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HomeMy WebLinkAboutNS - Grant - Pre-Application for Telecommunication Console ReplacementORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: February 1, 2005 Action Agenda Item No. 5_~,I SUBJECT• Grant Pre-Application for Telecommunication Console Replacement DEPARTMENT: Emergency Management PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Grant Pre-Application INFORMATION CONTACT: Jack Ball or Eric Griffin, ext 3030 TELEPHONE NUMBERS: Hillsborough 732-8181 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To authorize submission of apre-application for federal grant funding for replacement consoles for the County's 911 Emergency Communications dispatch center. BACKGROUND: Orange County, the Town of Chapel Hill, and other public safety agencies throughout the County are collaborating on a project with the State Highway Patrol that will enable Orange County to dispatch emergency responders through the State's Voice Interoperability Plan for. First Responders (VIPER) system. The County and its partners have already been approved to receive over $2 million in Homeland Security grant funding for infrastructure for this vital communications interoperability improvement project. That amount includes an award announced in Spring 2004 of $1,451,000 from the 2004 Law Enforcement Terrorism Prevention Program (LETPP) grant for two tower sites (one in the north and one in the south). The County's emergency telecommunications dispatch consoles were acquired and installed in 1991. They have provided outstanding service, but have become technologically obsolete and difficult to maintain, as spare parts are no longer manufactured and must be cannibalized from other mothballed systems when needed. The County needs to purchase replacement consoles that will facilitate operations within the new VIPER system, which is targeted for implementation during 2005 and to go live in Orange County by 2006. The attached pre-application requests 2005 LETTP federal pass through funding through the Governor's Crime Commission, to cover the cost to acquire and install new consoles and for technical assistance from the County's emergency telecommunications consulting specialists, CTA. Pre-applications were due to the State on January 31. Staff has submitted the pre- application to meet that deadline and requests the Board's action at this February 1 meeting to ratify that submission. FINANCIAL IMPACT: The staff has requested federal funding in the amount of $1,502,942.16. With a required local match of 25%, the County would be required to fund this project in the amount of $500,980.72, if the requested grant were funded in full. The application states that other federal funds may not be used to match this federal grant, but matches may include local, state, or private funds. The County's share would be funded through a combination of 911 wireline subscriber charges, annual pay-as-you-go County capital funding, and/or some other capital funding source to be identified in the 2005-15 Capital Investment Plan. RECOMMENDATION(S): The Manager recommends that the Board ratify the submission of the pre-application for federal grant funding for replacement emergency telecommunications consoles. Print Grant Pre-Application Information Governor's Crime Commission 1201 Front Street, Suite 200 Raleigh, NC 27609 Phone: (919) 733-4564 Fax: (919) 733-4625 2005 Grant Pre-Application 3 Grant Number: 297 (Official GCC Use Only) 1. Name of Project: 2. Committee Assignment: Consolidated Orange County 800 Information Systems (X) Victims' Services ( ) Mhz Implementation Drug Control & Sub. Abuse ( ) Juvenile Justice ( ) 3. Applicant Agency: (name, address, phone, fax) County of Orange 4. Program Priority: P.O. Box 8181 ~ B C D E F G H I J K Hillsborou h NC 27278 , g Phone: (919) 732-8181 Alamance County 5. Project Starting and Ending Dates: Federal Tax ID: 56-6000327 Fiscal Year End Date: June 30 07/01/2005 - osl3o/2006 State Agency?: No 6. Authorizing Official: (name and title) 7. Type of Action:(select one) John Link [ X ]First Application County Manager [ )Continuation of Grant / 2nd Year Grant 8. Financial Officer: (name, title, telephone) 9• U.S. Congressional District(s): 4 N.C. Legislative District(s): Kenneth Chavious House: 50,54,56 Finance Director Senate: 23 (919) 245-5753 Population of Project Area: 118,227 10. Implementing Agency: (name, address, telephone, fax) 11. Project Director: (name, title, telephone, a-mail) Orange County Emergency Management Craig Blackwood P.O. Box 8181 Data Technician (919) 968-2050 Hillsborough, NC 27253-8181 cblackwood@co.orange.nc.us Phone: (919) 968-2050 Fax: (919) 968-4066 12. Implementing Agency Profile: 14. Requested Budget Totals: a. Non-profit, nongovernmental agencies, please 1st Year 2nd Year attach a copy of your current year's line item Personnel: $0.00 $0.00 operating budget and describe the sources of Contractual: $188,825.00 $0.00 those funds. Travel: $0.00 $0.00 b. Attach a copy of what other funding sources and Supplies: $0.00 $0.00 amounts, if any, have been committed for this Equipment: $1,815,097.88 $0.00 project or have been applied for or are anticipated for the project. Total Budget: $2,003,922.88 $0.00 c. Number of Sworn Officers: 0 Subtract Match: -$500,980.72 -$0.00 Federal Request: $1,502,942.16 $0.00 13. Project Summary: This project will complete the necessary infrastructure requirements to enable the county's consolidated Public Safety Answering Point to dispatch units utlizing the 800 MHz VIPER system, and serve as the backup PSAP for the University of North Carolina at Chapel Hill. Project Counties: This project will operate in the following counties: Orange and those that utilize Orange County 9-1-1 Communications for mutual aid contact Page 1 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information Problem and Project Operation `~ The Problem: Orange County Emergency Management is the primary Public Safety Answering Point (PSAP) and dispatch center for the County, its municipalities, and those agencies that provide emergency services to the University and Hospital. The current radio systems utilize discrete VHF and UHF frequencies, which limits interoperability between public safety agencies. To remedy this problem, the county has requested, and received, funding from the 2004 Law Enforcement Terrorism Prevention Program to pay for two 800 MHz VIPER tower sites for the county. The state Highway Patrol is leading the installation process. The problem is that the dispatch center cannot presently dispatch on the 800 MHz band. Efforts are underway to bring local law enforcement and emergency services agencies onto the 800 MHz VIPER platform. However, unless the dispatch center's equipment is not upgraded, emegency service units will be unable to be dispatched to 9-1-1 emergency calls, nor will the dispatch center be able to receive information from those emergency responders, especially in cases life-threatening situations. Project Operation: Law enforcement agencies of the County, towns of Hillsborough, Chapel Hill, Carrboro, Mebane, as well as the University of North Carolina at Chapel Hill Police, and UNC Hospitals Police would directly benefit from these grant funds to create an interoperable communications system in the county, as well as all 11 fire departments in the county, Orange County Emergency Medical Services, Orange County Emergency Management, Orange County Rescue Squad, South Orange EMS and Rescue, and Orange County Public Health. Orange County is in an 800 MHz radio area that is VIPER compatible. A Universal Memorandum of Agreement has been signed by all parties that will participate in the project and will be submitted along with the signature pages. If this proposal is funded, VIPER interoperable communications equipment will be installed in the 9-1-1 Communications center housed within Orange County Emergency Management. This will allow the dispatch of emergency services within the county, provide for communication with incoming mutual aid units which are part of the VIPER network, and interface with our backup 9-1-1 center, the University Public Safety dispatch center. This project will involve the construction of a communications tower connected to the dispatch center that is necessary in order to relay radio transmissions to the State Highway Patrol tower at Eno mountain. The tower will have a five channel repeater which will increase the radio coverage along the 1-40/I-85 corridor. Orange County public safety agencies are committed to implementing the VIPER project in the county and in support of this proposal have designated $474,000 of the county's homeland security grant funding to purchase 148 VIPER compatible portable radios. We are also asking for additional radios to provide three (3) portable radios to each public safety agency in the county. All the radios that are to be purchased are APCO P-25 Compliant, 800 MHz compatible, and are upgradeable to digital communications, and that the prices in the budget section of the pre-application are reflective of radios meeting these specifications. The project will utilize a contractor to complete a consolidated 800 MHz communications implentation plan to lead the county in switching over to the 800 MHz platform. The county will follow standard bidding procedures; amounts listed in the application are an estimate from anon-binding single source quote for the purpose of the grant application. Page 2 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information Project Goals, Objectives, Performance Measures, Evaluation Methods and Activities Project Goal(s): Implement an interoperable communications system by installing infrastructure in the primary Public Safety Answering Point that can be integrated into the VIPER system being created by the State Highway Patrol. Project Objective #1: Create a system switchover plan for Orange County, municipal, and volunteer responder agencies Performance Measure #1: Study is completed Evaluation Method #1: System designers and agency staff will be able to utlize the study to effectively switchover the legacy systems onto the new platform Project Objective #2: Provide interoperable communciations between state and .local law enforcement and public safety agencies serving Orange County Performance Measure #2: Install 800 MHz communications equipment in the Orange County 9-1-1 center and construct communications tower contiguous to the communications center Evaluation Method #2: Local law enforcement and public safety, and state agencies are able to utlize the interoperable communication systems during emergency operations Project Objective #3: Provide reliable inter-agency communications infrastructure through installation of new equipment in the dispatch center Performance Measure #3: Increase in the geographinc area of effective transmission and reception using the new system for interagency voice communications Evaluation Method #3: Identification of the number of agencies that are able to communicate with the 9-1-1 center through interoperable voice contact Project Objective #4: Performance Measure #4: Evaluation Method #4: Page 3 5 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfin 1/26/2005 Print Grant Pre-Application Information ~o Project Goals, Objectives, Performance Measures, Evaluation Methods and Activities (continued) Project Objective #5: Performance Measure #5: Evaluation Method #5: Project Objective #6: Performance Measure #6: Evaluation Method #6: Project Objective #7: Performance Measure #7: Evaluation Method #7: Project Activities: July: Identify appropriate sites for tower behind communications building July: Begin bid specification and process for equipment July: Begin bid specificaiton and process for consultant August: Issue bids to vendors August: Begin approval process for tower erection September: Vendors tour site and facility to determine installation plan October: Begin tower erection and equipment installation October -March: Equipment installation and tower erection March: Receive report from consultant about proper switchover tasks April: Conduct final system tests and punch list April: Implement swtichover plan May- June: Begin integrating agencies onto 800 MHz platform Page 4 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfin 1/26/2005 Print Grant Pre-Application Information Detailed Budget Budget Category (one year only) A. PERSONNEL 1. Salaries: List each position with yearly rate. Position Title Salary Rate % of Time Devoted $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Volunteers (To include FICA) (Victims' Services Committee-Only) Hourly Rate No. of Hours $0.00 0 $0.00 0 2. Overtime: (Average) Hourly Rate No. of Hours New Employee $0.00 0 Current Employee $0.00 0 Salary Subtotal: $0.00 3. Fringe Benefits: Itemize percentages applicable for each benefit for all positions. Category Formula Total FICA 7.65% $0.00 Retirement $0.00 Hospitalization $0.00 Other $0.00 $0.00 $0.00 $0.00 Benefits Subtotal: $0.00 4. Volunteers (To exclude FICA) (Victims' Services Committee-Only) Hourly Rate No. of Hours $0.00 0 Volunteers Excluding FICA Subtotal: $0.00 Total Personnel: $0.00 Page 5 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information Detailed Budget (continued) B. CONTRACTUAL SERVICES 1. Individual Consultants: List by position, rate of pay and time required. Position Title Pay Rate Time Required (hours) $0.00 0 $0.00 0 $0.00 0 $0.00 0 I~ Individual Consultant Subtotal: $0.00 2. Agency: List by name of agency, rate of pay and time required. Agency Pay Rate Time R (hou s) CTA Communications, Inc $175.00 1079 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Consultant Agency Subtotal: $188,825.00 Total Contractual Services: $188,825.00 C. TRAVEL: List cost for transporting clients and costs for travel and subsistence of project personnel. In-State Travel Expenses Description: Total In-State Travel Expenses for All Positions $0.00 Out of-State Travel Expenses Description: Total Out of-State Travel Expenses for All Positions $0.00 Subsistence for All Travel Description: Total Subsistence for All Travel $0.00 Client Transport Expenses Description: Total Client Transport Expenses $0.00 All Other Travel Expenditures Description: Total for All Other Travel Expenditures $0.00 Total Travel: $0.00 Page 6 8 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfin 1/26/2005 Print Grant Pre-Application Information Detailed Budget (continued) Budget Category (one year only) D. SUPPLIES AND OTHER OPERATING EXPENSES (office supplies, field supplies, printing, computer software, office rent, registration and individual training