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Home My WebLink AboutResolution - 2004-R0266 - Resolution Approving Grant Submission - Lubbock Urban Gardens (GRUB) - 06/09/2004RESOLUTION Resolution No. 2004-R0266 June 9, 2004 Item No. 32 WHEREAS, the City Council of the City of Lubbock finds it in the best interest of the Citizens of Lubbock that the Lubbock Urban Gardens (GRUB) program be operated for the 2005 year; and WHEREAS, the City Council of the City of Lubbock has authorized the Mayor to apply for and execute the grant and any associated documents; and WHEREAS, the City Council agrees to provide the minimum matching percentage for the said project as required by the (Funding Source) grant application; and WHEREAS, the City Council has agrees that in the event of loss or misuse of the Criminal Justice Division funds, the City Council assures that such funds will be returned to the Criminal Justice Division in full; NOW THEREFORE: BE IT RESOLVED BY THE CITY COUNCIL OF THE OF LUBBOCK: THAT the City Council of the City of Lubbock hereby approves submission of the grant application for the Lubbock Urban Gardens (GRUB) Program to the office of the Governor, Criminal Justice Division and authorizes the Mayor to execute the grant and any associated documents. Passed by the City Council this 9th day of ___________ _ M ATTEST: APPROVED AS TO CONTENT: ~··" ~~ ~cAUiei,i"iice Department APPROVED AS TO FORM: "\ . r' . (J R .. / .· } ·. '\' 0 ,A ~ '? 1 ~~*~t>"D~ ~ Jf\C>~!\ ald G. and1ver, . \ Attorney of Counsel as/CCDOCS/GRUBres#2 May 27, 2004 Resolution No. 2004-R0266 Grant Coversheet Form 1. ENTER the legal name of the organization: City of Lubbock 2. ENTER the title of the project: GRUB -Growing Recruits for Urban Business 3. ENTER the division or unit to administer the project: Youth Services Department 4. ENTER the agency's §tate fayee !dentification Number: 75-60000590 5. a) Is the applicant organization delinquent on any = State or Federal debt? (SELECT One): b) ENTER the date of the fast audit 9/1/2002 c) ENTER the agency fiscal year: 10/01 -9/30 6. SELECT the funding source: Delinquency Prevention Act 7. ENTER the grant period (ex: mm/dd/yyyy): From: 9/1/2004 To: 8/31/2005 8. ENTER the current grant number if a continuation project: JT-02-16628-01 9. Budget Information (figures filled in from Budget Form) : CJD Funds Cash Match In-Kind Total $133,644 $70,625 $0 $204,269 10. a) Is this a local or regional project? (SELECT = One): b) If you marked 'Yes', for Step 10. a); is this application subject to a regional COG prioritization process? (SELECT One): c) If you marked'No', for Step 10. a) orb); then is this application subject to the State's TRACS . = pracess pursuant to 1 TAC. §§5.191-5.253? (SELECT One): d) If you marked 'Yes' for Step 10. a), SELECT the regional COG in which this project is geographically located: 11 . a) Is this grant application is response to a Request for Applications (RFA) as published in the Texas Register? (SELECT One): b) If you marked 'No', ENTER the name of the CJD staff member that you contacted for submission: 12. a) ENTER the Authorized Official Information: Title (Mr., Ms., Dr., Judge, etc.): Mayor Name: Marc McDougal Position: Mayor Address: P.O. Box 2000 City/State/Zip: Lubbock TX 79457 Telephone: 806-775-2228 Fax: 806-775-3258 E-mail: mmcdougal@mail.ci.lubbock.tx.us b) ENTER the Project Director Information: Title (Mr., Ms., Dr., Judge, etc.): Mrs. Name: Jenifer Smith Position: GRUB Program Coordinator Address: 220116th St. City/State/Zip: Lubbock TX 79401 Telephone: 806-762-3831 Fax: 806-762-1437 E-mail: jsmith@spfb.org c) ENTER the Financial Officer Information: Title (Mr., Ms., Or., Judge, etc.): Ms. Name: Beverly Hodges Position: Interim Chief Financial Officer Address: P.O. Box 2000 City/State/Zip: Lubbock TX 79457 Telephone: 806-775-2161 Fax: 806-775-3258 E-mail: bhodges@mail.cl.lubbock.tx.us 13. SELECT your organization type based on the list of eligible applicants by fund source: 14. a) SELECT the headquarters county: b) LIST the cities and counties within the service area: Lubbock I Lubbock County 15. FOR COG USE ONLY a) Is this application shared with another COG? (ENTER "Yes" or "No"): b) CPTN#: d) State &>plication identifier (SAi #) or COG Application ID: c) Priority #: Page 1of1 Coversheet Form Grant Budget Form 1. a) Legal Name of Organization: City of lubb~clc b) Trtle of Project: GRV$. ~ Growing Recruits for Urban Business c) Grant Period: From: 9/112004 To: 8/31/2005 d) Grant Number: JT-02~ 16628-01. 2. ENTER Minimum Match Percentage 3. ENTER CJD Requested Amount: (If Applicable): 34% $133,644 4. ENTER Program Income Applied to this Budget Of Aoolicable): $0 5. Minirnurn Match Arnount: $68,847 6. Total Project Cost Amount: $202,491 BUDGET D.ETAIL PERSONNEL Salary% Applied to the Grant CJD Funds Cash Match In-Kind Match Total GRUB Program Coordinator: Provides the following services: Develops, implements and oversees program, recruits youth participants, completes all administrative paperwork, including evaluations. 100.00% $34,500 $34,500 Value-Added Coordinator: Provides the followoing services: Oversees youth in researach, develoment, production and marketing of value-added product. 100.00% $25,200 $25,200 Fringe Benefits for Program Coordinator and Value- Added Coordinator based on $59,700 in salaries. $19,104 $19,104 Orchard Coordinator: Provides the following services: Operates and maintains heavy equipment, prepares land, oversees youth in apple production. $25,000 salary/$8,750 fringe benefits 50.00% $16,875 $16,875 Farm Team Leader: Provides the following services: Oversees youth in maintaining farm and equipment. $22,000 salary/$7,700 fringe benefits. 100.00% $29,700 $29,700 Produce Production Specialist: Provides the following services: Works with youth in planting, harvesting, maintaining farm and equipment. $17,800 salary/$6,250 fringe benefits. 100.00% $24,050 $24,050 ., CONTRACTUAL AND PROFESSIONAL SERVICES CJD Cash In-Kind Total $0 ' TRAVEL AND TRAINING CJD Cash In-Kind Total Local travel -Mileage reimbursement for day to day travel in support of program for Program Coordinator and staff. Based on 10,000 miles@ .345 per mile $3,450 $3,450 Intrastate travel -Mileage reimbursement for travel to locations in Texas with youth garden based entrepreneurial programs. Based on 1,000 miles reimbursed@ .345 per mile and $15 per day meal reimbursement. $945 $945 Out of State travel -Travel to National Rooted in Community Conference for program staff and youth. Airfare 15 @$500, Hotel (double occupancy) 7@ $90, Meals 15@ $15 daily, conference fees 15@ $75 $10,155 $10,155 Page 1 of2 Budget Form EQUIPMENT -CJD Cash In-Kind Total $0 SUPPLIES AND DIRECT OPERATING EXPENSES CJD Cash In-Kind Total Office supplies -includes postage, copy supplies, computer paper and disks, envelopes, folders, binders, pens, pencils, paper and other basic consumable supplies used in the administration of this project. $1,415 $1,415 Project supplies -includes $2,500 in training materials (books, samples, videos, films), $13,830 in garden supplies (compost, seeds, seedlings, weed guard, garden tools), $8,200 in value added supplies (bottles, caps, labels, soap materials, baskets, pots and pans). $24,530 $24,530 Communication -Cellular telephones for Program Coordinator and Value-added Coordinator. $2,000 $2,000 Cost of Space -Includes 5400 sq. ft. farm building space@ .10 per sq. ft.= $6,480 per year x 26.67 % GRUB usage time = $1,728 per year and Utilities @ $2,520 per year @ 26.67% GRUB usage = 672.08 per year. $2,400 $2,400 Vehicle operating cost -Includes $395 for fuel, oil, and service of small equipment. $3,900 for fuel, oil, service of 15 passenger van. $3,900 for fuel, oil, service for pick-up trucks used in GRUB program. $1,750 for fuel, oil, service on tractors. $9,945 $9,945 INDIRECT COSTS (the Direct Costs Against CJD Direct Match Direct Which the Indirect Rate is Charaed\ Costs Costs Indirect Rate Total $0 BUDGET SUPJll'tft~RY BUDGET CATEGORIES CJO CASH IN-KIND TOTAL PERSONNEL $78 804 $70.625 $0 $149,429 CONTRACTUAL AND PROFESSIONAL SERVICES $0 $0 $0 $0 TRAVEL AND TRAINING $14,550 $0 $0 $14,550 EQUIPMENT $0 $0 $0 $0 SUPPLIES AND DIRECT OPERATING EXPENSES $40,290 $0 $0 $40,290 TOTAL DIRECT COSTS: $133,644 $70,625 $0 $204,269 INDIRECT COSTS $0 $0 $0 $0 TOTAL: $133,644 $70.625 $0 $204,269 Total Match: $70,625 Actual Match Percentage Applied to this Budget: 34.57°/0 Grant Number: JT-02-16628-01 Page 2of2 Budget Form Match & Generated Program Income (GPI) Form 1. a) Legal Name of Organization: City of Lubbock b) Title of Project: GRUB -Growing Recruits for Urban Business c) Grant Period: From: 9/1/2004 I To: 08131/05 d) Grant Number: JT -02-16628-01 CASH MATCH SOURCES AND AMOUNTS 2. a) ENTER Source of Cash Match (ex: program 2. b) ENTER 2. a) ENTER Source of Cash Match (ex: program income, 2. b) ENTER income, city, county, etc.): Amount: city, county, etc.): Amount: (1) South Plains Food Bank, Inc. $ 70,625 (11) (2) (12) (3) (13) (4) (14) (5) (15) (6) (16) (7) (17) (8) (18) (9) (19) (10) Total Cash Match $ 70,625 PROGRAM INCOME REPORTING The information requested below Is not calculated in the computations as part of this grant application. It Is for reporting purposes to CJD only. Even though some program income may be listed as "CASH MATCH" within the Budget Form, all program Income on-hand must be shown below. 3. ENTER Program Income On-Hand as of the grant application submission date. Page 1 of1 Cash Match -Program Income GRANT APPL/CATION KIT TITLE V DELINQUENCY PREVENTION ACT FUND What's Inside: OFFICE OF THE GoVERNOR CRIMINAL JUSTICE DIVISION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 WWW .GOVERN OR .STATE .TX, US INTRODUCTION ............................................................................ ; ............................................................. 3 TOOLS ......................................................................................................................................................... 3 SOFTWARE ................................................................................................................................................. 3 GENERAL RESOURCES ............................................................................................................................ 3 STEP 1: DETERMiNE ELIGIBILITY ............................................................................................................ 3 PRIMARY MISSION AND PURPOSE ................................................................................................................. 3 FUNDING LEVELS ........................................................................................................................................ 3 ELIGIBLE APPLICANTS .................................................................................................................................. 3 ELIGIBLE ACTIVITIES .................................................................................................................................... 4 INELIGIBLE ACTIVITIES AND COSTS ............................................................................................................... 4 ELIGIBILITY REQUIREMENTS ....................................................... _. ........................................................... .-..... 4 General .................................................................................................................................................. 4 Disproportionate Minority Contact (DMC) ............................................................................................. 5 Operate Secure Juvenile Detention or Correctional Facility ................................................................. 5 Prevention Policy Board (PPB) ............................................................................................................. 5 Local Three-Year Delinquency Prevention Plan .................................................................................... 5 Determine Eligibility ............................................................................................................................... 