VOCA AWARD ALL ATTACHMENTS.PDF

ARIZONA DEPARTMENT OF PUBLIC SAFETY
VICTIMS OF CRIME ACT (VOCA) VICTIM ASSISTANCE GRANT PROGRAM
SUBGRANT AWARD AGREEMENT
General Conditions
1.0 Definition of Terms. As used in this subgrant award agreement, the terms listed below
are defined as follows:
1.1 "Agreement" means a written online Request for Grant Application (RFGA) approved by
the Arizona Department of Public Safety.
1.2 "Agreement Amendment" means a written online document requested by the subrecipient
agency for the purpose of making changes in the agreement and approved by the Arizona
Department of Public Safety.
1.3 "Application" means a written online Request for Grant Application (RFGA).
1.4 "Days" means calendar days unless otherwise specified.
1.5 "Direct Service" means supportive services provided through direct contact with a victim
in-person, by phone or hotline, or by email.
1.6 "Director" means the Director of the Arizona Department of Public Safety, or his/her
designee, who is duly authorized by the State to enter into grant agreements and make
written determinations with respect to those agreements.
1.7 "DPS" means the Arizona Department of Public Safety.
1.8 "Grant" means the furnishing of financial or other assistance, including state or federal
grant funds, by the Department of Public Safety to any person for the purpose of supporting
or stimulating educational, cultural, social or economic quality of life.
1.9 "Gratuity" means a payment, loan, subscription, advance, deposit of money, services, or
anything of more than nominal value, present or promised, unless consideration of
substantially equal or greater value is received.
1.10 "Match" means additional resources (cash or in-kind) provided by the subrecipient to
support the DPS VOCA funded project. Cash match shall be from a non-Federal source.
1.11 "Project" means activities and services supported by Victims of Crime Act (VOCA) funds
plus required match, relating to this subgrant award agreement only.
1.12 "Services" means the furnishing of labor, time or effort by a subrecipient which does not
involve the delivery of a specific end product other than required reports and performance.
Allowable services include those efforts that (1) respond to the emotional and physical
needs [healing] of crime victims; (2) assist primary and secondary victims of crime to
stabilize [restitution/economic restabilization] their lives after a victimization; (3) assist
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victims to understand and participate in the criminal [justice] system; and (4) provide
victims of crime with a measure of [safety] and security.
1.13 "State" means the State of Arizona and Department or Agency of the State that executes
the subgrant award agreement.
1.14 "Subgrant award agreement" means a written signed agreement between the Arizona
Department of Public Safety and the grant recipient for the award of DPS VOCA funds.
1.15 "Subrecipient" means the legal entity to which a subaward is made and which is
accountable to DPS for the use of the funds provided.
1.16 "VOCA" means Victims of Crime Act of 1984, as amended, 42 U.S.C. § 10601, et seq.
2.0 Subgrant award agreement interpretation.
2.1 Arizona Law. Arizona law applies to this grant award agreement, including the Solicitation
and Award of Grants, Arizona Revised Statutes (A.R.S.) Title 41, Chapter 24, and its
implementing rules.
2.2 Subgrant Award Agreement Order of Precedence. In the event of a conflict in the
provisions of the subgrant award agreement, the following shall prevail in the order set
forth below:
2.2.1 Special Conditions;
2.2.2 General Conditions;
2.2.3 DPS / VOCA Guidelines;
2.2.4 Federal VOCA Guidelines; DOJ Grants Financial Guide; and Uniform Administrative
Requirements, Cost Principles, and Audit Requirements in 2 CFR Part 200.
2.3 Relationship of parties. The subrecipient under this subgrant award agreement is an
independent subrecipient. Neither party to this subgrant award agreement shall be deemed
to be the employee or agent of the other party to the subgrant award agreement.
2.4 Severability. The provisions of this subgrant award agreement are severable. Any
condition deemed illegal or invalid shall not affect any other condition of the subgrant
award agreement.
2.5 No parole evidence. This subgrant award agreement is intended by the parties as a final
and complete expression of their agreement. No prior dealings between the parties shall
supplement or explain any terms used in this document and no other understanding either
oral or in writing shall be binding.
2.6 No waiver. Either party's failure to insist on strict performance of any condition of the
subgrant award agreement shall not be deemed a waiver of that condition even if the party
accepting or acquiescing in the nonconforming performance knows of the nature of the
performance and fails to object to it.
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3.0 Subgrant award agreement administration and operation.
3.1 Non-Discrimination. The subrecipient shall comply with State Executive Order No. 2009-
09 and all other applicable Federal and State laws, rules and regulations related to the
prohibition against discrimination, including Title VI of the Civil Rights Act of 1964, as
amended, the Indian Civil Rights Act, Section 504 of the Rehabilitation Act of 1973, the
Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, the
Omnibus Crime Control and Safe Streets Act of 1968, the Juvenile Justice and Delinquency
Prevention Act of 1974, as amended, the Victims of Crime Act of 1984, the Americans
with Disabilities Act of 1990, Department of Justice implementing regulations and
Partnerships with Faith-Based and Other Neighborhood Organizations.
If in the three years prior to the date of the grant award, a federal or state court or
administrative agency makes an adverse finding of discrimination after a due process
hearing against the subrecipient agency on the grounds of race, color, national origin,
religion, sex, or disability, the subrecipient shall forward a copy of the finding to the
Department of Justice, Office of Justice Programs, Office for Civil Rights and DPS.
3.1.1 Providing Services to Limited English Proficiency (LEP) Individuals. In accordance with
Department of Justice guidance, recipients (and subrecipients) of Federal financial
assistance shall take reasonable steps to provide meaningful access to their programs and
activities for persons with limited English proficiency (LEP).
3.1.2 Faith-Based Organizations. Department of Justice regulations prohibit faith-based
organizations from using financial assistance from the Department of Justice to fund
inherently (or explicitly) religious activities. While faith-based organizations can engage
in non-funded inherently (or explicitly) religious activities, they shall be held separately
from the Department of Justice funded program, and customers or beneficiaries cannot be
compelled to participate in them. 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.
3.1.3 Equal Employment Opportunity Plan. The subrecipient acknowledges that failure to
submit an acceptable Equal Employment Opportunity Plan (if required to submit one
pursuant to 28 CFR Section 42.302) that is approved by the Office for Civil Rights is a
violation of its Standard Assurances and may result in suspension or termination of
funding, until such time as the subrecipient is in compliance.
3.1.4 Civil Rights Compliance Review. The subrecipient shall provide relevant information
regarding civil rights policies and procedures during the DPS-VOCA Civil Rights
Compliance Review process.
3.2 Certification Regarding Lobbying. Subrecipients entering into a VOCA grant or
cooperative agreement over $100,000 shall certify that no Federal funds have been paid or
will be paid, by or on behalf of the subrecipient, to any persons 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
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with the making of any Federal grant, the entering into of any cooperative agreement, and
the extension, continuation, renewal, amendment, or modification of any Federal grant or
cooperative agreement. Federal funds include but are not limited to such grants as Victims
of Crime Act (VOCA), Violence Against Women Act (VAWA), Family Violence
Prevention and Services Act (Rural Safe Home Network Program), and the Children's
Justice Act, which may be administered through a State or other local governmental
agency. Additionally, subrecipients shall disclose to DPS any lobbying activities that have
been paid or will be paid with any funds other than Federal funds.
3.2.1 Lobbying Activities. The subrecipient understands and agrees that it cannot use any
federal funds, either directly or indirectly, to support or oppose the enactment, repeal,
modification or adoption of any law, regulation or policy, at any level of government.
Furthermore, the subrecipient understands and agrees that it cannot use any federal funds
to pay any person to influence (or attempt to influence) a federal agency, a Member of
Congress, or Congress (or an official or employee of any of them) with respect to the
awarding of a federal grant or cooperative agreement, subgrant, contract, subcontract, or
loan, or with respect to actions such as renewing, extending, or modifying any such award.
Should any question arise as to whether a particular use of Federal funds by the subrecipient
would or might fall within the scope of this prohibition, the subrecipient shall contact DPS
for guidance, and may not proceed without the express prior written approval of DPS.
3.3 Required reports. The subrecipient will submit reports on such data in such form and at
such times as required by DPS, to include:
3.3.1 Monthly fmancial report due the 15 th of each month;
3.3.2 Quarterly statistical and programmatic report due 30 days following the close of each
quarter (the subrecipient agrees to collect and maintain data that measure the performance
and effectiveness of work under this award);
3.3.3 Annual narrative report due 30 days following the close of the grant period;
3.3.4 DPS victim assistance survey due annually upon request; and
3.3.5 Year-end Amendment, if applicable, due 30 days following the close of the grant period.
Failure to submit complete, accurate and timely reports may result in a reduction of the
current award. Any three combined occurrences of monthly or quarterly reports submitted
over 15 days late and/or three combined occurrences relating to the submission of
incomplete or inaccurate monthly or quarterly reports may result in up to a 10% award
reduction as determined by DPS.
3.4 Disclosure of High Risk Status. If the subrecipient is designated "high risk" by a federal
or state grant-making agency outside of DPS, currently or at any time during the course of
the period of performance under this award, the recipient must disclose the fact and certain
related information to DPS. For the purposes of this disclosure, high risk includes any
status under which a federal or state awarding agency provides additional oversight due to
the subrecipient's past performance, or other programmatic or financial concerns with the
subrecipient. If the subrecipient is designated high risk by another federal or state awarding
agency, the subrecipient must provide the following information: (1) the federal or state
awarding agency that designates the subrecipient high risk; (2) the date the subrecipient
was designated high risk; (3) the high risk point of contact at that federal or state awarding
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agency (name, phone number, and email address); (4) the reasons for the high risk status,
as set out by the federal or state awarding agency.
In the event DPS determines that the subrecipient has failed to meet the acceptable standard
for maintaining financial and/or programmatic documentation or is identified as a high risk
subrecipient, additional fmancial or programmatic documentation may be required.
3.5 Records. The subrecipient shall retain all financial records, supporting documentation,
statistical records and all other records pertinent to this award until March 31, 2026. In
addition, with a 24-hour notice, the subrecipient will allow DPS and the Department of
Justice's Office for Victims of Crime and/or the Office of the Chief Financial Officer (or
their representatives) to review all of the subrecipient's records concerning this grant
project.
3.6 Capital equipment. Any purchase of capital equipment shall be approved by DPS prior to
purchase to include submission of the subrecipient's procurement or purchasing policies
and procedures and related quote(s) for item purchase. The subrecipient shall maintain all
capital equipment and furniture (costs in excess of $5,000 per unit) purchased through this
subgrant award agreement in accordance with the DOJ Grants Financial Guide. The
subrecipient shall submit documentation relevant to the purchase as required by DPS. All
capital equipment and furniture shall be used for victim services as identified in the
subrecipient's application and this subgrant award agreement. Any deviation from this
provision shall be approved in writing by DPS.
3.7 Client Assistance, Emergency Financial Assistance, Transitional Housing, and Relocation.
Subrecipients receiving VOCA funds for client assistance, emergency financial assistance,
transitional housing, and relocation services must submit the policies, procedures and rules
governing the provision of the assistance for review and approval. The subrecipient agrees
to revise any policy, procedure or rule DPS determines to be unallowable or does not
conform to appropriate internal controls for suitable use of the funds and protection from
fraud, waste or abuse.
3.8 Contracts for Professional Services. Subrecipients receiving VOCA funds for contracting
for specialized professional services that are not available within the subrecipient
organization must maintain signed agreements for consultant/contractual services and
provide copies of the agreements to DPS prior to the use of VOCA funds for such services.
3.9 Noncompetitive approach in procurement contracts. The subrecipient must comply with
all applicable requirements to obtain specific advance approval to use a noncompetitive
approach in any procurement contract that would exceed the Simplified Acquisition
Threshold (currently, $150,000).
The details of the requirement for advance approval to use a noncompetitive approach in a
procurement contract under an OW award are posted on the OJP website at
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3.10 Authorization of use. DPS reserves a royalty-free, non-exclusive, and irrevocable license
to reproduce, publish or otherwise use, and authorize others to use for government
purposes, the copyright of any work developed under this award and any rights of copyright
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to which a subrecipient purchases ownership with support through this subgrant award
agreement.
3.11 Research or statistical information. The subrecipient shall not use or reveal any research
or statistical information under this project that is identifiable to any specific person except
for the purpose for which the information was obtained, in accordance with VOCA.
3.12 Non-Disclosure of Confidential or Private Information. The subrecipient shall, to the
extent permitted by law, reasonably protect the confidentiality and privacy of persons
receiving services under this program and shall abide by the Non-Disclosure of
Confidential or Private Information rules as outlined in the DPS-VOCA Guidelines.
3.13 Site inspections. The continuance of the subrecipient's subgrant award agreement is
contingent upon successful completion of random or for-cause inspections. Failure to
satisfactorily comply with Required Action items identified during the site inspection can
result in termination of the subgrant award agreement.
3.14 Audit requirements. The subrecipient shall comply with the audit requirements of Title 2
F.F.R. Subpart F (§ 200.500 et seq.) of the Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards and the DPS VOCA guidelines. If
an audit is required, a copy of the audit report shall be sent to DPS.
The subrecipient understands and agrees that DPS may withhold award funds, or may
impose other related requirements, if (as determined by DPS) the subrecipient does not
satisfactorily and promptly address outstanding issues from audits required by the Part 200
Uniform Requirements (or by the terms of this award), or other outstanding issues that arise
in connection with audits, investigations, or reviews of DOJ awards.
3.15 Financial statement availability. The nonprofit subrecipient shall make its financial
statements available online (either on the subrecipient's or another publicly available
website). Subrecipient organizations that have Federal 501(c)(3) tax status are considered
in compliance with this requirement to the extent that such organizations file IRS Form
990 or similar tax documents (e.g., 990-EZ), as several sources already provide searchable
online databases of such fmancial statements.
3.16 Certification of nonprofit status. The nonprofit subrecipient shall certify its nonprofit status
by submitting a statement to DPS affirmatively asserting that the subrecipient is a nonprofit
organization, and by providing either 1) a copy of its 501(c)(3) designation letter; 2) a letter
from the Arizona Department of Revenue or Arizona Attorney General's Office stating
that the subrecipient is a nonprofit organization operating within Arizona; or 3) a copy of
the agency's Arizona certificate of incorporation that substantiates its nonprofit status.
Subrecipients that are local nonprofit affiliates of Arizona or national nonprofits should
have available proof of (1), (2) or (3), and a statement by the Arizona or national parent
organization that the subrecipient is a local nonprofit affiliate.
3.17 Potential fraud, waste, abuse or misconduct. The subrecipient shall promptly notify the
DOJ Office of the Inspector General (OIG) and DPS in writing of any credible evidence
that a principal, employee, agent, contractor, subcontractor, or other person has in
connection with funds under this award either (1) submitted a false claim for grant funds
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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.
Potential fraud, waste, abuse, or misconduct involving or relating to funds under this award
shall be reported to the OIG by 1) mail directly to: Office of the Inspector General, U.S.
Department of Justice, Investigations Division, 950 Pennsylvania Avenue, N.W. Room
4706, Washington DC 20530; 2) e-mail to: ° -Iv; and/or 3) the DOJ OIG
hotline: (contact information in English and Spanish) at (800) 869-4499 (phone) or (202)
616-9881 (fax).
Additional information is available from the DOJ OIG website at
3.18 Restrictions and certifications regarding non-disclosure agreements and related matters.
No subrecipient 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. The foregoing is not intended to contravene
requirements applicable to Standard Form 312 (which relates to classified information),
Form 4414 (which relates to sensitive compartmented information), or any other form
issued by a federal department or agency governing the nondisclosure of classified
information.
3.19 Compliance with 41 U.S.C. § 4712 (including prohibitions on reprisal; notice to
employees). The subrecipient must comply with, and is subject to, all applicable provisions
of 41 U.S.C. § 4712, including all applicable provisions that prohibit under specified
circumstances, discrimination against an employee as reprisal for the employee's
disclosure of information related to gross mismanagement of a federal grant, a gross waste
of federal funds, an abuse of authority relating to a federal grant, a substantial and specific
danger to public health or safety, or a violation of law, rules, or regulation related to a
federal grant.
The subrecipient also must inform its employees, in writing (and in the predominant native
language of the workforce), of employee rights and remedies under 41 U.S.C. § 4712.
Should a question arise as to the applicability of the provisions of 41 U.S.C. § 4712 to this
award, the subrecipient is to contact the OW and DPS for guidance.
3.20 Prohibited activities. The following activities are prohibited under this subgrant award
agreement: 1. New construction. 2. Any renovation or remodeling of a property either (a)
listed on or eligible for listing on the National Register of Historical Places or (b) located
within a 100-year floodplain. 3. A renovation which will change the basic prior use of a
facility or significantly change its size. 4. Research and technology whose anticipated and
future application could be expected to have an effect on the environment. 5.
Implementation of a program involving the use of chemicals.
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3.21 Subgrant award agreement renewal. DPS has the option to renew this project for a
specified additional time period. The renewal of this project is contingent upon satisfactory
performance, availability of funds, and demonstrated need.
3.22 System for Award Management. The subrecipient agrees to comply with applicable
requirements regarding registration with the System for Award Management (SAM). After
the initial registration, subrecipients are required to review and update the information at
least annually and more frequently if required by changes in the subrecipient's information
or another award item. Additional information about registration procedures may be found
at the SAM website ( ).
4.0 Cost and Payments.
4.1 Available funds. Any award is dependent upon receipt of the VOCA Assistance funds
from the U.S. Department of Justice, and there is no obligation on the part of DPS to award
funds other than the federal VOCA Assistance funds.
4,2 Match waiver. Any award made with a match waiver pending approval from the U.S.
Department of Justice is subject to reduction if the match waiver is not approved.
4.3 Compliance. Failure of the subrecipient to utilize DPS VOCA funds for direct services to
crime victims or for training purposes as stated in the approved budget may be subject to
immediate cancellation. The subrecipient shall not utilize VOCA funds for projects which
serve perpetrators of crime or crime prevention, and/or for any other non-allowable cost or
activity in accordance with DPS / VOCA guidelines. The subrecipient agrees to reimburse
DPS for any VOCA funds the subrecipient expends that are not in full compliance with
this subgrant award agreement.
4.4 No charge to victims. Subrecipients shall provide services to crime victims, at no charge,
through the VOCA-funded project. The purpose of the VOCA victim assistance grant
program is to provide services to all crime victims regardless of their ability to pay for
services rendered or availability of insurance or other third-party payment resources.
4.5 Non-supplantation. VOCA crime victim assistance funds will be used to enhance or
expand services and shall not be used to supplant state and local funds that would otherwise
be available for crime victim services. See Section 1404(a)(2)(c), codified at 42 USC §
10603 (a)(2)(C).
4.6 Mandated services. The subrecipient shall not utilize VOCA funds to support legally
mandated services.
4.7 Funds management. The subrecipient shall provide appropriate accounting and monitoring
procedures to ensure fiscal control and efficient management of funds, in accordance with
the U.S. Department of Justice, Office of Justice Programs, Grants Financial Guide,
effective edition.
4.8 Unexpended funds. The subrecipient shall immediately contact DPS to make arrangements
to amend its budget to expend remaining funds or to reduce the contracted amount when it
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becomes apparent that not all VOCA grant funds will be expended by the end of the grant
period. Any VOCA funds not expended or encumbered prior to the end of the award period
shall be reverted to DPS within 30 days of the close of the grant period. Any funds not
matched as required shall be reverted to DPS within 30 days of receipt of written
notification from DPS.
4.9 Matching funds. The subrecipient shall commit, track and report matching funds at
approximately the same percentage rate as expenditures. The subrecipient may commit,
track and report match funds at a higher percentage rate each month, not to exceed the total
required match amount. The subgrant award agreement is subject to cancellation if the
required match funding committed, tracked, and reported each month is more than 10%
less than the rate of expenditures.
4.10 Training and conference expense. The subrecipient agrees to comply with all applicable
laws, regulations, policies, and Official DOJ guidance (including specific cost limits, prior
approval and reporting requirements, where applicable) governing the use of federal funds
for expenses related to conferences (as that term is defmed by DOA meetings, training,
and other events, including the provision of food and/or beverage and costs of attendance
at such events.
4.11 Training or training materials. The subrecipient understands and agrees that any training
or training materials developed or delivered with funding provided under this award shall
adhere to the OJP Training Guiding Principles for Grantees and Subgrantees, available at
4.12 Duplicate funding. The subrecipient agrees that if it currently has an open award of federal
or state funds or if it receives an award of federal or state funds other than this 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 award, the
subrecipient shall promptly notify DPS and, if so requested by DPS, seek an agreement
amendment request to eliminate any duplication of funding.
5.0 Subgrant Award Agreement Changes.
5.1 Agreement Amendment. This subgrant award agreement is issued under the authority of
the Director of the Arizona DPS and may be modified only through an Agreement
Amendment, approved by DPS.
5.2 Assignment of duties. The subrecipient shall not assign or transfer any of its duties under
this agreement without express written permission of DPS.
5.3 Scope of work. Awards are based on information presented in the subrecipient's on-line
application. Any deviation from the scope of the project as stated in subrecipient's
application shall be approved in writing by DPS prior to the use of such funds.
5.4 Subcontracts. The subrecipient shall not enter into any subcontract under this subgrant
award agreement without the advance written approval of DPS. The subrecipient shall
clearly list any proposed subcontractors and the subcontractor's proposed responsibilities
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in the application for funding or agreement amendment. The subcontract shall incorporate
by reference the terms and conditions of this subgrant award agreement.
6.0 Indemnification.
Subrecipient Indemnification. To the fullest extent permitted by law, Contractor (as
"Indemnitor") shall defend, indemnify, and hold harmless the State of Arizona, and its
departments, agencies, boards, commissions, universities, officers, officials, agents, and
employees (as "Indemnitee") from and against any and all claims, actions, liabilities,
damages, losses, or expenses (including court costs, attorneys' fees, and costs of claim
processing, investigation and litigation) (hereinafter referred to as "Claims") for bodily
injury or personal injury (including death), or loss or damage to tangible or intangible
property caused, or alleged to be caused, in whole or in part, by the negligent or willful
acts or omissions of Contractor or any of its owners, officers, directors, agents, employees
or subcontractors. This indemnity includes any claim or amount arising out of, or recovered
under, the Workers' Compensation Law or arising out of the failure of such Contractor to
conform to any federal, state, or local law, statute, ordinance, rule, regulation, or court
decree. It is the specific intention of the parties that the Indemnitee shall, in all instances,
except for Claims arising solely from the negligent or willful acts or omissions of the
Indemnitee, be indemnified by Contractor from and against any and all claims. It is agreed
that Contractor will be responsible for primary loss investigation, defense, and judgment
costs where this indemnification is applicable. In consideration of the award of this
contract, the Contractor agrees to waive all rights of subrogation against the State of
Arizona, its officers, officials, agents, and employees for losses arising from the work
performed by the Contractor for the State of Arizona.
This indemnity shall not apply if the contractor or sub-contractor(s) is/are an agency, board,
commission or university of the State of Arizona.
7.0 Grant Remedies.
7.1 Requirements of the award; remedies for non-compliance or for materially false
statements. The conditions of this award are material requirements of the award.
Compliance with any certifications or assurances submitted by or on behalf of the
subrecipient that relate to conduct during the period of performance also is a material
requirement of this award.
Failure to comply with any one or more of these award requirements – whether a condition
set out in full, a condition incorporated by reference, or a certification or assurance related
to conduct during the award period—may result in DPS taking appropriate action with
respect to the subrecipient and the award. Among other things, DPS may withhold award
funds, disallow costs, or suspend or terminate the award. DPS, the Department of Justice
(DOJ), including the Office of Justice Programs, also may take other legal action as
appropriate.
Any materially false, fictitious, or fraudulent statement to DPS or DOJ (or concealment or
omission of a material fact) may be the subject of criminal prosecution (including under 18
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U.S.C. §§ 1001 and/or 1621, and/or 42 U.S.C. § 3795a), and also may lead to civil penalties
and administrative remedies for false claims or otherwise (including under 31 U.S.C. §§
3729-3730 and 3801-3812).
Should any provision of a requirement of this award be held to be invalid or unenforceable
by its terms, that provision shall first be applied with a limited construction so as to give it
the maximum effect permitted by law. Should it be held, instead, that the provision is
utterly invalid or -unenforceable, such provision shall be deemed severable from this
award.
7.2 Right to Assurance. If DPS in good faith has reason to believe that the subrecipient does
not intend to, or is unable to perform or continue performing under this subgrant award
agreement, DPS may demand in writing that the subrecipient give a written assurance of
intent to perform. Failure by the subrecipient to provide written assurance within the
number of days specified in the demand may, at DPS's option, be the basis for terminating
the subgrant award agreement under the General Conditions or other rights and remedies
available by law or provided by the subgrant award agreement.
7.3 Project implementation. If a project is not operational within 60 days of the original start
date of the project period, the subrecipient shall submit written documentation to DPS
explaining steps taken to initiate the project, the reasons for the delay, and the expected
start date. If a project is not operational within 90 days of the original start date of the
project period, the subrecipient shall submit a second written statement explaining the
implementation delay. DPS reserves the right to cancel the agreement if the proposed
project is not operational within 90 days of the original start date.
8.0 Grant Termination.
8.1 Cancellation for conflict of interest. Pursuant to A.R.S. § 38-511, the State may cancel this
agreement without penalty or further obligation if any person significantly involved in
initiating, negotiating, securing, drafting or creating the agreement on behalf of the State is
or becomes at any time while the agreement or an extension of the agreement is in effect
an employee of or a consultant to any other party to this agreement with respect to the
subject matter of the agreement. The cancellation shall be effective when the subrecipient
receives written notice of the cancellation unless the notice specifies a later time. If the
subrecipient is a political subdivision of the State, it may also cancel this agreement as
provided in A.R.S. § 38-511. In the event of cancellation under this paragraph, any
unexpended funds received by the subrecipient shall be reverted within 30 days of the
cancellation notification.
8.2 Gratuities. DPS may, by written notice, terminate this subgrant award agreement, in whole
or in part, if DPS determines that employment or a gratuity was offered or made by the
subrecipient or a representative of the subrecipient to any officer or employee of the state
for the purpose of influencing the outcome of the grant award or in securing the subgrant
award agreement, an amendment to the subgrant award agreement, or favorable treatment
concerning the subgrant award agreement, including the making of any determination or
decision about subgrant award agreement performance. DPS, in addition to any other
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rights or remedies, shall be entitled to recover exemplary damages in the amount of three
times the value of the gratuity offered by the subrecipient.
8.3 Suspension or Debarment. DPS may, by written notice to the subrecipient, immediately
terminate this subgrant award agreement if DPS determines that the subrecipient has been
debarred, suspended or otherwise lawfully prohibited from or ineligible for participation
in federal assistance programs or activities, including but not limited to, being disapproved
as a subcontractor of any public procurement unit or other governmental body. Submittal
of an application for funding or execution of a subgrant award agreement shall attest that
the subrecipient is not currently suspended or debarred. If the subrecipient becomes
suspended or debarred, the subrecipient shall immediately notify DPS.
8.4 Termination for convenience. DPS reserves the right to terminate the subgrant award
agreement, in whole or in part any time, when in the best interest of DPS without penalty
or recourse. Upon receipt of the written notice, the subrecipient shall stop all work as
directed in the notice and minimize all further costs to DPS. In the event of termination
under this paragraph, any unexpended funds received by the subrecipient shall be reverted
within 30 days of the termination notification.
8.5 Termination for default. In addition to the rights reserved in the contract, DPS may
terminate the subgrant award agreement in whole or in part due to the failure of the
subrecipient to comply with any term or condition of the subgrant award agreement or to
make satisfactory progress in performing the subgrant award agreement. An award is
subject to cancellation if less than 20% of the awarded funds are expended or encumbered
within 4 months of the contact start date, 40% within 7 months, and 70% within 10 months.
DPS shall provide a 30-day written notice of termination and the reasons for termination
to the subrecipient. In the event of termination under this paragraph, any unexpended funds
received by the subrecipient shall be reverted within 30 days of the termination notification.
The subrecipient has the option to appeal within 20 calendar days of the date of the written
notice of termination. The final decision will be at the discretion of the Director or his
designee.
8.6 Continuation of performance through termination. The subrecipient shall continue to
perform, in accordance with the requirements of the subgrant award agreement, up to the
date of termination, as directed in the termination notice.
8.7 Termination by subrecipient. Upon written notice to DPS, the subrecipient may cancel this
subgrant award agreement. Any unexpended funds shall immediately be reverted to DPS.
9.0 Arbitration.
The parties to this subgrant award agreement agree to resolve all disputes arising out of or
relating to this subgrant award agreement through arbitration, after exhausting applicable
administrative review, to the extent required by A.R.S. § 12-1518 except as may be
required by other applicable statutes (Title 41).
12

