HomeMy WebLinkAboutCOM 0052.010 2016-2018 .,OJ�ZYfOi
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Harry Kim .:
OU:N7 Y CLERK Paul K. Ferreira
Police Chief
Mayor GOUtTY OF HAWAII.
+''>E• "'�'��� 2017 DEC 29 AN 10 28 Kenneth Bugado Jr.
Deputy Police Chief
County of Hawaii
POLICE DEPARTMENT
349 Kapiolani Street • Hilo,Hawai'i 96720-3998
(808)935-3311 • Fax(808)961-8865
DATE: December 12, 2017
TO: VALERIE T. POINDEXTER, COUNCIL CHAIR AND
COUNCIL MEMBERS
VIA: O ' • `1ONTROLLER
FROM: PAUL K. FERREIRA, POLICE CHIEF
RE: NOTIFICATION OF GRANT AWARD
COMPLIANCE WITH ORDINANCE NO. 10-59, SECTION 7(1)
Name of Grant Program: Sexual Assault Kit (SAK) Testing
Grantor: Department of the Attorney General, State of
Hawaii
County Grantee Department or Agency: Hawaii County Police Department
Grant No. (IF KNOWN): 15-WF-07
Amount of Grant: $53,205.00
Amount of County Match: $17,735.00
County Revenue &Expenditure Account Numbers: 010.201.5216.39:3308.65
Grant Period(Commencement& Completion): January 1, 2018 to June 30, 2018
Purpose of Grant: To reduce the number of untested sexual assault kits
in the custody of the Hawaii Police Department
Is final report required by grantor? x Yes No
Notification attached: x Yes No, because
comm. No. S • 10
Ref. To: ----•
Ref. Date JAN 12 2018
"Hawai'i County is an Equal Opportunity Provider and Employer"
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Project Number 15-WF-07
C O N T RAC T
THIS CONTRACT, executed on the respective dates
indicated below, is effective as of January 1, 2018,
by and between the Department of the Attorney General, State of
Hawaii, hereinafter called "Agency, " by and through the Attorney
General, and the Hawaii Police Department, whose business
address is 349 Kapiolani Street, Hilo, Hawaii 96720
hereinafter called "Grantee. "
WITNESSETH
WHEREAS, Title IV of the Violent Crime Control and Law
Enforcement Act of 1994, 42 U. S. C. 3796 et seq. , as amended
(hereinafter "Act") , was enacted to make grants to states for
developing and strengthening effective law enforcement and
prosecutorial strategies and victim services in cases involving
crimes against women. Offices and agencies of the state
government, units of local government, Indian tribes, and non-
profit, non-governmental victim services programs are eligible
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to apply to states for subgrants under the twenty broad purpose
areas:
(1) training law enforcement officers, judges, other court
personnel, and prosecutors to more effectively identify and
respond to violent crimes against women, including the
crimes of domestic violence, dating violence, sexual
assault, and stalking, including the appropriate use of
nonimmigrant status under subparagraphs (T) and (U) of
section 1101 (a) (15) of the Immigration and Nationality Act
(8 U.S.C. 1101 (a) ) ;
(2) developing, training, or expanding units of law enforcement
officers, judges, other court personnel, and prosecutors
specifically targeting violent crimes against women,
including the crimes of domestic violence, dating violence,
sexual assault, and stalking;
(3) developing and implementing more effective police, court,
and prosecution policies, protocols, orders, and services
specifically devoted to preventing, identifying, and
responding to violent crimes against women, including the
crimes of domestic violence, dating violence, sexual
assault, and stalking, as well as the appropriate treatment
of victims;
(4) developing, installing, or expanding data collection and
communication systems, including computerized systems,
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linking police, prosecutors, and courts or for the purpose
of identifying, classifying, and tracking arrests,
protection orders, violations of protection orders,
prosecutions, and convictions for violent crimes against
women, including the crimes of domestic violence, dating
violence, sexual assault, and stalking;
(5) developing, enlarging, or strengthening victim services and
legal assistance programs, including sexual assault,
domestic violence, stalking, and dating violence programs,
developing or improving delivery of victim services to
underserved populations, providing specialized domestic
violence court advocates in courts where a significant
number of protection orders are granted, and increasing
reporting and reducing attrition rates for cases involving
violent crimes against women, including, crimes of domestic
violence, dating violence, sexual assault, and stalking;
(6) developing,. enlarging, or strengthening programs addressing
the needs and circumstances of Indian tribes in dealing
with violent crimes against women, including the crimes of
domestic violence, dating violence, sexual assault, and
stalking;
(7) supporting formal and informal statewide, multidisciplinary
efforts, to the extent not supported by state funds, to
coordinate the response of state law enforcement agencies,
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prosecutors, courts, victim services agencies, and other
state agencies and departments, to violent crimes against
women, including the crimes of sexual assault, domestic
violence, dating violence, and stalking;
(8) training of sexual assault forensic medical personnel
examiners in the collection and preservation of evidence,
analysis, prevention, and providing expert testimony and
treatment of trauma related to sexual assault;
(9) developing, enlarging, or strengthening programs to assist
law enforcement, prosecutors, courts, and others to address
the needs and circumstances of older and disabled women who
are victims of domestic violence, dating violence, sexual
assault, or stalking, including recognizing, investigating,
and prosecuting instances of such violence or assault and
targeting outreach and support, counseling, and other
victim services to such older and disabled individuals;
(10) providing assistance to victims of domestic violence and
sexual assault in immigration matters;
(11) maintaining core victim services and criminal justice
initiatives, while supporting complementary new initiatives
and emergency services for victims and their families;
(12) supporting the placement of special victim assistants (to
be known as "Jessica Gonzales Victim Assistants") in local
law enforcement agencies to serve as liaisons between
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victims of domestic violence, dating violence, sexual
assault, and stalking and personnel in local law
enforcement agencies in order to improve the enforcement of
protection orders. Jessica Gonzales Victim Assistants
shall have expertise in domestic violence, dating violence,
sexual assault, or stalking and may undertake the following
activities —
o developing, in collaboration with prosecutors, courts,
and victim service providers, standardized response
policies for local law enforcement agencies, including
the use of evidence-based indicators to assess the risk
of domestic and dating violence homicide and prioritize
dangerous or potentially lethal cases;
o notifying persons seeking enforcement of protection
orders as to what responseswill be provided by the
relevant law enforcement agency;
o referring persons seeking enforcement of protection
orders to supplementary services (such as emergency
shelter programs, hotlines, or legal assistance
services) ; and
o taking other appropriate action to assist or secure the
safety of the person seeking enforcement of a protection
order; and
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(13) providing funding to law enforcement agencies, victim
service providers, and state, tribal, territorial, and
local governments (which funding stream shall be known as
the Crystal Judson Domestic Violence Protocol Program) to
promote:
o the development and implementation of training for local
victim domestic violence service providers, and to fund
victim services personnel, to be known as "Crystal Judson
Victim Advocates, " to provide supportive services and
advocacy for victims of domestic violence committed by
law enforcement personnel;
o the implementation of protocols within law enforcement
agencies to ensure consistent and effective responses to
the commission of domestic violence by personnel within
such agencies such as the model policy promulgated by the
International Association of Chiefs of Police ("Domestic
Violence by Police Officers : A Policy of the IACP, Police
Response to Violence Against Women Project" July 2003) ;
and
o the development of such protocols in collaboration with
state, tribal, territorial and local victim service
providers and domestic violence coalitions;
Any law enforcement, state, tribal, territorial, or local
government agency receiving funding under the Crystal
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Judson Domestic Violence Protocol Program shall, on an
annual basis, receive additional training on the topic of
incidents of domestic violence committed by law enforcement
personnel from domestic violence and sexual assault
nonprofit organizations and, after a period of two years,
provide a report of the adopted protocol to the Department
of Justice, including a summary of progress in implementing
such protocol; and
(14) developing and promoting state, local, or tribal
legislation and policies that enhance best practices for
responding to domestic violence, dating violence, sexual
assault, and stalking;
(15) developing, implementing, or enhancing Sexual Assault
Response Teams, or other similar coordinated community
responses to sexual assault.
(16) developing and strengthening policies, protocols, best
practices, and training for law enforcement agencies and
prosecutors relating to the investigation and prosecution
of sexual assault cases and the appropriate treatment of
victims;
(17) developing, enlarging or strengthening programs addressing
sexual assault against men, women, and youth in
correctional and detention settings;
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(18) identifying and conducting inventories of backlogs of
sexual assault evidence collection kits and developing
protocols and policies for responding to and addressing
such backlogs, including protocols and policies for
notifying and involving victims;
(19) developing, enlarging, or strengthening programs and
projects to provide services and responses to male and
female victims of domestic violence, dating violence,
sexual assault, or stalking, whose ability to access
traditional services and responses is affected by their
sexual orientation or gender identity, as defined in
section 249 (c) of title 18, United States Code; and
(20) developing, enhancing, or strengthening prevention and
educational programming to address domestic violence,
dating violence, sexual assault, or stalking, with not more
than 5 percent of the amount allocated to a state to be
used for this purpose.