6 STEP 2: WRITE THE PROJECT NARRATIVE AND SUMMARY ............................................................... 6 PART 1 : PROBLEM STATEMENT AND DATA ..................................................................................................... 6 Problem statement. ............................................................................................................................... 6 Supporting Data ..................................................................................................................................... 6 Financial Support ................................................................................................................................... 7 PART 2: GOAL STATEMENT .......................................................................................................................... 7 PART 3: TARGET GROUP ............................................................................................................................. 7 PART 4: COMMUNITY READINESS ................................................................................................................. 7 PART 5: RISK FACTORS ............................................................................................................................... 7 PART 6: RESOURCES .................................................................................................................................. 7 PART 7: PROJECT ACTIVITIES ...................................................................................................................... 7 PART 8: PROJECT OBJECTIVES .................................................................................................................... 7 PART 9: PROJECT SUMMARY ....................................................................................................................... 8 STEP 3: INSTRUCTIONS FOR REQUIRED ATTACHMENTS ................................................................... 8 RESOLUTION ............................................................................................................................................... 8 COMPREHENSIVE CERTIFICATION AND ASSURANCES ..................................................................................... 9 COOPERATIVE WORKING AGREEMENT .......................................................................................................... 9 FINANCIAL CAPABILITY QUESTIONNAIRE ....................................................................................................... 9 STEP 4: GO TO THE GRANT APPLICATION KIT FORMS ....................................................................... 9 STEP 5: GO TO THE COVERSHEET & BUDGET FORMS ....................................................................... 9 STEP 6: CERTIFY THE GRANT APPLICATION KIT ................................................................................. 9 STEP 7: SUBMIT THE COMPLETE GRANT APPLICATION KIT ............................................................ 10 CJD GRANT APPLICATION KIT -PAGE 1 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 STEP 8: PRINT THE KIT FOR YOUR RECORDS .................................................................................... 10 STEP 9: ADDITIONAL REQUIREMENTS ................................................................................................. 10 PROGRESS REPORTING ............................................................................................................................. 11 TEXAS REVIEW AND COMMENT SYSTEM (TRAC$) ...................................................................................... 11 CJD GRANT APPLICATION KIT -PAGE 2 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 INTRODUCTION The Grant Application Kit provides the grant applicant with everything needed to apply for funds, including a description of the program and uses of the funds, eligibility and application requirements, and the application forms. TOOLS CJD has improved its grant application processes to include most of the required forms, attachments, and checklists in a fill-in-the-blank format. Navigational tools help the user move through each document to complete the application kit. SOFlWARE The minimum software needed to use the interactive application is Microsoft Word 1997 and Excel 1997. GENERAL RESOURCES The following is a list of helpful links that will assist the grant applicant in locating local and state resources. Resource Link Addressing Disproportionate Minority Contact (PDF) DMC ;fOfff~W1Wflf~~~',i~tnr~l!-lerP?Jvlrtld~~~r{*l~f11~~;;rrP:~t~~,~~;;;~;;rt~it~~~ r~CfJJf5'i~l!ii\~:~1J'1,'f, Uniform Grant Management Standards UGMS ",r~il~~miiiii:~trv:~~~ct«mtf .t~~llfif1!;''.C::ff~J5fef':~1·:{~~11~/~;~~iI~:~~zr~;~;4'.~,,~~:,:'.~~,i~f~:;s2t:~;~;::?0::; :rA~t••,'';' , .. , ··· '····. STEP 1: DETERMINE ELIGIBILITY The first step in applying for a grant is to determine if your agency is an eligible applicant. Then determine if the project meets the eligibility requirements. Primary Mission and Purpose The purpose of the Title V Delinquency Prevention Act is to reduce delinquency and youth violence by supporting communities in providing their children, families, neighborhoods, and institutions with the knowledge, skills, and opportunities necessary to foster a healthy and nurturing environment which supports the growth and development of productive and responsible citizens. Funding Levels •!• Minimum Award -$25,000 •!• Maximum Award -$250,000 •!• Title V requires a grantee match of at least 34% which is calculated on the total project costs, not on the amount requested from CJD (See formula below). The match requirement may be met through cash and/or in-kind contributions. Formula for Match 100% of Total Project Cost (minus) % of match required = % CJD can pay Amount of CJD funds requested (divided by)% CJD can pay= Total Project Cost Total Project Cost (multiplied by)% of match required= Total Match Required Eligible Applicants (T.A.C. §3.305) •!• Units of local government •!• Indian tribes performing law enforcement functions In addition, before an applicant may receive the CJD-funded portion of a grant project, the applicant must have a local prevention policy board that will direct the project and develop a three-year delinquency prevention plan. CJD GRANT APPLICATION KIT-PAGE 3 TITLE V (CFDA-16.548) ISSUE: DA TE: APRIL 2004 Eligible Activities Grant funds can support juvenile delinquency prevention programs and activities for youth who have had contact with the juvenile justice system or who are likely to have contact with the juvenile justice system, including: · •:• Alcohol and substance abuse prevention services •:• Tutoring and remedial education •:• Child and adolescent health and mental health services •:• Recreation services •:• Leadership and youth development activities •:• Teaching accountability •:• Assistance in the development of job training skills •> Other Data-driven evidence based prevention programs Ineligible Activities and Costs Grant funds may not be used for the following: •:• Government official's salary •:• Overtime •:• Vehicle purchase for governmental agencies for general agency use •:• Purchase of weapons, ammunition, explosives, or military vehicles •:• Admission fees to any amusement park, recreational activity, or sporting event, or promotional gifts •:• Transportation, lodging, per diem, or any related costs for participants, when grant funds are used to develop and conduct trainings •:• Food, meals, beverages, or other refreshments unless the expense is for a working event where full participation by participants mandates the p rovision of food and beverages and that event is not related to amusement and/or social activities in any way •:• Membership dues for individuals Ellgibilitv Requirements GENERAL Projects must address at least one of the following needs, developed in coordination with the Juvenile Justice Advisory Board: Family •:• Instill appropriate social values and character in children with an emphasis toward education. •:• Emphasize family preservation, with the focus on identifying juvenile victims, and addressing the impact of domestic violence. •:• Make available family crisis programs for delinquent or pre-delinquent youth and their families. •:• Provide services to children of incarcerated parents and/or children living in foster care or other alternative situations. •:• Recognize the role of faith-based programs in the prevention of juvenile delinquency. Early Intervention and Prevention •:• Address, through community-based efforts, conditions contributing to delinquent behavior, including drug and alcohol abuse. •:• Address a need for early identification of and programs for emotionally disturbed children and children with mental health concerns. Schools/Education •:• Train educational and law enforcement personnel, assigned to schools, concerning procedures related to the juvenile justice system. •!• Maintain a safe and productive learning environment by supporting appropriate student discipline and accountability. •:• Teach good citizenship, literacy, and vocational skills. •:• Identify and target students who are at risk for truancy and dropping out of school. CJD GRANT APPLICATION KIT -PAGE 4 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 Safe Environment •!• Counteract gangs through aggressive and comprehensive approaches that include identification, surveillance, arrest, and prosecution of gang members involved in criminal activities. •!• Involve the local community in comprehensive efforts to deal with juvenile crime. Juvenile Justice Policies, Procedures and Facilities •!• Support progressive sanctions for misconduct and delinquent behavior. •> Develop computer information systems that will match children and families to appropriate service providers based on risk and needs profiles. •> Provide appropriate dispositions to mentally ill youth and youth with mental retardation who are accused of committing crimes. •> Develop projects that target female offenders. If funded, grantees must operate the said project during the grant period beginning on or after September 1, 2004 and ending on or before August 31, 2005. DISPROPORTIONATE MINORITY CONTACT (DMC) Juvenile justice projects serving delinquent or at-risk youth must address the Disproportionate Minority Contact (DMC) in the juvenile justice system. DMC exists when the proportion of youths referred to the juvenile probation department who are members of minority groups exceed their groups' proportions in the general population. "Minority" means African-Americans, Asian-Americans, Hispanic-Americans, and Native Americans. Methods of addressing this requirement include, but are not limited to, identifying and supporting prevention and intervention strategies that could effectively reduce DMC. OPERA TE SECURE JUVENILE DETENTION OR CORRECTIONAL FACILITY Applicants that operate secure juvenile detention or correctional facilities that are not in compliance with the Juvenile Justice and Delinquency Prevention Act of 2002, Public Law 107-273, 42 U.S.C. 5601 et seq., as amended, are not eligible for funding, unless they have submitted to CJD an acceptable plan and timetable for eliminating the noncompliance. PREVENTION POLICY BOARD (PPB) Each applicant must appoint a local policy board of not fewer than 15 and not more than 21 members, with balanced representation of public agencies and private nonprofit organizations serving juveniles, their families, and business and industry, and to the extent possible, include one or more members under age 21, one or more parent or guardian with children who have had contact or are at risk of having contact with the juvenile justice system, and an overall membership that generally reflects. the racial, ethnic, and cultural composition of the community's youth population. Each PPB in the state must provide oversight for developing a 3-year community delinquency prevention plan, approve the plan prior to submission of the application to the state, and make recommendations to the responsible agency for the distribution of funds and evaluation of funded activities. LOCAL THREE· YEAR DELINQUENCY PREVENTION PLAN The funds are designed to provide a dedicated source for local communities to address delinquency prevention and early intervention. Each community applying for funds is required to have a prevention strategy based on an assessment of risk factors associated with the development of delinquent behavior in the community's children. The plan must at a minimum contain the following elements: 1) The designation or formation of a local Prevention Policy Board (PPB) consisting of no fewer than 15 and no more than 21 members from the community, representing a balance of public agencies, private nonprofit organizations serving children, youth, and families, and business and industry. Such agencies and organizations may include education, health and mental health, juvenile justice, child welfare, employment, parent, family, and youth associations, law enforcement, religion, recreation, child protective services, public defenders, prosecutors, and private manufacturing and service CJD GRANT APPLICATION KIT -PAGE 5 TITLc V (CFDA-16. 