HomeMy WebLinkAbout13-123 Resolution No. 13-123
RESOLUTION
AUTHORIZING EXECUTION OF AN INTERAGENCY AGREEMENT
TO ACCEPT A GRANT FROM THE ILLINOIS CRIMINAL JUSTICE
INFORMATION AUTHORITY UNDER THE AMERICAN RECOVERY
AND REINVESTMENT ACT OF 2009 REGARDING THE
INFORMATION SHARING INITIATIVES PROGRAM
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS,
that Sean R. Stegall, City Manager, Colleen Lavery, Finance Director, and Jeffrey Swoboda,
Chief of Police, are hereby authorized and directed to execute an Interagency Agreement to
accept a grant in the amount of $311,157 from the Illinois Criminal Justice Information
Authority under the American Recovery and Reinvestment Act of 2009, regarding the
Information Sharing Initiatives Program, a copy of which is attached hereto and made a part
hereof by reference.
s/David J. Kaptain
David J. Kaptain, Mayor
Presented: July 24, 2013
Adopted: July 24, 2013
Vote: Yeas: 8 Nays: 0
Attest:
s/Kimberly Dewis
Kimberly Dewis, City Clerk
" ILLINOIS
CRIMINAL JUSTICE
INFORMATION AUTHORITY
300 W.Adams Street • 2nd Floor • Chicago,Illinois 60606 • (312)793-8550
March 1, 2013
Ms. Joann Stingley
Victim Assistance Coordinator
City of Elgin, Police Department
151 Douglas Avenue
Elgin, Illinois 60120-5503
Dear Ms. Stingley:
Enclosed please find your signed copy of Amendment# 1 to interagency agreement
#809028 between the City of Elgin on behalf of the Elgin Police Department and the
Illinois Criminal Justice Information Authority supported by ARRA JAG '09 Funds for
the Domestic Violence Program.
If you have any questions, please feel free to contact me at(312) 793-7059 or by email at
Malea.Conro@illinois.gov. I wish you continued success on your program.
Sincerely,
14_
Malea Conro
Grant Monitor
Federal and State Grants Unit
cc: MF#809028
COVER PAGE
PROGRAM TITLE: Domestic.Violence Program
AGREEMENT NUMBER: 809028
PREVIOUS AGREEMENT'NUMBER(S): 202046,204046,294546,206046,20
6246,208046,209046,210046,2110
46, 212046
ESTIMATED START DATE: March 1, 2013
SOURCES OF PROGRAM FUNDING: DESIGNATED BUDGETED
FUND FFY ARRA JAG '09 Federal Funds: $ 112,888.00 110,105.00
Matching Funds: $
Over-Matching Funds: $ 0
Total:. $ 112,888.00 110,105.00
IMPLEMENTING AGENCY'S NAME: City of Elgin
ADDRESS (This address must be the physical 150 Dexter Court
address that is registered with CCR and include Elgin, IL. 60120-5527
nine digit zip code):
IMPLEMENTING AGENCY'S AUTHORIZED David Kaptain
OFFICIAL:
TITLE: Mayor, City of Elgin
FEDERAL EMPLOYER IDENTIFICATION
NUMBER: 36-6005862
IMPLEMENTING AGENCY'S DUNS NUMBER: 010224772
IMPLEMENTING AGENCY'S CCR 2/22/2013
REGISTRATION EXPIRATION DATE:
IMPLEMENTING AGENCY'S CAGE CODE: 5CHL9
IMPLEMENTING AGENCY'S FINANCIAL Colleen Lavery
OFFICER:
TITLE: Chief Financial Officer
TELEPHONE: (847) 931-5625
PROGRAM AGENCY'S NAME: Elgin Police Department
PROGRAM AGENCY'S ADDRESS (This address 151 Douglas Avenue
must be the physical address that is registered with Elgin, IL. 60120-5503
CCR and include the nine digit zip code):
PROGRAM AGENCY'S MAILING ADDRESS (If N/A
the same as above mark"N/A"):
PROGRAM AGENCY'S AUTHORIZED Jeffrey Swoboda
OFFICIAL:
TITLE: Chief of Police
PROGRAM AGENCY'S DUNS: 928349711
PROGRAM AGENCY'S CCR EXPIRATION 4/3/13
DATE:
DATE:
PROGRAM AGENCY'S CAGE CODE: 3ZLT3
FISCAL CONTACT PERSON: Lacey Roberts
AGENCY: Elgin, Police Department
TITLE:,' Budget Analyst
TELEPHONE: (837)289-2685
FAX: (847)289-2750
E-MAIL: roberts_lacey@cityofelgin.org
PROGRAM CONTACT PERSON: Jo Ann StingIey
TITLE: - Victim Assistance Coordinator
TELEPHONE: (847)289-2686
FAX: (847)289-2750
E-MAIL: stingley_j@cityofelgin.org
PROGRAM AGENCY'S CONGRESSIONAL 14th
DISTRICT(This must be based on the nine digit zip
code registered with CCR.The district can be
located by using this link
http://www.elections.il.gov/DistrictLocator/District
OfficialSearchByZi p.aspx.):
PRIMARY AREA OF PERFORMANCE (This
should be completed if grant activities are taking N/A
place in a location other than the Program Agency's
