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OMB Number: 4040-0004 Expiration Date: 12/31/2022 Application for Federal Assistance SF-424 * 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s): Preapplication New Application Continuation * Other (Specify): Changed/Corrected Application Revision * 3. Date Received: 4. Applicant Identifier: 5a. Federal Entity Identifier: 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: * a. Legal Name: Maricopa County * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 866000472 1377835560000 d. Address: * Street1: 550 West Jackson Street Street2: * City: Phoenix County/Parish: * State: AZ: Arizona Province: * Country: USA: UNITED STATES * Zip / Postal Code: 85003-2412 e. Organizational Unit: Department Name: Division Name: Maricopa Cnty Sheriff's Office Special Investigations f. Name and contact information of person to be contacted on matters involving this application: Prefix: * First Name: Cindy Middle Name: * Last Name: Kenney Suffix: Title: Grant Administrator Organizational Affiliation: * Telephone Number: 602-876-3266 Fax Number: * Email: C_Kenney@mcso.maricopa.gov Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: B: County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Office of National Drug Control Policy 11. Catalog of Federal Domestic Assistance Number: 95.001 CFDA Title: * 12. Funding Opportunity Number: HIDTA * Title: High Intensity Drug Trafficking Area 13. Competition Identification Number: N/A Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: High Intensity Drug Trafficking Area Program Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant AZ * b. Program/Project AZ Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17. Proposed Project: * a. Start Date: 01/01/2022 * b. End Date: 12/31/2023 18. Estimated Funding ($): * a. Federal 672,747.00 * b. Applicant * c. State * d. Local * e. Other * f. Program Income * g. TOTAL 672,747.00 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on . b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) Yes No If "Yes", provide explanation and attach Add Attachment Delete Attachment View Attachment 21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ** I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: * First Name: Jack Middle Name: * Last Name: Sellers Suffix: * Title: Chairman * Telephone Number: 602-506-1776 Fax Number: * Email: sellersj@mail.maricopa.gov * Signature of Authorized Representative: * Date Signed: HIDTA CY22 Application SF424_3 Maricopa County ATTEST: Juanita Garza Date Clerk of the Board of Supervisors APPROVED AS TO FORM This ____ day of ____________________, 2021 By: ___________________________________ Deputy Maricopa County Attorney