548) ISSUE DATC: APRIL 2004 sectors. The applicant should also assure that the PPB, to the extent possible, contains one or more members under the age of twenty-one, one or more parents or guardians with children who have had contact or are at risk of having contact with the juvenile justice system, and an overall membership that generally reflects the racial, ethnic, and cultural composition of the community's youth population. A specific local agency or entity must have responsibility for support of the PPB; 2) Evidence of commitment of key community leaders to supporting a comprehensive, delinquency prevention effort. Key leaders may include public and private individuals in key leadership and policy positions who are instrumental in effecting policy changes, controlling resources, and mobilizing the community; 3) Definition of the boundaries of the program's neighborhood or community; 4) An assessment of the readiness of the community or neighborhood to adopt a comprehensive delinquency prevention strategy; 5) An assessment of the prevalence of specific, identified delinquency risk factors in the community, including the establishment of baseline data for the risk factors. The assessment of risk factors must result in a list of priority risk factors to be addressed, as determined and approved by the PPB; 6) Identification of available resources and promising approaches, including Federal, State, local, and private, and a description of how they address identified risk factors, and an assessment of gaps in needed resources and a description of how to address them; 7) A strategy, including goals, objectives, and a timetable, for mobilizing the community to assume responsibility for delinquency prevention. This should include ways of involving the private nonprofit and business sectors in delinquency prevention activities; 8) A strategy, including goals, objectives, and a timetable, for obtaining and coordinating identified resources which will implement the promising approaches that address the priority risk factors. This strategy must include a plan for the coordination of services for at-risk youth and their families; 9) A description of how awarded funds and matching resources will be used to accomplish stated goals and objectives by purchasing of services and goods and I averaging other resources. This should include a budget which lists planned expenditures; 10) A description of how the PPB will provide general oversight for developing the plan, approve the plan prior to submission to the State, and make recommendations to the responsible local agency for the distribution of funds and evaluation of funded activities; 11) A plan for collecting data for the measurement of performance and outcome of project activities. DETERMINE ELIGIBILITY Applicants are required to complete and submit the Determine Eligibility Form with the application kit. This form will provide CJD with information about how your program complies with basic eligibility requirements.* • Critical: The grant applicant must complete this form in Its entirety. If any portion of the form is left Incomplete, your project will be considered Ineligible and WILL NOT be reviewed. STEP 2: WRITE THE PROJECT NARRATIVE AND SUMMARY Applications should include narrative information using the format outlined below to provide information about the proposed grant project. The project narrative should not be longer than five pages. Part 1: Problem Statement and Data PROBLEM STATEMENT: In 60 words or less, provide a statement of the specific problem or problems this project will target. An example of a problem statement is "Over 20% of third-grade students were truant during the 2003- 2004 school year". Useful data for the problem statement would be the number of student absences, number of parental contacts made, or the number of disciplinary referrals for truancy. SUPPORTING DATA: In addition to your "60-words or less" problem statement, provide data that supports the problem. Use only data that is verifiable and relevant to your target population. The data is derived CJD GRANT APPLICATION KIT -PAGE 6 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 from baseline statistics. For example, do not u se statewide data for a I ocal problem and do n ot use national data for a statewide problem. Also, provide citations for the sources of your data. FINANCIAL SUPPORT: Provide information regarding any other financial support that the division or unit administering this project expects to receive during the said grant period. For local government agencies examples of a division or unit may be the police department, county attorney's office, or other administering department. For non-profit corporations, if the agency does not have divisions include all financial support. Part 2: Goal Statement Based on your problem statement, provide a goal statement in 40 words or less. It should be a general statement reflecting the overall impact that you intend the project to attain. DO NOT list activities in the goal statement. An example of a goal statement is: "The project goal is to reduce truancy for all third-grade students". Part 3: Taraet Group Briefly explain the target group for your project. Include the geographic area targeted, the target audience, and the relevant characteristics of those persons. Part 4: Community Readiness Each applicant must provide an assessment of the readiness of the community or neighborhood to adopt a comprehensive delinquency prevention strategy. Part 5: Risk Factors Each applicant must base their project on ·a Local Three-Year Delinquency Prevention Plan that includes an analysis of the prevalence of risk factors within a community that contribute to juvenile delinquency and youth violence. Based on research there are five documented risk factors: 1) Individual characteristics (i.e. alienation, rebelliousness, and lack of bonding) 2) Family influences (i.e. parental conflict, child abuse, poor family management, family history of substance abuse) 3) School experiences (i.e. early academic failure and lack of commitment to school); 4) Peer group influences (i.e. friends who engage in problem behavior) 5) Neighborhood and community factors (i.e. economic deprivation, high rates of substance abuse/crime, neighborhood disorganization) Part 6: Resources Each applicant must identify any available resources and promising approaches, including federal, state, local, and private, and a description of how they address identified risk factors. In addition an assessment of gaps in needed resources must be done along with a description of how to address the gaps. Part 7: Project Activities Briefly describe the activities or services the project will provide. Activities should support the goal and include sufficient information to allow a reader to understand what the project does. DO NOT recap the problem, data, or target group since these items are already addressed in other sections of the project narrative. Part 8: Project Objectives Objectives explain how the goal will be accomplished. Each objective should follow the SMART rule and be Specific, Measurable, Action-oriented, Realistic, and Time-oriented. CJD requests that you word each objective as either an output or outcome. CJD GRANT APPLICATION KIT-PAGE 7 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 An output is number-related, measurable, and quantifiable. An outcome indicates the results or benefits expected from the operation of your project and may be quantifiable or qualitative. Examples of output and outcome objectives are listed on the form you will be asked to complete. For each objective given, you should provide baseline data or data for the current level of activity and the target level of activity you expect to achieve during the grant year. For continuation grants, information regarding your current or previous year's objectives must be provided including a history of providing services in a cost-effective manner. For new grant programs, you may not be able to show a service history; therefore, skip to Part 9: Project Summary. Part 9: Pro/ect Summaa In this section, you should summarize sections one through eight on a single page using 500 words or less. This project summary is intended to be a short version of the project narrative and is generally part of the information gathered when CJD receives a request for information on a grant. Be sure that it is easy to understand by a person not familiar with your project. STEP 3: INSTRUCTIONS FOR REQUIRED ATTACHMENTS Required attachments should be submitted with the grant application kit. If you cannot submit any of the documents listed on the Grant Application Certification Form, you must provide an explanation why you are unable to submit these forms and the anticipated date your organization expects to be able to certify the missing or incomplete forms. CJD will provide the grant applicant with a deadline to clarify or submit the missing or incomplete documents. If these items remain unresolved (depending on the specific issues), CJD may either deny or postpone funding, or attach a special condition to the grant award affecting the grantee's ability to access funds. CJD will advise grantees of these special conditions on the Statement of Grant Award. Resolution (T.A.C., § 3.2021) With the exception of state agencies, each application must include a resolution from the applicable governing body, such as the city council, county commissioners' court, school board, or board of directors, that contains the following: 1) authorization for the submission of the application to CJD that clearly identifies the name of the project for which funding is requested; 2) a commitment to provide for all applicable matching funds; 3) a designation of the name or title of an authorized official who is given the power to apply for, accept, reject, alter, or terminate a grant (Note: If a name is provided, a new resolution is required should the official change during the grant period.); and 4) a written assurance that, in the event of loss or misuse of grant funds, the governing body will return all funds to CJD. The Title V Delinquency Prevention Act Program funding source requires that applicants provide a cash and/or in-kind match; therefore, the resolution that your organization submits with the application kit should contain the language "(Governing Body) agrees to provide all applicable matching funds for the said projecr as listed in the Sample Resolution. Note: CJD receives more errors on resolutions than any other application item. Please share the preceding information with your agency officials responsible for developing resolutions. Any issues or concerns with the content should be addressed with CJD prior to submission of the application. A suggested format for the resolution is included in this application kit. CJD GRANT APPLICATION KIT-PAGE 8 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 Comprehensive Certification and Assurances All applicants must complete the Comprehensive Certification and Assurances Form. By completing this form, the grantee certifies their compliance with state and federal statutes, regulations, policies, guidelines and requirements that govern this application, acceptance, and use of grant funds for this project. Cooperative Working Agreement (T.A.C. § 3.2009) When a grantee intends to carry out a project largely through cooperating with outside organizations, the grantee must obtain authorized approval signatures on a cooperative working agreement from each outside participating organization. The grantee must maintain on file a signed copy of all such agreement( s ). From these agreements, the grantee must compile a I ist of each organization that has entered into a cooperative working agreement with the grantee. The list, along with a written description of the purpose of each agreement, should be submitted with the application. Note: Cooperative working agreements do not involve an exchange of funds. Financial Capability Questionnaire For New Applicants ONLY -This form is required from only nonprofit corporations that have never before received CJD funding. Complete and submit with your grant application kit. STEP 4: Go TO THE GRANT APPLICATION KIT FORMS CJD provides the grant applicant with the signatory documents, forms, and sample forms needed to complete the Grant Application Kit. These forms are located at the end of this document after Step 9: Additional Requirements. STEP 5: Go TO THE COVERSHEET & BUDGET FORMS These forms, and the instructions for completing the forms, can be downloaded from the Governor's web site located at: · http://www.governor.state.tx.us. 1) All applications must contain a Coversheet Form that identifies the project, requested grant funding, grant officials' information, and other pertinent information. 2) Budget details must be provided, using the Budget Form, for each of the approved budget categories by listing a description and justification of the line items contained in the budget and the amounts requested within each of the budget categories. 3) The Match -GP/ Form must be submitted for programs that have a required match or collect fees from participants. Fees are considered program income and must be used to supplement or to offset project costs. STEP 6: CERTIFY THE GRANT APPLICATION KIT All grant applicants must complete the Grant Application Certification Form, affix the original signature of your organization's Authorized Official on the form, and then submit it directly to CJD by facsimile before submitting the application kit to CJD. Instead of submitting all required attachments in hard copy format with the original signature affixed, the Authorized Official signs only the certification form. Mailing P. 0. Box 12428 Austin, Texas 78711 Physical 1100 San Jacinto, 2nd Floor Austin, Texas 78701 Contact CJD (512) 463-1919 phone (512) 475-2440 fax Note: Due to CJD's policy changes regarding the submission of the required documents within the grant application kit, the certification guidelines must be adhered to for all grant funding requests. The CJD GRANT APPL/CATION KIT -PAGE 9 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 certification form replaces the multiple signatures previously required on many of the forms shown in the grant application kit. STEP 7: SUBMIT THE COMPLETE GRANT APPLICATION KIT Applicants are required to complete and submit a complete grant application kit to CJD by email. If you cannot submit all the forms with the application kit, you should provide an explanation why you are unable to submit those particular forms on the Grant Application Certification Form and the anticipated date your organization expects to be able to certify the missing or incomplete form. CJD will provide the grant applicant with a deadline to clarify or submit the missing or incomplete documents. If these items remain unresolved (depending on the specific issues), CJD may either deny or postpone funding, or attach a special condition to the grant award affecting the grantee's ability to access funds. CJD will advise grantees of these special conditions on the Statement of Grant Award. All eligible grant applicants are required to follow the guidelines defined by CJD regarding submission of the complete kit -includes the Grant Application Kit and Coversheet & Budget Forms -as listed below. 1) After submission of the Grant Application Certification Form via facsimile, prepare an email and attach both the Grant Application Kit (MS Word file) and the Coversheet & Budget Forms (MS Excel file). DO NOT submit more than one grant application per email.* 2) The Subject Line of each email must be labeled with the Grantee Name -Funding Source (ex: Anywhere County-Title V). If you are sending revised files, be sure to add "Revised" to the Subject Line of the email. 3) Submit both files to CJD via e-mail as detailed below in the standard format for MS Word (the file extension must= ".doc" or ".rtf') and in the standard format for MS Excel (the file extension must= ".xis"). No other format will be accepted by CJD such as ".pdf', ".dat'', ".jpeg", ".tiff', etc.). 4) If additional technical assistance is needed for the grant application kit, please reference CJD's web site for the FAQ's -Technical Assistance Application Kits or submit an inquiry to the e-mail address noted below: FAQ's -http://www.governor.state. tx. us/divisions/cjd/formsapps/view E-mail -cjdtechsupport@governor.state.tx.us The grant applicant must submit the complete grant application kit, including coversheet and budget forms, to CJD on or before June 1, 2004 via e-mail address at: cjdapps@governor.state. tx. us. *Critical: If both files are not submitted to CJD on the same day, the partial grant application will be returned to the sender via email and will not be considered until both files have been transmitted to CJD to the email address as listed above. STEP 8: PRINT THE KIT FOR YOUR RECORDS The application kit is comprised of tWo printable components. To print the documents contained within the complete grant application kit for your records, SELECT the following: 1. For the MS Word Grant Application Kit-Go to the File Menu, Select Print, and follow the directions listed within the print dialog box. 2. For the MS Excel Coversheet & f4udget Forms -Go to the worksheet file that you downloaded from the Governor's web site and then go to the File Menu, select Print, and follow the directions listed with in the print dialog box. STEP 9: ADDmONAL REQUIREMENTS CJD GRANT APPLICATION KIT-PAGE 10 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 Progress Reporting If awarded, all grant applicants are required to submit progress reports to Texas A&M University, Public Policy Research Institute (PPRI). PPRI will contact each grantee as to their specific reporting requirements after the grantee organization has executed the acceptance of the grant award. Texas Review and Comment Svstem (TRACSJ (T.A.C. §§5.191 -5.253) Pursuant to 1 T.A.C., Subchapter 8; Division 2, §5.217, regarding the Texas Review and Comment System (TRACS) the applicant is required to comply with the requirements for state and local review of federal and state assistance applications. The complete requirements are located on the Secretary of State's web site at: http://www.sos.state.tx.us. More information regarding the State's Single Point of Contact and TRACS can be located at: http://www. governor. state. tx. us/divisions/stategrants/members. Note: Participation in TRACS, including receiving a favorable review, does not guarantee grant funding. CJD GRANT APPLICATION KIT -PAGE 11 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 To: Office of the Governor Criminal Justice Division Fax: 512/475-2440 From: Jenifer Smith GRUB -Growing Recruits for Urban Business Grant# JT-02-J20-16628-01 Re: Grant Application Certification Form Title V Delinquency Prevention Act Fund GRANT APPLICATION CERTIFICATION FORM OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DIVISION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 WWW .GOVERNOR .STA TE. TX. US Applicants must complete and submit this fonn before they will receive state and/or federal funds. Recipients of state and/or federal funds must read, agree, fully understand and comply with the requirements listed within in each fonn of this Grant Application Kit as detailed below. PART I: CERTIFICATIONS The grant applicant must: 1. SELECT 'Certify' or 'Unable to Certify' for each document that has been certified as true and correct by the Authorized Official. 2. If you SELECTED 'Unable to Certify': a) a brief explanation must be given why the document cannot be certified at the time the grant application kit is submitted to CJD; and b) a date must be ENTERED that notifies CJD when your organization anticipates that the Authorized Official will be able to certify and submit the document to CJD. Description of Document "I Certify" "Unable to Explanation (ex: Incomplete, Not Date Certify" Aoolicab/e, etc.) Determine E/lglbl/ity Form * IXI I I Title V Project Narrative & Summary 181 0 Form Comprehensive Certification and 181 0 Assurances -Federal Funds Form Cooperative Working Agreement 181 0 Purpose and Participant Form Financial Capability Questionnaire 181 0 Form Coversheet Form I I BudaetForm 0 Match -GPI Form l J .... * Cntica/: The grant applicant must complete the Determme E/1gib1/Ity Form tn its entirety and submit to CJD with the grant application kit. If any portion of the form is left incomplete and the Authorized Official is unable to certify and/or submit the form, your project will be considered Ineligible and will not be reviewed by CJD. PART II: ATTACH RESOLUTION FORM The Resolution from the governing body must be submitted along with the Grant Application Certification Form to CJD. Please indicate the status of this document below: 1. a Is the Resolution Form attached to the certification form? Yes 181 No b) If you selected 'No', PROVIDE a brief explanation for the delay and the date that your of anization antici ates submission to CJD: Date PART Ill: PREVENTION POLICY BOARD (PPB) The grant applicant must certify that a Prevention Policy Board has approved this application prior to submission to CJD. I 1. Has the Prevention Policy Board (PPB) reviewed and approved this application? I 181 I Yes I D I No PART IV: SIGNATURE The organization's Authorized Official hereby assures and certifies their authorization for the submission of this grant application kit in its entirety to the Office of the Governor, Criminal Justice Division. City of Lubbock n Business Applicant's Organization Marc McDougal, Mayor Name and Title of the Authorized Official Effective Date CJD GRANT APPLICATION KIT -PAGE 12 TITLE V (CFDA-16. 548) ISSUE DATE: APRIL 2004 GRANT APPLICATION CERTIFICATION FORM OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DMSION P.O. Box 12428 AUSTIN, TEXAS 78711 5121463-1919 FAX: 512/475-2440 WWW .GOVERNOR .STA TE. TX.US Applicants must complete and submit this form before they will receive state and/or federal funds. Recipients of state and/or federal funds must read, agree, fully understand and comply with the requirements listed within In each form of this Grant Application Kit as detailed below. PART I: CERTIFICATIONS The grant applicant must: 1. SELECT 'Certify' or 'Unable to Certify' for each document that has been certified as true and correct by the Authorized Official. 2. If you SELECTED 'Unable to Certify': a) a brief explanation must be given why the document cannot be certified at the time the grant application kit is submitted to CJD; and b) a date must be ENTERED that notifies CJD when your organization anticipates that the Authorized Official will be able to certify and submit the document to CJD. Description of Document "I Certify" "Unable to Explanation (ex: Incomplete, Not Date Certifv" Ann/icable, etc. I Determine Eliaibilitv Form * IXI Title V Project Narrative & Summary 181 0 Form Comprehensive Certification and 181 0 Assurances -Federal Funds Form Cooperative Working Agreement 181 0 Purpose and Participant Form Financial Capability Questionnaire 181 0 Form Coversheet Form 181 - Budget Form 181 - Match -GPI Form 00 -.. . .. * Critical: The grant applicant must complete the Determme E/1gib1/ity Form m its entirety and submit to CJD with the grant application kit. If any portion of the form is left incomplete and the Authorized Official is unable to certify and/or submit the form, your project will be considered Ineligible and will not be reviewed by CJD. PART II: ATTACH RESOLUTION FORM The Resolution from the governing body must be submitted along with the Grant Application Certification Form to CJD. Please indicate the status of this document below: 1. a) Is the Resolution Form attached to the certification form? I 0 I Yes 181 I No b) If you selected 'No', PROVIDE a brief explanation for the delay and the date that your I 6/9/2004 Date, oraanization anticipates submission to CJD: Resolution is pendina until next reaular Citv Council Meetina -June 9 2004 PART Ill: PREVENTION POLICY BOARD (PPB) The grant applicant must certify that a Prevention Policy Board has approved this application prior to submission to CJD. I 1. Has the Prevention Policy Board (PPB) reviewed and approved this application? I 181 I Yes I D I No PART IV: SIGNATURE The organization's Authorized Official hereby assures and certifies their authorization for the submission of this grant application kit in its entirety to the Office of the Governor, Criminal Justice Division. City of Lubbock GRUB -Growing Recruits for Urban Business Applicant's Organization Project Title Marc McDougal, Mayor Name and Title of the Authorized Official Signature of the Authorized Official Effective Date CJD GRANTAPPLJCAnoNKIT-PAGE 12 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 DETERMINE ELIGIBILITY FORM OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DIVISION P.O. Box 12428 AUSTIN, TEXAS 7871 l 512/463-1919 FAX: 512/475-2440 WWW. GOVERNOR.STA TE. TX. US Provide the following infonnation about your Juvenile Justice and Delinquency Prevention Act Fund -Title V project 1. SELECT one or more of the followinq priority needs and briefly DESCRIBE how your proiect will address those needs: Selection Priority Need Description of How Project Meets Need(s) Family GRUB works to instill appropriate social values and character in our t8I participants through a partnership with parents/guardians. Family need also evaluated and referrals made to social service aaencies. D Early Intervention and Prevention Schools/Education GRUB works with school counselors to encourage approprate t8I behavior, grades and progress. GRUB also teachers citizenshop through 'Character Counts" and 'The 55 Essential Rules'. Vocational, and life skills are also tauoht. D Safe Environment D Juvenile Justice Policies, Procedures and Facilities 2. Briefly DESCRIBE the methocl(s) in which your project will address the disproportionate representation of minority youth in the juvenile justice system. GO TO http://www.govemor.state.tx.us/divisions/cjd/grants/files/DMR_Requirement_Guidelines.pdf for more information on this tooic: The GRUB Program addresses the disproportionate representation of minority youth in the following ways: 1. Recruitment at an earyly age (10 to 15) in an attempt at early prevention/Intervention. 2. GRUB Program is an approved referral site for youth to perform court ordered community service. We accept referrals from Teen Court and the Juvenile Justice System. 3. GRUB offers an after school and week-end program to keep youth involved in positive activities. 4. GRUB offers mentoring and tutoring for youth in the program, most of whom are minority youth. 5. GRUB partners with community resouces to offer drug and crime prevention education and referrals to appropriate social services. 3. Does your grantee organization currently have a Title V project? t8I Yes D No 4. a) Do you have a Prevention Policy Board that provides general oversight for developing a t8I Yes D No communitv delinauencv prevention plan? b) If you selected 'Yes' for# 4a}, LIST the names and affiliations of all board members: # Name and Affiliation # Name and Affiliation 1. Moraan Wilbanks -Youth under 21 12. T. J. McAuley-Law Enforcement 2. Bobbie Snoclarass -Recreation 13. Gloria Quinton -Reliqion 3. Adelaida Montemavor -Education 14. Joel Howard -Prosecutor 4. Brenda Murrey -Education 15. Bennv Brito -Business 5. T errv McEldownev -Mental Health 16. Tammy Gilbert-Family & Youth Associations 6. lvah Villalobos -Mental Health 17. Karen Williams -Education 7. Chris Hill -Juvenile Justice 18. Edward Cooper -Family & Youth Associations 8. Charlie Barker -Juvenile Justice 19. 9. Earnest Merritt -Emolovment 20. 10. Fulton Berrv -Parent 21. 11. Martv Groves -Familv & Youth Associations c) Are any of the members listed in# 4b) under the age of 21? [81 Yes D No 5. a) Do you operate a secure juvenile detention or correctional facility? If you selected 'Yes' D Yes [81 No GO TO # SbJ; otherwise, SKIP to # 6a}. b) Does your project comply with the Juvenile Justice and Delinquency Prevention Act of D 1974? GO TO http:www.olldp.ncjrs.org/about/about-2.html for more information on this Yes 0 No topic. If you selected 'Yes', SKIP to# 6a}; otherwise, GO TO# Sci. c) If you selected 'No' for# Sb), have you previously submitted to CJD an acceptable plan D Yes D No and timetable for eliminatina the noncomoliance? 6. a) Will grant funds (CJD, Cash and/or In-Kind) be used to support any contracts for D Yes [81 No professional services? b) If you selected 'Yes' for# 6a}, DESCRIBE how you will monitor the activities of the sub-contractor(s) for compliance with the contract provisions (including equipment purchases), deliverables, and all applicable statutes, rules, regulations, and guidelines governing lhis a rant. CJD GRANT APPLICATION KIT-PAGE 13 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 City of Lubbock GRUB • Growing Recruits for Urban Business Applicanfs Organization Project Title Marc McDougal Mayor, City of Lubbock 5/27/2004 Name of the Authorized Official Title of the Authorized Official Date CJD GRANT APPLICATION KIT -PAGE 14 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 TITLE V PROJECT NARRATIVE & SUMMARY FORM OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DIVISION . P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 WWW. GOVERNOR.STA TE. TX. US PART1: PROBLEM STATEMENT AND DATA 1.1 Problem Statement Type the problem statement here .... Lubbock's highest crime growth trend is among juveniles. We also have unacceptably high teen pregnancy and dropout rates which contribute to juvenile deliquency. 1.2 Supporting Data Data There are many risk factors for juvenile delinquency: poverty, alcohol/drug related issurs, family management problems, other family issues, school risk factors, alienation from community, etc. All of these factors will be addressed by the GRUB program to some extent. Poverty will be addressed by offering employment to youth and showing them that it is possible to make a living without selling drugs or engaging in other illegal activities. Alcohol/drug issues will be addressed through counseling and education. School risk factors will be addressed through training classes that meet the needs of the youth. The youth will interact with the community in many ways as they perform their work on the farm and in marketing their products. We believe that the cost of a prevention program is far more efficient than paying to incarcerate youth who go astray. Three risk factors have been selected for special concentration by GRUB. Those are births to single teens, school dropouts and juvenile crime rates. Births to teen mothers exacts a terrible toll on the community as the young mothers often receive little or no prenatal care, resulting in challenges to the babies' mental and physical development, creating problems that can last a lifetime. Lubbock's teen pregancy rate is higher than the state average and has shown only slight fluctuation since 1995. Births to Adolescent Mothers (>18) 1995 1996 1997 1998 1999 2000 Lubbock County 8.4% 8.3% 8.9% 8.2% 8.7% 8.2% Texas 6.0% 6.8% 6.7% 6.4% 6.1% 5.7% ~ource: Texas Department of Health Dropouts find limited life opportunities. They are often consigned to low paying jobs and therefore, may find a life of crime more tempting. Texas has one of the highest dropout rates in the nation. And although the dropout rate in Lubbock has been on the decline over the past five years, it remains unacceptably high. Annual Dropout Rates 1994-95 1995-96 1996-97 1997-98 1998-99 Lubbock ISO 2.2 2.3 1.7 1.5 1.5 Texas 1.8 1.8 1.6 1.6 1.6 Source: Kids Count, TEA CJD GRANT APPLICATION KIT-PAGE 15 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 Juvenile crime rates have shown substantial improvement statewide over the past couple of years, but Lubbock's rates have remained substantially the same. Juvenile Violent Arrest Rates (Ages 10-16; per 100,000 youths; includes murder, manslaughter, forcible rape, robbery and aggravated assault.) 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 Lubbock County 226.5 129.6 405.4 322.0 327.8 432.7 352.8 319.3 425.6 427.9 368.0 Texas 291.1 324.0 358.3 364.0 325.6 278.2 250.1 213.4 190.5 176.6 166.9 Source: Criminal Justice Policy Council 1.3 *Optional-Additional Supporting Data may be inserted between the dotted lines shown below (area will expand as you insert graphics). ---------------------·-------------------------·--------- --------------------------------------------------------- 1.4 What financial support do you expect your organization to receive from the following sources during the project period? (EXPLAIN below): Source of Financial Support Total Estimated Amount of Suooort a) Federal Funds (excludino this reauestJ: $0.00 b) State Funds (excluding this request): $0.00 c) Local Government Funds: $0.00 d) Private Funds: $71,363.00 e) Proaram Income: $0.00 f) Other folease IDENTIFY): I $0.00 PART 2: GOAL STATEMENT Type the goal statement here ... GRUB is a year-round gardening and life/job skills project for juveniles at risk. Supervised by caring, responsible adults, juveniles will learn gardening, self discipline, marketing, teamwork, responsibility, service and job skills and thereby reduce their future involvement in the justice system. PART 3: TARGET GROUP a) Geographic Area: These five zip code areas will comprise the targeted geographic area: 79403,79404,79411,79412,79415 b) Target Audience: At-risk youth age 10 to 21 in the five targeted zip code areas c) Gender: Male and female d) Age: 10 to 21 e) Juvenile Population by Race/Ethnicity: 1. African-American 50% 2. Anglo 15% CJD GRANT APPLICATION KIT-PAGE 16 TITLE V (CFDA-16. 548) ISSUE DA TE: APRIL 2004 3. Asian 0 4. Hispanic 35% 5. Other (please SPECIFY): PART 4: COMMUNITY READINESS DESCRIBE how the community has prepared itself to take on a comprehensive delinquency prevention strategy. Type how the community has prepared itself here .... In addition to the involvement of the Policy Prevention Board members, local businesses and service agencies have joined with the City of Lubbock and the South Plains Food Bank in supporting delinquency prevention. Those supporting partners include: Apple Country Orchard, Lubbock Chamber of Commerce, Lubbock Housing Authority, Lubbock Regional MHMR, Lubbock Boys and Girls Club, Texas Tech University, Worksource of the South Plains, Lubbock County Juvenile Justice Center, Texas Department of Agriculture, Students in Free Enterprise, Lubbock County Extension, Lubbock Independent School District, Communities in Schools, T. G. Trees and others. Partnership commitments range from cooperative referrals to in-kind match of personnel time, services and supplies. In 1999 a small group of concerned citizens, including the City of Lubbock's Youth Services Coordinator, the Neighborhood Coordinator and a representative of the South Plains Food Bank, met to discuss the delinquency problem. This initial conversation grew into a community wide push to establish a youth garden- based entrepreneurial program. In 2000 grant funding was sought and secured to begin GRUB -Growing Recruits for Urban Business. The community was fullly behind delinquency prevention efforts and ready to take a larger role in developing the proposed program. Community support is still as strong. as ever. In addition to the support of businesses and agencies other organizations and individuals are ready to support the next phase of the GRUB program, which is a value- added component. Steps have been taken towards delinquency prevention in our program through management of the GRUB youth farm and development of a training kitchen located at the farm site. This project is encouraged by local businesses, agencies and individuals. PART 5: RISK FACTORS Within each applicable category below, IDENTIFY the specific risk factors in your community including baseline data. Category Risk Factors Baseline Data 1. Alcohol/drua abuse 1. USO reoort Individual Characteristics 2. Births to teen mothers 2. Health Deoartment report 3. Alienation from communitv 3. self reoort 4. 4. 1. Substance Abuse 1. self reoort Family Influences 2. Familv Manaaement Problems 2. self reoort 3. 3. 4. 4. 1. School risk factors 1. LISD reoort School Experiences 2. Drooout rate 2. LISD reoort 3. 3. 4. 4. 1. Gana involvement 1. Lubbock Police Department report Peer Group Influences 2. 2. 3. 3. 4. 4. Neighborhood and 1. Poverty 1. % free and reduced lunch Community Factors participants 2. Safety 2. Lubbock Police Department report CJD GRANT APPLICATION KIT-PAGE 17 TITLE V (CFDA-16.548) ISSUE DA TIE: APRIL 2004 3. Juvenile Crime Rate 3. 4. 4. PART 6: RESOURCES 6.1 IDENTIFY any available resources and promising approaches within your community including federal, state, local, and private and a description of how they address identified risk factors. Resources How Resource Addresses Risk Factors Lubbock Housing Authority Drug elimination program Communities in Schools Targeting at-risk students Lubbock Regional MHMR Neighborhood Involvement Centers, Youth Advantage Program, Outreach-Screenina-Referral Program Managed Care Center TCADA substance abuse prevention & treatment and VOICES -Community Coalition Texas Tech University Center for Substance Abuse 6.2 IDENTIFY any gaps in needed resources within your community and a description of how to address them. · GaDs How Gap is Addressed Youth Job Skills Training GRUB has adopted a job skills training curriculum, and a safe food handling curriculum in addition to working with the local workforce development board. Job Placement GRUB works with Worksource of the South Plains to secure jobs for program graduates. PART 7: PROJECT ACTIVITIES 7.1 Project activities may include, but are not limited to the following: (CHECK all activities that apply to your project). Alcohol and Substance Abuse Prevention Services Assistance in the Development of Job Trainina Skills Child and Adolescent Health and Mental Health Services Data-driven Evidence Based Prevention Program >< Leadershlo and Youth Development Activities D Recreation Services I I Teaching Accountabllitv 181 Tutorina and Remedial Education 7.2 DESCRIBE the activities or services your project provides as selected in 7.1. Type the activities or services here ... Alcohol and Substance abuse Prevention Services -Substance abuse counselors from Texas Tech University and Lubbock Regional MHMR work with GRUB memb~rs on education and skills. Additionally GRUB will participate in MHMR's annual Drug Free Rally. Assistance in the Development of Job Training Skills - A job skills curriculum is taught to GRUB participants during the course of the year. Counselors from Worksource of the South Plains participate in GRUB training. Child and Adolescent Health and Mental Health Services -GRUB is associated with Texas Tech University Health Science Center's Healthy Lubbock Initiative and is in a service learning partnership with nutrition educators and students at Texas Tech University. Lubbock Region MHMR outreach, screening and referral personnel are involved with our program. Leadership and Youth Development Activities -Texas Cooperative Extension 4-H personnel provide youth leadership trainina. GRUB also follows a youth lifeskills development curriculum called "Skills for Living". CJD GRANT APPLICATION KIT -PAGE 18 TITLE V (CFDA-16. 548) ISSUE DATE: APRIL 2004 Tutorial and Remedial Education -GRUB staff works closely with Communities in Schools to recommend remedial education when needed. Tutoring request forms are made available to all GRUB members. A mentoring program with Rotary of Lubbock is being implemented to offer tutoring for GRUB members. PART 8: PROJECT OBJECTIVES 8.1 PROVIDE both output and outcome measures for this project: Outout Measures -Reauired for All Proiect• Current Data Taraet Level Sample: Increase the number of participants by 10% 150 participants 165 participants during the arant oeriod. Increase croo oroduction at 5.5-acre vouth farm 65,000 oounds 80,000 Market oroduce orown by youth oarticioants 44 Shareholders 50 shareholders Increase the number of oarticioants bv 10% 70 80 Increase number of job opportunities for youth on farm 15 20 crew Incorporate a value-added component into the GRUB Kitchen installed train youth to work in program kitchen Outcome Measures -Reauired for All Proiects Current Data Taraet Level Sample: Percentage of participants successfully 55% 60% comp/etina the proaram that remained arrest-free. Pre/oost test on self-esteem .50 % increase 5% increase Pre/post test on job skills 17% increase 20% increase Post only survey measure of continued involvement in 69% 75% vouth services oroarams Post only survey measure of completion of court ordered 84.7% maintain minimum community service oercentaoe of 80% Weekly skills evaluation scoring 4 7% increase in weekly 50% increase in skills by year end weekly skills by year end 8.2 For continuation grants only, PROVIDE the following information about your current or previous year's project: a Is our ro·ect on schedule in accom lishin the stated ob'ectives? Yes D No b) If you selected 'No', briefly DESCRIBE the major obstacles preventing your organization from successfully reachin the stated ro·ect ob'ectives: 8.3 What is your history of providing services in a cost-effective manner? If your program is new, you may not be able to show a service history; therefore, SKIP to Part 9: Project Summary. Type your history here ... The GRUB program is managed by the Farm Division of the South Plains Food Bank, Inc. The GRUB program has a history of partnering with social service agencies, businesses and universities to access in-kind donations and services. All effort is made to supplement our budget with donations and volunteers. CJD GRANT APPLICATION KIT -PAGE 19 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 PART9:PROJECTSUMMARYriks71 Type the project summary here ... GRUB -Growing Recruits for Urban Business is a South Plains Food Bank, Inc. program aimed at reducing and preventing juvenile delinquency by training and hiring at-risk youth to maintain a 5.5-acre urban farm and produce and market a value-added product while developing personally. A major cmponent of the program is the training classes provided. They cover a wide range of important topics, including horticulture, landscape maintenance, marketing, basic money management, nutrition, wellness, substance abuse prevention, health, medical care, decision making, bookkeeping and records management, as well as job readiness, job search skills and work ethics. Participating youth grow vegetables on a 5.5-acre farm owned by the food bank. The crops are shared with participants, their families, their extended families and neighbors. Excess produces is marketed directly to restaurants, Community Supported Agriculture (CSA) shareholders program and at the farmers' market. A value-added component is underway to develop a llne of food products which participants will process, package and market. Another worthwhile project of GRUB is the gleaning program. Farmers who cannot sell all their vegetables donate them to the food bank if the food bank will get the produce out of the fields. GRUB participants assist in gleaning donated produce for distribution through the food bank. GRUB will help participants develop into responsible adults, teaching them life skills, and job skills while giving them the self confidence to make it on their own. They will learn that there are opportunities to live a good life and stay outside the juvenile justice system. The self-esteem and self confidence that is gained through participation in our program is an important factor in keeping youth out of a delinquent lifestyle. City of Lubbock GRUB • Growing Recruits for Urban Business Appllcanfs Organization ProjectTIUe Marc McDougal Mayor 5/27/04 Name of the Authorized Official Title of the Authorized Official Date CJD GRANT APPL/CATION KIT -PAGE 20 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 SAMPLE RESOLUTION WHEREAS, The (Governing Body) finds it in the best interest of the citizens of ------· (Geographic Area) that the (Name of Project) be operated for the __ (Year); and WHEREAS, ------(Governing Body) agrees to provide applicable matching funds fort he said project as required by the _______ (Funding Source) grant app!Lca,J!g~n;J:in~t~"'"~"·----~--' . WHEREAS, (Governing Body) agrees that in the event of loss or misuse of the Criminal Justice Division funds, (Governing Body) assures that the funds will be returned to the Criminal Justice Division in full. WHEREAS, {Governing Body) designates (Name and/or Position Title) as the grantee's authorized official. The authorized official is given the power to apply for, accept, reject, alter or terminate the grant on behalf of the applicant agency. NOW THEREFORE, BE IT RESOLVED that------(Governing Body) approves submission of the grant application for the (Name of Project) to the Office of the Governor, Criminal Justice Division. Signed by: Passed and Approved this __ (Day) of ____ (Month), __ (Year) CJD GRANT APPLICAnON KIT -PAGE 21 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 COMPREHENSIVE CERTIFICATION AND ASSURANCES -FEDERAL FUNDS FORM This document is a material representation of fact upon which the OFFICE OF THE GoVERNOR CRIMINAL JUSTICE DIVISION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 WWW .GOVERNOR. STATE. TX.US Governor's Criminal Justice Division (CJD) relies. If It is later determined that the grantee knowingly rendered an erroneous certification, CJD, in addition to any other remedies available.to the federal government, may take available action. ASSURANCES The applicant hereby assures and certifies compliance with any and all applicable federal and state statutes, regulations, policies, guidelines and requirements, including, but not limited to, OMB Circulars No. A-21, A-110, A-122, A-87, A-133; Office of Justice Programs (OJP) Financial Regulations; Education Department General Administrative Regulations (EDGAR); E. 0. 12372 Uniform Administrative Requirements for Grants and Cooperative Agreements -28 CFR, Part 66; Common Rule; the Uniform Grant Management standards (UGMS); and Title 1, Part 1, Chapter 3 of the Texas Administrative Code, that govern the application, acceptance and use of Federal and state funds for this project. In instances where multiple requirements apply to a grantee, the more restrictive requirement applies. 1. LEGAL AUTHORITY -It possesses legal authority to apply for the granl A resolution, motion or similar action has been duly adopted or passed as an official act of the appllcanfs governing body, authorizing the filing of the application, including all understandings and assurances contained therein, and directing and authorizing the person identified as the official representative, or their deslgnee of the organization to act In connection with the application and to provide such additional information as may be required. State agencies are not required to adopt a resolution. 2. DISPbACED PERSONS -It will comply with requirements of the provisions of the Uniform Relocation Assistance and Real Property Acquisitions (42 USC §§ 4601 -4655) which provide for fair and equitable treatment of persons displaced as a result of Federal and Federally assisted programs. 