costs) Category Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Operating Expenses: $0.00 E. EQUIPMENT 1. Purchase Item Description Unit Price Quantity 800 Console equipment $340,787.00 1 install 800 MHz Console equipment $554,726.00 1 Microwave antenna $185,000.00 1 Intellirepeater 5 channel $250,000.00 1 SmartZone Port w/install cost $35,000.00 1 Equipment housing $27,000.00 1 Antenna/Dish $35,000.00 1 Uninterruptable Power $10,000.00 1 Supply Backup generator $70,000.00 1 Tower erection $250,000.00 1 800 MHz Portable Radios $3,199.16 18 $0.00 0 Purchased Equipment Subtotal: $1,815,097.88 2. Lease or Rental Item Description Unit Price Quantity $0.00 0 $0.00 0 $0.00 0 Leased Equipment Subtotal: $0.00 Total Equipment: $1,815,097.88 TOTAL PROJECT COST: $2,003,922.88 Page 7 q http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information ~~ Budget Summary I. Description of Match: Matching funds may include local, state or private funds, but not other federal funds. A. Juvenile Justice Planning, Information Systems, Drug Control and Substance Abuse 1. 25% cash match only required Describe amount and source of cash match: The source of the cash match will come from the emergency telephone fund. B. Victims' Services 1. 25% cash match or in-kind match required Describe amount and source of cash or in-kind match: 2. Only those applying for program Priorities A, B, C, D, E, & I Describe a 20% match (cash or in-kind): C. Request For Match Waiver a A limited number of match waivers will be granted to applicants applying to the Juvenile Justice Committee. The awarding of waivers will be based on the availability of funds and the Comission's overall rating of the grant proposal. Because "match free" funds are limited and very competitive, applying for a waiver may reduce the likelihood of funding. A signature is required on page 12 when requesting a match waiver. ll. Budget Categories: First Year Anticipated Second Year A. Personnel: ~- $0.00 $0.00 B. Contractual Service: $188,825.00 $0.00 C. Travel: $0.00 $0.00 D. Supplies/Operating Expenses: $0.00 $0.00 E. Equipment: $1,815,097.88 $0.00 F. Total Budget: $2,003,922.88 $0.00 G. Subtract Matching Funds: -$500,980.72 -$0.00 H. TOTAL FEDERAL REQUEST: $1,502,942.16 $0.00 III. Projected Assumption of Project Costs: The project director MUST state plans for the assumption of project cost after federal funds are no longer available to the project and describe how the project will continue to address the problem after the grant ends. Future costs will be paid through combination of operating funds and 9-1-1 Wireline Emergency Telephone funds. Page 8 http://www.negccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information I-I Certifications A. Certification of Non-Supplanting: The applicant hereby certifies that federal funds will not be used to supplant or replace funds or other resources that would otherwise have been made available for Juvenile Justice and Delinquency Prevention, Drug Control and System Improvement, Victims of Crime Act, Violence Against Women Act, or Children's Justice projects. B. Certification of Filing an Equal Employment Opportunity Program: The project director certifies that the applicant/grantee has formulated an Equal Opportunity Program, which is dated 10/01/1999 in accordance with the Amended Equal Employment Opportunity Guidelines 28 C.F.R.42.301, et seq.,Subpart E, and that it is on file in the office of: (Office) Orange County Personnel Office (Name) Elaine Holmes (Title) Personnel Director (Address) P.O. Box 8181 Hillsborough, NC 27278 (Telephone) 919-732-8181 for review and audit by officials of the Department of Crime Control and Public Safety or the Office of Justice Programs as required by relevant law and regulations. . The project director certifies that the Amended Equal Employment Guidelines have been read (28 C.F.R.42.301, et seq., Subpart E.) and that no Equal Employment Opportunity Program is required to be filed by the implementing agency. C. Certification of Submission of Annual Audit: The project director certifies that a copy of the annual audit (required) will be submitted to the Office of State Auditor and the Department of Crime Control and Public Safety. D. Certification of Submission of Project Reports: The project director certifies that a completed progress report (provided in the GCC Grant Award Package) will be submitted at the end of the 12 and 24 months, or more often if requested. If required, the project director certifies that quarterly reports will be submitted. Page 9 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information .. I a Certifications (continued) E. Certification that Applicant is Eligible to Receive Federal Funds: The project director certifies that neither grant applicant nor any of its officers, directors or consultants are presently debarred, proposed for debarment, suspended, declared ineligible or voluntarily