office registered with CCR. A street address does
not need to be provided, but please list city,state
and nine digit zip code.If Iocations are the same
please mark"N/A"):
PRIMARY AREA OF PERFORMANCE'S N/A
CONGRESSIONAL DISTRICT(This must be
based on the nine digit zip code listed above. The
district can be located by using this link
http://www.elections.il.gov/DistrictLocator/District
OfficialSearchByZip.aspx. If the place of
performance is the same as the Program Agency's
address listed in CCR please mark"N/A"):
Question 1)Are more than 80% of the Program No
Agency's revenue from the federal government?:
Question 2)Are the Program Agency's federal No
revenue more than $25,000,000?:.
Question 3) Are the Program Agency's top five No
compensated officers' compensation not available
through the Securities and Exchange Commission
7r the Internal Revenue Service?: _
If the answer to all of the three above questions is
yes,then please list the five highest compensated
officers and their compensation.
NAME COMPENSATION
Last Updated September 17,2010 2
City of Elgin on behalf of the Elgin Police Department
Domestic Violence Program
Agreement#809028
Amendment#1 to Interagency Agreement#809028
This#1 amendment to Award Agreement#809028 is entered into by the Illinois Criminal Justice Information
Authority,with its offices at the,300 West Adams,Suite 200,Chicago,Illinois 60606,hereinafter referred to as the
"Authority," and City of Elgin on behalf of the Elgin Police Department,referred to as the"Implementing Agency,"
with its principal offices at 150 Dexter court,Elgin,Illinois 60120 for implementation of the Domestic Violence
Program and amends Sections 2,4,7,41,and 60 only with all other sections of the Award Agreement#809028
dated September 17, 2010 being unchanged and incorporated by reference herein.
SECTION 2. PERIOD OF PERFORMANCE AND COSTS INCURRED
The period of performance of this agreement shall be from July 1,2010 through September 30,2013.
Costs incurred before the execution date of this agreement may be charged to this agreement if included in Exhibit
B,incurred during the period of performance,and the Implementing Agency performed in accordance with the
terms and conditions of this agreement.
The Authority shall not be responsible for costs incurred before or after the period of performance of this agreement.
SECTION 4. PAYMENT
The Authority agrees to make payment to the Implementing Agency for the administration and implementation of the
program described in Exhibit A.Upon receipt of the fiscal and progress reports described in Section 11 of this
agreement,quarterly payments will be made to the Implementing Agency.No payment will be made until all
outstanding reports are received by the Authority,including outstanding reports from previously funded Authority
programs.No payment will be made to an Implementing Agency unless and until the Implementing Agency is in full
compliance with applicable State and federal laws and the terms and conditions of this agreement.
The maximum amount of federal funds payable under this agreement is$112,888.00 and is dependent on the
expenditure of matching funds as described in Section 5 and Exhibit B,and the performance of the Implementing
Agency in accordance with the terms and conditions of this agreement.Funds will be paid on a reimbursement basis
per the Gran Funds Recovery Act.30 ILCS 705/5
The Implementing Agency must provide for the deposit of federal and matching funds into a bank account in the
name of the Implementing Agency.Federal funds shall be immediately deposited into such bank account.The
Implementing Agency may deposit such funds into an account separate from any of its other bank accounts,or treat
such funds as a separate line item per its budget and audited financial statements.If the Implementing Agency
receives more than one award from the Authority,the Implementing Agency shall ensure that the federal and
matching funds for each award are accounted for separately.
SECTION 7. EXHIBITS
The documents appended are made a part of this agreement as exhibits.The Implementing Agency shall perform the
services subject to this agreement in accordance with all terms,conditions,and provisions set forth in such exhibits.
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Federal and State Grants Unit
1
City of Elgin on behalf of the Elgin Police Department
Domestic Violence Program
Agreement#809028
SECTION 41.TRANSPARENCY ACT COMPLIANCE
The Implementing Agency and Program Agency agree to comply with any and all requirements of 2 C.F.R. §33.200
that are imposed on recipients of federal funds by the Federal Funding Accountability and Transparency Act of
2006.The Implementing Agency and Program Agency agree to comply with the following:
a)To acquire and use a DUNS(Data Universal Numbering System)number.The DUNS number shall be
procured from Dun and Bradstreet,Inc online at www.dunandbradstreet.com or by calling 1-866-705-5711.
Implementing Agency's DUNS Number:_010224772
Program Agency's DUNS Number:_928349711
b)To maintain a current registration in the Central Contractor Registration(CCR)database.The
Implementing Agency must update or renew their CCR registration at least once per year to maintain an
active status.Information about registration procedures can be accessed at www.ccr.gov or by calling 1-
888-227-2423.
The Implementing Agency's CCR registration is valid until:_02/22/2013
The Program Agency's CCR registration is valid until: 04/03/2013
c)Shall provide the Authority with their Commercial And Government Entity(CAGE)Code.The CAGE
Code request process is incorporated into the CCR registration.
Implementing Agency's CAGE Code:_5CHL9
Program Agency's CAGE Code:_3ZLT3
d) The Implementing Agency and Program Agency further agree that all agreements entered into with
subgrantees or contractors, shall require compliance by the subgrantee or contractor with the Federal
Funding Accountability and Transparency Act of 2006 and all requirements of 2 C.F.R. §33.200 including
obtaining a DUNS number and maintaining registration with the CCR. The acquisition of a DUNS number
and registration with the CCR database is not required of subgrantees and contractors who are individuals.
ILLINOIS CRIMINAL JUSTICE INFORMATIONAUTHORITY
Federal and State Grants Unit
2
t
' City of Elgin on behalf of the Elgin Police Department
Domestic Violence Program
Agreement#809028
SECTION 60. ACCEPTANCE&CERTIFICATION •
The terms of this interagency agreement are hereby accepted,executed,and where applicable,certified and acknowledged,by the
proper officers and officials of the parties hereto:
Jack Cutrone Date 56
Executive Director
Illinois Criminal Justice Information Authority 31/5
—/.1.
I, David Kaptain, Mayor, under oath, do hereby certify and acknowledge that : (I) all of the
information in the grant agreement 809028, is true and correct to best of my knowledge,
information and belief,(2)the grant funds shall be used only for the purposes described in the grant
agreement 809028,and(3)the awarding of grant funds is conditioned upon the Authority's receipt
of this certification.
"Piro,
„40
Let tr -
vid K,: ain Date
i
Mayor
• City of Elgin .
I,Colleen Lavery,Chief Financial Officer,under oath,do hereby certify and acknowledge that:(I)
all of the information in the grant agreement 809028,is true and correct to best of my knowledge,
information and belief,(2)the grant funds shall be used only for the purposes described in the grant
agreement 809028,and(3)the awarding of grant funds is conditioned upon the Authority's receipt
of this certification.
Collee Lavery Date
Chief Financial Officer
City of Elgin
I,Jeffrey Swoboda,Chief of Police,under oath,do hereby certify and acknowledge that :(1)all of
the information in the grant agreement 809028, is true and correct to best of my knowledge,
information and belief,(2)the grant funds shall be used only for the purposes described in the grant
agreement 809028,and(3)the awarding of grant funds onditioned upon the Authority's receipt
of this certification.
