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OMB Number: 4040-0004 Expiration Date: 12/31/2022 Application for Federal Assistance SF-424 * 1. Type of Submission: [--- Preapplication Application " 2. Type El New of Application: * If Revision, select appropriate letter(s): Continuation *Other (Specify): Application n Changed/Corrected 1-- Revision * 3. Date Received: 4. Applicant Identifier: 05/11/2020 5a. Federal Entity Identifier: 5b. Federal Award Identifier: State Use Only: 6. Date Received by 7. State Application Identifier: State: 8. APPLICANT INFORMATION: * a. Legal Name: Maricopa County * b. Employer/Taxpayer Identification Number (EINTTIN): * c. Organizational DUNS: 866000472 1377835560000 d. Address: * Street1: Street2: * City: County/Parish: *State: Province: * Country: *Zip / Postal Code: 550 West Jackson Street Phoenix AZ: Arizona USA: UNITED STATES 85003-2412 e. Organizational Unit: Department Name: Division Name: Maricopa Cnty Sheriff's Office Special Investigations f. Name and contact information of person to be contacted on matters involving this application: Prefix: Middle Name: * Last Name: Suffix: * First Name: Cindy Kenney Title: Grant Administrator Organizational Affiliation: *Telephone Number: 602-876-3266 Fax Number: *Etnaffi C_Kenney@MCSO.Maricopa.gov Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: B: County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Office of National Drug Control Policy 11. Catalog of Federal Domestic Assistance Number: 95.001 CFDA Title: * 12. Funding Opportunity Number: HIDTA *Title: High Intensity Drug Trafficking Area 13. Competition Identification Number: N/A Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: High Intensity Drug Trafficking Area Program Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments Application for Federal Assistance SF-424 16. Congressional * a. Applicant Districts Of: AZ *b. Program/Project AZ Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17. Proposed " a. Start Date: Project: 01/01/2021 * b. End Date: 12/31/2022 18. Estimated Funding (6): " a. Federal * b. Applicant * c. State * d. Local * e. Other * f. Program Income * g. TOTAL 671,414.00 0 .00 0.00 0.00 0.00 0. 00 671,414.00 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? was made available to the State under the Executive Order 12372 Process for review on is subject to E.O. 12372 but has not been selected by the State for review. is not covered by E.O. 12372. . Ill a. This application ri b. Program 1 c. Program * 20. Is the Applicant Yes If "Yes", provide Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) No explanation and attach Add Attachment Delete Attachment View Attachment 21. *By signing herein are true, comply with any subject me to this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency 1 ** I AGREE ** The list of certifications specific instructions. Authorized Representative: Prefix: Middle Name: * Last Name: Suffix: * First Name: Clint Hickman * Title: Chairman * Telephone Number: 602 - 506 - 7642 Fax Number: * Email: chickman@mail .maricopa . goy * Signature of Authorized Representative: * Date Signed: