Contract - 03-21-2017 - 8624 - HIDTA Grant for Drug Task Force.AS -8624
BOCC Agenda
Meeting Date: 03/21/2017
HIDTA Grant for Drug Task Force
Submitted For: Mark Nelson, Sheriff
Department: Sheriff
Motion Items
Submitted By: Marc Gilchrist, Sheriff
Information
10.
Subject and Summary Statement
The Cowlitz County Sheriffs Office would like to accept a grant on behalf of the Cowlitz Wahkiakum
Narcotics Task Force ( CWNTF) from the High Intensity Drug Trafficking Areas (HIDTA) Program.
This program is funded by the Office of National Drug Control Policy. We have been awarded this grant
for many years. This year the funding is in the amount of $28,650. It is anticipated that the funded
amount will increase to a total of $50,000 at some point during the two year duration of the grant.
Funding in previous grant cycles has been $50,000.
Funds are used to reimburse the CWNTF for overtime, facility expenses, services, equipment, supplies,
confidential informant payments, and drug purchases.
HIDTA funding represents about 12% of the CWNTF overall annual budget. Other funding sources
include the Justice Assistance Grant (JAG) and forfeited assets which includes cash, vehicles and other
personal and real property.
A goal of the Task Force is to disrupt the market for illegal drugs by dismantling or disrupting drug
trafficking and /or money laundering organizations. In 2016 the CWNTF made 100 arrests and seized just
over $55,000 in assets associated with criminal drug activity. Sixty firearms which included handguns,
shotguns, rifles, and one bazooka were seized or recovered stolen. Fifty search warrants were written
that resulted in the seizure of 31 different drugs including cocaine, ecstasy, heroin, and LSD. Legal
medication but possessed illegally was also seized including diazepam, hydrocodone, morphine,
oxycodone and Vicodin.
Will Staff Attend Y / N
Yes
Department Recommendation
The Cowlitz County Sheriffs Office recommends acceptance of the HIDTA grant on behalf of the Cowlitz
Wahkiakum Narcotics Task Force.
Fiscal Impact
Expenditure Required $: 502000
Budget Sufficient Y -N: Yes
Amendment Required Y -N: No
Source of Funds - Fund /Dept.: 16001 320100 TF
Grant Y -N: Yes
Attachments
HIDTA Grant Acceptance
Inbox
Mark Nelson, Sheriff
Claire Hauge, Financial Management
Clerk of the Board
Form Started By: Marc Gilchrist
Final Approval Date: 03/1512017
Form Review
Reviewed By Date
Mark Nelson 03/14/2017 04:09 PM
Claire Hauge 03115/2017 07:34 AM
Traci Jackson 0311512017 08:24 AM
Started On: 03/14/2017 09:27 AM
COWLITZ COUNTY: Board of County Commissioners
Of Cowlitz County, Washington
Joe Gardner, Chairman
Dennis P. Weber, Commissioner
Arne Mortensen, Commissioner
Date
Clerk bf thEVBoard
Approved as to form P.A.
V%E SID, 4,!
a aW LLS
C
w O
February 6, 2017
Sheriff Mark Nelson
Cowlitz County Sheriffs Office
312 SW 1st Avenue
Kelso, WA 98626
Dear Mark Nelson:
We are pleased to inform you that your request for funding from the High Intensity Drug
Trafficking Areas ( HIDTA) Program has been approved, and a grant (Grant Number
G17N W0011A) has been awarded in the amount of $28,650. This grant will support
initiatives designed to implement the Strategy proposed by the Executive Board of the
Northwest HIDTA and approved by the Office of National Drug Control Policy ( ONDCP).
The original Grant Agreement, including certain Special Conditions, is enclosed. By
accepting this grant, you assume the administrative and financial responsibilities outlined in the
enclosed Grant Conditions, including the timely submission of all financial and programmatic
reports, the resolution of audit findings, and the maintenance of a minimum level of cash -on -hand.
Should your organization not adhere to these terms and conditions, ONDCP may terminate the grant
for cause or take other administrative action.
If you accept this award, please sign both the Grant Agreement and the Grant Conditions and
return a copy to:
Finance Unit
National HIDTA Assistance Center
11200 NW 20th Street, Suite 100
Miami, FL 33172
305) 715 -7600
Or via email to your respective NHAC accountant.
Please keep the original copy of the Grant Agreement and Grant Conditions for your file.
