POLICE AND YOUTH PROGRAM A Funding Opportunity of the Juvenile Justice Advisory Committee 2010/2011 Application Form

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POLICE AND YOUTH PROGRAM A Funding Opportunity of the Juvenile Justice Advisory Committee 2010/2011 Application Form STATE OF CONNECTICUT M. Jodi Rell GOVERNOR Application Due Date: Wednesday, March 31, 2010 Office of Policy and Management Criminal Justice Policy and Planning Division November 2009

1. Eligibility POLICE AND YOUTH PROGRAM A Funding Opportunity of the Juvenile Justice Advisory Committee November 2009 The only eligible applicants for this funding are local public agencies. Local public agencies are eligible to apply for one time funding of up to $10,000 for the twelve-month period of July 1, 2010 to June 30, 2011. Typical local agencies involved in Police and Youth Programs are the police department, the youth services bureau, the school, the recreation department or the department of human services. Only one application under this program proposing to serve the same city, town or group of towns will be considered by the JJAC for funding, except that for the cities of Bridgeport, Hartford, New Britain, New Haven, Norwalk, Stamford, and Waterbury up to three applications each proposing to serve a different city neighborhood will be considered. Priority will be given to applicants that have not received a grant from the JJAC under the Police and Youth Program in the past three years. The JJAC will not fund any project already supported by the JJAC under the Police and Youth Program for three consecutive years. Priority will also be given to applicants working with police departments that have had at least one patrol officer complete the JJAC-sponsored one-day police training entitled Effective Police Interactions with Youth since May 1, 2009. For those hoping to meet this requirement prior to the due date for this program, two trainings are scheduled each month for December 2009, January 2010 and February 2010. March 2010 sessions are in the planning stage. (For additional information on the trainings go to www.ct.gov/opm/jjydtraining). Applicants selected for funding must also agree to send patrol officers to this training during the project year. It is expected that 10 to 15 grants will be awarded. The Juvenile Justice Advisory Committee (JJAC) has allocated a total of $100,000 for the Police and Youth Program. This allocation amount may be increased or decreased depending upon the number and quality of applications received. 2. Program Description Applicant agencies may apply for funds to increase or enhance opportunities for youth and police to work together to benefit their community. The goals of the Police and Youth Program are to promote positive youth development and to increase the numbers of police officers who are experienced and comfortable working and interacting with youth. Applicants must propose non-enforcement activities that: (1) are planned for and with older children 12 to 18 years of age; (2) will identify and serve some at risk youth; (3) appropriately involve patrol officers or other officers who, for the most part, do not have regular interaction with youth; (4) include a community service component; (5) include activities that will appeal to youth and encourage their participation; and (6) involve more than one session and/or have a follow-up component.

In addition, applicants must propose to send patrol officers to the one-day training entitled Effective Police Interactions with Youth. Applicants may use funds for activities related to the use of Play By the Rules (PBR). PBR is a "proven" and award winning crime prevention model for teaching state-specific law to middle school students, teachers, parents and community leaders. (PBR booklets for students and instructor guides are available at no charge at www.cclce.org. A special one-day training on teaching PBR will be offered on Monday, January 11, 2010 and Tuesday, January 12, 2010. For more information on the training, go to www.ct.gov/opm/jjydtraining.) This program category will not support teaching of DARE or GREAT, police youth academies, or traditional police explorer post activities, uniforms or equipment; however a police explorer-based proposal that meets requirements 1 through 6 above is eligible for funding. Applicants must have the support of local law enforcement for the city, town or group of towns to be served. Evidence of law enforcement support must be submitted in the form of a support letter from the chief of police or state trooper serving the community. Applicants must also be collaborating with at least one other youth serving agency in the community. Again, evidence of the collaboration must be submitted in the form of a support letter from the collaborating agency. 3. Application Content Each application must be prepared in conformance with the POLICE AND YOUTH PROGRAM Application Form. This form is available online in Word format at www.ct.gov/opm/jjydprograms. Click on Police and Youth. 4. Review Process and Criteria The applications that are determined by the staff at the Office of Policy and Management and the Subcommittee on Police Training to best meet the criteria and requirements of this application announcement on the Police and Youth Program shall be recommended to the Juvenile Justice Advisory Committee for funding at their May 6, 2010 meeting. Each application will be rated based on the following criteria: A. Responsiveness to program description and requirements. B. Extent to which the planning process for this project involved youth, as well as the extent to which the proposed project will involve youth in leadership development opportunities. C. Appropriateness and reasonableness of costs. D. Maximum use of existing resources. E. Overall feasibility of the proposed project. F. Maximum diversity in type, size of community and geographic locations of projects chosen. The State of Connecticut reserves the right to make awards for less than the amounts requested or to choose not to fund any applications from this solicitation. 5. Technical Assistance There will be two optional technical assistance sessions for applicant agencies that would like help in preparing their grant applications. This no cost training will be held:

DATE: Monday and Tuesday, January 11 and 12, 2010 TIME: 3:00 p.m. to 4:00 p.m. following the PBR Training PLACE: Courtyard by Marriott DIRECTIONS: Take exit 21 off I-91. Turn right at light at end of exit ramp. Turn right at first street. Hotel will be on right. Please register for this session by sending your name, title, agency, address, telephone number and e-mail address to Ms. Valerie LaMotte at valerie.lamotte@.ct.gov by January 7, 2010. Basically, this training will include a presentation on projects that work well with teens and police and Play By the Rules. There will also be an overview of application requirements and a question and answer period. It would be most helpful to participants if they come with ideas, outlines or drafts of their proposals. After the training session, applicants may telephone Ms. LaMotte at 860-418-6316 for additional assistance. 6. Due Date Applications are due at the State of Connecticut, Office of Policy and Management, Criminal Justice Policy and Planning Division, 450 Capitol Avenue MS#52CJP, Hartford, CT 06106-1379, Attention: Valerie LaMotte by 12 noon on Wednesday, March 31, 2010. Facsimile copies are not acceptable. The original and one copy of the application must be received at the address above by the due date. Applications must be all white paper, 8½ by 11, clipped and not stapled or bound together.

POLICE AND YOUTH PROGRAM Submit the following checklist with the original application. APPLICATION FORM Page 1 Is the application signed by an authorized official? Are the phone numbers and e-mail addresses included for items 7 and 8? YES Page 2 Has the project narrative been arranged and completed by copying the questions in bold type and answering in regular type in the order presented in the instructions? Pages 3, 4 and 5 Is the arithmetic correct on these pages? Has the budget preparer signed on page 4? Is there an explanation for each budget item in the budget narrative? Pages 6, 7, 8, and 11 Has each page been completed and signed by a proper authority? Pages 9 and 10 Complete these pages only if the proposed budget includes contractual items with specific identified contractor agencies. Overall Is there a support letter signed by the chief of police or the state trooper serving your community? Is there at least one support letter from a collaborating youth serving agency? Have all instructions pages been removed from the completed application? Have one original and one copy been prepared for delivery to the Office of Policy and Management by noon on Wednesday, March 31, 2010.

FACE SHEET FOR OFFICE USE ONLY: OFFICE OF POLICY AND MANAGEMENT CRIMINAL JUSTICE POLICY AND PLANNING DIVISION POLICE AND YOUTH PROGRAM Due Date: 3/31/10 1. Project Title 2. Full Legal Name of Applicant Agency 3. Proposed Period of Award Name: July 1, 2010 to June 30, 2011 4. Program Category Address: Police and Youth Program 5. Name of Official Authorized to Sign for Applicant Agency 6. I, the undersigned, for and on behalf of the named Name: applicant agency, do herewith apply for this grant, and attest that, to the best of my knowledge, the Title: statements made herein are true. Address: Signature Date (Please note signatures also required on pages 4, 6, 7, 8 and 11, and 10 if applicable) 7. Project Director 8. Financial Officer Name: Name: Title: Address: Title: Address: Telephone Number: Telephone Number: FAX Number: FAX Number: E-Mail Address: E-Mail Address: 9. Grant Funds Requested: 10. Audit: Date of last audit: 11. Application is for: X New Project Time period covered: 12. Summary Project Description

Page 1 Instructions: FACE SHEET Item 1 Select a brief project title. Item 2 Self-explanatory. Item 3. The beginning and ending dates proposed for the operation of the project. Has been completed for applicant. Item 4 Title of the specific program under which funds are being requested. Has been completed for applicant. Item 5 Usually the chief administrator for the agency. Item 6 Signature of the person named in Item 5 and date of signature. Item 7 The individual with responsibility for implementing the proposed program, authorized to represent the agency to OPM-CJPPD - please remember the telephone number and e-mail address. Item 8 The individual with responsibility for maintaining grant financial records and submitting these records to OPM-CJPPD on a timely basis. Item 9 Enter the amount of OPM-CJPPD funds requested in this application. Item 10 Self-explanatory. Item 11 "New," an application which requests funds for a project which was not the subject of a OPM-CJPPD grant in the preceding year. "Continuation," an application which requests OPM-CJPPD funds for a second, or subsequent, continuing year of project operations. Enter grant number of preceding year grant. Item 12 Typed, single spaced, concise description of the project - do not exceed the space provided.

APPLICANT: PROJECT TITLE: PROJECT NARRATIVE

Page 2 Instructions: PROJECT NARRATIVE In eight or fewer pages of numbered, typed, double-spaced, 12 point or greater font on 8-½ x11 white paper with at least a ½ inch margin on all sides, please describe the proposed project using the format below. Please copy the question in bold single-spaced type and answer in regular double-spaced type. Include at the end of this narrative, a support letter from the chief of police or state trooper serving your community and at least one support letter from a collaborating youth serving agency. NOTE: A letter from the chief elected official of a city or town does not fulfill the requirement of a support letter from the chief of police or a state trooper. You may include copies of the training certificates for patrol officers who attended Effective Police Interactions with Youth in the appendix. No other appendices are allowed. 1. How have youth been involved in planning this project? Indicate the number of youth involved in planning the project and how the youth were identified. 2. Describe what the project will do and with whom. 3. How many youth will be served and how will these youth be identified? Be sure to provide a plan for identifying some at risk youth. 4. What opportunities for leadership will youth have as part of this project? 5. How many police officers will be involved in this project and how will they be selected? Be sure to estimate how many officers will be those who, for the most part, do not have regular interaction with youth such as line, patrol and field training officers. 6. What is this project trying to accomplish? Provide at least one goal and at least three positive youth outcomes directly relating to the goal(s). Consider the following Outcome Categories: 1) Youth Personal Adjustment, 2) Youth Social Competencies, 3) Relationships With Family, 4) Positive Adult/Youth Relationships, 5) Positive Youth/School Connections, 6) Positive Youth/Peer Connections, and 7) Positive Youth/Community Connections. Applicants are encouraged to use the publication, Assessing Outcomes in Child and Youth Programs: A Practical Handbook, Revised Edition. Access to the Handbook can be found on the Office of Policy and Management s web site. Go to www.ctjjac.org. On the left, click on Juvenile Justice & Youth Development and click again on Publications. 7. How will this project impact the police officers involved? 8. How many patrol officers, not youth officers or school resource officers, have attended the Effective Police Interactions with Youth training since May 1, 2009 and how many will be sent to the training during the project period? For those who have already attended list their names and the date of attendance or submit a copy of their training certificates in an appendix.

APPLICANT: PROJECT TITLE: A. PERSONNEL TOTAL PROJECT BUDGET SALARIES ANNUAL % OF Federal Funds Other Funds SALARY TIME FRINGE BENEFITS SALARIES TOTAL CALCULATED AT % FRINGE BENEFITS TOTAL B. TRAVEL C. EQUIPMENT TRAVEL TOTAL EQUIPMENT TOTAL Page 3