excluded from receiving federal funds. [If the director cannot make this certification, an explanation must be attached. If this certification cannot be provided, the applicant will not necessarily be denied participation in this program. The certification or explanation will be considered in connection with the determination by the Governor's Crime Commission as to whether or not to approve the application. However, if neither the certification nor an explanation is provided, the application will be rejected.] F. Certification Regarding Lobbying: (for agencies receiving $100,000 or more) a The project director certifies that (1) no Federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any agreement; (2) If any non-Federal funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this Federal grant, the project director shall initial here and complete and submit Standard Form #LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. G. Drug Free Workplace Compliance: (for state agencies only) I (project director) certify that (1) a drug-free workplace awareness program was held on _ and/or will be held annually on _ which all grant project employees are required to attend;(2) a copy of the agenda of that program, including an attendance sheet signed by all employees, will be provided to the Governor's Crime Commission;(3) a statement will be published notifying employees that any unlawful involvement with a controlled substance is prohibited in the grantees workplace and that specific actions will be taken against employees who violate this rule;(4) all employees will receive a copy of this notice;(5) all employees must agree to abide by the statement and to notify the applicant of any criminal drug statute conviction for a violation occurring in the workplace within 5 days of the conviction;(6) within 10 days of receiving such notice, the applicant will inform the Governor's Crime Commission of an employee's conviction;(7) any employee so convicted will be disciplined or required to complete a drug abuse treatment program; and (8) the applicant will make a good faith effort to maintain adrug-free workplace, in accordance with the requirements of Title V, Secs. 5153 and 5154 of the Anti-Drug Abuse Act of 1988. Available Technical Assistance If you need assistance in completion of the grant pre-application, please contact the appropriate program area planner at the Governor's Crime Commission by calling (919) 733-4564 Program Area Planners Juvenile Justice Planning Committee: Victims' Services Committee: Drug Control & Substance Abuse Committee: Information Systems & Technology Committee Michelle Zechmann Michael Wilson Tina Howard Kimberly Wilson Barry Bryant Misty Arnold Starr Barbaro Craig Turner Doug Yearwood Page 10 Wesley Clark Starr Barbaro Navin Puri http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfin 1/26/2005 Print Grant Pre-Application Information ~3 ~~ CERTIFICATIONS: PROJECT DIRECTOR ~~ Pre Application Number 297 Project Director* I certify that I agree to comply with the general and fiscal terms and conditions of this application including special conditions; to comply with the provisions of the Act governing these funds and all other federal laws; that all information presented is correct; that there has been appropriate coordination with affected agencies; that I am duly authorized by the Applicant to perform the tasks of Project Director as they relate to the terms and conditions of this grant application; that costs incurred prior to grant approval may result in the expenses being absorbed by the implementing agency; that the receipt of grantor funds through the Governor's Crime Commission will not supplant state or local funds; and, that I understand that federal funds are limited to a maximum of twenty- four months: Name: Agency: Phone: Signature: *NOTE: Craig Blackwood Orange County Emergency Management (919) 968-2050 Title: Data Technician Address: P.O. BOX 8181 Hillsborough. NC 27253-8181 Bonded: r Yes r No The Project Director, Financial Officer, and Authorizing Official CAN NOT be the same person. Staff funded under this grant may not be any of the authorizing officials without direct Crime Commission approval THIS APPLICATION IS NOT COMPLETE WITHOUT THE ABOVE SIGNATURE. Page 11 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information CERTIFICATIONS: FINANCIAL OFFICER Pre Application Number 297 Financial Officer* I certify that I agree to comply with the general and fiscal terms and conditions of this application including special conditions; to comply with the provisions of the Act governing these funds and all other federal laws; that all information presented is correct; that there has been appropriate coordination with affected agencies; that I am duly authorized by the Applicant to perform the tasks of Financial Officer as they relate to the terms and conditions of this grant