If you have any questions pertaining to this grant award, please contact Andrew Coffey at (202) 395-
4694.
Sincerely,
Wwatg K.wieb
Michael K. Gottlieb
Associate Director
Page I of-8
Executive Office of the President Grant Agreement
Office of National Drug Control Policy
1. Recipient Name and Address 4. Award Number (FAIN): G17NW001IA
Mark Nelson
5. Period of Performance: Cowlitz County Sheriffs Office
312 SW 1stAvenue From 01/01/2017 to 12/31%2018
Kelso, WA 98626
2. Total Amount of the Federal Funds Obligated: 6. Federal Award Date: 7. Action:
28,650 February 6, 2017 Initial
2A. Budget Approved by the Federal Awarding 8. Supplement Number
Agency $28,650
3. CFDA Name and Number: 9. Previous Award Amount:
High Intensity Drug Tracking Areas
Program - 95.001
3A. Project Description 10. Amount of Federal Funds Obligated by this
Action:
28,650
11. Total Amount of Federal Award: High Intensity Drug Trafficking Areas (HIDTA)
Program 28,650
12. Consistent with P.L. 114 -254, the Continuing Appropriations Resolution, 2017, this document provides a
total budget and spending ceiling as reflected in Block 10 of the Grant Award document, which represents
funding at a rate of 57.3% of the fiscal year 2016 funding level. Accordingly, the sum of all budgets
cannot exceed the award amount reflected in Block 10 of the Grant Award document. The Office of
National Drug Control Policy acknowledges that the aforementioned funding level is below the stated
budget requirements; however, additional funding cannot be made available until enacted through public
law.
13. Statutory Authority for Grant: Public Law 114 -254
t
14. Typed Name and Title of Approving Official) 15. Typed Name and Title of Authorized Official
Michael K. Gottlieb Sheriff Mark Nelson
Associate Director
Office of National Drug Control Policy Cowlitz County Sheriffs Office
16. Signature of Approving ONDCP Official 17. Signature of Authorized Recipient/Date
U'wr/ 1(.9
Z /9
18. Accounting Classification Code 19. HIDTA AWARD
DUNS: 784061871 0ND1070DB1718XX OND6111
FIN: 1916001310A6 OND2000000000 OC 410001
Grant G 17NW0011 A
Page 2 of 8
GRANT CONDITIONS
A. General Terms and Conditions
1. This award is subject to The Uniform Administrative Requirements, Cost Principles, and Audit
Requirements in 2 C.F.R. Part 200 (the "Part 200 Uniform Requirements "), as adopted and
implemented by the Office of National Drug Control Policy ( ONDCP) in 2 C.F.R. Part 3603.
For this 2016 award, the Part 200 Uniform Requirements supersede, among other things, the
provisions of 28 C.F.R. Parts 66 and 70, as well as those of 2 C.F.R. Parts 215, 220, 225, and
230.
For more information on the Part 200 Uniform Requirements, see https: / /cfo.gov /cofar /. For
specific, award - related questions, recipients should contact ONDCP promptly for clarification.
2. This award is subject to the following additional regulations and requirements:
28 CFR Part 69 — "New Restrictions on Lobbying"
Conflict of Interest and Mandatory Disclosure Requirements, set out in paragraph 7 of these
terms and conditions
Non -profit Certifications (when applicable)
3. Audits conducted pursuant to 2 CFR Part 200, Subpart F, "Audit Requirements" must be
submitted no later than nine months after the close of the grantee's audited fiscal year to the
Federal Audit Clearinghouse at https: //harvester.census.gov /facweb /.
4. Grantees are required to submit Federal Financial Reports (FFR) to the Department of Health and
Human Services, Division of Payment Management (HHS/DPM). Federal Financial Report is
required to be submitted quarterly and within 90 days after the grant is closed out.
5. The recipient gives the awarding agency or the Government Accountability Office, through any
authorized representative, access to, and the right to examine, all paper or electronic records
related to the grant.
6. Recipients of HIDTA funds are not agents of ONDCP. Accordingly, the grantee, its fiscal agent
s), employees, contractors, as well as state, local, and Federal participants, either on a collective
basis or on a personal level, shall not hold themselves out as being part of, or representing, the
Executive Office of the President or ONDCP.
These general terms and conditions, as well as archives of previous versions of the general terms and
conditions, are available online at www whitehouse.gov/ondcp /grants.
7. Conflict of Interest and Mandatory Disclosures
A. Conflict of Interest Requirements
Grant G 17NW001 1 A
Pagc 3 of 8
As a non - Federal entity, you must follow ONDCP's conflict of interest policies for Federal
awards. Recipients must disclose in writing any potential conflict of interest to an ONDCP
Program Officer; recipients that are pass - through entities must require disclosure from
subrecipients or contractors. This disclosure must take place immediately whether you are an
applicant or have an active ONDCP award.
The ONDCP conflict of interest policies apply to sub - awards as well as contracts, and are as
follows:
i. As a non - Federal entity, you must maintain written standards of conduct covering conflicts
of interest and governing the performance of your employees engaged in the selection,
award, and administration of subawards and contracts.
ii. None of your employees may participate in the selection, award, or administration of a
subaward or contract supported by a Federal award if he or she has a real or apparent
conflict of interest. Such a conflict of interest would arise when the employee, officer, or
agent, any member of his or her immediate family, his or her partner, or an organization
which employs or is about to employ any of the parties indicated herein, has a financial or
other interest in or a tangible personal benefit from an organization considered for a sub -
award or contract. The officers, employees, and agents of the non - Federal entity must
neither solicit nor accept gratuities, favors, or anything of monetary value from
subrecipients or contractors or parties to subawards or contracts.
iii. If you have a parent, affiliate, or subsidiary organization that is not a state, local
government, or Native American tribe, you must also maintain written standards of conduct
covering organizational conflicts of interest. Organizational conflicts of interest means that
because of relationships with a parent company, affiliate, or subsidiary organization, you
are unable or appear to be unable to be impartial in conducting a sub -award or procurement
action involving a related organization.
B. Mandatory Disclosure Requirement
As a non - Federal entity, you must disclose, in a timely manner, in writing to ONDCP all
violations of Federal criminal law involving fraud, bribery or gratuity violations potentially
affecting the Federal award. Non - Federal entities that have received a Federal award that
includes the term and condition outlined in 200 CFR Part 200, Appendix XII "Award Term and
Condition for Recipient Integrity and Performance Matters," are required to report certain civil,
criminal, or administrative proceedings to System for Award Management (SAM). Failure to
make required disclosures can result in remedies such as: temporary withholding of payments
pending correction of the deficiency, disallowance of all or part of the costs associated with
noncompliance, suspension, termination of award, debarment, or other legally available remedies
outlined in 2 CFR 200.338 "Remedies for Noncompliance ".
8. Federal Funding Accountability and Transparency ( FFATA) / Digital Accountability and
Transparency Act (DATA Act). Each applicant is required to (i) Be registered in SAM before
submitting its application; (ii) provide a valid DUNS number in its application; (iii) continue to
maintain an active System for Award Management registration with current information at all
times during which it has an active Federal award; and (iv) provide all relevant grantee
information required for ONDCP to collect for reporting related to FFATA and DATA Act
requirements.
9. Subawards are authorized under this grant award. Subawards must be monitored by the award
recipient as outlined in 2 CFR 200.331.
Grant G17NW001 IA
Page 4 of 8
10. Recipients must comply with the Government -wide Suspension and Debarment provision set
forth at 2 CFR Part 180, dealing with all sub - awards and contracts issued under the grant.
11. As specified in the HIDTA Program Policy and Budget Guidance, recipient must:
a) Establish and maintain effective internal controls over the Federal award that provides
reasonable assurance that Federal award funds are managed in compliance with Federal
statutes, regulations and award terms and conditions. These internal controls should be in
compliance with the guidance in "Standards for Internal Control in the Federal
Government," issued by the Comptroller General of the United States and the "Internal
Control Integrated Framework," issued by the Committee of Sponsoring Organizations of
the Treadway Commission (COSO).
b) Comply with Federal statutes, regulations, and the terms and conditions of the Federal
awards.
c) Evaluate and monitor compliance with applicable statute and regulations, and the terms
and conditions of the Federal award.
d) Take prompt action when instances of noncompliance are identified, including
noncompliance identified in audit findings.
e) Take reasonable measures to safeguard protected PII and other information ONDCP or the
recipient designates consistent with applicable Federal, state, and local laws regarding
privacy and obligations of confidentiality.
B. Recipient Integrity and Performance Matters
Reporting of Matters Related to Recipient Integrity and Performance
1. General Reporting Requirement
If the total value of your currently active grants, cooperative agreements, and procurement
contracts from all Federal awarding agencies exceeds $10,000,000 for any period of time during
the period of performance of this Federal award, then you as the recipient during that period of
time must maintain and report current information to the SAM that is made available in the
designated integrity and performance system (currently the Federal Awardee Performance and
Integrity Information System (FAPHS)) about civil, criminal, or administrative proceedings
described in paragraph 2 of this award term and condition (below). This is a statutory
requirement under section 872 of Public Law 110 -417, as amended (41 U.S.C. 2313). As
required by section 3010 of Public Law 111 -212, all information posted in the designated
integrity and performance system on or after April 15, 2011, except past performance reviews
required for Federal procurement contracts, will be publicly available.
2. Proceedings About Which You Must Report
Submit the information required about each proceeding that:
a. Is in connection with the award or performance of a grant, cooperative agreement, or
procurement contract from the Federal Government;
b. Reached its final disposition during the most recent 5 year period; and
c. Is one of the following:
Grant GT17NW00 I IA
Page 5 of 8
1) A criminal proceeding that resulted in a conviction, as defined in paragraph 5 of this
award term and condition (below);
2) A civil proceeding that resulted in a finding of fault and liability and payment of a
monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more;
3) An administrative proceeding, as defined in paragraph 5 of this award term and
condition, that resulted in a finding of fault and liability and your payment of either a
monetary fine or penalty of $5,000 or more or reimbursement, restitution, or damages in
excess of $100,000; or
4) Any other criminal, civil, or administrative proceeding if
i) It could have led to an outcome described in paragraph 2.c.(I), (2), or (3) of this
award term and condition;
ii) It had a different disposition arrived at by consent or compromise with an
acknowledgment of fault on your part; and
iii) The requirement in this award term and condition to disclose information about the
proceeding does not conflict with applicable laws and regulations.
3. Reporting Procedures
Enter in the SAM Entity Management area the information that SAM requires about each
proceeding described in paragraph 2 of this award term and condition. You do not need to
submit the information a second time under assistance awards that you received if you already
provided the information through SAM because you were required to do so under Federal
procurement contracts that you were awarded.
4. Reporting Frequency
During any period of time when you are subject to the requirement in paragraph 1 of this award
term and condition, you must report proceedings information through SAM for the most recent
5 year period, either to report new information about any proceeding(s) that you have not
reported previously or affirm that there is no new information to report. Recipients that have
Federal contract, grant, and cooperative agreement awards with a cumulative total value greater
than $10,000,000 must disclose semiannually any information about the criminal, civil, and
administrative proceedings.
5. Definitions
For purposes of this award term and condition:
a. Administrative proceeding means a non judicial process that is adjudicatory in nature in
order to make a determination of fault or liability (e.g., Securities and Exchange
Commission.Administrative proceedings, Civilian Board of Contract Appeals proceedings,
and Armed Services Board of Contract Appeals proceedings). This includes proceedings at
the Federal and state level, but only in connection with performance of a Federal contract or
grant. It does not include audits, site visits, corrective plans, or inspection of deliverables.
b. Conviction, for purposes of this award term and condition, means a judgment or
conviction of a criminal offense by any court of competent jurisdiction, whether entered
upon a verdict or a plea, and includes a conviction entered upon a plea of nolo contendere.
c. Total value of currently active grants, cooperative agreements, and procurement contracts
includes—
1) Only the Federal share of the funding under any Federal award with a recipient cost
share or match; and
Grant G17NWOOIIA
Page 6 of 8
2) The value of all expected funding increments under a Federal award and options,
even if not yet exercised.
C. Program Specific Terms and Conditions
The following special conditions are incorporated into each award document.
1. This grant is awarded for above program. Variation from the description of activities approved
by ONDCP and/or from the budget attached to this letter must comply with the reprogramming
requirements as set forth in ONDCP's HIDTA Program Policy and Budget Guidance (PPBG).
2. This award is subject to the requirements in ONDCP's HIDTA PPBG.
3. No HIDTA funds shall be used to supplant state or local funds that would otherwise be made
available for the same purposes.
4. The requirements of 28 CFR Part 23, which pertain to information collection and management
of criminal intelligence systems, shall apply to any such systems supported by this award.
5. Special accounting and control procedures must govern the use and handling of HIDTA
Program funds for confidential expenditures; i.e., the purchase of information, evidence, and
services for undercover operations. Those procedures are described in Section 6 of the HIDTA
Program Policy and Budget Guidance.
6. Property acquired with these HIDTA grant funds is to be used for activities of the Northwest
HIDTA. If your agency acquires property with these funds and then ceases to participate in the
HIDTA, this equipment must be made available to the HIDTA's Executive Board for use by
other HIDTA participants.
7. All law enforcement entities that receive funds from this grant must report all methamphetamine
laboratory seizure data to the National Clandestine Laboratory Database/National Seizure
System at the El Paso Intelligence Center.
D. Federal Award Performance Goals
1. All entities that receive funds from this award are responsible for achieving performance goals
established in the HIDTA Performance Management Process (PMP) and approved by the
HIDTA's Executive Board and ONDCP.
2. All entities that receive funds from this award must report progress in achieving performance
goals at least quarterly using the PMP.
See also Section A. 4 regarding Federal Financial Reports.
E. Payment Basis
1. A request for Advance or Reimbursement shall be made using the HHS/DPM system
www.dpm.psc.gov).
2. The grantee, must utilize the object classes specified within the initial grant application each
time they submit a disbursement request to ONDCP. Requests for payment in the DPM system
will not be approved unless the required disbursements have been entered using the
corresponding object class designations. Payments will be made via Electronic Fund Transfer
to the award recipient's bank account. The bank must be Federal Deposit Insurance Corporation
FDIC) insured. The account must be interest bearing.
Grant G17NWOOIIA
Page 7 of 8
3. Except for interest earned on advances of funds exempt under the Intergovernmental
Cooperation Act (31 U.S.C. 6501 et seq.) and the Indian Self- Determination and Education
Assistance Act (25 U.S.C. 450), awardees and sub - awardees shall promptly, but at least
annually, remit interest earned on advances to HHS/DPM using the remittance instructions
provided below.
Remittance Instructions - Remittances must include pertinent information of the payee and
nature of payment in the memo area (often referred to as "addenda records" by Financial
Institutions) as that will assist in the timely posting of interest earned on Federal funds. Pertinent
details include the Payee Account Number (PAN), reason for check (remittance of interest
earned on advance payments), check number (if applicable), awardee name, award number,
interest period covered, and contact name and number. The remittance must be submitted as
follows:
Through an electronic medium using either Automated Clearing House (ACH) network or a
Fedwire Funds Service payment.
i) For ACH Returns:
Routing Number: 051036706
Account number: 303000
Bank Name and Location: Credit Gateway —ACH Receiver St. Paul, MN
ii) For Fedwire Returns *:
Routing Number: 021030004
Account number: 75010501
Bank Name and Location: Federal Reserve Bank Treas NYC/Funds Transfer
Division New York, NY
Please note organization initiating payment is likely to incur a charge from
your Financial Institution for this type of payment)
For recipients that do not have electronic remittance capability, please make check ** payable
to: "The Department of Health and Human Services."
Mail Check to Treasury approved lockbox:
HHS Program Support Center, P.O. Box 530231, Atlanta, GA 30353 -0231
Please allow 4 -6 weeks for processing of a payment by check to be
applied to the appropriate PMS account)
Any additional information/instructions may be found on the PMS Web site at
http-//www.dpm.12sc.gpv/.
4. The grantee or subgrantee may keep interest amounts up to $500 per year for administrative
purposes.
Grant G 17NW001 1 A
Pa(le 8 01,8
RECIPIENT ACCEPTANCE OF GRANT CONDITIONS
Date: 2- V1 i
Mark Nelson
Cowlitz County Sheriffs Office
Initiative Cash by HIDTA
rMM11FVA
Awarded Budget (as approved by ONDCP)
HIDTA Agency Name Initiative
Northwest Cowlitz County Sheriff's Office Cowl itz-Wahkiakum Narcotics
Task Force
Agency Total : Cowlitz County Sheriff's Office
Total
1/31/2017 3:30:56 PM
Cash Type Grant
50,000.00 Investigation G17NWOOIIA
50,000.00
50,000.00
Budget Detail
2017 - Northwest
Initiative - Cowlitz - Wahkiakum Narcotics Task Force
Award Recipient - Cowlitz County Sheriff's Office (G17NW001IA)
Resource Recipient - Cowlitz County Sheriff's Office
Indirect Cost. 0.0%
Awarded Budget (as approved by ONDCP) $50,000.00
Overtime Quantity Amount
Investigative - Law Enforcement Officer 10 $6,000.00
Total Overtime $6,000.00
me Quantity Amount'
i-
Lease $7,753.00
Utilities 1,247.00
Total Facilities 9,000.00
1 Z4 1kj L41 Quantity
Communications - data lines 2,000.00
Communications - mobile phones & pagers 5,000.00
Investigative services 1,100.00
Service contracts 6,400.00
Shipping & postage 500.00
Total Services 15,000.00
Supplies Quantity Amount
Investigative /Operational 1,000.00
Office 500.00
Technical investigative equipment 2,500.00
Vehicles - passenger 4 $5,000.00
Vehicles - specialty 1 $1,000.00
Total Supplies 10,000.00
Other Quantity Amount
PE /PI /PS 10,000.00
Total Other 10,000.00
Total Budget 50,000.00
Page 1 of 1 1/31/2017 3:30:56 PM
OMB Number: 4040 -0004
Expiration Date: 10/31/2019
Application for Federal Assistance SF-424
1. Type of Submission:
Ej Preapplication
Application
Changed /Corrected Application
2. Type of Application: ' If Revision, select appropriate letter(s):
New
Continuation " Other (Specify):
F1 Revision
3. Date Received: 4. Applicant identifier:
02/09/2017
5a. Federal Entity Identifier. 51b. Federal Award Identifier:
State Use Only:
6, Date Received by State: 7. State Application Identifier:
8. APPLICANT INFORMATION:
a. Legal Name: Cowlitz, County of (Cowlitz County Sheriff)
b. Employer/Taxpayer Identification Number(EIN/TIN): c. Organizational DUNS:
7840618710000 — 7916001310A6
d. Address:
Streetl: 312 SW 1st Avenue
Street2:
City:
County /Parish:
Kelso
State: WA: Washington
Province:
Country: USA: UNITED STATES
Zip / Postal Code: 98 62 6 -1740
e. Organizational Unit:
Department Name: Division Name:
Cowlitz - Wahkiakum Narcotics TF
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
Middle Name:
I `First Name: Daniel
p,
Last Name: Moren
Suffix:
Title: Director
Organizational Affiliation:
Northwest High Intensity Drug Trafficking Area
Telephone Number: 206- 352 -3609 Fax Number: 206- 352 -3699
Email: dmoren @nw.hidta.org
Application for Federal Assistance SF-424
9. Type of Applicant 1: Select Applicant
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:
12. Funding Opportunity Number:
High Intensity Drug Trafficking Area
Title:
High Intensity Drug trafficking Area (HIDTA)
13. Competition Identification Number:
N/A
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
Add Attachment' Delete Attachment i View Attachment
15. Descriptive Title of Appiicanfs Project:
High Intensity Drug Trafficking Area Program
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments Vaew Attachments
OMB Number: 4040 -0004
Expiration Date: 10/31/2019
Application for Federal Assistance SF-424
1. Type of Submission:
Preapplication
Application
Changed /Corrected Application
2. Type of Application: If Revision, select appropriate letter(s):
New
Continuation ' Other (Specify):
Revision
3. Date Received: 4. Applicant Identifier:
02/09/2017
5a. Federal Entity Identifier. 5b. Federal Award Identifier:
State Use Only:
6. Date Received by State: E= 7. State Application Identifier:
8. APPLICANT INFORMATION:
a.Legal Name: Cowlitz, County of (Cowlitz County Sheriff)
b. Employer/Taxpayer Identification Number (EIN/iIN): c. Organizational DUNS:
78406187100001916001310A6
d. Address:
Streetl: 312 SW ist Avenue
Street2:
City:
County/Parish:
Kelso
State: WA: Washington
Province:
Country: USA: UNITED STATES
Zip / Postal Code: F98626-1740
e. Organizational Unit:
Department Name: Division Name:
Cowlitz - wahkiakum Narcotics TF
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
Middle Name:
First Name: Daniel
p,
Last Name: Moren
Suffix:
Title: Director
Organizational Affiliation:
Northwest High Intensity Drug Trafficking Area
Telephone Number: 206- 352 -3604 Fax Number: 206- 352 -3699
Email: dmoren @nw.hidta.org
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:
12. Funding Opportunity Number:
High Intensity Drug Trafficking Area
Title:
High Intensity Drug trafficking Area (HIDTA)
13. Competition Identification Number:
N/A
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
Add Attachment;. Delele Attachment is 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 Delcle Attachments View Attachments d:
Application for Federal Assistance SF424
16. Congressional Districts Of:
a. Applicant A -003 `b. Program/Project wA -003
Attach an additional list of Program /Pmject Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17. Proposed Project:
a. Start Date: El/2E ` b. End Date: 12/ 31/2 018
18. Estimated Funding ($):
a. Federal 50, 000.00
b. Applicant 242,000
c. State 0.00
d. Local 74, 000.00
e. Other 473, 000 .00
f. Program Income 0.00
g. TOTAL 839,000.00
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.
c. Program is not covered by E.O. 12372.
20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
Yes ®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)
IAGREE
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: I I `First Name: Naik
Middle Name: S.
Last Name: lNelson
Suffix:
Tile: ISheriff
Telephone Number. Fax Number: 360 -577 -3092
Email: nelsonm @co.cowlitz.wa.us
Signature of Authorized Representative: Date Signed: Z /
L
1.
2.
3.
1 4.
Grant Program
Function or
Activity
High Intensity Drug
Trafficking Area
HIDTA)
BUDGET INFORMATION - Non - Construction Programs
SECTION A - BUDGET SUMMARY
Catalog of Federal Estimated Unobligated Funds
Domestic Assistance
Number Federal Non - Federal
b) (c) (d)
95.001 $ 0 $ 0 $
New or Revised Budget
Federal Non - Federal
50,000. 00 $
OMB Number: 4040 -0006
Expiration Date: 01/31/2019
Total
50,000.00
5. Totals $ $ ol$ E==0E I$ $ so,000.00)
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 1
SECTION B - BUDGET CATEGORIES
6. Object Class Categories GRANT PROGRAM, FUNCTION OR ACTIVITYTotal
5) 1) 2) 3) 4)
High intensity Drug
Trafficking Area
HIDTA)
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment0
e. Supplies
10,000.00 10,000.00
f. Contractual F 21,000.00 L
21,000.00
g. ConstructionI
h. Other 1s, 000. oo I E::::= 1s, 000. oo
I. Total Direct Charges (sum of 6a -6h)
50, 000.0050, 000.
o0j
so, 000.00
j. Indirect ChargesEJ
k. TOTALS (sum of 6i and 6j)
so, 000. oo50'000.001
7. Program Income is
Authorized for Local Reproduction standard Form 424A (Rev. r- yr)
Prescribed by OMB (Circular A -102) Page 1A
SECTION C - NON - FEDERAL RESOURCES
a) Grant Program b) Applicant c) State d) OtherSourcese)TOTALS
8
High Intensity Drug
N/A
N/
A
10.
N/A
11.
N/A
12. TOTAL (sum of lines 8 -11)
SECTION D - FORECASTED CASH NEEDS
13. Federal
Total for 1st Year 1st Quarter 2nd Quarter 3rdQuarter4thQuarter
so,000.00 iz,soo.00 Iz,soo.00Iz,soo.00Iz,soo.00
14. Non - Federal 0 j
15. TOTAL (sum of lines 13 and 14) so,000.00 Iz,soo.00 Iz,soo.00Iz,soo.00iz,soo.00
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
a) Grant Program FUTURE FUNDING PERIODSYEARS
b)First c) Second d) Thirde) Fourth
16J
High Intensity Drug
N/
A
17.
N/A
18.
N/
A
N/
A
Is20. TOTAL (sum of lines 16 - 19)
SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges: 22. Indirect Charges:
23. Remarks:
Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 2
OMB Number: 4040 -0007
Expiration Date: 01/3112019
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
and the institutional, managerial and financial capability
including funds sufficient to pay the non - Federal share
of project cost) to ensure proper planning, management
and completion of the project described in this
application.
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the award; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. § §4728 -4763) relating to prescribed
standards for merit systems for programs funded under
one of the 19 statutes or regulations specified in
Appendix A of OEM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to:
a) Title VI of the Civil Rights Act of 1964 (P.L. 88 -352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. § §1681 -
1683, and 1685 - 1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation
Act of 1973, as amended (29 U.S.C. §794), which
prohibits discrimination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as amended (42 U.
S.C. § §6101- 6107), which prohibits discrimination on
the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92 -255), as amended,
relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91 -616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) § §523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. § §290 dd -3 and 290
ee- 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title Vlll of the Civil
Rights Act of 1968 (42 U.S.C. § §3601 at seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, 0) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P.L. 91 -646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally- assisted programs. These requirements
apply to all interests in real property acquired for
project purposes regardless of Federal participation in
purchases.
8. Will comply, as applicable, with provisions of the
Hatch Act (5 U.S.C. § §1501 -1508 and 7324 -7328)
which limit the political activities of employees whose
principal employment activities are funded in whole
or in part with Federal funds.
Previous Edition Usable Standard Form 424B (Rev. 7.97)
Authorized for Local Reproduction Prescribed by OMB Circular A102
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 at seq.),
10. Will comply, if applicable, with flood Insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93 -234) which requires
recipients in a special flood hazard area to participate In the
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91 -190) and
Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards In
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C. § §1451 at seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation Plans
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. § §7401 at seq.); (g) protection of
underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended (P.L. 93 -523);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
12. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. § §1271 at seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
14. Will comply with P.L. 93 -348 regarding the protection of
human subjects involved In research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89 -544, as amended, 7 U.S.C. § §2131 at
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. § §4801 at seq.) which
prohibits the use of lead -based paint in construction or
rehabilitation of residence structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A -133,
Audits of States, Local Governments, and Non - Profit
Organizations."
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
19- Will comply with the requirements of Section 106(g) of
the Trafficking Victims Protection Act (TVPA) of 2000, as
amended (22 U.S.C. 7104) which prohibits grant award
recipients or a sub - recipient from (1) Engaging in severe
forms of trafficking in persons during the period of time
that the award is in effect (2) Procuring a commercial
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 AUTHO IZ D CERTIFYING OFFICIAL TITLE
jack S. Nelson
dr
Sheriff
DATE SUBMITTEDAPPLICANTORGANIZATION
Cowlitz County Sheriff's Office
Standard Form 4248 (Rev. 7 -87) Back
DISCLOSURE OF LOBBYING ACTIVITIES
Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 4040 -0013
1. * Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type:
a. contract a. bid /ofer /applicalion a. inifial filing
b. grant b. Initial award b. material change
c. cooperative agreement F] c. post.rd
d. loan
F] a. loan guarantee
E] f. loan Insurance
4. Name and Address of Reporting Entity:
Prime FiSubAwardee
Name Cowlitz County Sheriffs Office
Street I Smmt 2
312 SW 1st Avenue
1W
Kelso state WA: Washington zip 98626
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal DepartmentlAgency: 7. * Federal Program Name /Description:
ONOCP High Intensity Drug Trafficking Area
CFDA Number, ff applicable: 95.001
6. Federal Action Number, if known: 9. Award Amount, if known:
50,000.00c17NW0o13A
10. a. Name and Address of Lobbying Registrant:
Prefix F7-----] •First Name /A Middle Name
Last Name Slut,
NOM
street f Sneet 2
City state zip
b. Individual Performing Services (including address if different hom No. 1Do)
Prefix First Name N/A Middle Name
Last Name NONE I suffix
Sfreel 1 Street 2
Qly stare F Zip
11. IMermafion requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which
reliance was placed by the her above when Me transaction was made on entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
Me Congress semi - annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than
10,000 and of more than $100,000 for each such failure.
Signature:
Name: Prefix •First Nane ku rk Middle Name S.
Last Name Su/fix
Nelson
Title: sheritt Telephone No.: 36o- sn -1o12 Dale:
Authoru'dfur LOml Reprndudion
atenderd F— LLL (Rnv. 7 -97)
CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that
1) 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 an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
2) 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
contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard
Form -LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.
3) The undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgmnts, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification
is a material representation of fact upon which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making or entering into this transaction
imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge and belief, that
If any 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 commitment providing for the United States to insure or
guarantee a loan, the undersigned shall complete and submit Standard Fonn -LLL, "Disclosure of Lobbying
Activities," in accordance with its instructions. Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the
required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000
for each such failure.
APPLICANTS ORGANIZATION
Cowlitz County Sheriffs Office
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Prefix: 'First Name: hark Middle Name: Is.
Last Name: IN.1.on Suffix:
Title: Sheri ff
DATE: /7