10.0 Other Service Requirements and Prohibited Activities.
10.1 Collaboration. The subrecipient agrees to continually and proactively participate in
developing partner relationships among other service providers in the effort to aid crime
victims within the community served.
10.2 Demographics. The subrecipient agrees to collect and maintain information on race, sex,
national origin, age, and disability of victims receiving assistance through this project,
where such information is voluntarily furnished by the victim.
10.3 Key staff changes. The subrecipient agrees to promptly notify DPS of changes in key staff
members identified in the grant application, to include Project Contact, Civil Rights
Contact, Crime Victim Compensation Coordinator, Project Director, Financial Contact,
Authorizing Official, and VOCA funded staff and/or staff used as match.
10.4 Vacancies. The subrecipient agrees to promptly notify DPS in writing when any VOCA
funded employee position is vacated, and when any VOCA funded employee position is
filled.
10.5 Surveys. The subrecipient agrees to utilize customer feedback surveys to assist the agency
with contracted project outcome and quality measures. Feedback and satisfaction surveys
will utilize the Likert Scale of Measurement (Strongly Agree, Agree, Neither Agree or
Disagree, Disagree, Strongly Disagree).
10.6 Victim Compensation. The subrecipient agrees to assist eligible victims in seeking
available crime victim compensation benefits provided by the state victim compensation
program. The subrecipient shall designate a Victim Compensation Coordinator within its
agency. The Victim Compensation Coordinator shall receive victim compensation training
from his/her county attorney's office or complete the Arizona Criminal Justice
Commission (ACJC) on-line Introduction to Crime Victim Compensation training module
). If training has not been
received, the subrecipient shall arrange for and attend training within 90 days from the first
day of this subgrant award agreement or 90 days after reassignment of new staff in this
role.
10.7 Victims' Rights. The subrecipient agrees to notify victims of Victims' Rights (A.R.S. Title
13, Chapter 40 Crime Victims' Rights; and A.R.S. Title 8, Chapter 3, Article 7 Victims'
Rights for Juvenile Offenses) and to offer to connect the victim with a representative from
the prosecutor's or county attorney's office if the victim so chooses. Subrecipients shall
ensure that all DPS-VOCA funded and match staff and their first line supervisor have
attended a victims' rights presentation from the Arizona Attorney General's Office.
10.8 Civil Rights. The subrecipient shall designate a Civil Rights Contact Person within its
agency. This person shall complete the on-line civil rights training program offered by the
Office for Civil Rights (OCR), Office of Justice Programs (OW), Department of Justice
(DOJ) via the Arizona Criminal Justice Commission (ACJC) website. The subrecipient
13

shall ensure the Civil Rights Contact Person completes the training within 90 days from
the first day of this subgrant award agreement or 90 days after reassignment of new staff
in this role.
10.9 Volunteers. The subrecipient agrees to incorporate the use of volunteers to assist in
carrying out the agency's mission. The use of volunteers is a current and ongoing
requirement for all projects.
10.10 Text messaging policy. Pursuant to Executive Order 13513, "Federal Leadership on
Reducing Text Messaging While Driving," 74 Fed. Reg. 51225 (October 1, 2009), the
Department of Justice (DOJ) encourages subrecipients 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.
10.11 Human Trafficking. The subrecipient must comply with all applicable requirements
(including requirements to report allegations) pertaining to prohibited conduct related to
the trafficking of persons. The details of the subrecipient's obligations related to prohibited
conduct related to trafficking in persons are posted on the OJP website at
10.12 Consolidated Appropriations Act. The subrecipient shall comply with all applicable
restrictions on the use of federal funds set out in federal appropriations statutes. Pertinent
restrictions, including from various "general provisions" in the Consolidated
Appropriations Act, 2016, are set forth below.
Should a question arise as to whether a particular use of federal funds by a subrecipient
would or might fall within the scope of a restriction set out in this award condition, the
recipient is to contact DPS for guidance, and may not proceed without the express prior
written approval of DPS.
Publicity or Propaganda. Federal funds are not legally available, and may not be used
(whether directly or indirectly, including by private contractors), for publicity or
propaganda purposes not authorized by Congress.
Employee Trainings. Federal funds are not legally available, and may not be used, for any
employee training that:
1. does not meet identified needs for knowledge, skills, and abilities bearing directly upon
the performance of official duties;
2. contains elements likely to induce high levels of emotional response or psychological
stress in some participants;
3. does not require prior employee notification of the content and methods to be used in
the training and written end-of-course evaluation;
4. contains any methods or content associated with religious or quasi-religious belief
systems or "new age" belief systems as defined in Equal Employment Opportunity
Commission Notice N-915.022, dated September 2, 1988; or
5. is offensive to, or designed to change, participants' personal values or lifestyle outside
the workplace.
14

Nothing in this provision prohibits, restricts, or otherwise precludes an agency from
conducting training bearing directly upon the performance of official duties.
Nondisclosure policies, forms, and agreements. Federal funds are not legally available, and
may not be used, to implement or enforce any nondisclosure policy, form, or agreement, if
such policy, form, or agreement does not contain the following provisions:
"These provisions are consistent with and do not supersede, conflict with,
or otherwise alter the employee obligations, rights, or liabilities created by
existing federal statute or Executive Order relating to 1) classified
information; 2) communications to Congress; 3) the reporting to an
Inspector General of a violation of any law, rule, or regulation, or
mismanagement, a gross waste of funds, an abuse of authority, or a
substantial and specific danger to public health or safety; or 4) any other
whistleblower protection. The definitions, requirements, obligations,
rights, sanctions, and liabilities created by controlling Executive Orders and
federal statutory provisions are incorporated into this agreement and are
controlling."
Acorn and related organizations. Absent express prior written approval from OR, federal
funds may not be provided to the Association of Community Organizers for Reform Now
(ACORN), or any of its affiliates, subsidiaries, allied organizations, or successors.
Nondiscrimination in programs involving students. Funds appropriated under the
Department of Justice Appropriations Act, 2017, and awarded by OR are not legally
available, and may not be used, to discriminate against or denigrate the religious or moral
beliefs of students who participate in programs for which financial assistance is provided
from those funds, or those of their parents or legal guardians.
Blocking ofpornography on computer networks. Funds appropriated under the Department
of Justice Appropriations Act, 2017, and awarded by OJP are not legally available and,
may not be used, to maintain or establish a computer network unless such network blocks
the viewing, downloading, and exchanging of pornography. Nothing in this provision
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, adjudication,
or other law enforcement or victim assistance-related activity.
Award or incentive fees to contractors. Funds appropriated under the Department of Justice
Appropriations Act, 2017, and awarded by OJP are not legally available, and may not be
used, to pay award or incentive fees for contractor performance that has been judged to be
below satisfactory performance or for performance that does not meet the basic
requirements of a contract.
Use of funds in connection with abortion. Fund appropriated under the Department of
Justice Appropriations Act, 2017, and awarded by OR are not legally available, and may
not be used — (1) to pay for an abortion, except where the life of the mother would be
endangered if the fetus were carried to term, or in the case of rape or incest; or (2) to require
any person to perform, or facilitate in any way the performance of, any abortion.
15