Page 3 Instructions: BUDGET ITEMIZATION The proposed budget for the project is to be itemized on pages 3 and 4 of the grant application form. The budget should be for the proposed period of award specified in Item 3, Page 1 of the grant application form. Enter the project title and the name of the applicant at the top of the page. Enter funds requested in the proper column. Other funds includes additional cash or inkind resources that will be devoted to the proposed project. A similar format generated on applicant's computer is acceptable. Prohibition Against Supplanting of Funds Funds from this program may not be used to supplant existing funds. Supplanting is defined as the use of grant funds in place of other funds currently budgeted for an activity and thereby reducing the expenditure of other funds for that activity. Supplanting can also be defined as removing other funds from an activity supported by grant funds with the effect that the activity is not increased or enhanced by the full value of the grant funds applied. A. Personnel SALARIES Job titles-identify personnel by job title i.e. project director, social worker, secretary. Use classified job titles if applicable. Annual salary-enter annual salary for each position. For non-salaried positions, enter wages for a year. Enter salaries total. Percent time-enter percent of time that each person will work on the project. Total project budget-equals annual salary multiplied by percent of time. Enter salaries total for requested funds. Note: Personnel time and attendance records must be kept and clearly identified as project-related activity for auditing purposes. FRINGE BENEFITS Enter the amount of anticipated fringe benefit expenditures for the personnel positions listed. Show the percentage used to compute this figure. (It is acceptable for fringe benefit costs to be identical to those granted to regular employees of the applicant agency.) Enter fringe benefits total for requested funds. Enter personnel total for requested funds. B. Travel Expenses for travel may include mileage, subsistence, registration or tuition costs for seminars or workshops, and lodging and transportation necessary for project staff training. Mileage expenses should be those normally allowed by the applicant agency, but must not exceed federal rates. The amount allowed per mile by the applicant agency must be stated on the budget itemization. Enter travel total for requested funds. Note: Records of travel expenditures must be kept on file and clearly identified as projectrelated activity for auditing purposes. C. Equipment List all proposed equipment and the amount per unit (e.g. 5 desks @ $100 each). The cost for each item should include taxes, delivery, installation, and all other related charges, except the leasing or rental of equipment, which should be entered in Budget Category E. Consulting and Contractual. Detailed inventory records must be maintained on all equipment to allow for the exercising of proper controls and to expedite the grantee's filing of reports during and at the expiration of the period of award. Enter equipment purchases total for requested funds. Note: Equipment with an initial purchase price of less than $25 per item should be listed in Budget Category D. Supplies.

APPLICANT: PROJECT TITLE: D. SUPPLIES TOTAL PROJECT BUDGET Requested Other Funds Funds SUPPLIES TOTAL E. CONSULTING & CONTRACTUAL CONSULTING & CONTRACTUAL TOTAL F. FACILITIES G. OTHER FACILITIES TOTAL OTHER TOTAL GRANT TOTAL Prepared By Date Signature Page 4

Page 4 Instructions: BUDGET ITEMIZATION The proposed budget for the project is to be itemized on pages 3 and 4 of the grant application form. The budget should be for the proposed period of award specified in Item 3, Page 1 of the grant application form. Enter the project title and the name of the applicant at the top of the page. Enter funds requested in the proper column. Other funds includes additional cash or inkind resources that will be devoted to the proposed project. A similar format generated on applicant's computer is acceptable. Prohibition Against Supplanting of Funds Funds from this program may not be used to supplant existing funds. Supplanting is defined as the use of grant funds in place of other funds currently budgeted for an activity and thereby reducing the expenditure of other funds for that activity. Supplanting can also be defined as removing other funds from an activity supported by grant funds with the effect that the activity is not increased or enhanced by the full value of the grant funds applied. D. Supplies Enter the item quantity and total purchase price. Consumable expenses include office supplies, postage, and reproduction and printing costs. Include equipment items with an initial purchase price of less than $25 per item. Enter supplies total for requested funds. E. Consulting and Contractual Contractual agreements are arrangements in which there is a written agreement specifying the provision of goods and services in exchange for financial reimbursement. Enter the type of service to be purchased and the fee or rate of payment intended. If known, please identify specific contractor and subcontractor agencies, amount of funds earmarked to each. Enter consulting and contractual total for requested funds. F. Facilities Indicate the actual cost of any rented or leased space, whether for office, residence or any other purpose. Enter facilities total for requested funds. G. Other Enter the cost for telephone service as well as for other anticipated expenditures that do not fit into the previous categories, i.e. books, periodicals, utilities. Also enter indirect costs, if any. Indirect costs may not exceed 5% of the total grant funds requested. Enter other total for requested funds. Grant totals Enter grant total. Enter name, title, signature and date for preparation of budget itemization.

APPLICANT: PROJECT TITLE: BUDGET NARRATIVE

Page 5 Instructions: BUDGET NARRATIVE The budget narrative should provide the following information for each budget category: 1) a complete, but concise description of the item budgeted, and 2) how the costs for each item were derived. Enter the project title and the name of the applicant agency at the top of each page. Use additional pages as necessary. A similar format generated on applicant's computer is acceptable. A. Personnel SALARIES For each job title, describe the responsibilities of the position and the minimum qualifications. Explain the relationship of each position to the objectives of the project. For salaried positions, explain how the salary figure was determined. For non-salaried positions, explain the basis for your computations (i.e. amount/hour x hours/week x number of weeks). FRINGE BENEFITS List items used to calculate the indicated fringe benefit rate i.e. Social Security, Blue Cross, Unemployment Insurance, Workmen's Compensation, Life Insurance,etc. B. Travel Describe in detail expected travel costs for project staff. Conference and seminar titles and costs should be listed if known. C. Equipment List all equipment to be purchased. Explain the relationship of all equipment to the objectives of the project. Explain how cost figures were determined. D. Supplies Describe the basis for computing consumable expenses and explain any unusual types or quantities of consumable items. E. Consulting and Contractual For each contractual service and/or known contractor and subcontractor, describe the nature of the service to be performed. List the number of days of services, daily fee rate and other related costs. Describe related costs in detail. Explain the relationship of all contractual services to the objectives of the project. F. Facilities Describe the cost per square foot, the number of square feet, and the number of project personnel that will use the rented or leased facility. Explain how the cost figure for the space was determined. Describe in detail any unusual lease or rental agreements, contingencies or anticipated obstacles in acquiring facilities, i.e. availability, zoning, licensing, certifications, etc. G. Other Describe all other costs and indicate the basis for your computations. Explain the relationship of all other expenses to the objectives of the project.

CONTRACTOR/GRANTEE COMPLIANCE FORMS NOTIFICATION TO CONTRACT/GRANTEE BIDDERS The contract to be awarded is subject to contract compliance requirements mandated by Section 4a-60 of the Connecticut General Statutes; and, when the awarding agency is the state, Section 46a-71(d) of the Connecticut General Statues. There are Contract Compliance Regulations codified at Section 46a-68j-21 et seq. of the Regulations of Connecticut State Agencies which establish a procedure for the awarding of all contracts covered by Sections 4-11a and 46a-71(d) of the Connecticut General Statues. According to Section 46a-68j-21 et seq. of the Contract Compliance Regulations, every agency awarding a contract subject to the contract compliance requirements has an obligation to "aggressively solicit the participation of legitimate minority business enterprises as bidders, contractors, subcontractors, and suppliers of materials." "Minority business enterprise" is defined in Section 4a-60(b) of the Connecticut General Statutes as a business wherein fifty-one percent or more of the capital stock, or assets belong to a person or persons: "(1) who are active in the daily affairs of at the enterprise; (2) who have the power to direct the management and policies of the enterprise; and (3) who are members of a minority, as such term is defined in subsection (a) of Section 32-9n." "Minority" groups are defined in Section 32-9n of the Connecticut General Statues as "(1) Black Americans... (2) Hispanic Americans... (3) Women... (4) Asian Pacific Americans and Pacific Islanders; or (5) American Indians." The above definitions apply to the contract compliance requirements by virtue of Section 46a-68j-21 et seq. of the Contract Compliance Regulations. The awarding agency will consider the following factors when reviewing the bidder's qualifications under the contractor compliance requirements: (a) the bidder's success in implementing an affirmative action plan; (b) the bidder's success in developing an apprenticeship program complying with Sections 46a-68-1 to 46a-68-17 of the Regulations of Connecticut State Agencies, inclusive; (c) the bidder's promise to develop and implement a successful affirmative action plan; (d) the bidder's submission of EEO-1 data indicating that the composition of its work force is at or near parity when compared to the racial and sexual composition of the work force in the relevance labor market area; and (e) the bidder's promise to set aside a portion of the contract for legitimate minority business enterprises. See Section 46a-68j-21 et seq. of the Contract Compliance Regulations. ----------------------------------------------------------------------------------------------------------------------------- Instructions: Bidder/Grant applicant must sign acknowledgment below and return signed page to Awarding Agency along with bid/grant proposal. Please retain a copy for your files. The undersigned acknowledges receiving and reading a copy of the "Notification to Bidders " Form. Contractor's/Grantee s Authorized Signature Date On behalf of: Page 6

