HomeMy WebLinkAbout15-154 Resolution No. 15-154
RESOLUTION
AUTHORIZING EXEC I TION OF AN INTERAGENCY AGREEMENT TO
ACCEPT A GRAN FROM THE ILLINOIS CRIMINAL JUSTICE
INFO' i ATION AUTHORITY FOR TWO
PART-TIME D 0 MESTIC VIOLENCE CASE MANAGERS
(Inte agency Agreement No. 215046 )
BE IT RESOLVED BY T E CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS,
that David J. Kaptain, Mayor, IN era Nawrocki, Chief Financial Officer, and Jeffrey Swoboda,
Chief of Police, are hereby authirized and directed to execute an Interagency Agreement to
accept a grant from the Illinois Cr minal Justice Information Authority in the amount of$72,486
for two part-time domestic violet-to e case managers, a copy of which is attached hereto and made
a part hereof by reference.
BE IT FURTHER RESO VED that David J. Kaptain, Mayor, is hereby authorized and
directed to execute all documents ecessary in conjunction with the subject grant program.
s/David J. Kaptain
David J. Kaptain, Mayor
Presented: November 18, 2015
Adopted: November 18, 2015
Vote: Yeas: 9 Nays: 0
Attest:
s/Kimberly Dewis
Kimberly Dewis, City Clerk
&IV!
' E; ILLINOIS
CRIMINAL JUSTICE
U , 1, INFORMATION AUTHORITY
,„ 26 0_` 300 W.Adams Street • Suite 200 • Chicago,Illinois 60606 • (312) 793-8550
December 23, 2015
Ms. JoAnn Stingley
Victim Assistance Coordinator
Elgin Police Department
151 Douglas Ave
Elgin, Illinois 60120
Dear Ms. Stingley:
Enclosed is your copy of interagency agreement#215046 between your office and the Authority for
the implementation of the Services to Victims of Sexual Assault Program.
Any vacancy of a grant-funded position must be reported to the grant monitor within 30 days of the
vacancy. This notification must include an explanation of how services will continue while the
position is vacant. If the position is not filled within 60 days, a written justification for continued
funding must be submitted to the Authority.
Please note that fiscal and progress reports are required on a quarterly basis no later than the 15th of
the month following the quarter being reported. The data reports should include a narrative section
and report all program activity for the preceding quarter. Please include all relative data as per the
Performance Indicators stated in your Program Narrative. Your reports will be for the following
quarters as well as all final closeout documents:
Period Reported Report Due Date
September 2015 October 2015 (Submitted)
October—December 2015 January 15, 2016
January—March 2016 April 15, 2016
April—June 2016 July 15, 2016
July—August 2016 September 15, 2016
Final Report September 30, 2016
If you would like these reports sent to you electronically, please e-mail your request to me at,
Malea.Conro @illinois.gov. Please remember to write the grant number, #215046, and the quarter
being reported on each report before submitting to my attention.
Fax: (312) 793-8422 • TDD: (312) 793-4170 • www.icjia.state.il.us
ILLINOIS
CRIMINAL JUSTICE
i; INFORMATION AUTHORITY
2 ft • 300 W.Adams Street • Suite 200 • Chicago,Illinois 60606 • (312) 793-8550
The Audit Information Sheet you submitted indicates that your agency is required to submit an A-
133 Single Audit as part of this grant for the period of September 1, 2015 through August 31, 2016.
Please submit all A-133s covering this time period within 30 days of the completion of the audit. If
you have any questions,please feel free to contact me at (312) 793-8404.
Sincerely,
?Ham coon
Malea Conro
Federal and State Grants Unit
Enclosure
Cc: MF#215046
Fax: (312)793-8422 • TDD: (312) 793-4170 • www.icjia.state.il.us
INDEPENDENT AUDIT INFORMATION SHEET
The Inspection and Audit section of your interagency agreement with the Illinois
Criminal Justice Information Authority requires compliance with Office of Management
and Budget revised Circular A-133. Audit requirements under revised Circular A-133
vary based on the level of federal funding an organization expends in a year:
• Non-Federal entities that expend$500,000 or more in a year in Federal awards
from all Federal sources combined(Le. DOJ,HUD,HHS, etc.) shall have a
single or program-specific audit conducted for that year.
• Non-Federal entities that expend less than $500,000 a year in Federal awards
from all Federal sources combined(Le. DOJ, HUD,HHS, etc.)are exempt from
Federal audit requirements for that year, but records must be available for
review or audit by appropriate officials of the Federal agency,pass-through
entity, and General Accounting Office(GAO).
Please provide the following information regarding your agency's compliance with
Circular A-133 and return this form to the attention of your program monitor at the
Illinois Criminal Justice Information Authority, Federal and State Grants Unit, 300 W.
Adams, Suite 200 Chicago, IL 60606. If you have any questions, please call your
grant specialist at (312) 793-8550.
AGENCY INFORMATION
The Implementing Agency is the state or local unit of government or not-for-profit
agency accepting funds under the interagency agreement. The Program Agency is the
organization responsible for performing the daily program activities. An organization
can be both the Implementing Agency and the Program Agency. Audit requirements
apply to the Implementing Agency.
Implementing Agency: City of Elgin
Implementing Agency's FEIN #: 36-6005862 Agreement#215046
Program Agency: Elgin Police Department
Program Title: Law Enforcement Prosecutor Based Victim Assistance Services
Program Period of Performance: September 1, 2015- August 31, 2016
CONTINUE ON BACK SIDE
H:\Audit info Sheet(4).doc Effective 06/10
AU). IT REQUIREMENTS (PLEASE CHECK APPROPRIATE BOX)
o The above implementing agency will expend less than $500,000 in Federal
awards from all Federal sources combined during the fiscal year(s) covering the
above program period and is exempt from audit requirements according to
Circular A-133.
XThe above implementing agency will expend $500,000 or more in Federal
awards from all Federal sources combined during the fiscal year(s) covering the
above program period and is required to have a single or program-specific audit
according to Circular A-133.
FISCAL YEAR INFORMATION J/
Implementing Agency's fiscal year: C,Z. Cemfrr LI
Dates covered by last independent audit: !////Li — /42//At
Date last independent audit completed:
: Dates to be covered by next independent audit: 1/1/45.— A ld f j/5
Expected completion date for next independent audit: 4,11 Zo/6,
Staff person who can answer questions regarding the Implementing Agency's
independent audits:
Name: Debbie Nawrocki
Title: Chief Financial Officer Agency: City of Elgin
Phone: (847) 931-5624 Fax: (847)931-5622
CERTIFICATION
I certify that this is, ��-'-Y�a true and accurate report.
Prepared by. -4.
(Authorized Fiscal Representative)
Date: bc9-7/6
H:\Audit info Sheet(4).doc Effective 06/10
FISCAL INFORMATION SHEET
The following information is required to ensure that the Authority and its implementing agencies
meet the financial and program reporting requirements of various federal grant programs. This
information is required prior to the release of funds. The Implementing Agency is the state or
local unit of government or net-for-profit agency accepting funds under the interagency
agreement. The Program Agency is the organization responsible for performing the daily
activities. An organization can be both the Implementing Agency and the Program Agency.
Please return this form to the attention of your program monitor at the Illinois Criminal Justice
Information Authority, Federa. and State Grants Unit, 300 West Adams, Suite #200, Chicago,
Illinois 60606. If you have any questions, please call your monitor at (312) 793-8550.
Implementing Agency: City of Elgin
Implementing Agency's FEIN #: 36-6005862 Agreement #: 215046
Program Agency: Elgin Police Department
Program Title: Law Enforcement Prosecute Based Victim Assistance Services
1. Who will be responsible for preparing and submitting quarterly fiscal reports?
Name: Lacey Roberts
Title: Budget Analyst
Agency: Elgin Police Department
Address: 151 Douglas Ave
Phone: (847) 289-2685 Fax: (847) 289-2750
2. Who will be responsible for preparing and submitting quarterly data/progress reports?
Name: Lark Syrris and Vanessa Botti
Title: Domestic Violence Case Managers
Agency: Elgin Police Department
Address: 151 Douglas Ave. Elgin, IL. 60120
Phone: (847)289-2644 Fax: (847) 289-2642
C:\Users\stingley_j\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PB92A5VDWiscal Information Sheet 06 10.doc
3. Will a separate fiscal account/fund be maintained for the program?
r'
Yes, this account will maintain: (Choose one)
Federal funds only
Both federal and local matching funds
x No, but all program funds will be identified by a specific account or fund
number and recorded within the general accounting records for the Agency. •
4. Where should program fund disbursements be sent? City of Elgin
150 Dexter Court Elgin, IL. 60120
Address:
FINANCE DEPARTMENT •
- ATTN:
5. What organization is listed as holder of the bank account into which program funds will
be deposited? City of Elgin
Effective 05/03
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CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully the Instructions(see below)and then complete Section A or Section B or Section C, not all three.
Recipient's Name: City ofElgin I DUNS:010224772
Address: 151 Douglas Avenue Elgin,IL. 60120
Grant Title: VOCA I Grant Number:215046 I Award Amount: $72,486
Name and Title of Contact Person: Jo Ann Stingley Victim Assistance Coordinator
Telephone Number: (847)289 2686 I E-Mail Address:stingleyj@cityofelgin.org
Section A—Declaration Claiming Complete Exemption from the EEOP Requirement
Please check all the following boxes that apply:
o Recipient has less than fifty employees. o Recipient is an Indian tribe. o Recipient is a medical institution.
o Recipient is a nonprofit organization. o Recipient is an educational institution. o Recipient is receiving an award less than$25,000.
I, [responsible
official], certify that [recipient] is
not required to prepare an EEOP for the reason(s)checked above,pursuant to 28 C.F.R§ 42.302.
I further certify that [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
services.
Print or Type Name and Title Signature Date
Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for Review
If a recipient agency has fifty or more employees and is receiving a single award or subaward of$25,000 or more,but less than$500 000, then the
recipient agency does not have to submit an EEOP to the OCR for review as long as it certifies the following(42 C.F.R.§42.305):
I, Gail Cohen [responsible
official], certify that City of Elgin [recipient],
which has fifty or more employees and is receiving a single award or subaward for $25,000 or more, but less than
$500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. I further certify that within the last
twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as required by applicable
federal law, it is available for review by the public, employees, the appropriate state planning agency, and the Office for
Civil Rights,Office of Justice Programs,U.S.Department of Justice. The EEOP is on file at the following office:
Human Resources Department, City Hall [organization],
150 Dexter Court Elgin,IL. 60120-5527 / [address].
kL CC i f N 41/2.'b∎RE' tYL—,! ,1/ it ! o %l j
Print or 7) d Name and Title D ,ignature Date
Section C—Declaration Stating that an EEOP Utilization Report Has Been Submitted to the Office for
Civil Rights for Review
If a recipient agency has fifty or more employees and is receiving a single award or subaward of$500,000 or more then the recipient agency must
send an EEOP Utilization Report to the OCR for review.
I, [responsible
official], certify that [recipient],
which has fifty-or more employees and is receiving a single award of $500,000 or more, has formulated an EEOP in
accordance with 28 CFR pt. 42, subpt. E, and sent it for review on [date] to the
Office for Civil Rights,Office of Justice Programs,U.S.Department of Justice.
Print or Type Name and Title Signature Date
OMB Approval No. 1121-0340 Expiration Date:05/31/14
EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATION
(Complete SECTION A OR SECTION B below, as applicable. Complete ONLY ONE SECTION.)
Grant Program (circle applicable federal grant program):
ARRA JAG,JABG,JAG,NCHIP,NFSIA,PSN, RSAT, VAWA,VAWA SASP,VOC• Other(Specify)
Grant Number: 214046 Federal Grant Award Amount:$38,858
Grantee/Organization Name(hereafter referred to as the"Entity"): Elgin Police Department
Address: 151 Douglas Ave
Elgin, IL 60120-5503
Contact Person: Jo Ann Stingley
Telephone#: (847)289-2686 Fax#: (847)289-2750 E-mail address: stingleyj @cityofelgin.org
SECTION A. CERTIFICATION (EEOP NOT REQUIRED)
I [responsible official] CERTIFY THAT THE FUNDED ENTITY IS
NOT REQUIRED TO PREPARE AN EEOP FOR THE REASON(S)CHECKED BELOW,PURSUANT TO 28 CFR 42.302.
Check all of the following that apply:
❑ENTITY HAS LESS THAN 50 EMPLOYEES ❑ENTITY DOES NOT RECEIVE A GRANT OR AWARD OF AT LEAST$25,000
❑ENTITY IS A NON-PROFIT ORGANIZATION ❑ENTITY IS A MEDICAL INSTITUTION
❑ENTITY IS AN INDIAN TRIBE ❑ENTITY IS AN EDUCATIONAL INSTITUTION
[Signature of Responsible Official] [Print Name and Title] [Date]
OR SECTION B. CERTIFICATION (EEOP REQUIRED AND ON FILE)
(For information regarding EEOP development, see: http:llwww.ojp.usdoj.gov/ocr/eeop.htm)
Certification Statement(For Entities with 50 or more employees that receive a single grant or award of$25,000 or more):
I, Jeffrey Swoboda [responsible official],certify that the Elgin Police Department Entity has formulated an Equal
Employment Opportunity Plan in accordance with 28 CFR 42.301,et seq.,subpart E,that was signed into effect within the past two years by
the proper authority and that it is available for review.The EEOP is on file in the office of Human Resource Department.City
Hall _[agency/organization name],at 150 Dexter Court.Elgin III 60120-5527 [address] for review by
the public and employees, or for review or audit by officials of the Illinois Criminal Justice Information Authority or the U.S. Department of
Justice,Office of Justice Programs,Office of Civil Rights as required by relevant laws and regulations.
In addition to the above requirements, if Entity receives$500,000 or more through a single grant,Entity shall submit a copy of its Equal
Employment Opportunity Plan to the Authority.The Authority shall forward the Equal Employment Opportunity Plan to the Office of Civil
Rights for review and approval
-.r Ali .I.fie/' '--N -GP:f „<veito .vi ilyzeE.. z,..iii,_-_.- --- 3-A4r
[Sian• o ••e sons ble Of icial]
I [Print Name and Title] [Date]
CIVIL RIGHTS COMPLIANCE CERTIFICATION
(Complete ENTIRE certification)
Grant Program(circle applicable grant program):
ARRA JAG,JABG,JAG,NCHIP,NFSIA,PSN,RSAT,VAWA,VAWA SASP,VOCA,Other(Specify)
Grantee/Organization Name(hereafter referred to as the"Entity"): City Of Elgin
Address: 150 Dexter Court
Elgin,IL.60120-5527
Contact Person: Gail Cohen
Telephone#: (847)931-5607 Fax#(847)931-5906 E-mail address:cohen_g @cityofelgin.org
Grant Number/Contract Name: 215046/Law Enforcement&Prosecutor-Based Victim Assistance Services
Certification Statement:
I, Gail Cohen [Responsible Official],certify to the following statements:
• Entity is in compliance with all applicable local,state and federal civil rights laws,regulations and guidelines,including but not
limited to those listed in the Interagency Agreement(s)/Contract(s)in effect for the grant(s)and contract(s)listed above.
• No person shall be excluded from participation in,denied the benefits of,subjected to discrimination under,or denied employment
in connection with any activity funded under this grant(s)/contract(s)on the basis of race,color,age,religion,national origin,
disability,or sex.
• Entity is in compliance with the following federal guidance materials regarding the provision of meaningful access to services and
programs to persons with limited English proficiency(LEP): Guidance to Federal Financial Assistance Recipients Regarding Title
VI Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons(Federal Register,June 18,
2002,Volume 67,Number 117,Page 41455-41472).
(Additional information regarding LEP requirements may be found at: http://www.ojp.usdoj.gov/ocr/Iep.htm)
In addition,I certify that in the event that a federal or State court or administrative agency makes a finding of discrimination after a due
process hearing on the grounds of race,color,age,religion,national origin,disability,or sex against the Entity,or any subgrantee or
contractor of the Entity,the Entity will forward a copy of the finding to the Authority.The Authority will forward a copy of the finding to the
Office for Civil Rights,Office of Justice Programs.
Check the following item(s) that apply:
X THE ENTITY,ITS SUBGRANTEES AND CONTRACTORS HAVE HAD NO FINDINGS OF DISCRIMINATION WITHIN THE
PAST 3YEARS
❑THE ENTITY,ITS SUBGRANTEES OR CONTRACTORS HAVE HAD FINDINGS OF DISCRIMINATION WITHIN THE
PAST 3 YEARS(You MUST attach a copy of all finding(s)made within the past 3 years that have not yet been submitted to the
Authority)
❑ All current findings have already been submitted to the Authority;no additional findings have been made and no additional
findings are attached
[Signature of Responsible Official] [Title] [Date]
CIVIL RIGHTS COMPLIANCE CERTIFICATION
(Complete ENTIRE certification)
Grant Program(circle applicable grant program):
ARRA JAG,JABG,JAG,NCHIP,NFSIA,PSN,RSAT,VAWA,VAWA SASP,VOCA,Other(Specify)
Grantee/Organization Name(hereafter referred to as the"Entity"): Elgin Police Department
Address: 151 Douglas Avenue
Elgin,Illinois 60120-5503
Contact Person: Jo Ann Stingley
Telephone#: 847-289-2686 Fax#847-289-2750 E-mail address: Stingley_j @cityofelgin.org
Grant Number/Contract Name:215046 Law Enforcement Prosecutor Based Victim Assistance Services
Certification Statement:
1, ----;\---- -___ - G(i 0 2"az7 [Responsible Official],certify to the following statements:
• Entity is in compliance with all applicable local,state and federal civil rights laws,regulations and guidelines,including but not
limited to those listed in the Interagency Agreement(s)/Contract(s)in effect for the grant(s)and contract(s)listed above.
• No person shall be excluded from participation in,denied the benefits of,subjected to discrimination under,or denied employment
in connection with any activity funded under this grant(s)/contract(s)on the basis of race,color,age,religion,national origin,
disability,or sex.
• Entity is in compliance with the following federal guidance materials regarding the provision of meaningful access to services and
programs to persons with limited English proficiency(LEP):Guidance to Federal Financial Assistance Recipients Regarding Title
VI Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons(Federal Register,June 18,
2002,Volume 67,Number 117,Page 41455-41472).
(Additional information regarding LEP requirements may be found at: http://www.ojp.usdoj.gov/ocr/Iep.htm)
In addition,I certify that in the event that a federal or State court or administrative agency makes a finding of discrimination after a due
process hearing on the grounds of race,color,age,religion,national origin, disability,or sex against the Entity, or any subgrantee or
contractor of the Entity,the Entity will forward a copy of the finding to the Authority. The Authority will forward a copy of the finding to the
Office for Civil Rights,Office of Justice Programs.
Check the following item(s) that apply:
THE ENTITY,ITS SUBGRANTEES AND CONTRACTORS HAVE HAD NO FINDINGS OF DISCRIMINATION WITHIN THE
AST 3YEARS
0 THE ENTITY, ITS SUBGRANTEES OR CONTRACTORS HAVE HAD FINDINGS OF DISCRIMINATION WITHIN THE
PAST 3 YEARS(You MUST attach a copy of all finding(s)made within the past 3 years that have not yet been submitted to the
Authority)
0 All current findings haw .]ready been submitted to the Authority; no additional findings have been made and no additional
findings are attached
( 7
[Signatur- f e. o's'. • i 'al] ' [Title] [Date]
1
V
1 U.S. DEPARTMENT OF JUSTICE
• OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest.Applicants should also review the instructions for certification included in the regulations before completing this
form.Signature of this form provides for compliance with certification requirements under 28 CFR Part 69,"New
Restrictions on Lobbying"and 28 CFR Fart 67, "Government-wide Debarment and Suspension (Nonpro-curement)and
Government-wide Requirements for Drug-Free Workplace(Grants)."The certifications shall be treated as a material
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
covered transaction,grant,or cooperative agreement.
1. LOBBYING
public(Federal,State,or local)transaction or contract under a
public transaction;violation of Federal or State antitrust statutes
As required by Section 1352,Title 31 of the U.S.Code,and
implemented at 28 CFR Part 69,for persons entering into a or commission ti embezzlement,theft,re fords,
grant or cooperative agreement over$100,000,as defined at bribery,nts,or receiving vi destruction s stolen r of records,making false
28 CFR Part 69,the applicant certifies that: statements,or receiving stolen property;
(a)No Federal appropriated funds have been paid or will be (c)Are not presently indicted for or otherwise criminally or
civilly charged by a governmental entity(Federal,State,or
paid,by or on behalf of the undersigned,to anY person for local)with commission of any of the offenses enumerated in
in-fluencing or attempting to influence an officer or paragraph(1)(b)of this certification;and
employee of any agency,a Member of Congres,an
officer or employee of (d)Have not within a three-year period preceding this applica-
Congress,or an employee of a Member of Congress in con- tion had one or more public transactions(Federal,State,or
nection with the making of any Federal grant,the entering into local)terminated for cause or default;and
of any cooperative agreement,and the extension,continuation,
renewal,amendment,or modification of any Federal grant or B.Where the applicant is unable to certify to any of the
cooperative agreement; statements in this certification,he or she shall attach an
(b)If any funds other than Federal appropriated funds have explanation to this application.
