SWBPI FY2013-2014 PAYMENT AUTH 093013.PDF
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SWBPI - Certification for Request Payment Page 1 of 2 it_ \Xi EST BORDER Pit ()S1 171 HELP •EMAIL OHOME The County of Maricopa, Arizona INSTRUCTIONS I— General Information Below is an overview of the application against which you are requesting Jurisdiction payment. Additionally, there is a required certification that must be Information completed by you in order for you to finalize and submit your Contact jurisdiciton's payment request. Please read the certification carefully before continuing. To return to the previous page, select the Cancel Information button. To submit your jurisdiction's payment request, select the I Acknowledge Reading the Above Information button after certifying or the information is accurate and eligible for program funding. Application Manage Application REQUEST PAYMENT „ Submit "Application APPLICATION APPROVAL DATE CASE REPORTING PERIOD AWARD AMOUNT 08/14/2013 Jul 2011 to Jun 2012 $72,376.69 1- Payments 111 As chief executive officer (or authorized designee) of this jurisdiction, my :: Request Payment request of this application for funding under the Southwest Border Prosecution ACH Bank Initiative represents my legally binding acceptance of the terms set forth on this form, my statement as to the truthfulness and accuracy of representations Application made on this form, and my acceptance of the program's terms and conditions. History Further, I certify that I have made the necessary application adjustments to account for my jurisdiction's receiving reimbursement, subsidy, or the IF TOOLS functional equivalent thereof, through other federal grant programs, or other reimbursable agreements with a federal agency, including federal grant Current Status programs that indirectly award funds to the county or state government for :: Mail Center prosecution or detention services. This application does not contain payment claims for cases already fully reimbursed by federal funds, or when combined :: Change Password with other federal reimbursement, grant, or payment funds, does not make payment claims in excess of 100% of the cost of prosecuting and/or detaining Log Out case defendants in the Jul 2011 to Jun 2012 reporting period. I will keep the documents supporting all federally initiated and declined/referred cases submitted for reimbursement for a period of three years after the submission of the case for Southwest Border Prosecution Initiative funds. Documents can include paper or electronic case files, e-mails from the U.S. Attorney's Office, case notes, or documentation of telephone or face-to- face meetings with U.S. Attorney's Office staff or federal law enforcement officials. Finally, I acknowledge that the Bureau of Justice Assistance will be conducting pre-award review and post award monitoring of the federally referred cases submitted for funding and I will provide any requested documentation in a timely manner or risk forfeiting the requested reimbursement. Are you the CEO? Yes No I certify that the payment request is in keeping with the conditions stated above. As the jurisdiction's chief executive officer or designee authorized to request SWBPI - Certification for Request Payment Page 2 of 2 the payment, my full name is entered in the space provided below: John S. Garcia [ Cancel 1 I I Acknowledge Reading the Above Information 1 1 77 1HELP 6:1 EMAIL ()HOME https://grants.ojp.usdoj.gov/bpsx/prepSubmitPayRequest.do 9/11/2013 SWBPI - PAYMENT REQUEST COMPLETE Page 1 of 1 I 'II WEsT IA( ituilat in.tosLcut t( IN [NI .I I I 175) HELP • EMAIL ()HOME The County of Maricopa, Arizona INSTRUCTIONS I— General Information Your payment request has been submitted to the Bureau of Justice Jurisdiction Assistance for review. To track the status of your payment request, go Information to the Application History section by selecting the Application History link from the left-hand menu. Contact Information APPLICATION APPROVAL DATE CASE REPORTING PERIOD AWARD AMOUNT I[ Application 08/14/2013 Jul 2011 to Jun 2012 $72,376.69 Manage Application .. Submit Application IF Payments -11 Request Payment ACH Bank Application '• History IF TOOLS Current Status Mail Center :: Change Password Log Out c.) 'l HELP EMAIL ()HOME https://grants.ojp.usdoj.gov/bpsx/submitPayRequestAction.do 9/11/2013