3. POLITICAL ACTIVITY -It will comply with provisions of Federal law which limit certain political activities of employees of State or local unit of government whose principal employment is in connection with an activity financed in whole or in part by Federal grants. (5use§1501, et seq.) 4. LABOR FAIR STANDARDS ACT -It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 USC§§ 201 -219) if applicable. 5. CONFLICT OF INTEREST -It will establish safeguards to prohibit employees from using their positions for a purpose that is, or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business, or other ties. 6. EXAMINATION OF RECORDS -It will give the sponsoring agency, the Office of the Governor, or the Comptroller General, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the grant. 7. COMPLIANCE WITH REQUIREMENTS -It will comply with all requirements Imposed by the Federal sponsoring agency, the Office of the Governor, or the Comptroller General, concerning special requirements of law, program requirements, and other administrative requirements. 8. EPA VIOLATING FACILITIES -It will insure that the facilities under its ownership, lease or supervision, which shall be utilized in the accomplishment of the project, are not listed in the Environmental Protection Agency's (EPAs) list of Violating Facilities, and that it will notify the Federal granter agency of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for listing by the EPA. 9. FLOOD INSURANCE -It will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act (50 USC§ 4001), which states that, on or after March 2, 1975, communities must purchase flood insurance, where such insurance is available in those communities. This requirement is a condition for the receipt of any Federal financial assistance for construction or acquisition purposes for use in any area that had been Identified by the Secretary of the Department of Housing and Urban Development as an area having special flood hazards. The phrase "Federal financial assistance• includes any form of loan, grant, guaranty, insurance payment, rebate, subsidy, disaster assistance loan or grant, or any other form of direct or indirect Federal assistance. 10. HISTORIC PRESERVATION -It will assist the federal granter agency in its compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 USC§ 470), Executive Order 11593, and the Archeological and Historical Preservation Act of 1974, as amended, (16 USC§ 469a-1, et seq.) by (a) consulting with the State Historic Preservation Officer (SHPO) on the conduct of investigations, as necessary, to identify properties listed in or eligible for inclusion in the National Register of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8) by the activity, and notifying the Federal granter agency of the existence of any such properties, and by (b) complying with all requirements established by the Federal granter agency to avoid or mitigate adverse effects upon such properties. 11. COMPLIANCE WITH LAWS AND GUIDES -It will comply, and assure the complfance of all its subgrantees and contractors, with the applicable provisions of Title I of the Omnibus Crime Control and Safe Streets Act of 1968, as amended, the Juvenile Justice and Delinquency Prevention Act, or the Victims of Crime Act, as appropriate; the provisions of the current edition of the Office of Justice Programs Financial and Administrative Guide for Grants, M7100.1; and all other applicable Federal laws, orders, circulars, or regulations. 12. COMPLIANCE WITH CODE OF FEDERAi. REGULATIONS -It will comply with the provisions of 28 CFR applicable to grants and cooperative agreements including Part 18, Administrative Review Procedure; Part 20, Criminal Justice Information CJD GRANT APPLICATION KIT-PAGE 22 TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 Systems; Part 22, Confidentiality of Identifiable Research and Statistical lnfonnatlon; Part 23, Criminal Intelligence Systems Operating Policies; Part 30, Intergovernmental Review of Department of Justice Programs and Activities; Part 42, Nondiscrimination/ Equal Employment Opportunity Policies and Procedures; Part 61, Procedures for Implementing the National Environmental Policy Act; Part 63, Floodplain Management and Wetland Protection Procedures; and Federal laws or regulations applicable to Federal Assistance Programs. 13. NONDISCRIMINATION- A. It will comply with all State and Federal statutes relating to nondiscrimination. B. It will comply, and all its contractors will comply, with the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended, (42 USC§ 3789(d)), or Victims of Crime Act (as appropriate); Title VI of the Civil Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Subtitle A, Title II of the Americans With Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; Department of Justice Non-Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and Department of Justice regulations on dlsability discrimination, 28 CFR Part 35 and Part 39. C. In the event a federal or state court or federal or state administrative agency makes a finding of discrimination after a due process hearing on the grounds of race, color, religion, national origin, sex, or disability against a recipient of funds, the recipient will forward a copy of the finding to the Office of Justice Programs, Office for Civil Rights. D. It will provide an Equal Employment Opportunity Program (EEOP) if required to maintain one, where the application is for $500,000 or more. 14. LIMITED ENGLISH PROFICIENCY fLEP) -National origin discrimination Includes discrimination on the basis of Limited English Proficiency (LEP). To ensure compliance with Title VI and the Safe Streets Act, recipients are required to take reasonable steps to ensure that LEP persons have meaningful access to their programs. Meaningful access may entail providing language assistance services, including oral and written translation when necessary. The U.S. Department of Justice has issued guidance for grantees to help them comply with Title VI requirements. The guidance document can be accessed on the Internet at http://www.lep.gov, or by contacting the Office of Justice Programs, Office for Civil Rights at 202-307-0690, or by writing to the following address: Office for Civil Rights Office of Justice Programs U. S. Department of Justice, 810 Seventh Street NW, 8th Floor Washington, D.C. 20531 15. COASTAL BARRIERS-It will comply with the provisions of the Coastal Barrier Resources Act (16 USC§ 3501, et seq.) which prohibits the expenditure of most new Federal funds within the units of the Coastal Barrier Resources System. 16. SUPPLANTING PROHIBITION -It will use funds to supplement existing funds for program activities and may not replace (supplant) non-Federal funds that have been appropriated for the same purpose. The applicant understands that potential supplanting will be the subject of monitoring and audit. Violations can result in a range of penalties, including suspension of future funds under this Program, suspension or debannent from Federal grants, recoupment of monies provided under this grant, and civil and/or criminal penalties. 17. TAXES -It will comply will all State and Federal laws and are solely responsible for filing all required State and Federal tax fonns. . 18. GRANT ADMINISTRATION -It will maintain an appropriate grant administration system to ensure that all terms, conditions and specifications of the grant, including these standard assurances, are met. 19. PUBLIC INFORMATION -It will ensure that all information collected, assembled or maintained by the appllcant relative to a project will be available to the public during noimal business hours in compliance with Texas Government Code, Chapter 552, unless otherwise expressly prohibited by law. 20. CHILD SUPPORT PAYMENTS -It will comply with Section 231.006, Texas Family Code, which prohibits payments to a person who is in arrears on child support payments. 21. SUSPECTED CHILD ABUSE -It will comply with Section 261.101 of the Texas Family Code, which requires reporting of all suspected cases of child abuse to local law enforcement authorities and to the Texas Department of Child Protective and Regulatory Services. Grantees shall also ensure that all program personnel are properly trained and aware of this requirement. 22. RELATIVES -It will comply with Texas Government Code, Chapter 573, by ensuring that no officer, employee, or member of the applicanfs governing body or of the applicanfs contractor shall vote or confirm the employment of any person related within the second degree of affinity or the third degree of consanguinity to any member of the governing body, or to any other officer or employee authorized to employ or supervise such person. This prohibition shall not prohibit the employment of a person who shall have been continuously employed for a period of two years, or such other period stipulated by local law, prior to the election or appointment of the officer, employee, or governing body member related to such person in the prohibited degree. 23. OPEN MEETINGS -If the applicant is a governmental entity, it will comply with Texas Government Code, Chapter 551, which requires all regular, special or called meeting of governmental bodies to be open to the public, except as otherwise provided by law or specifically excluded in the Texas Constltu.tion. 24. HEALTH. HUMAN SERVICES. PUBLIC SAFETY OR LAW ENFORCEMENT AGENCY -If the applicant Is a health and human services agency or public safety or law enforcement agency, it will not contract with or issue a license, certificate or pennit to the owner, operator or administrator of a facility if the license, permit or certificate has been revoked by another health and human services agency or public safety or law enforcement agency. 25. LAW ENFORCEMENT AGENCY -If the applicant is a law enforcement agency regulated by Texas Government Code, Chapter 415, it will comply with all rules adopted by the Texas Commission on Law Enforcement Officer Standards and Education pursuant to Texas Government Code, Chapter 415, or it must provide the Criminal Justice Division with a certification from the Texas Commission on Law Enforcement Officer Standards and Education stating that the agency is in the process of achieving compliance with such rules. ISSUE DA TE.' APRIL 2004 CERTIFICATIONS 1. The applicant certifies that it will provide a drug-free workplace by: a. Publishing a statement 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 prohibition. b. Establish a drug-free awareness program to inform employees about: i. the dangers of drug abuse in the workplace; ii. the applicant's policy of maintaining a drug-free workplace; iii. any available drug counseling, rehabilitation, and employee assistance programs; and iv. the penalties that may be imposed upon employees for drug abuse violations. 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: i. abide by the terms of the statement, and Ii. notify the employer of any criminal drug statute conviction for a violation occurring in the workplace not later than five days after such conviction. e. Notifying the agency within ten days after receiving notice under subparagraph (d)(ii) from an employee or otherwise receiving actual notice of such conviction. f. Taking one of the following actions with respect to any employee who is so convicted: I. Taking appropriate personnel action against such an employee, up to and including termination; or ii. 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. g. Making a good faith effort to continue to maintain a drug-free workplace through the implementation of paragraphs (a), (b), (c), (d), (e), and (f). If application is in excess of $100,000, I certify to the best of my knowledge and belief to the following: 1. No 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 the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. D Check here 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 agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress In connection with this federal contract, grant, loan, or cooperative agreement. You must also notify the Criminal Justice Division (CJD) or your local council of governments for the "Disclosure Form to Report Lobbying". -· 2. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers and that all sub-recipients shall certify accordingly. AUDIT CERTIFICATION (SELECT THE APPROPRIATE CHOICE) I certify: ~ The applicant agency currently expends combined federal funding of $500,000 or more and, therefore, is required to submit an annual single audit by an independent auditor made in accordance with the Single Audit Act Amendments of 1996 and OMB Circular A-133. D The applicant agency currently expends combined federal funding of less than $500,000 and, therefore, is exempt from the Single Audit Act and cannot charge audit costs to a CJD grant. I understand, however, that CJD may require a limited scope audit as defined in OMB Circular A-133. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATION (SELECT THE APPROPRIATE CHOICE) Definitions: Type I Entity Educational/medical/non-profit institution/Native American Tribe -certification required (select appropriate choice below); EEOP NOT required. Type II Entity All other recipients receiving more than $25,000, but not more the $500,000 -certification required (select the appropriate choice below); organizations must maintain EEOP on file for possible audit if the organization has more than 50 employees. Type Ill Entity For profit entities and state and local governments receiving $500,000 or more -certification required (select the appropriate choice below); the organization must submit an EEOP to the Office for Civil Rights (OCR) for approval. CJD GRANT APPL/CATION KIT -PAGE 24 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 If your organization is a Type I. II or Ill Entity, select one of the following: D I certify this organization is a Type I Entity. This entity will comply with the prohibitions against discrimination in any program or activity (28 CFR § 42.203), Is not required to maintain an Equal Employment Opportunity Plan, but will comply with equal employment opportunity program guidelines of the Department of Health and Human Services (28 CFR § 42.302). D I certify this organization is a Type II Entity that employs less than 50 people. This entity will comply with the prohibitions against discrimination In any program or activity (28 CFR § 42.302), but Is not required to maintain an Equal Employment Opportunity Plan (28 CFR § 42.301 et seq). D I certify this organization Is a Type II Entity that employs 50 or more people. This entity will comply with prohibitions against discrimination In any program or activity (28 CFR § 42.302), an has formulate an Equal Employment Opportunity Plan (28 CFR § 42.30 et seq), that is on file in the office of Insert the name of the office here .• City of Lubbock. [8J I certify this organization is a Type Ill Entity. This entity will comply with the prohibitions against discrimination in any program or activity (28 CFR § 42.302), and has formulated an Equal Employment Opportunity Plan (28 CFR § 42.301 et seq), that will be submitted to the Office for Civil Rights, Office of Justice Programs, Department of Justice, for approval upon award of a grant DEBARMENT CERTIFICATION (SELECT THE APPROPRIATE CHOICE) If this application Is In excess of $25.000. I certify that: [8J By submission of this proposal, that neither the applicant agency nor its principals are presently debarred, suspended, proposed for debarment, declared Ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency; or, D I am unable to certify the above statement and have attached an explanation to the application. Applicants must complete and submit this form to CJD before they will receive state and/or federal funds. Recipients of state and/or federal funds must fully understand and comply with the requirements listed for the Assurances on pages 1 and 2 of this document. Failure to comply may result In the withholding of funds, termination of the award, or other sanctions. City of Lubbock GRUB -Growing Recruits for Urban Business Applicant's Organization Project Title Marc McDougal Mayor, City of Lubbock 5/27/2004 Name of the Authorized Official Title of the Authorized Official Date CJD GRANT APPLICATION KIT -PAGE 25 TITLE V (CFDA-16. 548) ISSUE DA TE: APRIL 2004 SAMPLE COOPERATIVE WORKING AGREEMENT OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DIVISION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 This is to certify that the objectives of the grant application w w w. Go v E a No a. s TATE • T x . u s submitted to the Criminal Justice Division of the Office of the Governor have been reviewed and that it is mutually agreed to cooperate to whatever extent is necessary in carrying out the objectives described in this application. In addition, if the outside organization has personnel assigned to the grant-funded project, that agency certifies that it is cognizant of the rules and regulations governing the operation of the grant and agrees to abide by any and all such rules or special conditions relating to the application. PART I: APPLICANT ORGANIZATION City of Lubbock Applicant's Organization Marc McDougal, Mayor Printed Name and Title of Applicant's Authorized Official PART II: OUTSIDE ORGANIZATION South Plains Food Bank, Inc. Outside Organization David Weaver, Jr., Executive Director Printed Name and Title of Outside Organization's Authorized Official CJD GRANT APPLICATION KIT -PAGE 26 GRUB -Growing Recruits for Urban Business Project Title Signature of the Applicant's Authorized Official 5/27/04 Date GRUB -Growing Recruits for Urban Business Project Title 5/27/04 Signature of the Outside Organization's Date Authorized Official TITLE V (CFDA-16.548) ISSUE DATE: APRIL 2004 COOPERATIVE WORKING AGREEMENT PURPOSE AND PARTICIPANT FORM 1 T.A.C. §3.2009 OF.FICE OF THE GOVERNOR CRIMINAL JUSTICE DMSION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 512/475-2440 WWW. GOVERNOR.STA TE. TX. US When a grantee intends to carry out a grant project through cooperating or participating with one or more outside organizations, the grantee must obtain authorized approval signatures on the cooperative working agreement from each participating organization. Grantees must maintain on file a signed copy of all cooperative working agreements. Cooperative working agreements do not involve an exchange of funds. For multi-jurisdictional task force grants under the Byrne Fonnula Grant Program, a cooperative working agreement must include the signature of each sheriff in a multi-jurisdictional task force's impact area. Counties must be contiguous and the sheriff may not execute a cooperative working agreement with more than one task force project. Each grantee must submit to CJD a list of each participating organization that has entered into a cooperative working agreement with the grantee and a written description of the purpose of each cooperative working agreement. The following is a list of each participating organization and a written description of the purpose of each cooperating working agreement (CWA). # Particioatina Oraanization . Puroose of CWA 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. City of Lubbock GRUB -Growing Recruits for Urban Business Applicant's Organization Project Title Marc McDougal Mayor, City of Lubbock 5127104 Name of the Authorized Official Title of the Authorized Official Date CJD GRANT APPLICATION KIT -PAGE 27 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004 FINANCIAL CAPABILITY. QUESTIONNAIRE FORM 1 T .A.C. §3.2023 Q_C)OL\ -Q02(ol.o OFFICE OF THE GOVERNOR CRIMINAL JUSTICE DMSION P.O. Box 12428 AUSTIN, TEXAs78711 512/463-1919 FAX: 512/475-2440 WWW. GOVERNOR. STATE. TX. US All nonprofit corporations applying for CJD grant funds that have not previously received a CJD grant must submit this form with their application (Texas Administrative Code, 3.2023). Failure to comply may result in the denial of an ~~~~~ . ORGANIZATIONAL INFORMATION 1. Enter the year in which the corporation was founded: 2. Enter the date that the IRS letter granted 501 (c)(3) tax exemption status: Attach a copy of the IRS letter to this fonn. 3. Enter the Employer Identification Number assigned by the IRS: 4. Enter the charter number and the date assigned by the Texas Secretary of State: Number Date 5. In the space provided below state the purpose of the organization as stated in the Articles of Incorporation or the Bylaws: 6. If any member of the board is related to one another or an employee of the nonprofit corporation, so indicate explaining the relationship: FINANCIAL MANAGEMENT INFORMATION A. ACCOUNTING SYSTEM: The grantee organization needs to incorporate an accounting system that will track costs between direct and indirect costs {general ledger) as well as direct costs by project (project ledger). The grantee will also need to establish a time and effort reporting system to track personnel costs by project. This should be reported on an hourly basis, or in increments of an hour. 1 . Is there a chart of accounts? (This is a list of a grantee organization's accounts identified by a specific number.) 2. Does the accounting system include a project ledger providing for the recording of expenditures for each program by required budget cost categories? 3. Is there a timekeeping system that allows for grant personnel to delineate activity and also requires the signatures of the employee and his or her supervisor? B. FINANCIAL CAPABILITY: YES 0 D D NO 0 D D If the answer is "no" to any question, explain the corrective action that will be taken to ensure accountability. The grantee should prepare financial statements at least annually. At a minimum, current internal balance sheet and Income statements are required. A balance sheet is a statement of financial position of a grantee disclosing the assets, liabilities, and retained earnings at a given point in time. An Income statement is a summary of the revenue and expenses of a grantee for a specified period of time, usually for an accounting or fiscal year. YES NO 1. Has an independent audit been conducted of the organization? If yes, please include a copy of O O the most recent report. 2. Does the organization prepare financial statements at least annually? Provide copies of the most recent Balance Sheet and Income D O Statement if an independent audit has not been conducted. 3. According to the organization's most recent Audit or Balance Sheet, are the current total assets O O greater than the liabilities? If the answer is "no" to any question, explain the corrective action that will be taken to ensure accountability. CJD GRANT APPLICATION KIT-PAGE 28 TITl.E V (CFDA-16.548) ISSUE DA TE: APRIL 2004 C. BUDGETARY CONTROLS: The grantee should establish a system to track expenditures against budget and/or funded amounts. YES NO If the answer Is "no" to any question, explain the corrective action that will be taken to ensure accountability. 1. Are there budgetary controls In effect (e.g. comparison of budget with actual expenditures on a monthly basis) to preclude drawing down grant funds in excess of: a) Total funds authorized on the Notice of Grant Award; 0 b) Total funds available for any budget category as O stipulated on the Notice of Grant Award. D. INTERNAL CONTROLS 0 0 The organization must safeguard cash receipts and disbursements and ensure a segregation of duties exists. For example, one person should not have control over all aspects of the accounting system, such as signing checks and making deposits as well. YES NO 1. Has the organization instituted safeguards to ensure adequate controls: a) Are accounting entries supported by appropriate documentation; e.g. purchase orders, vouchers, O D receipts, invoices? b) ls.there separation of responslblllty In the D D receipt, payment, and recording of cash? Other: Applicant's Organization Project Title ·If the answer Is "no" to any question, explain the corrective action that will be taken to ensure accountability. Name of the Financial Official Title of the Financial Official Date CJD GRANT APPL/CATION KIT -PAGE 29 TITLE V (CFDA-16.548) ISSUE DA TE: APRIL 2004