WHEREAS, the Governor has designated Agency to serve
as Hawaii ' s office for administering the federal financial
assistance available under the Act;
WHEREAS, Grantee is qualified to receive funds
available to Hawaii under the Act and its implementing
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regulations contained in the STOP Violence Against Women Formula
Grant Program Guidance, and 28 C. F.R. Chapter 1, Part 66, and
has applied to Agency for receipt of the same as a subgrantee;
WHEREAS, Agency has reviewed Grantee' s application for
funds, and is satisfied that all of the requirements of the Act
and its implementing regulations have been satisfied and that
Grantee is capable of using the federal funds requested
appropriately;
WHEREAS, Grantee has demonstrated the capacity to
provide the services, programs and activitiesdescribed herein
and is ready, willing and able to provide the required services,
programs and activities;
NOW THEREFORE, Agency and Grantee for and in
consideration of the covenants, conditions, agreements, and
stipulations hereinafter expressed, do mutually agree as
follows:
A. SCOPE OF SERVICES.
Grantee shall, in a proper and satisfactory
manner, as determined by Agency, and in accordance with the
terms and conditions of this Contract, use the funds received
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under this Contract for the purposes stated herein and in
accordance with the "Application For Grant" (Parts I through IV
including all certifications required under Section C) and the
Acceptance of VAWA Special Conditions attached hereto as Exhibit
"A" and by reference incorporated herein. It is understood that
this Contract includes as a part hereof any rules, relevant
directives or instructions issued by the United States or the
Agency, including the provisions of the federal Office of
Management and Budget circulars and the effective edition of the
Office of Justice Programs ' financial manual entitled "Financial
Guide. "
B. TERM OF CONTRACT.
This Contract shall be in effect for the period
from January 1, 2018 to and including June 30, 2018
unless this Contract is sooner terminated as hereinafter
provided or unless this Contract is extended in accordance with
Section L of this Contract.
C. PERFORMANCE REQUIREMENTS AND CONDITIONS.
1. Grantee shall comply with the guidelines set
forth in the Act and all applicable federal regulations and
guidelines, including but not limited to guidance issued by the
Office on Violence Against Women, 28 C. F.R. Chapter 1, Part 66,
10 (rev 6/2016)
Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments, and Office of
Management and Budget circulars and the effective edition of the
Office of Justice Programs ' financial manual entitled "Financial
Guide. "
2. Grantee shall comply with all the
ordinances, codes, rules and regulations of the Federal, State
and local government which in any way affect its performance
under this Contract.
3. Grantee shall provide for an independent
audit of its activities on a periodic basis in accordance with
Office of Management and Budget Circular A-133 .
4 . Prior to, or concurrently with the execution
of this Contract, if so required by Agency, Grantee shall
complete, execute and submit to Agency a Certification Regarding
Drug-Free Workplace Requirements which meets the requirements of
the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V,
Subtitle D, U.S.C. , Title 41, Chapter 10, §702) , hereinafter
referred to as the "Drug-Free Workplace Certification. " A copy
of the Drug-Free Workplace Certification shall be included in
Part IV of the Application for Grant. Grantee covenants that
the representations made in the Drug-Free Workplace
Certification are true at the time this Contract is executed and
will remain true throughout the entire term of this Contract and
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any extensions, and that Grantee shall fulfill all the
requirements set forth therein. Grantee' s execution and
submission of a false Drug-Free Workplace Certification, or
Grantee' s violation of any or all of the requirements set forth
therein shall entitle Agency to suspend one or more payments
under this Contract, and/or terminate this Contract pursuant to
the provisions of Section N of this Contract . Grantee warrants
that it is aware that such false certification or violation of
the requirements contained in the Drug-Free Workplace
Certification shall subject the State of Hawaii to government-
wide suspension or debarment, or other sanctions which, in turn,
shall result in the withdrawal of funds from Grantee and/or the
unavailability of future funding for Grantee.
5. Prior to, or concurrently with the execution
of this Contract, Grantee shall complete, execute and submit to
Agency a Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion, hereinafter referred to
as the "Debarment Certification. " A copy of the Debarment
Certification shall be included in Part IV of the Application
for Grant. Grantee covenants that the representations made in
the Debarment Certification are true at the time this Contract
is executed and will remain true throughout the entire term of
the Contract and any extensions, and that Grantee shall fulfill
any andall terms and conditions set forth therein.
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6. Prior to, or concurrently with the execution
of this Contract, Grantee shall complete, execute and submit to
Agency a Certification of Non-Supplanting, hereinafter referred
to as the "Non-Supplanting Certification. " A copy of the Non-
Supplanting Certification shall be included in Part IV of the
Application for Grant. Grantee covenants that the
representations made in the Non-Supplanting Certification are
true at the time this Contract is executed and will remain true
throughout the entire term of the Contract and any extensions,
and that Grantee shall fulfill any and all terms and conditions
set forth therein.
7 . Prior to, or concurrently with the execution
of this Contract, if so required by Agency, Grantee shall
complete, execute and submit to Agency a Certification Regarding
Lobbying, hereinafter referred to as the "Lobbying
Certification, " and any subsequent disclosure forms required
under Section 1352, Title 31 U. S. C. A copy of the Lobbying
Certification shall be included in Part IV of the Application
for Grant. Grantee covenants that the representations made in
the Lobbying Certification are true at the time this Contract is
executed and will remain true throughout the entire term of the
Contract and any extensions, and that Grantee shall fulfill any
and all terms and conditions set forth therein.
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8 . Grantee shall comply with the non-
discrimination requirements of the Omnibus Crime Control and
Safe Streets Act of 1968 which prohibits discrimination in
employment and in the delivery of services or benefits on the
basis of race, color, national origin, religion, or sex; Title
VI of the Civil Rights Act of 1964 which prohibits
discrimination in the delivery of services or benefits on the
basis of race, color, or national origin; Section 504 of the
Rehabilitation Act of 1973 and Title II of the Americans with
Disabilities Act of 1990 which prohibit discrimination in
employment and in the delivery of services or benefits based on
disability; Title IX of the Education Amendments of 1972 which
prohibits discrimination on the basis of sex in training or
educational programs; the Age Discrimination Act of 1975 which
prohibits discrimination in the delivery of services or benefits
on the basis of age; the Department of Justice regulations
implementing the above-referenced statutes at 28 C. F. R. Part 42,
subpts . C, D, G, and I, 28 C. F. R. Part 35, and 28 C. F. R. Part
54; Exec. Order No. 13279, 28 C. F.R. Part 38 (equal protection
of the laws for faith-based and community organizations) ; Exec.
Order No. 13166 and U. S. Department of Justice, Guidance to
Federal Financial Assistance Recipients Regarding Title VI
Prohibition Against National Origin Discrimination Affecting
Limited English Proficient Persons; the Hawaii State Fair
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Employment Practices Act, Chapter 378, Hawaii Revised Statutes;
and all other applicable federal and state laws, rules and
regulations.
9. Grantee assures Agency that if it is
required to formulate an Equal Employment Opportunity Program in
accordance with 28 C. F.R. §§ 42 . 301 et seq. it will submit a
certification to Agency that a current program is on file.
10. Grantee shall maintain accounting procedures
and practices acceptable to Agency, and books, records,
oc accurately
documents and other evidence which sufficiently, accu y and
properly reflect all direct and indirect expenditures and all
interest or other income earned as the result of funds provided
pursuant to this Contract. Grantee shall ensure that its own
books, records, and documents are available for inspection,
reviews or audits at all reasonable times by Agency or the
United States Department of Justice. In addition, Grantee shall
prepare and submit to the Agency reports in such form and at
such times as Agency or the Office on Violence Against Women may
require. Grantee shall submit quarterly financial reports
fifteen (15) calendar days after the end of each calendar
quarter. Grantee shall submit monthly request for funds and
cash balance reports fifteen (15) calendar days after the end of
each month. The final fiscal reports must be received by Agency
within sixty (60) days after the date this Contract terminates
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or unless mandated earlier by Agency. Records and financial
accounts shall be retained by the Grantee and shall be
accessible to Agency and the United States Department of Justice
for at least three years after Agency' s grant with the Office on
Violence Against Women is closed.
11 . The final drawdown for funds must be
received by Agency within thirty (30) days after the date this
Contract terminates .
12 . Any funds provided to Grantee under this
Contract which are unencumbered on the date this Contract
terminates shall be returned to Agency; all funds provided under
this Contract which are encumbered but not disbursed within
sixty (60) days after this Contract terminates shall be returned
to Agency.
13 . Grantee shall submit progress reports as
required for the Act funds to Agency as stipulated under Part
IV. of the Application for Grant, Attachments, Acceptance of
VAWA Special Conditions.
14 . If so required by Agency, Grantee shall
certify to Agency that any expendable or nonexpendable personal
property purchased or acquired with funds received under this
Contract will be used for criminal justice purposes before title
in such property may vest in Grantee. Grantee shall submit a
certification to Agency within thirty (30) days after the date
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this Contract terminates. If a certification is not provided by
Grantee, title to any personal property purchased or acquired
with funds received under this Contract shall vest in Agency and
such personal property shall be delivered to the Agency in good
working order upon expiration or sooner termination of this
Contract.
15. Grantee shall ensure that Seventeen
thousand seven hundred thirty-five dollars ($17, 735. 00) are
available as matching funds to provide the services under this
Contract. Grantee shall maintain records which clearly and
accurately show the source, amount and the timing of match
contributions. If, at the end of the Contract period, Agency
determines that Grantee does not have the required matching
contribution, Grantee shall return all of the federal portion of
the project cost for which Grantee does not have the required
match.
D. PERSONNEL.
1 . Grantee shall secure at its own expense all
personnel required to perform the services required under this
Contract. All such personnel shall not be considered employees
of, or have any contractual relationship with the State of
Hawaii unless Grantee is otherwise an agency of the State.
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2 . Grantee shall ensure that none of the work
or services to be provided under this Contract shall be
subcontracted or assigned without the prior written approval of
Agency.
E. SUBCONTRACTS.
Grantee may provide some or all of the services
required under this Contract by subcontract provided that
Grantee secures the prior written consent of Agency. In the
event Grantee enters into a subcontract with a private
organization to perform any of the services or activities
required under this Contract, Grantee agrees that the period of
each subcontract shall not exceed the term of this Contract, and
funds to the private organization will not be released unless
and until the requirements set forth in applicable state law and
implementing rules are complied with by the subcontractor. All
subcontracts shall include provisions to ensure that Grantee is
capable of satisfying the requirements of this Contract. All
subcontracts shall be reduced to writing and shall include all
provisions of this Contract required of Grantee.
F. SERVICES AS INDEPENDENT CONTRACTOR.
1 . In the performance of the services required
under this Contract, Grantee shall be an independent contractor
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with the authority to control and direct the performance and
details of the work and services required under this Contract;
however, Agency shall have the right to inspect work in progress
to determine whether, in Agency' s opinion, the work is being
performed by Grantee in accordance with the provisions of this
Contract. All persons hired or used by Grantee shall be
Grantee's agents and employees and Grantee shall be responsible
for the accuracy, completeness, and adequacy of any and all work
and services performed by its agents and employees.
Furthermore, Grantee intentionally, voluntarily, and knowingly
assumes the sole and entire liability if such liability is
determined to exist, to its agents and employees or to third
persons, for all loss, cost, damage or injury caused by
Grantee' s agents and employees in the course of their
employment. The performance of work under this Contract alone
shall not be construed as employment with the State of Hawaii
and shall not entitle Grantee' s agents and employees to
vacation, sick leave, retirement, or other benefits directly
afforded state employees by statutes. Grantee shall be
responsible for payment of all applicable federal, state, and
county fees which may become due and owing by the Grantee by
reason of the Contract, including but not limited to (i) income
taxes, (ii) employment related fees, assessments and taxes and
(iii) general excise taxes. The Grantee also is responsible for
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obtaining all licenses, permits and certificates that may be
required in order to perform this Contract.
2 . This section shall not be applicable if
Grantee is an agency of the State of Hawaii.
G. COMPENSATION.
1. Subject to continuing availability of funds,
Agency agrees to pay Grantee, for services satisfactorily
performed under this Contract, a sum not to exceed Fifty three
thousand two hundred five dollars ($53, 205 . 00) to be spent for
the purposes of this Contract. This sum represents any and all
compensation to be paid to Grantee for any and all services it
provides, and for any and all travel costs, materials, supplies,
equipment, overhead, taxes, and other incidentals and operating
expenses which it incurs or may incur in connection with this
Contract.
2. It is covenanted and agreed by and between
the parties hereto that, as to the portion of the obligation
under this Contract to be payable out of federal funds, this
Contract shall be construed to be an agreement to pay such
portion to the Grantee only out of federal funds to be received
from the federal government when the federal funds are so
received and shall not be construed as a general agreement to
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pay such portion at all events out of any funds other than those
which are received from the federal government.
H. METHOD OF PAYMENT.
1 . All funds available for use under this
Contract shall be subject to the allotment system as provided in
Chapter 37, Hawaii Revised Statutes.
2 . Payments to Grantee under this Contract
shall be made in accordance with and subject to the following
provisions:
a. Payments shall be made monthlyupon
receipt of Grantee' s completed request for funds.
b. All payments shall be made in
accordance with and subject to Chapter 40, Hawaii Revised
Statutes, which specifies the accounting procedures and controls
applicable to payments out of the Treasury of the State of
Hawaii.
c. If anamount of reported expenditures
is preliminarily determined by Agency to be inappropriate and
unallowable, Agency may deduct an equivalent amount from the
next payable installment and may withhold payment of the amount
of the moneys equivalent to the questioned expenditures until
later resolution of the discrepancy by audit or other means.
If, after payment of the last installment, investigation and
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examination reveal additional expenditures that are determined
by Agency to be inappropriate and unallowable, Agency may
require that an equivalent amount of moneys be refunded to
Agency notwithstanding Agency' s preliminary determination of
appropriateness and allowability.
d. Failure to submit required reports by
the applicable deadline will result in the withholding of
payments until such time as the reports are received by Agency.
Grantee shall continue to provide the services, programs and
activities during the period that payments are being withheld.
I. INDEMNIFICATION.
1. It is strictly understood that the State of
Hawaii shall in no way be held liable for any damages, cause of
action or suits resulting from the acts, activities or omissions
of Grantee. Grantee shall indemnify and save harmless the State
of Hawaii, Agency, and their officers, agents, and employees
from and against any and all liability, loss, actions, claims,
suits, damages, costs or expenses, including all attorneys'
fees, and all claims, suits, and demands therefor, arising out
of or resulting from the acts or omissions of Grantee, its
officers, employees, agents, or subcontractors occurring during
or in connection with the performance of Grantee' s services
under this Contract, or arising out of or resulting from breach
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of this Contract by Grantee. Grantee shall defend the State of
Hawaii, Agency, and their officers, agents, and employees
against any such action or claim unless the action or claim
involves an act or omission solely of Agency, its officers,
to, or
agents, employees.
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2 . This section shall not be applicable if
Grantee is an agency of the State of Hawaii.
3. The County of Hawaii will indemnify to
the extent permitted by law, and that payment is subject to
approval by the county council.
J. CONFIDENTIAL MATERIAL.
Any information, data, report, record, summary,
table, map, or study given to or prepared or assembled by
Grantee under this Contract which is identified as proprietary
or confidential information that Agency requests to be kept
confidential shall be safeguarded by the Grantee and shall not
be made available to any individual or organization other than
any subcontractor to which the material may relate, without
prior written approval of Agency. Grantee shall submit a
completed Privacy Certification for review and approval prior to
the expenditure of funds for the collection of identifiable
research/statistical data. All information, data, or other
material provided by the Grantee or the Agency shall be kept
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confidential only to the extent permitted by law. Grantee shall
comply with the requirements of Chapters 487J, 487N and 487R,
Hawaii Revised Statutes as applicable.
K. COPYRIGHT AND PATENT.
The Agency shall have complete ownership of all
material, both finished and unfinished, which is developed,
prepared, assembled, or conceived by the Grantee pursuant to
this Contract, and all such material shall be considered "works
made for hire. " No summary, report, map, chart, graph, table,
study or other documents or discovery, invention, or development
produced in whole or in part with funds made available under
this Contract (collectively and individually "material") shall
be the subject of an application for copyright or patent by or
on behalf of Grantee, its officers, agents, or its employees, or
its subcontractors without prior written authorization from
Agency. To the extent that any material, summary, report, map,
chart, graph, table, study, or other documents, or discovery,
invention, or development under this Contract is not recognized
as a "work made for hire" as a matter of law, Grantee hereby
assigns to the Agency any and all copyrights in and to the
material.
L. MODIFICATION OF CONTRACT.
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Any modification, alteration, amendment, or
change to this Contract other than to the "Application For
Grant" (attached hereto as part of Exhibit "A") or to the period
during which this Contract is in effect in Section B, including
increases (subject to the availability of funds) or decreases in
the amount of compensation, permitted by this Contract shall be
made by written supplemental agreement to this Contract and
executed by Grantee and the Attorney General or the Attorney
General' s designee. Modifications, alterations or changes to
provisions of the "Application For Grant" may be requested by
Grantee, approved by the Administrator of the Crime Prevention
and Justice Assistance Division on Agency' s behalf, and made by
substituting or inserting the revisions in Exhibit "A. "
Modifications, alterations or changes to the period during which
this Contract is in effect may be requested in writing by
Grantee or Agency, up to forty-five (45) days before the
Contract would otherwise terminate, and shall be effective as of
the date approved by the Administrator of the Crime Prevention
and Justice Assistance Division (if requested by Grantee) or
Grantee (if requested by Agency) and made by attaching a party' s
written request with the other party's written approval thereon
to this Contract. No oral modification, alteration, amendment,
change, or extension of any term, provision or condition of this
Contract shall be permitted.
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M. CONFLICT OF INTEREST.
Grantee represents that it presently has no
interest and promises that it shall not acquire any interest,
direct or indirect, that would conflict in any manner or degree
with the performance of the services under this Contract.
