $15,000 and less than $300,000 are
required to provide basic financial statements as identified in N.C.G.S.§143-6.1 and adherence to the requirements in
N.C.G.S.§143-6.2. Entities/Organizations receiving $300,000 or more are required to prepare a financial
statement/certified audit report prepared by a Certified Public Accountant (CPA); and Description of Activities and
Accomplishments for Entities Receiving $300,000 or more. Programs are responsible for being familiar with above
General Statutes.
Affirmative Action
The Contractor shall take affirmative action in complying with all Federal and State requirements concerning fair
employment and employment of the handicapped, and concerning the tratment of all employees without regard to
descrimination b reason of race color reli ion sex national on in or h sical handica .
Termination of Agreement
If, through any cause, the Contractor shall fail to fulfill in a timely and proper manner, its obligations under this
Agreement, the DJJDP shall thereupon have the right to terminate this Agreement by giving at least thirty (30) day
prior written notice to the Contractor of such termination and specifying the effective date of the termination. Further,
the DJJDP or the Contractor may terminate this Agreement at anytime and without cause by giving at least thirty (30)
days advance written notice to the other. If this Agreement is terminated by DJJDP as provided herein, the Contracto
shall be reimbursed on a pro rata basis for services satisfactorily provided to DJJDP under this Agreement.
$,.>
Acknowledgment
As a term of this agreement the recipient agrees to indicate the program was funded in whole or in part by the North
Carolina Department of Juvenile Justice and Delinquency Prevention in publicity and program materials.
Page 9 of 10
SECTION VIII
SOURCES OF PROGRAM REVENUE 1ALL SOURCES)
DJJDP/JCPC Funds
$45,585
Local Match Rate
30%
County Cash
$ 13,676
Local Cash
Localln-Kind
Other
Other
Other
$13,676
TOTAL
Note: This is the amount of your request on your application
Is the Local Match Rate 10%, 20% or 30%?
Orange County
(Specify Source)
Orange County
(Specify Source)
Not Applicable
(Specify Source)
Not Applicable
(Specify Source)
Not Applicable
(Specify Source)
Not Applicable
(Specify Source)
13,676
Required Local Match Local Match Provided
:::::::.:::::Local::MatGIi::P:roviided::is: teatecaliat~:nr:e: ~i.(at:#q:Re: ~ui:red:~ocal:;Mafch::::::::::::: TRUE
...~ ~Rev,~~r~a~;~:Bad et Narrative~a~ti;Bi~tl~ at:_ rif~rmat~on~Ta#ats are a uat ::... .:
...
FALSE
......
<:::~:~:~:~<:Tataf:l~~d ~ t:anid::TataF:~Qrri anerifir:~~s~:s:::ro~::a e: oiie :are: uaF :::::::::::.::::
FALSE
This document has been reviewed and recommended for fundin4.
This is to certify that the Department of Juvenile Justice and Delinquency Prevention funds in this Program Agreement will not be used to
duplicate or to supplant other programs whose primary intent is to provide community based alternatives for delinquents, undisciplined youth or
youth at risk of juvenile delinquency.
This agreement may be terminated in whole or in part by the Department of Juvenile Justice and Delinquency Prevention in the event that state
or federal funds which have been allocated to the Department of Juvenile Justice and Delinquency Prevention are eliminated or reduced to such an
extent that, in the sole determination of the Department, continuation of the obligations at the levels stated herein may not be maintained.
We, the undersigned agree to comply with all Provisions of this agreement, including the Indemnification and Hold Harmless. Grantee Audit
Requirement. Affirmative Action. Termination of Agreement and Acknowledoement found on the Provision page of this agreement and with the
policy guidelines for the Community Based Alternatives Program as codified in the North Carolina Administrative Procedures 9 NCAC 5C and 9
NCAC 5D.
Secretary, Department of Juvenile Justice and Delinquency Prevention Date
Chair, County Board of Commissioners or County Finance Director Date
Chair, Juvenile Crime Prevention Council Date
rogram anager a e
Page 10 of 10