HomeMy WebLinkAbout07-327
NOVEMBER 13, 2007
07 - 327
RESOLUTION
(CARRIED 6-0
LOST
LAID OVER
WITHDRAWN
PURPOSE:
INITIATED BY:
ACCEPT HOMELAND SECURITY GRANT I RADIOS FOR
OSHKOSH FIRE DEPARTMENT ($13,631.00)
FIRE DEPARTMENT
WHEREAS, Winnebago County has applied for and been granted funds for a
Homeland Security Program Grant for the purpose of purchasing Radios to enhance the
EMS communication and operability to safely respond to incidents, and
WHEREAS, the Oshkosh Fire Department has identified the need for 15 radios
and Homeland Security Program Grant available through the application of Winnebago
County is $18,750.00 and
WHEREAS, the City is required to provide a monetary match of $13,631.00
which will be derived from the Fire Department budget;
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that the proper City officials are hereby authorized and directed accept funding
for a grant under the Federal Domestic Preparedness Program through Winnebago
County in the amount of $18,750.00 for 15 radios for the Oshkosh Fire Department.
BE IT FURTHER RESOLVED that the proper City officials are hereby authorized
and directed to execute any and all documents required for purposes of the same.
BE IT FURTHER RESOLVED that money for this purpose is hereby appropriated
from:
Acct. No. 323-0230-7212-06712 equipment fund-fire radios
JIM DOYLE, GOVERNOR
DA VID STEINGRABER, EXECUTIVE DIRECTOR
STATE OF WISCONSIN
OFFICE OF JUSTICE ASSISTANCE
MEMORANDUM OF UNDERSTANDING
BETWEEN THE STATE OF WISCONSIN AND THE [GOVERNMENTAL UNIT]
REGARDING THE RECEIPT OF HOMELAND SECURITY GRANT FUNDS FOR THE PURPOSE OF
THE DEVELOPMENT AND DEPLOYMENT OF REGIONAL MASS CASUALTY EQUIPMENT
1. PURPOSE: The Purpose of this memorandum of understanding (MOU) is to create strategically placed,
standardized equipment caches capable of responding to mass casualty incidents in the state of Wisconsin.
It is recognized that there are currently areas of the state that have existing caches, and in these areas the
caches will be upgraded to the state standard. The MOU establishes agreements with the organizations that
receive these upgrades so they can be incorporated into a statewide response plan.
2. PARTIES: The Parties to this MOU the State of Wisconsin and the [governmental unit].
3. OVERSIGHT: Oversight of this program will be the joint responsibility of the Office of Justice Assistance
(OJA) and Wisconsin Emergency Management (WEM) on behalf of the State of Wisconsin. As tl)e State
Administrative Agency (SM) for the Homeland Security funding, OJA will oversee the development of the
capability through the administration and management of the funds. WEM will oversee the operation and
deployment of the equipment in accordance with the State Regional Response Plan. WEM and OJA will
convene a working group that will include representatives of the State EMS Board, the Department of Health
and Family Services, and three recipient agencies that will rotate on a biennial basis. The purpose of this
working group will be to advise WEM and OJA on the ongoing implementation and sustainment of this
program.
4. EQUIPMENT: OJA will provide Homeland Security funding to [governmental unit] sufficient to supply the
recipient agency's mass casualty equipment cache to the standardized equipment list included as Attachment
#1 to this agreement. The recipient agency shall purchase the equipment necessary to meet the baseline
represented by the equipment list. The equipment must meet the standards detailed in the list. Additional.
equipment not identified in the list shall be the responsibility of the recipient agency.
Equipment purchased with grant funds shall become the property of [governmental unit]. This equipment
shall be assigned and used for the purpose of responding to mass casualty incidents and shall be delivered
within and outside the jurisdiction as a resource for that purpose. The State strongly encourages the use of
the Mutual Aid Box Alarm System (MABAS) in the deployment of the equipment.
AlI.expenses including but not limited to insurance, storage, and maintenance of such equipment shall be
borne by the governmental unit that receives it. The storage conditions of the equipment shall meet the
minimum standards set by the State of Wisconsin, including an indoor location heated to a minimum of 58
degrees.
A plan for rotation and replenishment of supplies that ensures continuous maintenance at the state standard
level shall be developed by the governmental unit that receives the equipment and submitted to Wisconsin
Emergency Management prior to the end of the performance period of the relevant equipment grant and
updated by September 30, annually thereafter. An inventory of the equipment must also be taken annually
and submitted to Wisconsin Emergency Management in conjunction with the updated rotation and
replenishment plan noted above.
The State of Wisconsin may audit the use of such equipment from time to time and with seven days notice to
ensure compliance with the above.
131 W. WILSON STREET / SUITE 610 / MADISON. WI 53702-0001/ (608) 266-3323/ F!\X (608) 266-6676
HTTP://0JA.STATE.WI.US
nil,., ~/ /Ae!
. UJta- -
, '
. -
State of Wisconsin
OFFICQ~~CE ~STANCE
JIM DOYLE
Governor
DAVID STEINGRABER
Executive Director
1 S. Pinckney Street
Suite 600
Madison W153702-OO01
Phone: (608) 266-3323
Fax: (608)266-6676
http://oja.wi.gov
- .
FY'06 HOMELAND SECURITY PROGRAM GRANT AWARD
Homeland Security/Mutual Aid Interoperability Round 3
2006-HS-05-2459 .
- -
The Office of Justice Assistance (OJA), on behalf of Governor Jim Doyle, hereby awards to Winnebago
County, (hereinafter referred to as the Grantee), the amount of $32;,381.00 forpro~ or projects pursuant
to the federal Homeland Security Grant Program. .
This grant maybe used until January 31, 2008 for the programs consistent 'With the budget and general
conditions in Attachment A, subject to any limitations or condi~ons set forth-in Attachments Band/or C, if included.
The Grantee shall atim;n;Rter the programs or projects for which this grant is awarded in accordance 'With the
applicable rules, regulations, and conditions of the Office of Justice Assistance. The submitted application is hereby
incorporated as reference into this award.
This grant shall become effective, and funds may be obligated (unless otherwise specified in Attachments A and/or
. B) when the Grantee signs and returns one copy of this grant award to the Office of Justice Assistance.
BY:
JIM DOYLE
Governor
8ta of Wisconsin
10/3/2007
Date
The (Grantee), Winnebago County, hereby signifies its acceptance of the above:-descnbed grant on theterms
and .~nditions set forth above or incorporated by reference therein.
GRANTEE:
Winnebago County
J#~;:;:~
BY:
NAME:
TITLE:
Mark Harris
County Executive
ftJ//7/07
Date ' I
Completion of this signed grant award within 30 days of the date of the award is required forrelease offederal funds.
. OFFICE OF JUSTICE ASSISTANCE
ATTACHMENT A
APPROVED FY'06 HOMELAND SECURITY GRANT PROGRAM BUDGET
Grantee: Winnebago County
Project Title: Homeland Security/Mutual Aid Interoperability Round 3 CFDA #97.067
Grant Period: From AUgUst 1,2007 To January 31, 2008
. Grant Number; 2006-HS-05-2459
APPROVED BUDGET
Federal & Match
Personnel
. Employee Benefits
Travel (Including Training} .
Equipment
Supplies & Operating Expenses
Consultants
. Other
$32,381.00
TOTAL APPROVED BUDGET
$18.750.00
$13,631.00
$32,381.00
$32,381.00
FEDERAL TOTAL .
LOCAL CASH MATCH
AWARD GENERAL CONDmONS
1. Federal funds cannot be used to supplant local funds. They m~ increase the amount of funds that would otherwise be lI:Vailable from local
resources.
2: To be allowable under a grant program, costs must be obligated (purchase order issued) or paid for services provided during the grant period.
If obligllted by the end of the grant period, payment must be made within 30 days of the grant period ending date.
3. . Budget changes require prior approVal from OJA.
4. ~t fundS will be disbursed upon OJA receipt of copies of paid vender invoices and requests for reimbursements (0-2) monthly or quarterly
5. . Recipients and. subrecipients shall use their own procurement procedures and regulations, provided that the procmement conforms to applicable
Federal1aw and the standards identified in the Procurement Standards Sections of 28 CFR Parts 66 and 70.
6. Reimbursement for mileage is limited to a maximum of $0.425 per mile.
7. Failure to Submit and acceptable Equal Employment Opportunity Plan (if required Under 28 CFR42.302) that is approved by the Fe.deralUffice
of Civil Rights, is a violation of OJA' s Certified Assurances and may result in grant termination.
8. All income generated as a direct result of an agency funded project shall be deemed program income. Program income must be used for the .
purpose and under the coriditions applicable to the award. Program income should be used as earned and expended as soon as possible. If the
, cost is allowable under the Federa1grant program, then the cost woUld be allowable using program income. All progratn income must be
reported to OJA. (See OIA Fmancial Guide @ htlp://oia.wi.l!:ov). .