N. TERMINATION OF CONTRACT.
1. If, for any cause, Grantee refuses or fails
to satisfactorily fulfill in a timely or proper manner its
obligations under this Contract or any extension thereof, or if
Grantee breaches any of the promises, terms or conditions of
this Contract and, having been given reasonable notice of and
opportunity to cure any such default, fails to take satisfactory
corrective action within the time specified by Agency, Agency
shall have the right to terminate this Contract by giving
written notice to Grantee of such termination ten (10) calendar
days before the effective date of such termination. The Grantee
shall continue performance of the Contract to the extent it is
not terminated. Notwithstanding termination of the Contract,
and subject to any directions from the Agency, the Grantee shall
take timely, reasonable, and necessary action to protect and
preserve property in the possession of the Grantee in which the
Agency has an interest.
26 (rev 6/2016)
q .
2 . Furthermore, Agency may terminate this
Contract without statement of cause at any time by giving
written notice to Grantee of such termination at least thirty
(30) calendar days before the effective date of such
termination.
3. In the event of termination of either type,
all finished or unfinished documents, reports, summaries, lists,
charts, graphs, maps, or other written material prepared by
Grantee, under this Contract shall, at the option of Agency,
become Agency' s property and, together with all information,
data, reports, records, maps, and other materials (if any)
provided to Grantee by Agency, shall be. delivered and
surrendered to Agency on or before the effective date of
termination.
4 . Grantee shall be entitled to receive only
such compensation as shall have been satisfactorily earned prior
to the effective date of termination. Agency. shall determine
the amount of work satisfactorily completed and the amount of
compensation satisfactorily earned. If the termination is for
cause, any other provisions to the contrary notwithstanding,
Grantee shall not be relieved of liability to Agency for damages
sustained by Agency because of any breach by Grantee of this
Contract.
27 (rev 6/2016)
p
0. WAIVER.
The failure of the Agency to insist upon strict
compliance with any term, provision, or condition of this
Contract shall not constitute or be deemed to constitute a
waiver or relinquishment of the Agency' s right to enforce the
same in accordance with this Contract. It is expressly
understood and agreed that no waiver granted by Agency on
account of any violation of any promise, term or condition of
this Contract shall constitute or be construed in any manner as
a waiver of the promise, term or condition or of the right to
enforce the same as to any other or further violation.
P. DISPUTES; GOVERNING LAW; VENUE.
Any dispute concerning a matter of fact arising
under this Contract or any subcontract, which is not disposed of
by mutual agreement within fifteen (15) calendar days, shall be
decided by the Attorney General, or the Attorney General ' s duly
designated representative, who shall reduce the decision to
writing and mail or otherwise furnish a copy of the decision to
Grantee. The decision of such person shall be final and
conclusive. Pending final decision of such dispute, Grantee
shall proceed diligently with the performance of this Contract
in accordance with Agency' s request. The validity of this
Contract and any of its terms or provisions, as well as the
28 (rev 6/2016)
.
rights and duties of the parties to this Contract, shall be
governed by the laws of the State of Hawaii. Except as
otherwise provided in this Section, any action to enforce this
contract or for breach of this Contract shall be brought only in
a State court of competent jurisdiction in Honolulu, Hawaii.
Q. ADDITIONAL CONDITIONS.
Additional conditions may be imposed upon Grantee
by reducing them to writing and designating them as exhibits to
this Contract. Any such exhibit shall be attached hereto and
thereby incorporated herein.
29 (rev 6/2016)
� 1
IN WITNESS WHEREOF, the parties hereto have executed
this Contract.
DEPARTMENT OF THE ATTORNEY GENERAL
APPROVED AS TO FORM: STATE OF HAWAII, ("AGENCY")
By
Deputy Attorney General, State of Hawaii
Print Name Douglas S. Chin
Its Attorney General
Date
Hawai' i Police Department,
("GRANTEE")
APPROVED AS TO FORM AND
LEGALITY:
By
By Print Name Harry Kim
Print Name Title Mayor
Title: Corporation Counsel Date
Date
APPROVAL RECOMMENDED:
B
Y
Print Name: Paul Ferreira
Title: Chief of Police
Date: DEC 13 2017
30 (rev 6/2016)
ft, 1/•
CRIME PREVENTION AND JUSTICE ASSISTANCE DIVISION
DEPARTMENT OF THE ATTORNEY GENERAL
235 South Beretania Street, Suite 401, Honolulu, Hawaii 96813
APPLICATION FOR FY 2015 VAWA S.T.O.P. VIOLENCE AGAINST WOMEN GRANT
PART I. TITLE PAGE
A. PROJECT TITLE: Sexual Assault Kit(SAK)Testing
B. APPLICANT AGENCY: Hawaii Police Department
C. ADDRESS: 349 Kapiolani Street City Hilo Zip 96720
D. SYSTEM FOR AWARD MANAGEMENT(SAM): ® Yes 0 No
DUNS No. 613154335
PRIMARY PLACE OF
E. PERFORMANCE: City Hilo State Hawaii Zip+4 digits 96720-3912
F. PROJECT PERIOD: From January 1,2018 To June 30,2018
10203040506078090100
G. VAWA PROGRAM PURPOSE(S): 11 ❑ 12 ❑ 130 14❑ 15❑ 16 ❑ 17 ❑ 180 19 ❑ 20 ❑
1 2 3 4 5
H. FUNDING PRIORITY AREA(S): 6 0 7 0 8 0 9 0
I. TOTAL PROJECT COSTS:
SOURCE OF FUNDS PERCENT AMOUNT
Federal Funds 75% $53,205.00
Agency Match 25% $17,735.00
TOTAL 100% $70,940.00
J. PROJECT DIRECTOR
Name: Rio Amon-Wilkins Title: Lieutenant,JAS,Area II
Address: 74-611 Hale Maka'i Place, Kailua-Kona,HI 96740
Telephone: 326-4646,#230
E-Mail: Rio.Amon-Wilkins(a?,hawaiicounty.gov
K. FINANCIAL OFFICER
Name: Raynette Nani Fukui Title: Accountant III, Finance Section
Address: 349 Kapiolani Street, Hilo, HI 96720
Telephone: 961-2274
E-Mail: Raynette.Fukui@hawaiicounty.gov
FOR CPJAD USE
Date received: Nov. 27, 2017 Project Number: 15-WF-07
EXHIBIT A
AG/CPJAD#1 VAWA Application for LE.and Pros(Rev 7/2016)
if
APPLICATION FOR S.T.O.P.VIOLENCE AGAINST WOMEN GRANT
PART II. DESCRIPTION OF PROJECT
Note:This form does not provide spell check.
A. THE PROBLEM
In sexual assault cases,medical evidence is frequently collected for the purpose of
deoxyribonucleic acid(DNA)testing. Historically,this evidence was only tested upon the request
of the investigator. Because the investigator often does not deem the evidence to be probative due
to the circumstances of the case,no DNA testing is performed. However, a dramatic shift in
philosophy is taking.place nationally as advocacy groups lobby for the testing of all sexual assault
kits.
The 2016 Hawaii State Legislature passed legislation mandating DNA testing of all untested
sexual assault kits in the custody of police departments. The legislation also stipulates that the
untested sexual assault kit backlogs must be eliminated by July 1,2018. In response to the
legislation,the Hawaii Police Department(HPD)performed an extensive inventory and has found
approximately 54 untested sexual assault kits. The HPD laboratory is not equipped to test these
kits in-house. Testing must be outsourced.
Outsourcing the untested sexual assault kits is HPD's only option, but the department's budget
cannot accommodate such a cost. While the 2016 Hawaii State Legislature provided some
resources to support the mandated act,the money appropriated will only be sufficient for the
testing of approximately 660 kits and these funds will be divided statewide. It is not known at this
time how many kits HPD will be allowed to test using this funding source. Despite these efforts
and fmancial support,HPD continues to be in need of resources that will enable the Department to
test all currently untested kits in its custody. Funding from this project will allow HPD to
outsource the testing of approximately 12 of the 54 untested sexual assault kits.
The Hawaii Police Department currently has a specified budget of$14,000 to support the payment
of forensic testing. "Forensic testing" includes all forensic testing conducted by the HPD for a
variety of crimes. This budget is not specific to Sexual Assault Kit testing. With the increased
number of SAFEs (Sex Assault Forensic Exam),the recovery of Sexual Assault Kits(SAK's),
along with Hawaii County's budget reductions,the cost of the SAFEs and SAK's are not being
fully realized by the Hawaii County and therefore HPD is required to look for other means of
supporting the program. The cost of each SAFE is approximately$468. Even if the forensic
testing budget was used strictly for SAFEs,a budget of$14,000 can only pay for approximately
29 exams. Approximately 57 exams were conducted from FY July 1,2016,to June 30,2017. The
testing of the SAK's is an additional cost.
DNA analysis of Sexual Assault Kits can range in cost from$635.00 to$20650.00 depending on
the laboratory conducting the testing and the number of samples recovered and mandated to be
tested.
AG/CPJAD#1(a)(Rev 3/232010)
ry, y.
B. GOALS AND OBJECTIVES
54 untested kits were reported to the Attorney General's Office as of November 1,2017. The
number of untested kits currently in police custody is subject to change since sexual assault kits
are received and tested on a continuous basis.
The project's overall goal is to reduce the number of untested sexual assault kits in the custody of
the Hawaii Police Department. To achieve this goal,the project will decrease the amount of
untested sexual assault kits in its custody by analyzing 12 kits.Untested means that no DNA Short
Tandem Repeat(STR)testing was performed.
C. PROJECT ACTIVITIES
The Hawaii Police Department will send a total of 12 kits to a private DNA contractor. All DNA
analyses conducted as a result of this project shall be performed by a laboratory that is accredited
and currentlyundergoes external audits not less than once everytwo years. These audits must
g
demonstrate that the laboratory maintains compliance with the DNA Quality Assurance Standards
established by the Director of the Federal Bureau of Investigation (FBI-QAS). All eligible DNA
profiles obtained with funding under this program must be entered into the Combined DNA Index
System(CODIS) and, where applicable, uploaded to the National DNA Index System(NDIS). No
profiles generated during the testing portion of this program will be entered into any
nongovernmental DNA database. All DNA analyses conducted and profiles generated during the
testingportion of this program shall be maintained pursuant to all applicable federal privacy
P �'
requirements including,those described in 42 U.S.C. § 14132(b)(3).
The Hawaii Police Department will follow its Department's procurement process to award a
contract to a qualified vendor. (The procurement process for the outsourcing of sexual assault kits
can take several months). Approximately 3 sexual assault kits per month will then be sent to the
vendor(s) for the period of 4(four) months. The expected vendor turnaround time is 30 days.
Timeline:
Month 1
* Potential vendors will be identified and quotes will be solicited from vendor laboratories.
* A purchase request will be submitted.Procurement process takes approximately 3 months to
complete.
Month 2
* Month 2 of procurement
Month 3
* Month 3 of procurement
Month 4
* The purchase request would be approved
Month 5
* 3 sexual assault kits sent to vendor(s)
Month 6
* 3 sexual assault kits sent to vendor(s)
AG/CPJAD#1(a)(Rev 3/23/2010)
Month 7
* 3 sexual assault kits sent to vendor(s)
Month 8
* 3 sexual assault kits sent to vendor(s)
D. PROJECT ORGANIZATION AND MANAGEMENT
Project Director Lieutenant Rio Amon-Wilkins,Area H Juvenile Aid Section, reports directly to
Captain Chad Basque,Area II Criminal Investigation Division Commander, and is also
responsible for project documentation and data collection. The Project Director will communicate
with all personnel involved and will coordinate activities to accomplish the goals, objectives, and
project activities.
The Finance Division of the Hawaii Police Department will assist with the fiscal management of
this project.
E. PERSONNEL
The project will be under the direct management of Lieutenant Rio Amon-Wilkins,Area II
Juvenile Aid Section.
F. BRIEF PERSONNEL BIOGRAPHIES
Rio Amon-Wilkins,Police Lieutenant,Juvenile Aid Section,Area II. He has worked for the
Hawaii Police Department for over 18 years, as a patrol officer, Criminal Investigation Section
Detective, Accreditation Section Sergeant,Detective in the Office of Professional Standards,and
currently as the Lieutenant of the Juvenile Aid Section in Area II. In his current position,he is
responsible for the overall planning,directing, and coordinating of the overall operations and
activities of the Juvenile Aid Section for Area II (West Hawaii).
G. PARTICIPATING AGENCIES
N/A
H. PERFORMANCE INDICATORS/OUTCOME MEASURES
The Project Director will be responsible for collecting and maintaining all stipulated project
performance indicators/outcome. The project-specific measures will determine whether project
goals and objectives have been met. The data will be obtained through electronic searches, and
through CODIS,the state's DNA index system.
The following performance indicators will be used to determine the success of this project:
* Executed contract agreement with selected vendor.
* The total number of untested sexual assault kits in police custody at the start of the contract
period.
AG/CPJAD#1(a)(Rev 3/23/2010)
* The total number of untested sexual assault kits in police custody at the end of the contract
period.
* The total number of sexual assault kits tested under this award and percent in reduction made
during the grant period.
* The number of eligible profiles uploaded to CODIS.
PROBABILITY TO IMPROVE THE CRIMINAL JUSTICE SYSTEM
DNA plays an invaluable role in law enforcement investigations. DNA can be used to identify
criminals with incredible accuracy when biological evidence exists. By the same token,DNA can
be used to clear suspects and exonerate persons mistakenly accused or convicted of crimes. DNA
technology is increasingly vital to ensuring accuracy and fairness in the criminal justice system.
One of the biggest problems facing the criminal justice system today is the substantial backlog of
unanalyzed DNA samples and biological evidence from crime scenes. These backlogs have
occurred as a result of limited resources and overwhelming case demands.
DNA results can identify an unknown assailant,connect a suspect to multiple crimes, and
exonerate innocent suspects,timely results are crucial in improving the law enforcement system.
Once the sexual assault kit backlog is addressed, the Hawaii Police Department needs to ensure
the testing of incoming kits in a timely manner to prevent the backlog from recurring.
AG/CPJAD#1(a)(Rev 3/23/2010)
DEPARTMENT OF THE ATTORNEY GENERAL/CPJAD
APPLICATION FOR GRANT
PART III. BUDGET DETAIL AND EXPLANATION
BUDGET DETAIL:
COST ELEMENT AMOUNT
A.Salaries and Wages
No.of
Position Title Positions Monthly rate Subtotal
Police Lieutenant 1 $908 $10896
Police Captain 1 $235 $2820
$ $
$ $
$ $
No.of No.of
Position Title Positions Hourly Rate Hours Subtotal
$ $
$ $
$ $
$ $
Total Salaries and Wages $13716
B.Fringe Benefits Employee Benefits @
No.of
Position Title Positions Monthly Rate Subtotal
Police Lieutenant 1 $268 $3215
Police Captain 1 $67 $804
$ $
$ $
$ $
No.of No.of
Position Title Positions Hourly Rate Hours Subtotal
$ $
$ $
$ $
$ $
Total Fringe Benefits $4019
C. Consultants/Contracts
Length of
Consultant/
Estimated Contract
Scope of Consultant/Contract Cost Service Select as Appropriate
DNA Testing $53205 8 months ❑Consultant ®Contract
$
0 Consultant 0 Contract
$
0 Consultant ❑Contract
$
0 Consultant ❑Contract
$
0 Consultant 0 Contract
Total Consultants/Contracts $53205
AG/CPJAD#1(b) (Rev 11/2016)
•
COST ELEMENT AMOUNT
D. Transportation and Subsistence
No.of
Itemize for mainland/interisland Travelers No.
airfare,ground transportation, as of
rental car,per diem Unit Cost applicable Days Subtotal
$ $
$ $
0 $ $
$ $
Total Transportation and Subsistence $0
E. Office Supplies
Itemize supplies and related costs
such as printing,paper,binders,
etc. Quantity Cost by Unit Subtotal
$ $
$ $
Total Office Supplies $0
F. Equipment
Specify equipment that will be
purchased,leased,or rented. Quantity Cost by Unit Subtotal
$ $
$ $
Total Equipment $0
G.Other Costs Quantity Cost by Unit _ Subtotal
$ $
$ $
Total Other Costs $0
H.Indirect Costs Base Rate Subtotal
$ $
$ _ $
Total Indirect Costs $0
TOTAL PROJECT COSTS $70940
AG/CPJAD#1(b) (Rev 11/2016)
•a
BUDGET EXPLANATION:
A. Salaries and Wages
This portion of the budget will provide the agency's 25% in-kind match. The Police Lieutenant will spend
approximately 19.162 hours per month as the project director. The Police Captain will spend approximately
4 hours per month providing overall supervision of the project.
Lieutenant: $47.38/hour salary x 19.162 hours/month x 12 months=$10,896
Captain: $58.78/hour salary x 4 hours/month x 12 months=$2,820
B. Fringe Benefits
The composite fringe benefit rate is at %for (list positions). The rate consists of the following
fringe benefit items and computed rates:
This portion of the budget will also provide the agency's 25% in-kind match.The compositing fringe benefit
rate that will be applied to the Lieutenant position is approximately 29.51%which equals$3,215. The
composite fringe benefit rate that will be applied to the Captain's position is approximately 28.49%which
equals$804. Below are the fringe benefits categories. A breakdown of the composite fringe rates is
available upon request.
Retirement
Medicare
Medical/DentalNision
Life Insurance
Worker's Compensation
State Unemployment Insurance
C. Consultants/Contracts
DNA contracting
The Hawaii Police Department will outsource 12 previously untested sexual assault kits.The contractor will
analytically screen all probative body swabs in the kit,the victim's underwear(if provided in the kit),the
victim's reference sample,and the suspect's reference sample.Only one to two of the most probative
samples will continue on to DNA testing.
12 kits X$4433.75/kit=$53,205.00
Sub-total$53,205.00
D. Transportation and Subsistence
N/A
E. Office Supplies
N/A
F. Equipment
N/A
G. Other Costs
N/A
H. Indirect Costs
N/A
AG/CPJAD#1(b) (Rev 11/2016)
PART IV. ATTACHMENTS
• Acceptances of Conditions (AG/CPJAD#14)
• Acceptance of VAWA Special Conditions (AG/CPJAD#26 VA WA Government)
• Certification of Non-Supplanting (AG/CPJAD#3)
• Certification of Non-Discrimination (AG/CPJAD #15)
• Certification of Non-Discrimination Compliant Procedures (AG/CPJAD #30)
• Certification Regarding Forensic Medical Examination Payments and Polygraph
Testing Prohibition (AG/CPJAD#34)
• Certification Regarding Filing Costs for Criminal Charges or Protection Orders
and Judicial Notification of Firearms Prohibition(AG/CPJAD #35)
• Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion (OJP Form 4061/1 Rev. 2/89)
• Certification Regarding Equal Employment Opportunity Program (OCR Form-
Expiration date: 12/31/15)
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
ACCEPTANCE OF CONDITIONS
agrees, on behalf of the applicant agency,The undersignedgr pp g Y,that:
1. This project, upon approval, shall constitute an official part of Hawaii's Violence Against
Women Formula Grant Program established under Title IV of the Violent Crime Control
and Law Enforcement Act of 1994, Public Law No. 103-322.
2. Any grant awarded pursuant to this application shall be subject to and will be administered
in conformity with:
(a) general conditions applicable to administration of grants under Title IV of the
Violent Crime Control and Law Enforcement Act of 1994, Public Law No.
103-322, as applicable;
(b) conditions applicable to the fiscal administration of grants under Title IV of the
Violent Crime Control and Law Enforcement Act of 1994, Public Law No.
103-322, as applicable;
(c) any special conditions contained in the grant award; and
(d) general and fiscal regulations of the Crime Prevention and Justice Assistance
Division.
3. Any grant received as a result of this application may be terminated, or fund payment may
be discontinued, by the Crime Prevention and Justice Assistance Division when it finds a
substantial failure to comply with the foregoing provisions, the application obligations or
for non-availability of funds.
SUBMITTED BY:
Signature: • Date: DEC 1 2017
g
Name: Paul Ferreira Title: Chief of Police
Agency: Hawaii Police Department
AG/CPJAD#14 VAWA and SASP(6/2014)
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
ACCEPTANCE OF VAWA SPECIAL CONDITIONS
(for Government Contracts)
The undersigned Grantee understands and agrees, on behalf of its agency that:
1. Applicability of Part 200 Uniform Requirements
Grantee agrees to comply with the financial and administrative requirements set forth in 2
C.F.R. Part 200 and the current edition of the Department of Justice(DOJ) Grants
Financial Guide.
Grantee agrees to comply with the applicable audit requirements of 2 C.F.R. Part 200 or
OMB Circular A-133,and further understands and agrees that funds may be withheld, or
other related requirements may be imposed, if outstanding audit issues (if any) are not
satisfactorily and promptly addressed as further described in the audit requirements and
current edition of the DOJ Grants Financial Guide.
2, Grantee shall submit a Semi-Annual Progress Report to the CPJAD every six (6)months
following the calendar year. The progress reports are to cover activities that the Grantee
has completed during that reporting period. The semi-annual reporting periods and due
dates are:
• January 1 through June 30 Due July 15
• July 1 through December 31 Due January 15
A Final Progress Report is due 30 days after the project end date and should report
cumulatively on the entire project period. The appropriate report form will be provided
to each project by CPJAD (AG/CPJAD#20). The report shall contain information
describing progress,accomplishments, activities, changes,and problems during the report
period and any additional information specified by the CPJAD.
3. The annual STOP report required by OVW shall be submitted to CPJAD by February 1
unless mandated earlier by CPJAD.
4. Funds Subcontracted to Faith Based Organizations
Grantee shall comply with the applicable requirements of 28 C.F.R. Part 38, the
Department of Justice regulation governing"Equal Treatment for Faith Based
Organizations"(the"Equal Treatment Regulation"). The Equal Treatment Regulation
provides in part that Department of Justice grant awards of funding may not be used to
fund any inherently religious activities, such as worship, religious instruction, or
proselytization. Recipients of grants may still engage in inherently religious activities, but
AG/CPJAD#26 FY 2015 VAWA Govt Special Conditions(revised 2/2016) 1
•I.
such activities must be separate in time or place from the Department of Justice funded
program, and participation in such activities by individuals receiving services from the
grantee or a sub-grantee must be voluntary.The Equal Treatment Regulation also makes
clear that organizations participating in programs funded by the Department of Justice are
not permitted to discriminate in the provision of services on the basis of a beneficiary's
religion. Notwithstanding any other special condition of this award, faith-based
organizations may,in some circumstances,consider religion as a basis for employment.
See http://www.ojp.gov/about/ocr/equal_fbo.htm.
5. Reporting Potential Fraud, Waste, and Abuse, and Similar Misconduct
Grantee shall promptly refer to the DOJ OIG any credible evidence that a principal,
employee, agent, contractor, subgrantee,subcontractor, or other person has either 1)
submitted a false claim for grant funds under the False Claims Act; or 2) committed a
criminal or civil violation of laws pertaining to fraud, conflict of interest,bribery,
gratuity, or similar misconduct involving grant funds. Potential fraud,waste, abuse, or
misconduct should be reported to the OIG by:
Mail: Office of the Inspector General
U.S. Department of Justice
Investigations Division
950 Pennsylvania Avenue,N.W.
Room 4706
Washington, DC 20530
E-mail: oig.hotline@usdoj.gov
Hotline: (contact information in English and Spanish): (800) 869-4499,or
Hotline fax: (202) 616-9881.
Additional information is available from the DOJ OIG website at www.usdoj.gov/oig.
6. Federal Leadership on Reducing Text Messaging While Driving
Pursuant to Executive Order 13513,"Federal Leadership on Reducing Text Messaging
While Driving," 74 Fed. Reg. 51225 (October 1,2009),the CPJAD encourages grantees
and sub-grantees to adopt and enforce policies banning employees from text messaging
while driving any vehicle during the course of performing work funded by this grant, and
to establish workplace safety policies and conduct education,awareness, and other
outreach to decrease crashes caused by distracted drivers.
7. Training(s)/Conference(s) Compliance
Grantee agrees to comply with all applicable laws,regulations,policies,and guidance
(including specific cost limits,prior approval and reporting requirements,where
applicable) governing the use of federal funds for expenses related to conferences,
meetings,trainings, and other events. Information on pertinent laws,regulations,
AG/CPJAD#26 FY 2015 VAWA Govt Special Conditions(revised 2/2016) 2
policies, and guidance is available in the DOJ Grants Financial Guide Conference Cost
Chapter.
Grantee understands and agrees that any training or training materials developed or
delivered with funding provided under this award must adhere to the OVW Training
Guiding Principles for Grantees and Sub-grantees,available at
http://www.ovw.usdoj.gov/grantees.html
8. Duplicate Award of Federal Funds
Grantee agrees that if it currently has an open award of federal funds or if it receives an
award of federal funds other than this CPJAD award,and those award funds have been,
are being, or are to be used, in whole or in part,for one or more of the identical cost items
for which funds are being provided under this CPJAD award,the grantee will promptly
notify, in writing,the assigned Criminal Justice Planning Specialist for this CPJAD
award, and,if so requested by CPJAD, seek a budget or project narrative modification to
eliminate any inappropriate duplication of funding. Further, the Grantee agrees and
understands that any duplicative funding that cannot be re-programmed to support non-
duplicative activities within the program's statutory scope will be deobligated from this
award and returned to CPJAD.
9. Information Technology Compliance
Grantee agrees that—(a)No award funds may be used to maintain or establish a
computer network unless such network blocks the viewing, downloading, and exchanging
of pornography, and(b)Nothing in subsection(a) limits the use of funds necessary for
any Federal, State,tribal, or local law enforcement agency or any other entity carrying
out criminal investigations,prosecution, or adjudication activities.
10. VAWA Federal Eligibility Requirements
Grantee shall comply with the federal eligibility requirements established by the Violence
Against Women and Department of Justice Reauthorization of 2013
(http://www.usdoj.gov/ovw/regulations.htm)and the effective edition of the DOJ Grants
Financial Guide in order to receive STOP Program funds.
11. Civil Rights Provision
Grantee shall comply with civil rights provisions prohibiting the excluding, denying
benefits to, or discriminating against any person on the basis of actual or perceived race,
color, religion,national origin, sex, gender identity, sexual orientation, or disability in
any program or activity funded in whole or in part by OVW.
AG/CPJAD#26 FY 2015 VAWA Govt Special Conditions(revised 2/2016) 3
f,. �.
12. Nondisclosure of Confidential or Private Information
Grantee shall comply with provisions of 42 U.S.C. 13925(b)(2), nondisclosure of
confidential or private information, which includes creating and maintaining
documentation of compliance, such as policies and procedures for release of victim
information. Grantee shall also ensure that any subgrantees meet these requirements.
13. Restrictions and Certifications Regarding Non-Disclosure Agreements and Related
Matters
No Grantee or subgrantee under this award, or entity that receives a contract or
subcontract with any funds under this award, may require any employee or contractor to
sign an internal confidentiality agreement or statement that prohibits or otherwise
restricts, or purports to prohibit or restrict,the reporting(in accordance with law)of
waste, fraud, or abuse to an investigative or law enforcement representative of a federal
department or agency authorized to receive such information.
SUBMITTED BY: ( DEC 13 2017
Signature: Date:
Name: Paul Ferreira Title: Chief of Police
Agency: Hawaii Police Department
AG/CPJAD#26 FY 2015 VAWA Govt Special Conditions(revised 2/2016) 4
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-SUPPLANTING
I certify that federal funds will not be used to supplant State, local or other non-federal funds that
would, in the absence of such federal aid,be made available for law enforcement,criminal justice,
and victim compensation and assistance activities.
SUBMITTED BY:
Signature: Date: DEC 1 3 2017
Name: Paul Ferreira Title: Chief of Police
Agency: Hawaii Police Department
AG/CPJAD#3 06/02
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-DISCRIMINATION
I certify that the applicant agency will comply with and will insure compliance by its subgrantees and
contractors with the non-discrimination requirements of:
• The Omnibus Crime Control and Safe Streets Act of 1968, as amended, which prohibits
discrimination on the basis of race, color, national origin, religion, or sex, in Office of Justice
Programs, Office of Community Oriented Policing Services, and Office on Violence Against Women
funded programs or activities. (42 U.S.C. §3789d and 28 C.F.R. §42.201 et seq.)
• Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or
national origin in Office of Justice Programs, Office of Community Oriented Policing Services, and
Office on Violence Against Women funded programs or activities. (42 U.S.C. §2000d and 28 C.F.R.
§42.101 et seq.)
• Section 504 of the Rehabilitation Act, which prohibits discrimination on the basis of disability in
Office of Justice Programs, Office of Community Oriented Policing Services,and Office on Violence
Against Women funded programs or activities. (29 U.S.C. §794 and 28 C.F.R. §42.501 et seq.)
• Section 1407 of the Victims of Crime Act (VOCA), which prohibits discrimination on the basis of
race, color, national origin, religion, sex, or disability in VOCA funded programs or activities. (42
U.S.C. §10604)
• Title II of the Americans with Disabilities Act of 1990, as it relates to discrimination on the basis of
disability in Office of Justice Programs, Office of Community Oriented Policing Services,and Office
on Violence Against Women funded programs or activities.(42 U.S.C. §12132 and 28 C.F.R. Pt.35)
• Title IX of the Education Amendments of 1972, as it relates to discrimination on the basis of sex in
Office of Justice Programs, Office of Community Oriented Policing Services,and Office on Violence
Against Women funded training or educational programs.(20 U.S.C. §1681 and 28 C.F.R.Pt. 54)
• The Age Discrimination Act of 1975 as it relates to services discrimination on the basis of age in
Office of Justice Programs,Office of Community Oriented Policing Services,and Office on Violence
Against Women funded programs or activities.(42 U.S.C. §6102 and 28 C.F.R. §42.700 et seq.)
• Executive Order No. 13166 prohibiting discrimination of Limited English Proficient Persons.
• Executive Order No. 13279 and 28 C.F.R. pt. 38 regarding equal protection of the laws for faith-
based organizations.
• The Violence Against Women Reauthorization Act of 2013, Pub. L. No. 113-4, 127 Stat. 54 §
3(b)(2013) which prohibits excluding, denying benefits to, or discriminating against any person on
the basis of actual or perceived race, color, religion, national origin, sex, gender identity, sexual
orientation, or disability in any program or activity funded in whole or in part with funds made
available through VAWA or the Office on Violence Against Women. (42 U.S.C. § 13925(b)(13)).
No person shall, on the grounds of race, color, religion, national origin, sex, or disability, be excluded
from participation in, be denied the benefits of, be subjected to discrimination under, or be denied
employment in connection with any program or activity funded in whole or in part with funds made
available under this title from the U.S. Department of Justice through.the Department of the Attorney
General, Crime Prevention and Justice Assistance Division. Noncompliance with the discrimination
regulations may result in the suspension or termination of funding.
SUBMITTED BY:
DEC 13 2017
Signature: (�y� Date:
Name: Paul Ferreira Title: Chief of Police
Agency: Hawaii Police Department
AG/CPJAD#15(revised 7/2015)
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-DISCRIMINATION COMPLAINT PROCEDURES
The U.S. Department of Justice, Office of Justice Programs(OJP), Office for Civil Rights(OCR)
has jurisdiction to investigate complaints of discrimination against recipients of funding from
OJP (which includes component agencies such as the Bureau of Justice Assistance,the Office for
Victims of Crime, and the National Institute of Justice), Office on Violence Against Women, and
the COPS Office. OCR has indicated that recipients and subrecipients of federal funding should
have non-discrimination complaint procedures. Therefore,
I certify that the Hawaii Police Department (name of agency)
has non-discrimination complaint procedures which include:
(1) a coordinator who is responsible for overseeing the complaint process. The agency's
coordinator is:
Paul K. Ferreira Police Chief 808-961-2243
Name Title Phone
(2) a procedure to ensure that beneficiaries or employees of funded subrecipients are aware
that they may complain of discrimination directly to a subrecipient,to the Department of
the Attorney General,or to the Office for Civil Rights.
(3) a procedure to investigate the complaint. (The procedure may be an internal investigation
or forwarding the complaint to the Department of the Attorney General,the OCR,or
another appropriate external agency.)
(4) a procedure to notify the Department of the Attorney General, Crime Prevention and
Justice Assistance Division of the complaint. (The Department will forward the
complaint information to OCR and may conduct an investigation of the complaint.)
(5) a procedure to notify the Department of the Attorney General of the findings of the
investigation.
SUBMITTED BY:
Signature: Date: ETC 1 3 ?017
Name: Paul Ferreira Title: _Chief of Police _
(Head of Agency or Designee)
AG/CPJAD#30 6/2010
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION REGARDING FORENSIC MEDICAL EXAMINATION PAYMENTS
AND POLYGRAPH TESTING PROHIBITION
As required by the Statutory Eligibility Requirements of the Violence Against Women Act
(VAWA), STOP Formula Grant Program found in 42 U.S.C. 3796gg-4 and U.S.C. 3796gg-8 and
implemented at 28 CFR Part 90,
I certify that the Hawaii Police Department (name of Grantee)will:
1. Ensure victims of sexual assault will not incur out-of-pocket costs for forensic
medical examinations by either providing such exams free of charge or arranging
for victims to receive such exams free of charge,without regard to whether or not
the victim participates in the criminal justice system or cooperates with law
enforcement.
2. Coordinate with health care providers in the region to notify victims of sexual
assault of the availability of forensic medical exams at no cost to victims.
3. Ensure that any victims of an alleged sexual offense as defined under federal, state,
or local law will not be asked or required to submit to a polygraph examination or
other truth telling device as a condition for proceeding with the investigation of
such an offense. The refusal of a victim to submit to a polygraph or other truth
telling examination shall not prevent the investigation,charging, or prosecution of
an alleged sex offense by a state or unit of local government.
The undersigned understands and,agrees, on behalf of the Grantee,that if it fails to comply with
any of the provisions stated above, it will jeopardize the Grantee and the State of Hawaii from
receiving any funds from the VAWA STOP Formula Grant.
SUBMITTED BY:
Signature: Ca32Date: DSC 13 2017
Name: Paul Ferreira Title: Chief of Police
(Head of Grantee Agency or Designee)
AG/CPJAD#34 3/2016
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION REGARDING FILING COSTS FOR CRIMINAL CHARGES OR
PROTECTION ORDERS AND JUDICIAL NOTIFICATION OF
FIREARMS PROHIBITION
As required by the Statutory Eligibility Requirements of the Violence Against Women Act(VAWA), STOP
Formula Grant Program found in 42 U.S.C. 3796gg-5 and 18 U.S.C. § 922(g)(8)-(9)and implemented at 28 CFR
Part 90,
I certify that the Hawaii Police Department (name of Grantee)will:
1. Ensure its policies and practices do not require that the victim bear the costs associated with the prosecution
of any misdemeanor or felony domestic violence,dating violence, sexual assault,or stalking offense, or in
connection with the filing, issuance,registration, modification,enforcement,dismissal,withdrawal,or service
of a warrant,protection order,or a petition for a protection order to protect a victim of domestic violence,
dating violence, sexual assault,or stalking,or witness subpoena,whether issued inside or outside the state.
2. Provide notification to domestic violence offenders of the requirements delineated in section 922(g)(8)and
(g)(9)of the title 18,United States Code and any applicable related federal,state,and local laws.
18 U.S.C. § 922(g)(8)-(9) states:
"It shall be unlawful for any person--
(8)who is subject to a court order that—
(A)was issued after a hearing of which such person received actual notice,and at which such
person had an opportunity to participate;
(B)restrains such person from harassing,stalking, or threatening an intimate partner of such
person or child of such intimate partner or person,or engaging in other conduct that would
place an intimate partner in reasonable fear of bodily injury to the partner or child;and
(C)(i)includes a finding that such person represents a credible threat to the physical safety of
such intimate partner or child; or(ii)by its terms explicitly prohibits the use,attempted use,
or threatened use of physical force against such intimate partner or child that would
reasonably be expected to cause bodily injury; or
(9)who has been convicted in any court of a misdemeanor crime of domestic violence
to ship or transport in interstate or foreign commerce,or possess in or affecting commerce,any firearm or
ammunition;or to receive any firearm or ammunition which has been shipped or transported in interstate or
foreign commerce."