Al4110 ... - -f
effrey woboda4,0,r" Date
Chief of Police
Elgin Police Department
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Federal and State Grants Unit
3
EXHIBIT B: BUDGET
IDENTIFICATION OF SOURCES OF FUNDING
Implementing Agency: City of Elgin
Agreement#: 809028
SOURCE AMOUNT
Designated Budgeted
Federal Amount: ARRA JAG '09 $401,888
City of Elgin Subtotal: $112,888.00 $110,105.00
Match: $0
Subtotal: $0
Over Match: $0
Subtotal: $0
GRAND TOTAL $112,888.00 $110,105.00
B1
Budget &Budget Narrative City of Elgin Agreement# 809028
PERSONNEL SERVICES Annual #Months %Time On Federal Match
Job Title Salary On Program Program Amount Contribution Total Cost
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year On $ 25,563.00 12 100% $-2.575.63,00 $ - $-35756-3,00
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year On $ 25,563.00 12 100% $ 25,563.00 $ 25,563.00
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year Tw $-2.6,0-74,00 12 100% $-2.670.-7.4,00 $ - $-2.67074,00
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year Tw $ 25,563.00 12 100% $ 25,563.00 $ 25,563.00
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year Tru $ 16,361.80 7 100% $ 16,365-00 $ - $ 1-6,365-00
Domestic Violence Case Manager Part-Time(20 hrs.per week)Year Tin $ 16,714.00 8 100% $ 16,714.00 $ 16,714.00
Domestic Violence Case Manager Part-Time(20 hrs per week)Extensior $ 15,731.00 7 100% $ 15,731.00 $ - $ 15,731.00
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
Total FTE 1.00 $ - $ - $ -
Total Salary $ 83,571.00 $ - $ 83,571.00
Fringe Benefits(Use figure from Fringe Benefit Worksheet) $ 26,534.00 $ - $ 26,534.00
Fringe Benefits(Use figure from Fringe Benefit Worksheet)
TOTAL PERSONNEL SERVICES $ 110,105.00 $ - $ 110,105.00
Budget Narrative for Personnel.Please give a brief description for each line of the Personnel Services Budget.
(See Attached Budget Instructions)
The Domestic Violence Case Manager will work 20 hours per week;52 week per year through the grant period 07/01/2010 through 09/30/2013.Raises were not given in years 1,2,and
3 as a result of no other city employees receiving raises in the years 1,2,and 3;therefore,the hourly rate remained at$24.58 throughout the grant period years 1,2,and 3.The yearly
salary for year one and two was$25,563 which consisted of 52 weeks($24.58 x 20 hours=$491.60 x 52 weeks=$25,563.The yearly salary for year three which consisted of 34 weeks.
is $16,714.40($24.58 x 20 hours=$491.60 x 34 weeks=$16,714.40).The yearly salary for the extension period covers March 1,2013 through September 30,2013 is$15,731.00
($24.58 x 20 hours=$491.60 x 32 weeks=$15,731.00).The rated fringe and flat rate fringe benefits include:IMRF,FICA,Unemployment,Retirement/Pension,Workmen
Compensation,and Liability,Health,and Medical.The total amount for fringes and flat rate is$26,534.00 for years 1,2,3 and the extended period for a total of$110, 105.40.The
Domestic Violence Case Manager responsibilities include:follow up on all reported domestic violence police reports,reach each police report,contact each victim by phone,or letter,
provide crisis counseling,personal and legal advocacy,referrals,home visits,provide training to new police hires and provide community outreach and education and provide other grant''
allowable activities as indicated.
Budget&Budget Narrative City of Elgin Agreement# 809028
EQUIPMENT Pro-rated Federal Match
Item Cost per Unit #of Units Share Amount Contribution Total Cost
N/A $ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
*For Equipment Budgets over$5000,the Authority must be notified prior to the disposal of any equipment.
ITOTAL EQUIPMENT COST $ - I $ - I $ -
Budget Narrative for Equipment.Please give a brief description for each line of the Equipment Budget.
(See Attached Budget Instructions)
Budget&Budget Narrative City of Elgin Agreement# 809028
COMMODITIES Federal Match
Item Cost/Month #of Months Amount Contribution Total Cost
N/A $ - $ - $ - $
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
,-
$ - $ - $ - $ -
$ - $ - $ - $ -
TOTAL COMMODITIES COST $ - 1 $ - I $ -
Budget Narrative for Commodities.Please give a brief description for each line of the Commodities Budget.
(See Attached Budget Instructions)
Budget&Budget Narrative City of Elgin Agreement# 809028
TRAVEL Federal Match
Cost/Mile #of Miles/mo #of Months Amount Contribution Total Cost
Program Staff Mileage* $ - $ - $ - $ -
N/A $ - $ - $ - $ -
$ $ - $ - $
Conference Travel** Cost/person #of people #of days $ - $ - $ -
Airfare - $ $
`>
PerDiem $ - $ - $ - $ -
Lodging $ - $ - $ - $ -
Other(Specify) $ - $ - $ - $
*State rate is calculated at$.51/mile.If agency rate is lower use that lower rate.
**Out of State Travel requires prior Authority approval. TOTAL TRAVEL COST $ - $ - $ -
Budget Narrative for Travel.Please give a brief description for each line of the Travel Budget.
(See Attached Budget Instructions)
Budget&Budget Narrative City of Elgin Agreement# 809028
CONTRACTUAL #of hours Federal Match
Cost/month Dollar/hour per month Pro-rated Share Amount Contribution Total Cost
N/A $
- $
- $ - $
- $
$ - $$ - .
- $
- $
- - $
- $
$ - $ - $ - $
$ $ - $ - $
$ - $ - $ - $ -
TOTAL CONTRACTUAL COST $ - $ - $
Budget Narrative for Contractual.Please give a brief description for each line of the Contractual Budget.
(See Attached Budget Instructions)
Budget&Budget Narrative City of Elgin Agreement# 809028
GRAND TOTAL Federal Match
Amount Contribution Total Cost /
PERSONNEL SERVICES $ 110,105.00 $ - $ 110,105.00 v
EQUIPMENT $ - $ - $ -
COMMODITIES $ - $ - $ -
TRAVEL $ - $ - $
CONTRACTUAL $ - $ - $ -
TOTAL COST $ 110,105.00 $ - $ 110,105.00 i
All procurements must be competitive
FRINGE BENEFIT WORKSHEET: Agreement# 809028
Use this sheet to calculate the fringe benefits to be paid for project personnel. For each element of the benefit
package, indicate the rate as a percentage of salary or the dollar amount of the flat rate paid per employee. Use the
TOTAL FRINGE BENEFITS amount from this worksheet as the fringe benefit dollar amount on the BUDGET under
DCDCrIA/A,CI CCD1/lr're/..,.11../. 1 J ..._A U121
RATED FRINGE BENEFITS Rate as % of Salary
FICA 7.650%
UNEMPLOYMENT 0.500%
RETIREMENT/PENSION 12.270%
WORKER'S COMP 0.340%
DENTAL/VISION 0.000%
HOSPITALIZATION 0.000%
Other(Specify)LIABILITY 2.032%
Total%Fringe Rate 22.792%
Total Salary Paid By Grant(Federal and Match-Please use figure from cell 1-12 in
the Budget Detail) $83,571.00
TOTAL RATED FRINGE BENEFITS $19,048
FLAT RATE FRINGE BENEFITS $per FTE
HEALTH/MEDICAL INSURANCE $7,486.00
OTHER(SPECIFY)
Total Flat Rate Fringe $7,486.00 ✓
Number of grant—funded FIE(full-time equivelent)positions receiving Flat Rate 1.00
Fringe Renefets (Please use figure from cell F-11 of Budget Derail)*
FLAT RATE FRINGE BENEFITS $7,486 ✓
TOTAL FRINGE BENEFITS: (Total rated+Total flat rate benefits) $26,534
*PLEASE REFER TO YOUR RESPONSE IN EXHIBIT A, SECTION II, QUESTION #1.
pOLIQ
ELGIN
E N . IL.
Police Department Jeffrey Swoboda
Chief of Police
Elgin Police Department
151 Douglas Avenue
Elgin, Illinois 60120-5503
January 23,2013 For more information contact:
Ms. Males Conro,Grant Monitor Phone: (847) 289-2700
Illinois Criminal Justice Information Authority Fax: (847)289-2750
300 W.Adams,Suite 200
Chicago,IL 60606
RE:JAG ARRA GRANT#809028
Dear Ms.Malea Conro,
We are requesting an extension for JAG ARRA GRANT#809028 from March 1,2013 to
September 30,2013. The funding needed for personnel to sustain this program till this date is
$(110,105.40).This grant was designed to fund the Domestic Violence Program in our Social Services
Unit.The mission of the Domestic Violence Program is to help victims of family violence receive the best
quality of services and community resources to promote their safety and well being.The Domestic
Violence Program provides free social services to victims and witnesses of domestic violence,including
case management,referrals to other community resources,crisis counseling,personal and legal advocacy,
and home visits.
The Domestic Violence Case Managers funded by this grant review every police report on
domestic violence and follow up with victims to ensure they are getting the assistance they need to be
safe.The case managers offer help to victims in obtaining orders of protection and other services,
including crisis counseling for themselves and their children. The case managers also provide public
outreach and educational services, including presenting on teen dating violence at schools,educating the
public about domestic violence at the Elgin citizens' police academy,and conducting support groups for
women to increase their awareness of the community resources available to victims. In addition, the case
managers provide domestic violence orientation to newly hired police officers.This orientation gives
officers an immediate overview regarding the dynamics of domestic violence and their role and
responsibility toward the victims, including giving them a tour of the local domestic violence shelter.
We thank you for your consideration in extending our funding through September 2013.The
Domestic Violence Program is a crucial component of the safety and well being of survivors and victims
of family violence in our community.
Sincerely,
Jo Ann Stingley,MSW,LSW
Victim Assistance Coordinator
Request for Budget Revision
Please Submit a Marked-Up Budget With this Request
Fields expand,you may use as much space as you need
Use the tab key to advance to each field.
Interagency Agreement Number:
809028
Implementing Agency: City of Elgin, Police Department
Period of Performance: 07/01/2010 to 09/30/13
Person Making Request:Jo Ann Stingley
Date of Request:January 17, 2013
Is your request being made 60 days prior to expiration date of grant? EYes ONo
If your answer is No, please explain why.
N/A
Explain why you need this budget revision and how it will benefit the program:
This grant was designed to help victims of family violence receive the best quality of
services and community resources to promote their safety and well being The Domestic
Violence Program provides free social services to victims and witnesses of domestic
violence, including case management, referrals to other community resources, crisis
counseling,personal and legal advocacy, and home visits. Additional funding will
ensure these valueable programs continue to exist for our community.
Please check the categories in which you will be revising the budget and provide the
requested information. Also indicate changes in federal and match dollar amounts
with each explanation.
PERSONNEL
®Increase Personnel ❑Decrease Personnel ON/A
Please provide a detailed explanation of the changes in salary and fringe benefits.
We are requesting funding to continue through September 2013. The adjusted amount
of the grant due to delayed start date of 9/1/10 no raise, and fringe balances is
$84,800.00 for years 1,2,and 3 which includes a salary amount of$67,840.00 and a
benefits amount of$16,960.00 total an amount of$84,800.00 and a grant balance of
$20,0088.00 The extension salary amount is$15, 731.20 for 32 weeks, (hrly. wage of
24.48x20 hrs.=$491.60x 32)fringes equaling $5,304.80
EQUIPMENT
❑increase Equipment ❑Decrease Equipment ZN/A
Please explain in detail why.
COMMODITIES
❑Increase Commodities ❑Decrease Commodities ®N/A
Please explain in detail why.
TRAVEL
❑Increase Travel ❑Decrease Travel ®N/A
Please explain in detail why.
CONTRACTUAL
❑Increase Contractual ❑Decrease Contractual ®N/A
Please explain in detail why.
OTHER COSTS
❑Increase Other Costs ❑Decrease Other Costs ®N/A
Please explain in detail why.
Show your budget revision in the following chart:
Federal Personnel Equipment Commodities Travel Contractual Other Total
Original $104,888 $104,888
Revised $110.105.40 $110,105.40
Match Personnel Equipment Commodities Travel Contractual Other Total
Original
Revised
Signature: Date:
I
For 1CJIA Use Only
gi
pproved El Not Approved Date: 1-2- /l�lonitor: liajfa g7-14-4-1,
OIAApproved ❑Not Approved Date y.(1,4, Supervisor:
((1
ir
Notes:Q a
-411
Olifid d 49 ,,,,,,„ ,4 c.) k>,lP o1/ a/Yloa127'