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OMB Number: 4040-0004 Expiration Date: 10/31/2019 Application for Federal Assistance SF -424 * 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s): Li Preapplication 0 New g Application Continuation * Other (Specify): Changed/Corrected Application Revision " 3. Date Received: 4. Applicant Identifier: 5a. Federal Entity Identifier: 5b. Federal Award Identifier: N/A 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 W. 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 County Sheriffs Of f i Special Investigations f. Name and contact information of person to be contacted on matters involving this application: Prefix: Mrs. " First Name: Capri Middle Name: * Last Name: Jungels Suffix: Title: Grant Administrator Organizational Affiliation: * Telephone Number: (602)876 - 1012 Fax Number: * Email: cjunge1s@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: ONDCP 11. Catalog of Federal Domestic Assistance Number: 95.001 CFDA Title: High Intensity Drug Trafficking Areas Program * 12. Funding Opportunity Number: HIDTA " Title: High Intensity Drug Trafficking Areas Program 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 Areas Program Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 Application for Federal Assistance SF424 16. Congressional Districts Of: " a. Applicant AZ -all " b. Program/Project AZ - all Attach an additional list of Program/Project Congressional Districts if needed. _ Add Attachment Delete Attachment View Attachment 17. Proposed Project: * a. Start Date: 01/01/2017 * b. End Date: 12/31/2018 18. Estimated Funding ($): * a. Federal 511,302.00 * b. Applicant " c. State " d. Local " e. Other " f. Program Income * g. TOTAL 511,302.00 * 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. i c. Program is not covered by E.O. 12372. * 20.1s the Applicant Delinquent On Any Federal Debt? Of "Yes," provide explanation in attachment.) Yes i 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) L .* 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: Denny Middle Name: * Last Name: Barney Suffix: " Title: Chairman *Telephone Number: (602)876 - 1012 Fax Number: " Email: c_jungels@mcso.maricopa.gov * Signature of Authorized Representative: * Date Signed: 97) 1 4040-0006 01131/2019 511,302.00 511,302.00 7- Page (Rev. -102) Number: Date: Total (g) 424A A OMB Expiration Form (Circular $ $ Standard OMB by Budget Prescribed Revised Non-Federal (0 or New $ $ 511,302.00 511,302.00 Programs Federal (e) $ $ Non-Construction SUMMARY BUDGET Non-Federal (d) - Funds A - Unobligated $ $ INFORMATION SECTION Estimated Federal (c) BUDGET $ $ Federal Assistance of Number (b) Catalog Domestic 95.001 Drug Program or Areas Function Activity (a) Intensity Grant Trafficking Totals High Program 1. 2. 3. 4. 5. 97) 1A 348,815.00 56,524.00 8,500.00 97,463.00 511,302.00 511,302.00 7- Page (Rev. Total (5) 424A -102) A Form (Circular $ $ $ $ $ Standard OMB by Prescribed (4) $ $ $ ACTIVITY OR FUNCTION (3) $ $ $ Reproduction CATEGORIES PROGRAM, Local for BUDGET GRANT - B (2) L Authorized $ $ SECTION Drug Areas 348,815.00 56,524.00 8,500.00 97,463.00 511,302.00 511,302.00$ 0.00 Intensity Trafficking Program High (1) $ $ $ 6a-6h) of (sum 6j) and 6i Charges of Categories Benefits Charges (sum Class Personnel Equipment Supplies Contractual Construction Direct TOTALS Income Fringe Travel Other Total Indirect Object a. b. c. d. e. f. g. h. i. j. k. Program 6. 7. 97) 2 7- Page 109,327.00 109,327.00 (Rev. -102) (e)TOTALS Quarter Fourth 424A A 4th (e) Form (Circular -1$ $ $ $ $ $ Standard OMB 7 by 109,325.00 109,325.00 Sources (YEARS) Prescribed Quarter Third Other 3rd (d) (d) PROJECT PERIODS $ $ $ $ $ 109,325.00 109,325.00 THE FUNDING 74,000.00 74,000.00 OF State Quarter Second (c) 2nd BALANCE FUTURE (c) F L r NEEDS Charges: RESOURCES $ $ $ $ FOR $ $ INFORMATION CASH 109,325.00 109,325.00 NEEDED Indirect Reproduction Applicant Quarter (b)First BUDGET 22. NON-FEDERAL FORECASTED 1st FUNDS Local (b) OTHER for - C $ $ - D $ $ FEDERAL $ $ - F Authorized SECTION SECTION Year 437,302.00 437,302.00 OF SECTION 1st for ESTIMATES Total $ $ $ BUDGET Program - E Program Program Areas 14) SECTION Grant and Grant Trafficking -19) (a) 8-11) 13 (a) 16 lines lines Drug lines of of of (sum (sum Intensity (sum Charges: TOTAL Federal Non-Federal TOTAL High TOTAL Direct Remarks: 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 23. OMB Number: 4040-0007 Expiration Date: 01/31/2019 ASSURANCES - NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 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 (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance Act of 1973, as amended (29 U.S.C. §794), which and the institutional, managerial and financial capability prohibits discrimination on the basis of handicaps; (d) (including funds sufficient to pay the non-Federal share the Age Discrimination Act of 1975, as amended (42 U. of project cost) to ensure proper planning, management S.C. §§6101-6107), which prohibits discrimination on and completion of the project described in this the basis of age; (e) the Drug Abuse Office and application. Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug 2. Will give the awarding agency, the Comptroller General abuse; (f) the Comprehensive Alcohol Abuse and of the United States and, if appropriate, the State, Alcoholism Prevention, Treatment and Rehabilitation through any authorized representative, access to and Act of 1970 (P.L. 91-616), as amended, relating to the right to examine all records, books, papers, or nondiscrimination on the basis of alcohol abuse or documents related to the award; and will establish a alcoholism; (g) §§523 and 527 of the Public Health proper accounting system in accordance with generally Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 accepted accounting standards or agency directives. ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil 3. Will establish safeguards to prohibit employees from Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale, presents the appearance of personal or organizational rental or financing of housing; (i) any other conflict of interest, or personal gain. nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being 4. Will initiate and complete the work within the applicable made; and, (j) the requirements of any other time frame after receipt of approval of the awarding nondiscrimination statute(s) which may apply to the agency. application. 7. Will comply, or has already complied, with the 5. Will comply with the Intergovernmental Personnel Act of requirements of Titles II and III of the Uniform 1970 (42 U.S.C. §§4728-4763) relating to prescribed Relocation Assistance and Real Property Acquisition standards for merit systems for programs funded under Policies Act of 1970 (P.L. 91-646) which provide for one of the 19 statutes or regulations specified in fair and equitable treatment of persons displaced or Appendix A of OPM's Standards for a Merit System of whose property is acquired as a result of Federal or Personnel Administration (5 C.F.R. 900, Subpart F). federally-assisted programs. These requirements apply to all interests in real property acquired for 6. Will comply with all Federal statutes relating to project purposes regardless of Federal participation in nondiscrimination. These include but are not limited to: purchases. (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color 8. Will comply, as applicable, with provisions of the or national origin; (b) Title IX of the Education Hatch Act (5 U.S.C. H1501-1508 and 7324-7328) Amendments of 1972, as amended (20 U.S.C.§§1681- which limit the political activities of employees whose 1683, and 1685-1686), which prohibits discrimination on principal employment activities are funded in whole the basis of sex; (c) Section 504 of the Rehabilitation or in part with Federal funds. Previous Edition Usable Standard Form 424B (Rev. 7-97) Authorized for Local Reproduction Prescribed by OMB Circular A-102 9. Will comply, as applicable, with the provisions of the Davis- 13. Will assist the awarding agency in assuring compliance Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act with Section 106 of the National Historic Preservation (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Act of 1966, as amended (16 U.S.C. §470), EO 11593 Work Hours and Safety Standards Act (40 U.S.C. §327- (identification and protection of historic properties), and 333), regarding labor standards for federally-assisted the Archaeological and Historic Preservation Act of construction subagreements. 1974 (16 U.S.C. §§469a-1 et seq.). 10. Will comply, if applicable, with flood insurance purchase 14. Will comply with P.L. 93-348 regarding the protection of requirements of Section 102(a) of the Flood Disaster human subjects involved in research, development, and Protection Act of 1973 (P.L. 93-234) which requires related activities supported by this award of assistance. recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of 15. Will comply with the Laboratory Animal Welfare Act of insurable construction and acquisition is $10,000 or more. 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of 11. Will comply with environmental standards which may be warm blooded animals held for research, teaching, or prescribed pursuant to the following: (a) institution of other activities supported by this award of assistance. environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and 16. Will comply with the Lead-Based Paint Poisoning Executive Order (EO) 11514; (b) notification of violating Prevention Act (42 U.S.C. §§4801 et seq.) which facilities pursuant to EO 11738; (c) protection of wetlands prohibits the use of lead-based paint in construction or pursuant to EO 11990; (d) evaluation of flood hazards in rehabilitation of residence structures. floodplains in accordance with EO 11988; (e) assurance of 17. Will cause to be performed the required financial and project consistency with the approved State management compliance audits in accordance with the Single Audit program developed under the Coastal Zone Management Act Amendments of 1996 and OMB Circular No. A-133, Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of "Audits of States, Local Governments, and Non-Profit Federal actions to State (Clean Air) Implementation Plans Organizations." under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of 18. Will comply with all applicable requirements of all other underground sources of drinking water under the Safe Federal laws, executive orders, regulations, and policies Drinking Water Act of 1974, as amended (P.L. 93-523); governing this program. and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93- 19. Will comply with the requirements of Section 106(g) of 205). the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award 12. Will comply with the Wild and Scenic Rivers Act of recipients or a sub-recipient from (1) Engaging in severe 1968 (16 U.S.C. §§1271 et seq.) related to protecting forms of trafficking in persons during the period of time components or potential components of the national that the award is in effect (2) Procuring a commercial wild and scenic rivers system. sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Chairman APPLICANT ORGANIZATION DATE SUBMITTED Maricopa County on behalf of the Maricopa County SO Standard Form 424B (Rev. 7-97) Back