9. The recipient agrees that all publications created with funding under this grant shall prominently contain the following statement:
This document was prepared under 'a grant from the Office of State and Local Government Coordination and Preparedness
(SLGCP), United States Department of Homeland .Secunty. Points of view or opinions expressed in this document are those of the
authors and do not necessarily represent the official position or policies of SLGCP or the U.S. DHS." .
1 O. The recipient agrees that when practicable, any equipment purchased with grant funding shall be prominently marked as follows: "Purchased
, with funds provided by the US Department of Homeland Security. tI '
11. . Sub recipient acknowledges that G&T reserves a royalty- free, non-exclusive and irrevocable license to reproduce, publish, or otherwise use,
and authorize others to use, for Federal government purposes: (a) the copyright in any work developed under an award or sub-award and (b)
any rights of copyrights to which a recipient or sub-recipient purchases ownership with Federal support. .
-plt;!-
OFFICE OF JUSTICE ASSISTANCE
ATTAClTh1ENT B.
Award Special Conditions
. .
1. Agencies that receive funding for radio replacement or re-progr::Jmming are required to deliver
training to users on proper mutual aid channel usage and full-functionality of the radio
equipment purchased under this program. Recipients should adopt operational and usage
policies that make appropriate use of mutual aid channels. Where applicable, training and usage
must incorporate and follow the standards established by the National Incident Management
System (NIMS), fucluding the use of plain talk. .
. 2. All new radios purchased under this program .must be:
a. Phase I P25 compliant
b. Upgradeable to. P25 trunking or have available an upgrade path to trunking that includes
a trade in value on the radios. . This upgrade .agreement between the grantee .and the
vendor must receive prior approval from OJA.
.c. 48 chanriel minimum capacity
d. Alphanumeric Display .
e. 138-174 MHz bandspread, unless otherwise authorized by OJA .
f.. Programmed accorcijng to Statewide Mutual Aid Frequency Plan (available for
download on the SIEC website at http://www.siec.wi.gov/with a minimum of20
statewide mutual aid channels.
3. . All radios reprogrammed under this program must:
.a. Consider installing neighboring agencies, discipliries, and jurisdictions freqeuencies
(with permission). Consult with your local Emergency Management Director for.
advice. . ..
b. Radios with with more than 16 channels must be re-programmed according to the
Statewide Mutual Aid FrequencyPhm. to include a minimum of 10 mutual aid channels.
VHF radios should include as many of the mutual aid channels as capacity allows. 800
MHz radios must include all 10 of the ICAL/ITAC1-4/D channels.
c. Radios with 16 channels or less must be according to the Statewide Plan to include a
. minimum of5 mutual aid channels. This frequency plan is on Page 50 of the Technical
Plan to Support Statewide Comm~cations Interoperability, dated September 19, 2006.
.4. Reimbursement of expenses will be made at the following rates:
a. 75% of the cost of portable radios, to a maximum of $1 ,250 per r;idio.
b. 75% of the cost of mobile radios, to a maximum of$1,750 per radio.
c. 75% of radio reprogrAmming, toa maximum of$35 per radio or$750 for software.
d. 100% of the. costs of training.
e. Management of administrative costs will be fully reimbursed up to 2.5% of the grant
award total. .
fYI/II-
s. 16.964 WI Stats..
OJA-404 (rev. 9107)
ACKNO~EDGEMENTNOTICE
Date: October 2007
Grantee: Winnebago County Grant No. 2006-HS-05-2459
Project Title: Homeland SecuritylMutual Aid Interoperability Round 3
The following. regulations and obligations (referenced below) apply to your grant award.
~
FINAL FISCAL REPORT (G-4) .should reflect final financial data in your records. 'All equipment pUrchases
must be .received, installed, and paid for before submittUig report to OJA. Please attach copies of invoices. to
the G-4 which is at http://oja.wi.us under Document Search - Homeland Security - Forms. Report is due to
OrA on or before:
2/29/2008 Final
~
INVENTORY REPORTS should reflect final inventory in your records. All equipment purchases must be
received, installed, and paid for before submitting report to OJA Electronic Reporting in Egrants replaces
the G-5lnventory Report. Report.is due in Egrants .to OrA on or before:
2/29/2008 Final.
~
PROGRESS REPORTS must be submitted on a scheduled basis into the OrA Egrants system. Narrative
reports on the status of your project are due to OJA on:
2/29/2008 Final
o
Complete and return a W-9 Taxpayer Identification Number Verification I!onn (enclosed).
o
OTIIER:
ACKNOWLEDGEMENT
The materials referenced above were received and reviewed by the appropriate members of this
organization. I also acknowledge receipt of the Grant Award and any attached Special Conditions.
I und~stand ~t this grant is awarded subject to our compliance with all Conditions, ~egu1ations,
and Obligations described in the above materials. .
/o*' /~-ol
Date
.~?~~
. Kollmanii
, Project Director
Certified Assurances
The .Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations, policies, .
guidelines, andrequirements,.including OMS CircUlars A-21, A-87, A-I02, A-llO, A-122,A-133;'E;x. Order 12372
(intergovernmental review of federal programs); and 28 C.F.R. pts. 66 or 70 (administrative.requirements for grants
and cooperative agreements). The applicant also specifically assures and certifies that' .
"
1. It has the leglil authority to apply for federal assistanqe and the institutional,' managerial, and financial Capability
(including funds sufficient to pay any required non-federal share ofproject cost) to ensure proper planning,
.management, and completion.ofthe project described in this application.
2.,It will establish safeguards to prohibit employees from using their positions for a purpose that ccmstitutes or
presents the ~ of personal or organizational conflict of interest, or personal gain.
3. It win give the awarding agency or the Generai Accounting 6ffi~; througq any authorized representative, access
. to and the right to examine all paper or electronic records-related ~ the financial assistance.
4. It Will,compJy with alllawfuI ~ents imposed by the awarding agency, specifically including any
aPPlicable re~ons, such as 28 C.F.lt. pm. 18,22,23,30,35,:38,42,61, aild 63. .,. .
5. It will assist the awarding agency (ifnecessary) in 'assuring cOmp~ce with section 106 of the National Historic.
. Preservation Act. of 1966 (16 U.S.C. ~ 470), Ex. Order 11593 ,(identification .and protection of.histori~ properties), :
the Archeological and Historical Preservation Act of 1974 (16 U.S.C. ~ 469 a-I et seq.), and the National
En~onmenta1 Policy Act of19.69 (42 U.~.C. ~ 4321).
'6.. It will comply (and will require any sub-grantees or contractors ~o c()mply) with aily aPplicable statiltorily-
imposed nondiscrimination requirements, which may include the Ommbus Criine Control and Safe Streets Act of
1968 (42 U.S.C. ~ 3789d); the Victims of Crime Act (42 U.S.C. ~ 10604(e)); The Juvenile Justice and Delinquency
Prevention Act of2002 (42 U.S.C. ~ 5672(b)); the Civil Righ~ Act of 1964 (42 U.S;C. ~ 2000d); the Rehabilitation
Acj. of 1973 (29 U.S.C. ~ 7 94); the Americans with Disabilities Act of 1990 (42 U.S.C. ~ 12131-34); the Education
Amendments of1972 (20 U.S.C. ~~1681, 1683, 1685-86); and the Age DiscritirlnationAct of1975 (42 U.S.C. ~~
.~tOl-07); see Ex. Order 13279 (equal protection of the laws for faith-based and community organizations). .
7. If a governmental entity:
a. it will comply with the requirements of the Unifonn Relocation AssiStance and Real Property Acquisitions
Act of 1970 (42 U.S.C. ~ 4601 et seq.), which govern the trea1ment of persons displaced as a result of
federal and federally-assisted programs;.and
b. it will comply with requirements of 5 U.S.C. H 1501-08 and ~~ 7324-28;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. .
CERTIFICATION
Chief Executive: I certify.that applicant will comply with the above certified assurances.
./-#,..1;;: 4~. . . lo/tt/o1
. Signature.of~efExecutive (Co. Board Chair, Co. Executive, Date I I .
.Secretary) .
Mark ,L. Harris,Winnebago. County Executive
Typed Namelfitle
( ) ~20-236-4896
Telephone Number
. NOTE: The original signature of the chief executive is required.
Substitute signing or stamping is not accepted.
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
.. .
CERTIFICATIONS REGARDING LOBBYING; DJiBARMENr, SUSPENSION AND
OTHER RESPONSmILITY 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 coI)lpleting this form. Signature of this form provides for compliance with
cemfication requirements under 28 CPR Part 69, "New Restrictjons on Lobbying". and 28 CPR )lart 67, "Government-wide Debarment imd
Suspension (Non px:ocurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a
material representation of fact upon which reliance will be placed when the Department of Justice determines to. award the covered transaction, grant,
. or cooperative agreement.