"Pay-to -stay" at local jails. Funds appropriated to the Department of Justice through an
annual appropriations statute and awarded by OJP are not legally available to, and may not
be provided to, any local jail that runs a "pay-to-stay" program. (Monies in the Crime
Victims Fund are not appropriated through an annual appropriations statute.)
10.13 Israel Boycott Divestments. Subrecipient warrants it is not engaged in a boycott of Israel
as defined by A.R.S. § 35-393.01.
As the duly authorized representative of the applicant, I hereby certify that the applicant will
comply with the above general conditions.
Subrecipient (organization) Name: Maricopa County
Signature: Date:
Authorizing Official
Steve Chucri, Chairman, Board of Supervisors
Printed Name and Title of Authorizing Official
Date:
Attest, Clerk of the Board
Date:
Approved as to form
16

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal
action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreementto make
payment to any lobbying entity 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 employeeof a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material
change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1 Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter
the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal
action.
4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification
of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee
of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal
recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizationallevel below agency name, if known. For
example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance
(CFDA) number for grants, cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number;
Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number
assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan
commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting
entity identified in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and
Middle Initial (MI).
11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control
Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is
estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington,
DC 20503.

DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046
(See reverse for public burden disclosure.)
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
a. contract a. bid/offer/application a. initial filing
b. grant b. initial award b. material change
c. cooperative agreement c. post-award For Material Change Only:
d. loan year quarter
e. loan guarantee date of last report
f. loan insurance
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name
Prime 0 Subawardee and Address of Prime:
Tier , if known:
Congressional District, if known: 4c Congressional District, if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
$
10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if
(if individual, last name, first name, MI): different from No. 10a)
(last name, first name, MI):
ill Information requested through this form is authorized by title 31 U.S.C. section Signature: 0 Not Applicable
" 1352. This disclosure of lobbying activities is a material representation of fact
upon which reliance was placed by the tier above when this transaction was made Print Name: Steve Chucri
or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This
information will be available for public Inspection. Any person who fails to file the Title: Chairman, Board of Supervisors
required disclosure shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure. 602-506-7431
Telephone No.: Date:
Federal Use Only: Authorized for Local Reproduction
Standard Form LLL (Rev. 7-97)

Arizona Department of Public Safety
Victims of Crime Act (VOCA) Administration
Complying with Federal Civil Rights Program Requirements
Ensuring Access to Federally Assisted Programs
Federal laws prohibit recipients (and subrecipients) of federal fmancial assistance from discrimination on the basis of race,
color, national origin, religion, sex, or disability in funded program or activities, not only in respect to employment
practices but also in the delivery of services or benefits. Federal law also prohibits funded programs or activities from
discriminating on the basis of age in the delivery of services or benefits.
Providing Services to Limited English Proficiency (LEP) Individuals
In accordance with Department of Justice Guidance pertaining to Title VI of the Civil Rights Act of 1964, 42 U.S.C. §
2000d, recipients (and subrecipients) of federal financial assistance must take reasonable steps to provide meaningful
access to their programs and activities for persons with limited English proficiency (LEP). For more information on the
civil rights responsibilities that recipients have in providing language services to LEP individuals, please refer to
http ://www. lep. gov .
Partnerships with Faith-based and Other Neighborhood Organizations
The Department of Justice has published a regulation specifically pertaining to the funding of faith-based organizations. In
general, the regulation, Participation in Justice Department Programs by Religious Organizations; Providing for Equal
Treatment of all Justice Department Program Participants, and known as Partnerships with Faith-based and Other
Neighborhood Organizations 28 C.F.R. part 38, prohibits faith-based organizations from using financial assistance from the
Department of Justice to fund inherently (or explicitly) religious activities. While faith-based organizations can engage in
non-funded inherently religious activities, they must be held separately from the Depaitment of Justice funded program,
and customers or beneficiaries cannot be compelled to participate in them. 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. For more information on the regulation, please go to the
Office for Civil Rights website at http://ojp.gov/about/ocr/equal fbo.htm.
Nondiscrimination Notification
DPS VOCA subrecipient agencies must have a method of notifying employees, clients, customers, or program participants
that the subrecipient agency does not discriminate in employment practices or delivery of services, and must have a written
policy that includes the procedures for filing a complaint, and the names and contact information for the agencies that
receive complaints.
Discrimination Complaints
Employees, clients, customers, or program participants of a DPS VOCA subrecipient who wish to file a complaint of
discrimination, may file a complaint directly with the subrecipient; or with the Arizona Department of Public Safety VOCA
Administration Unit ( ); the Arizona Office of the Attorney General, Office for Civil Rights
(http://www.azag.gov/civil rights/); or the Office for Civil Rights (OCR), Office of Justice Programs, Department of
Justice (http://www.justice.gov/crt/).
Submitting Findings of Discrimination
If in the three years prior to the date of the grant award, a federal or state court or administrative agency makes an adverse
finding of discrimination after a due process hearing against the subrecipient agency on the grounds of race, color, national
origin, religion, sex, or disability, the subrecipient shall forward a copy of the fmding to the Department of Justice, Office
of Justice Programs, Office for Civil Rights and DPS VOCA.
Steve Chucri (printed name of authorizing official), certify that the
Maricop a County (name of subrecipient organization) will comply with the Federal Civil
Rights Program requirements as outlined above.
Authorizing Official's Title: Chairman, Board of Supervisors DPS Contract Number:
Signature: Date:
10/31/2017

Arizona Department of Public Safety
Victims of Crime Act (VOCA) Administration
Certification regarding eligibility for
de minimis rate of 10% of Modified Total Direct Costs (1VITDC)
Pursuant to § 200.414 Indirect (F&A) Costs of the Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards, any non-Federal entity that has never received
a negotiated indirect cost rate, except for those non-Federal entities described in Appendix VII to Part
200 — States and Local Government and Indian Tribe Indirect Cost Proposals, paragraph (d)(1)(B), may
elect to charge a de minimis rate of 10% of modified total direct costs (MTDC) which may be used
indefinitely. As described in § 200.403 Factors affecting allowability of costs, costs must be consistently
charged as either indirect or direct costs, but may not be double charged or inconsistently charged as
both. If chosen, this methodology once elected must be used consistently for all Federal awards until
such time as a non-Federal entity chooses to negotiate for a rate, which the non-Federal entity may apply
to do at any time.
Additionally, pursuant to § 200.414(g), any non-Federal entity that has a federally negotiated indirect
cost rate may apply for a one-time extension of a current negotiated indirect cost rate for a period of up
to four years. This extension will be subject to the review and approval of the cognizant agency for
indirect costs. If an extension is granted the non-Federal entity may not request a rate review until the
extension period ends. At the end of the 4-year extension, the non-Federal entity must re-apply to
negotiate a rate.
I certify to the best of my knowledge Maricopa County (name of subrecipient
organization) has never received a federally negotiated rate and will conform to the requirements listed
above when utilizing the de minimis rate of 10% of modified total direct costs (MTDC).
Signature of Authorizing Official
Steve Chucri, Chairman, Board of Supervisors
Printed Name and Title of Authorizing Official
Date
10/31/2017

Arizona Department of Public Safety
Victims of Crime Act (VOCA) Administration
Certification regarding Non-Supplanting
As outlined in the U.S. Department of Justice, Office of Justice Programs, Federal Financial Guide,
Federal funds must be used to supplement existing State and local funds for program activities and
must not supplant those funds that have been appropriated for the same purpose. Furthermore,
supplanting is defined as "to deliberately reduce State or local funds because of the existence of
Federal funds. For example, when State funds are appropriated for a stated purpose and Federal funds
are awarded for that same purpose, the State replaces its State funds with Federal funds, thereby
reducing the total amount available for the stated purpose."
The following example is provided in the Federal Financial Guide to help clarify the difference
between supplementing and supplanting:
State funds are appropriated to hire 50 new police officers, and Federal funds are
awarded for hiring 60 new police officers. At the end of the year, the State has hired 60
new police officers, and the Federal funds have been exhausted. The State has not used
its funds towards hiring new officers, but instead reduced its appropriation for that
purpose and assigned or appropriated the funds to another purpose. In this case, the
State has supplanted its appropriation with the Federal funds. If supplanting had not
occurred, 110 new officers would have been hired using Federal funds for 60 officers
and State funds for 50 officers.
As a subrecipient of Victims of Crime Act (VOCA) Assistance funds, each agency shall certify
its understanding of and adherence to the prohibition against supplanting of State or local funds
with Federal funds.
I certify that the Maricopa County (name of subrecipient organization)
will comply with the prohibition against supplanting as outlined above.
Signature of Authorizing Official
Steve Chucri, Chairman, Board of Supervisors
Printed Name and Title of Authorizing Official
Date
10/31/2017

Arizona Department of Public Safety
Victims of Crime Act (VOCA) Administration
Applicant Disclosure of High Risk Status
The subrecipient must disclose whether it currently is designated "high risk" by a federal or state grant-
making agency outside of the Arizona Department of Public Safety (DPS). For purposes of this
disclosure, high risk includes any status under which a federal or state awarding agency provides
additional oversight due to the subrecipient's past performance, or other programmatic or financial
concerns with the subrecipient. If the subrecipient is designated high risk by another federal or state
awarding agency, the subrecipient must provide the following information:
(1) The federal or state awarding agency that currently designates the subrecipient high risk.
(2) The date the subrecipient was designated high risk.
(3) The high-risk point of contact at that federal or state awarding agency (name, phone number, and
email address)
(4) The reasons for the high risk status, as set out by the federal or state awarding agency.
DPS seeks this information to help ensure appropriate oversight of DPS awards. A subreceipient that is
considered "high risk" by another federal awarding agency is not automatically disqualified from
receiving an award. DPS may, however, may impose additional oversight of the award.
Complete the section below by responding as appropriate:
I certify Maricopa County (name of subrecipient organization)
X has not been notified as having been designated high-risk by any federal or state grant making
agency, nor has it been placed under any status requiring additional oversight by a federal or state
agency due to past programmatic or fmancial concerns.
has been notified as having been designated high-risk by a federal or state grant making agency,
and the information to be provided as described in 1-4 above is attached to this disclosure.
Signature of Authorizing Official
Steve Chucri, Chairman, Board of Supervisors
Printed Name and Title of Authorizing Official
Date
10/31/2017

U.S. Department of Justice
Office of Justice Programs
Office of the Chief Financial Officer
Certifications Regarding Lobbying; Debarment,
Suspension and Other Responsibility Matters
(Dated 10/1/2017)
Applicants should refer to the regulations cited below to determine the certification to which they
are required to attest. Applicants should also review the instructions for certification included in
the regulations before completing this form. Acceptance of this form provides for compliance
with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," 2 CFR
Part 2867, "DOJ Implementation of OMB Guidance on Nonprocurement Debarment and
Suspension," 28 CFR Part 83, "Government-wide Debarment and Suspension."
The certifications shall be treated as a material representation of fact upon which reliance will be
placed when the Department of Justice determines to award the covered transaction, grant, or
cooperative agreement.
Certification Regarding Lobbying
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for
persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR
Part 69, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with the making of any Federal grant, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal grant or cooperative agreement;
(b) If any funds other than 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 this Federal grant or cooperative agreement, the undersigned
shall complete and submit Standard Form - LLL, "Disclosure of Lobbying Activities," in
accordance with its instructions;
(c) The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers (including subgrants, contracts under grants
and cooperative agreements, and subcontracts) and that all sub-recipients shall certify and
disclose accordingly.
Certification Regarding Debarment, Suspension and Other Responsibility Matters
Pursuant to Executive Order 12549, Debarment and Suspension, implemented at 2 CFR Part
2867, for prospective participants in primary covered transactions, as defined at 2 CFR Section
2867.20(a), and other requirements:
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department or agency;

(b) Have not within a three-year period preceding this application been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State, or
local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
(c) Have not within a two-year period preceding this application been convicted of a felony
criminal violation under any Federal law, unless such felony criminal conviction has been
disclosed in writing to the Office of Justice Programs (OJP) at
, and, after such disclosure, the applicant has received a
specific written determination from OJP that neither suspension nor debarment of the
applicant is necessary to protect the interests of the Government in this case.
(d) Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph (b) of this certification; and
(e) Have not within a three-year period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default.
B. Where the applicant is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
Federal Taxes
A. If the applicant is a corporation, the applicant certifies that either (1) the corporation has no
unpaid Federal tax liability that has been assessed, for which all judicial and administrative
remedies have been exhausted or have lapsed, that is not being paid in a timely manner
pursuant to an agreement with the authority responsible for collecting the tax liability, or (2) the
corporation has provided written notice of such an unpaid tax liability (or liabilities) to OJP at
Ojpcompliancereporting@usdoj.gov, and, after such disclosure, the applicant has received a
specific written determination from OJP that neither suspension nor debarment of the applicant
is necessary to protect the interests of the Government in this case.
B. Where the applicant is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
As the duly authorized representative of the applicant, I hereby certify that the applicant will
comply with the above certification.
Subrecipient (organization) name: Maricopa County
Address: 301 W Jefferson St, Suite 800; Phoenix, AZ 85003
DPS Contract #: Federal Employer Identification #: 86-6000472
Printed Name & Title of Authorizing Official: Steve Chucri, Chairman, Board of Supervisors
Signature: Date:

U.S. DEPARTMENT OF JUSTICE OMB Number: 1121-0329
OFFICE OF JUSTICE PROGRAMS Expiration Date: 12/31/2018
FINANCIAL MANAGEMENT AND SYSTEM OF INTERNAL CONTROLS QUESTIONNAIRE
The financial management system of each non-Federal entity must provide for the following
- Retention requirements for records
• Requests for transfer of records
• Methods for collection, transmission and storage of information
• Access to records
- Restrictions on public access to records
(1) Identification, in its accounts, of all Federal awards received and expended and the Federal programs under which
they were received. Federal program and Federal award identification must include, as applicable, the CFDA title and
number, Federal award identification number and year, name of the Federal agency, and name of the pass-through entity,
if any.
(2) Accurate, current, and complete disclosure of the financial results of each Federal award or program.
(3) Records that identify adequately the source and application of funds for federally-funded activities. These records must
contain information pertaining to Federal awards, authorizations, obligations, unobligated balances, assets, expenditures,
income and interest and be supported by source documentation.
(4) Effective control over, and accountability for, all funds, property, and other assets. The non-Federal entity must
adequately safeguard all assets and assure that they are used solely for authorized purposes.
(5) Comparison of expenditures with budget amounts for each Federal award.
(6) Written procedures to document the receipt and disbursement of Federal funds including procedures to minimize the
time elapsing between the transfer of funds from the United States Treasury or the pass-through entity and the
disbursement by the non-Federal entity whether the payment is made by electronic funds transfer, or issuance or
redemption of checks, warrants, or payment by other means.
(7) Written procedures for determining the allowability of costs.
APPLICANT ORGANIZATIONAL INFORMATION
1. Name of Organization and Address:
Organization Name: Maricopa County
Street1: 301 W Jefferson St; Suite 800
Street2: I I
City: Phoenix —1
State: AZ: Arizona i
Zip Code: 85003
2. Authorized Representative's Name and Title:
Prefix: First Name: Middle Name:
Mr. Steve
Last Name: Suffix:
Churcri
Title:
Chairman
3. Phone: (602) 506-7431 4. Fax: 1
I
5. Email: gonzalesp001@mall.maricopa.9ov
6. Year Established: 7. Employer Identification Number (EIN): 8. DUNS Number:
1871 86-6000472 1015582570000
9. Type of Organization:
State Municipality E1J Non-Profit I Higher Education D Tribal For-Profit
Other County Government
_

U.S. DEPARTMENT OF JUSTICE OMB Number: 1121-0329
OFFICE OF JUSTICE PROGRAMS Expiration Date: 12/31/2018
AUDIT INFORMATION
An audit is conducted using generally accepted auditing standards (GAAS) or Generally Accepted Governmental
Auditing Standards (GAGAS) and results in an audit report with an opinion.
10. The organization has undergone the following types of audit(s)(Please check all that apply):
X OMB A-133 Single Audit
X Financial Statement Audit
El Defense Contract Agency Audit (DCAA)
None
O Programmatic Audit & Agency:
O Other Audit & Agency:
11. Most Recent Audit: Within the past 12 months OWithin the past two years • More than two years
Name of Audit Agency/Firm: Arizona Auditor General
AUDITOR'S OPINION:
12. On the most recent audit, what was the auditor's opinion?
Unqualified Opinion ii Qualified Opinion U Disclaimer, Going Concern or Adverse Opinions
Please enter the number of findings:
Please enter the amount of questioned costs:
Were material weaknesses noted in either the Financial Statement or Single Audit? U Yes El No
ACCOUNTING SYSTEM
13. Which of the following best describes your accounting system:
— —
Manual Automated Combination
14. Does the accounting system identify the receipt and expenditure
of program funds separately for each grant? Yes No Not Sure
15. Does the accounting system provide for the recording of expenditures
for each grant/contract by budget cost categories shown in the approved X Yes El No Not Sure
budget?
16. Does your accounting system have the capability to document the
recording of cost sharing or match for each grant? Can you determine if X Yes El No El Not Sure
documentation is available to support recorded match or cost share?
17. Are time distribution records maintained for each employee that
specifically identify effort charged to a particular grant or cost objective? X Yes No El Not Sure
18. Does the accounting/financial system include budgetary controls to
preclude incurring obligations or costs in excess of total funds available or X Yes El No 0 Not Sure
by budget cost category (e.g. Personnel, Travel, etc.)?
19. Is the organization familiar with the existing Federal regulation and
guidelines containing the Cost Principles and procedures for the X Yes LI No El Not Sure
determination and allowance of costs in connection with Federal grants?

U.S. DEPARTMENT OF JUSTICE OMB Number: 1121-0329
OFFICE OF JUSTICE PROGRAMS Expiration Date: 12/31/2018
PROPERTY STANDARDS, PROCUREMENT STANDARDS, AND TRAVEL POLICIES
PROPERTY STANDARDS
20. Does your property management system(s) provide for maintaining:
(1) a description of the equipment; (2) an identification number; (3) source Yes U No D Not Sure
of the property, including the award number; (4) where title vests; (5)
acquisition date; (6) federal share of property cost; (7) location and
condition of the property; (8) acquisition cost; &
(9) ultimate disposition information?
PROCUREMENT STANDARDS
21. Does your organization maintain written procurement procedures which
(1) avoid unnecessary purchases; (2) provide an analysis of lease and Yes No LI Not Sure
purchase alternatives; and (3) provide a process for soliciting goods and
services?
22. Does your procurement system provide for the conduct to determine
selection on a competitive basis and documentation of cost or price Yes Not Sure
analysis for each procurement action?
23. Does your procurement system include provisions for checking the
"Excluded Parties List" system for suspended or debarred sub-grantees Yes LI No 0 Not Sure
and contractors, prior to award? Please visit www.sam.gov .
TRAVEL POLICY
24. Does your organization:
(a) maintain a standard travel policy? Yes No
(b) adhere to the Federal Travel Regulation? (FTR) Yes a No
SUBRECIPIENT MANAGEMENT AND MONITORING
25. (For Pass-through entities only). Does your organization have controls
in place to monitor activities of subrecipients, as necessary, to determine E:1 Yes 0 No U Not Sure
that Federal awards are used for authorized purposes in compliance with N/A (Your organization does not
laws, regulations, and the provisions of the award and that performance make subawards.)
goals are achieved (2 CFR200)?
STANDARDS FOR FINANCIAL MANAGEMENT SYSTEMS AND APPLICANT CERTIFICATION
I certify that the above information is complete and correct to the best of my knowledge. This document must be certified by
the organization's Authorized Representative, Executive Director, Chief Financial Officer, Chairman of the Board of Directors,
or similar position.
Name: Date: 18-01-17j
Steve Chucri
Title: U Executive Director LJ Chief Financial Officer J Chairman
Other
Phone: (602) 506-7431