Evidence of Nondiscrimination Form State of Connecticut Office of Policy and Management 450 Capitol Avenue-MS#52CJP Hartford, CT 06106-1379 Name & Address of Firm: Contact Person: Title: Telephone Number: Dear: We have read the extract provided of Connecticut General Statutes (Sec. 4-114a) and Connecticut State Agencies Regulations (Sec. 4-114a-2) and agree with the principles expressed therein. We offer as evidence of nondiscrimination and of our agreement and ability to meet contract compliance regulations one or more of the following factors and have enclosed appropriate, related documentation. FACTORS (a) success in implementing an affirmative action plan; (b) success in developing an apprentice-ship program in compliance with Section 46-68- 1 to 46a-68-17 inclusive, Regulations of Connecticut State Agencies; (c) promise to develop and implement a successful affirmative action plan; (d) submission of EEO-1 data indicating that the composition of its workforce is at or near parity in the relevant labor market area; and (e) promise to set aside a portion of the contract for legitimate minority business enterprises. EVIDENCE ENCLOSED Dated: Signature: Title: Page 7

CONTRACTOR/GRANTEE COMPLIANCE FORMS WORKFORCE ANALYSIS Contractor/Grantee Name: Total # of CT employees: Address: Full-time Part-time Complete the following Workforce Analysis for employees on Connecticut worksites who are: JOB CATEGORIES Officials & Managers Professionals OVERALL TOTALS (sum of all columns - male & female) WHITE (NOT OF HISPANIC ORIGIN) BLACK (NOT OF HISPANIC ORIGIN) MALE FEMALE MALE FEMA LE HISPANIC ASIAN OR PACIFIC ISLANDER AMERICAN INDIAN OR ALASKAN NATIVE PEOPLE WITH DISABILITIES MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE Technicians Sales Workers Office & Clerical Craft Workers (Skilled) Operatives (Semi-skilled) Laborers (Unskilled) Service Workers TOTALS ABOVE TOTALS ONE YEAR AGO FORMAL, ON -THE -JOB TRAINEES (Enter figures for the same categories as are shown above.) Apprentices Trainees EMPLOYMENT FIGURES WERE OBTAINED FROM: Contractor's/Grantee s Authorized Signature ----- VISUAL CHECK ----- EMPLOYMENT RECORDS ---- OTHER Date Page 8

SUB-CONTRACTORS FORM Contractor/Grantee Date Street Address Town Contact Person Title State Zip Code Telephone Number FAX Number E-mail Instructions Identify all sub-contractors who will provide service/supplies for this contract. Provide the name, address, contact person, and a description of the services to be provided. Good faith efforts must be made to utilize minority businesses. Minority businesses in this case means those owned and operated by Blacks, Hispanics, Women, Asian, Pacific Islanders and/or American Indians. Please indicate whether such good faith efforts have been made. Name: Address: Contact Person: Description of Services: Dollar Amount: Name: Address: Contact Person: Description of Services: Dollar Amount: Page 9

Name: Address: Contact Person: Description of Services: Dollar Amount: Name: Address: Contact Person: Description of Services: Dollar Amount: Name: Address: Contact Person: Description of Services: Dollar Amount: Signature Date Page 10

U.S. Department of Justice Office of Justice Programs Office of the Comptroller CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS (Sub-Recipient) and NON-SUPPLANTING CERTIFICATION This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 28 CFR Part 85, Section 85.510, Participants responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). (Before completing certification, read instructions on reverse.) (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principles are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. and The undersigned certifies that the grant funds will be used to supplement and not to supplant funds otherwise available. Name and Title of Authorized Representative Signature Date Name and Address of Organization Page 11

INSTRUCTIONS CERTIFICATION REGARDING DEBARMENT 1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. 5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. 6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may check the Nonprocurement List. 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.