1. LOBBYING
As ~ by Section 1352, TItle 31 of the U.S. Code, and implemented at 28 CPR Part 69, for persons entering into a grant or cooperative
agreement over $100,000, as defined at 28 CPR Part 69, the applicant certifieS that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, 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 grant, the entering into of any cooperative agreement, and the extension, continuation,
.renewal, amendmen~ or modifiCation of any Federal.grant or cooperative agreeri1ent; .
(b) If any funds other thaIiFederal 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 Membez: of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form -ILL, "Disclosure of
. Lobbying Activities, " in accOrdance with its instructions;
(c) The undersigned shalhequire that the language of this certification be included in the award documents for all sub-awards at all tiers (including
subgrants, contracts under grants an~ cooperative agreements, and subcontracts) and that al) sub-recipients shall certify and disclose. accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER RESPONsmILITY MATTERS (DIRECT REClPIENT)
As reqUired by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary
covered transactions, as defined at 28 CFR Part 67, Section 67.510. .
A The appli~t certifies that it and its principals: ..
(a) Are not presently debarred, suspended, proposed for debarment, declared.ineligible~ senten~ to Ii denial of Federal benefits by a State
or Federal court, or voluntarily excluded from cov~ transactions by any Federal department or agency; .
(b) Have not within a tbree-year period preceding this application been convicted of or had a civil judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or
. local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction ofrecords, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity.(Federal, State, or local) with
coJD1llis$ion of any of the offenses (lllumerated in paragraph (l)(b) of this certification; and (d) Have not within a threC-yeat period
preceding this application had one or more public transactions (Fedetal, State, or local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this Certification, he or she shall attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67
Sections 67.615 and 67.620 . -
. A. The applicant certifieS that it will or will continue to provide a drug-free workplaCe by:
(a) Publishing a stateinent notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such
pro~mon; .
(b) Establishing an on-going drug-free awareness Program to infonn employees about .
(1) The dangers of drug abuse in the workplaCe;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by
paragraph (a); ,
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee
will
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing ofhis or her conviction for a violation of a criminal drug statute occurring in the workplace no
later than five calendM days after such conviction; . .
(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or .
otherwise receiving lictua1 notice of sUch conviction. Employers of convicted employees must provide notice, including position title, to:
Department of Justice, Office of Justice Programs, ArtN: Control Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531. Notice
shall include the identification number(s) of each affected grant; . .. .
(f) 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 ~onvicted
(1) Taking appropriate personnel action against such an employee, up tQ and including termination,. consistent with the
requirements of the Rehabilitation. Act of 1973, as amended; Qr .
(2) Requiring such employee to participate satisfactorily'in a drug abuse assistance or rehabilitation program approved for such
putposes by a Federal, S~, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drog-fr~ workplace through implementation of paragraphs ( a), (b), (c), ( d), (e), .
and (f).
B. The grantee may in!!ert in th~ space provided below the site(s) for the performance of work done in connection with the specific grant .
Place of performance (S~ address, city, county, state, zip code)' .
Check _ if there are workpI8ces on file that are not identified here. .
Section 67, 630 of the regulations provides that a grantee that is a State may elect to make, one certification in each Federal fiscal year. A copy of
. . which should be included with each application for Department of Justice funding. States and State agencies niay elect to use OJf Form 4061n.
Check _ if the State has elected tQ complete OJP Form 4061n.
DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free W ork:place Act of 1988. and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67;
Sectiqns 67.615 and 67.620
A As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing, possession, or use ofa controlled
substance in conducting any activity with the grant; and
. B. If convicted of a criminal drug offense resulting from a violation occurring duriilg the conduct of any grant activity, I will report the conviction, in
writing, within 10 calendar days of the conviction, to: Department of Justice, Office of Justice Programs, A 1TN: Control Desk, 633 Indiana Avenue,
N.W., Washington, D.C. 20531.
As the duly authorized representative of ~e applicant, I hereby certify that the applicant will comply with 1he above certifications.
1. Grantee Name and Address: Winnebago County
2006-RS-05";2459
2. Application Number and/or Project Name
39-6005760
3. Grantee lRSN endor Nuniber
. Mark L. RarriSt .Winnebago County Executive
4. Typed Name and Title of Authorized Representative (Co. Board Chair, Co. Exec., Mayor)
M~/ ~ /0/1'/07
S. Signature 6. Date. ' . I . . .
OJP FORM 4061/6 (3-91) REPLACES OJP FORMS 4061/2, 4061/3 AND 4061/4 WHICH AREOBSOLElE. OFFICE OF JUSTICE PROGRAMS
BJA NIJ OJJDP BJS OVC DHS