application; that costs incurred prior to grant approval may result in the expenses being absorbed by the implementing agency; that the receipt of grantor funds through the Governor's Crime Commission will not supplant state or local funds; and, that I understand that federal funds are limited to a maximum of twenty- four months. Name: Agency: Phone: Kenneth Chavious County of Orange Title: Finance Director Address: p,0. Box 8181 (919) 245-5753 Hillsborough, NC 27278 Signature: "NOTE: Bonded: (`" Yes l No The Project Director, Financial Officer, and Authorizing Official CAN NOT be the same person. Staff funded under this grant may not be any of the authorizing officials without direct Crime Commission approval. THIS APPLICATION IS NOT COMPLETE WITHOUT THE ABOVE SIGNATURE. ~I Page 12 i~ http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information ~~ CERTIFICATIONS: AUTHORIZING OFFICIAL ~~ Pre Application Number 297 Authorizing Official* I certify that I agree to comply with the general and fiscal terms and conditions of this application including special conditions; to comply with the provisions of the Act governing these funds and all other federal laws; that all information presented is correct; that there has been appropriate coordination with affected agencies; that I am duly authorized by the Applicant to perform the tasks of Authorizing Official as they relate to the terms and conditions of this grant application; that costs incurred prior to grant approval may result in the expenses being absorbed by the implementing agency; that the receipt of grantor funds through the Governor's Crime Commission will not supplant state or local funds; and, that I understand that federal funds are limited to a maximum of twenty- four months. The Anti-Drug Abuse Act of 1988 requires that subgrantees provide assurance that subgrant funds will not be used to supplant or replace local or state funds or other resources that would otherwise have been available for law enforcement and/or criminal justice activities. In compliance with that mandate, I certify that the receipt of federal funds through the Crime Commission shall in no way supplant or replace state or local funds or other resources that would have been made available for law enforcement and/or criminal justice activities. Name: John Link Agency: County of Orange Phone: (919) 732-8181 Signature: *NOTE: Bonded: r` Yes I`~' No The Project Director, Financial Officer, and Authorizing Official CAN NOT be the same person. Staff funded under this grant may not be any of the authorizing officials without direct Crime Commission approval. THIS APPLICATION IS NOT COMPLETE WITHOUT THE ABOVE SIGNATURE. REQUEST FOR MATCH WAIVER (Refer to limitations noted on budget summary page) As the Authorizing Official for this grant pre-application, I am requesting that the Governor's Crime Commission grant this implementing agency a waiver of its match requirement. Signature: Authorizing Official Page 13 Title: County Manager Address: P,O. Box 8181 Hillsborough. NC 27278- -5 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 Print Grant Pre-Application Information 1 /26/05 RECEIPT !!! IMPORTANT !!! Governor's Crime Commission Grant Pre-Application Number: 297 ~~ Save this receipt as proof of submission of your online grant application. This is the only documentation that you will receive. After printing the signature pages, have them signed and mail them, along with any required supporting documentation, to be received no later than January 30, 2005. (Support documentation includes your current year's operating budget and sources of those funds if you are a nonprofit agency. Attach a copy of what other funding sources and amounts, if any, have been committed for this project or have been applied for or are anticipated for the project.) YOUR APPLICATION I NOT COMPLETE UNTIL WE HAVE RECEIVED THE SIGNED SIGNATURE PAGES AND SUPPORTING DOCUMENTATION MAILING INFORMATION Mail the signature pages and supporting documentation to: ATTN: WES WALTERS GRANTS MANAGEMENT DIRECTOR GOVERNOR'S CRIME COMMISSION 1201 FRONT STREET; STE 200 RALEIGH NC 27609 Mail letters of collaboration directly to the appropriate Lead Planner for the Committee to which you are applying at the same address as above: Drug Control and Substance Abuse Juvenile Justice Planning Victims' Services Information and Technology Craig Turner, Lead Planner Michelle Zechmann, Lead Planner Barry Bryant, Lead Planner Doug Yearwood, Lead Planner REVISIONS To make any revisions to your submitted application, you must have your grant pre-application number and your Federal Tax ID Number to access the application online. Simply choose "REVISE APPLICATION" rather than "NEW APPLICATION" and enter these two numbers. Proceed with making changes, saving each page, and submit revisions. Page 14 http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfin 1/26/2005