The undersigned understands and agrees,on behalf of the Grantee,that if it fails to comply with any of the
provisions stated above, it will jeopardize the Grantee and the State of Hawaii from receiving any funds from the
VAWA STOP Formula Grant.
SUBMITTED BY:
Signature: Date: DEC 13 2017
•
Name: Paul Ferreira Title: Chief of Police
(Head of Grantee Agency or Designee)
AG/CPJAD#35 3/2016
�F. e,
U.S.DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions
(Sub-Recipient)
•
This certification is required by the regulations implementing Executive Order 12549,Debarment and
Suspension,28 CFR Part 67,Section 67.510, Participants'responsibilities.The regulations were published as Part VII of
the May 26, 1988 Federal Register(pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies,by submission of this proposal,that neither it nor its principals are
presently debarred,suspended, proposed for debarment, declared ineligible,or voluntarily excluded from
participation in this transaction by any Federal department of agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such
prospective participant shall attach an explanation to this proposal.
Paul Ferreira, Chief of Police
Name and Title of Authorized Representative
DEC 13 2017
Signature Date
Hawaii Police Department
Name of Organization
349 Kapiolani Street
Address of Organization
Hilo,Hawaii 96720
OJP FORM 4061/1(REV.2/89)Previous editions are obsolete
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier participant is providing the
certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed
when this transaction was entered into. If it is later determined that the prospective lower tier participant
knowingly rendered an erroneous certification, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which
this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposes," and "voluntarily
excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of
rules implementing Executive Order 12549.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed
covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with
a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this
covered transaction, unless authorized by the department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will include
the clause titled, "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —
Lower Tier Covered Transaction," without modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a
lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may check the
Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of
reports in order to render in good faith the certification required by this clause. The knowledge and
information of a participant is not required to exceed that which is normally possessed by a prudent person
in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntary excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or debarment.
n
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP)Requirements
Please read carefully the Instructions(see below)and then complete Section A or Section B or Section C, not all three.If recipient
completes Section A or C and sub-grants a single award over$500,000, in addition,please complete Section D.
Recipient's Name:Hawaii Police Department
Address:349 Kapiolani Street,Hilo,Hawaii 96720
Is agency a;o Direct or m'Sub recipient of OJP,OVW or COPS funding? Law Enforcement Agency?LI Yes o No
DUNS Number:613154335 Vendor Number(only if direct recipient)
Name and Title of Contact Person: Rio Amon-Wilkins,Lieutenant-JAS.Area II
Telephone Number: (808)326-4646 E-Mail Address:Rio.Amon-Wilkins@haw&Icounty.gov
imisimosimmmmmmm
Section A—Declaration Claiming Complete Exemption from the EEOP Requirement
Please check all the following boxes that apply.
o Less than fifty employees. a Indian Tribe 1 a Medical Institution.
o Nonprofit Organization a Educational Institution a Receiving a single award(s)less than$25,000.
I, [responsible
official], certify that
[recipient] is not required to prepare an EEOP for the reasons)checked above,pursuant to 28 C.F.R§42.302.
I further certify that I [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
services.
If recipient sub grants a single award over$500,000, in addition,please complete Section D
Print or Type Name and Title I Signature Date
Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for Review
If a recipient agency has fifty or more employees and is receiving a single award or,subaward,of$25,000 or more,but less than S500,000,then
the recipient agency does not have to submit an EEOP to the OCR for review as long as it certifies the following(42 C.F.R§42.305):
1, Paul K. Ferreira [responsible
official], certify that Hawaii Police Department
[recipient],which has fifty or more employees and is receiving a single award or subaward for$25,000 or more,but less
than$500,000,has formulated an EEOP in accordance with 28 CFR pt.42,subpt.E. I further certify that within the last
twenty-four months,the proper authority has formulatedand signed into effect the EEOP and,as required by applicable
federal law,it is available for review by the public,employees,the appropriate state planning agency,and the Office for
Civil Rights,Office of Justice Programs,U.S.Department of Justice. The EEOP is on file at the following office:
Hawaii Police Department
[organization],
349 Kapiolani Street Hilo, HI 96720
[address].
Chief Paul K. Ferreira DEC 13 2017
Print or Type Name and Title Signature Date
Section C—Declaration Stating that an EEOP Sliort Form Has Been Submitted to the Office for Civil
Rights for Review
If a recipient agency has fifty or more employees and is receiving a single award,or subaward,of$500,000 or more,then the recipient agency
must send an EEOP Short Form to the OCR for review.
I� • ! [responsible
official], certify that
[recipient],which has fifty or more employees and is receiving a single award of$500,000 or more,has formulated an
EEOP in accordance with 28 CFR pt. 42, subpt. E,and!sent it for review on
[date] to the Office for Civil Rights,Office of Justice Programs,U.S.Department of Justice.
If recipient sub grants a single award over$500,000, in addition,please complete Section D
Print or Type Name and Title I Signature Date
Section D—Declaration Stating that Recipient Subawards a Single Award Over$500,000
If a recipient agency,subawards a single award of$500,000 or more then the granting agency should provide a list;including,name,address
and DUNS#of each such sub-recipient.
Sub-Recipient Agency Name/Address Sub-Recipient DUNS Number
•
If additional space in necessary,please duplicate this page.
OMB Control No.1121-0340 Expiration Date:12/31/2015
r.•'a•, ber,
INSTRUCTIONS
Completing the Certification Form
Compliance with the Equal Employment Opportunity Plan (EEOP)Requirements
The federal regulations implementing the Omnibus Crime Control and Safe Streets Act(Safe Streets Act)of 1968,as
amended,require some recipients of financial assistance from the U.S.Department of Justice subject to the statute's
administrative provisions to create,keep on file,submit to the Office for Civil Rights(OCR)at the Office of Justice
Programs(OJP)for review,and implement an Equal Employment Opportunity Plan(EEOP).See 28 C.F.R.pt.42,subpt.
E.All awards from the Office of Community Oriented Policing Services(COPS)are subject to the EEOP requirements;
many awards from OJP,including awards from the Bureau of Justice Assistance(BJA),the Office of Juvenile Justice and
Delinquency Prevention(OJJDP),and the Office for Victims of Crime(OVC)are subject to the EEOP requirements;and
many awards from the Office on Violence Against Women(OVW)are also subject to the EEOP requirements.If you
have any questions as to whether your award from the U.S. Department of Justice is subject to the Safe Streets Act's
EEOP requirements,please consult your grant award document,your program manager,or the OCR.
Recipients should complete either Section A or Section B or Section C,not all three.If recipient completes Section
A or C and sub-grants a single award over$500,000,in addition,please complete Section D.
Section A
The regulations exempt some recipients from all of the EEOP requirements.Your organization may claim an exemption
from all of the EEOP requirements if it meets any of the following criteria: it is a nonprofit organization,an educational
institution,a medical institution,or an Indian tribe;or it received an award under$25,000; or it has less than fifty
employees.To claim the complete exemption from the EEOP requirements,complete Section A.
Section B
Although the regulations require some recipients to create,maintain on file,and implement an EEOP,the regulations
allow some recipients to forego submitting the EEOP to the OCR for review.Recipients that(1)are a unit of state or local
government,an agency of state or local government,or a private business;and(2)have fifty or more employees;and(3)
have received a single grant award of$25,000 or more,but less than$500,000,may claim the limited exemption from the
submission requirement by completing Section B. In completing Section B,the recipient should note that the EEOP on
file has been prepared within twenty-four months of the date of the most recent grant award.
Section C
Recipients that(1)are a unit of state or local government,an agency of state or local government,or a private business,
and(2)have fifty or more employees,and(3)have received a single grant award of$500,000 or more,must prepare,
maintain on file,submit to the OCR for review,and implement an EEOP.Recipients that have submitted an EEOP
Utilization Report(or in the process of submitting one)to the OCR,should complete Section C.
Section D
Recipients that(1)receive a single award over$500,000;and(2)subaward a single award of$500,000 or more must
provide a list; including,name,address and DUNS#of each such sub-recipient by completing Section D.
Submission Process
Recipients should download the online Certification Form,complete required sections,have the appropriate official sign
it,electronically scan the signed document,and then send the signed document to the following e-mail address:
EEOPForms@usdoj.gov. The document must have the following title:EEOP Certification. If you have questions about
completing or submitting the Certification Form,please contact the Office for Civil Rights,Office of Justice Programs,
810 7th Street,NW,Washington,DC 20531 (Telephone:(202)307-0690 and TTY:(202)307-2027).
OMB Approval No. 1121-0340 Expiration Date:12/31/15
?�C.(:,M1.
Public Reporting Burden Statement
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act,a person is not required to respond to a collection
of information unless it displays a current valid OMB control number.We try to create forms and instructions that are
accurate,can be easily understood,and which impose the least possible burden on you to provide us with information.
The estimated minimum average time to complete and file this application is 20 minutes per form.If you have any
comments regarding the accuracy of this estimate,or suggestions for making this form simpler,you can write to the
Office of Justice Programs,810 7th Street,N.W.,Washington,D.C.20531.