been paid or will be paid to any person for influencing or at- 3. DRUG-FREE WORKPLACE
tempting to influence an officer or employee of any agency,a (GRANTEES OTHER THAN INDIVIDUALS)
Member of Congress,an officer or employee of Congress,or
an employee of a Member of Congress in connection with this As required by the Drug Free Workplace Act of 1988,and
Federal grant or cooperative agreement,the undersigned shall implemented at 28 CFR Part 67,Subpart F,for grantees,as
complete and submit Standard Form-LLL,"Disclosure of defined at 28 CFR Part 67 Sections 67.615 and 67.620—
Lobbying Activities,"in accordance with its instructions;
(c)The undersigned shall require that the language of this cer- A.The applicant certifies that it will or will continue to provide
tification be included in the award documents for all subawards a drug-free workplace by:
at all tiers(including subgrants,contracts under grants and (a)Publishing a statement notifying employees that the
cooperative agreements,and subcontracts)and that all sub unlawful manufacture,distribution,die
recipients shall certify and disclose accordingly. dispensing,possession,or
use of a controlled substance is prohibited in the grantee's
2. DEBARMENT,SUSPENSION,AND OTHER workplace and specifying the actions that will be taken against
RESPONSIBILITY MATTERS employees for violation of such prohibition;
(DIRECT RECIPIENT) (b)Establishing an on-going drug-free awareness program to
inform employees about—
As required by Executive Order 12549,Debarment and
Suspension,and implemented at 28 CFR Part 67,for prospec- (1)The dangers of drug abuse in the workplace;
Tive participants in primary covered transactions,as defined at
28 CFR Part 67,Section 67.510— (2)The grantee's policy of maintaining a drug-free workplace;
A.The applicant certifies that it and its principals: (3)Any available drug counseling,rehabilitation,and employee
assistance programs;and
(a)Are not presently debarred,suspended,prop Dsed for debar-
ment,declared ineligible,sentenced to a denial of Federal (4)The penalties that may be imposed upon employees for
benefits by a State or Federal court,or voluntaril'excluded drug abuse violations occurring in the workplace;
from covered transactions by any Federal department
or agency; (c)Making it a requirement that each employee to be engaged
in the performance of the grant be given a copy of the state-ment
(b)Have not within a three-year period preceding this applica- required by paragraph(a);
tion been convicted of or had a civil judgment rer dered against
them for commission of fraud or a criminal offense in connec- (d)Notifying the employee in the statement required by para-graph
tion with obtaining,attempting to obtain,or performing a (a)that,as a condition of employment under the grant,
the employee will-
OJP FORM 4061/6(3-91)REPLACES OJP FORMS 4061/2,4061/3 AN 4061/4 WHICH ARE OBSOLETE,
f
(1)Abide by the terms of the statement;and
(2)Notify the employer in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace
no later than five calendar days after such conviction;
(e)Notifying the agency,in writing,within 10 calendar days Check ID if there are workplaces on file that are not indentified
after receiving notice under subparagraph(d)(2)from an here.
employee or otherwise receiving actual notice of such convic-tion.
Employers of convicted employees must provide notice,including Section 67,630 of the regulations provides that a grantee that
position title,to:Department of Justice,Office of is a State may elect to make one certification in each Federal
Justice Programs,ATTN:Control Desk,633 Indiana Avenue, fiscal year.A copy of which should be included with each ap-plication
N.W.,Washington,D.C.20531.Notice shall include the iden- for Department of Justice funding.States and State
Ification number(s)of each affected grant; agencies may elect to use OJP Form 4061/7.
Check if the State has elected to complete OJP Form
(f)Taking one of the following actions,within 30 calendar 4061/7.
days of receiving notice under subparagraph(d)(2),with
respect to any employee who is so convicted— DRUG-FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
(1)Taking appropriate personnel action against such an
employee,up to and including termination,consistent with the As required by the Drug-Free Workplace Act of 1988,and
requirements of the Rehabilitation Act of 1973,as amended;or implemented at 28 CFR Part 67,Subpart F,for grantees,as
defined at 28 CFR Part 67;Sections 67.615 and 67.620-
(2)Requiring such employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for A.As a condition of the grant,I certify that I will not engage
such purposes by a Federal,State,or local health,law enforce- in the unlawful manufacture,distribution,dispensing,posses-sion,
ment,or other appropriate agency; or use of a controlled substance in conducting any
activity with the grant;and
(g)Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs(a),(b), B.If convicted of a criminal drug offense resulting from a
(c),(d),(e),and(f). violation occurring during the conduct of any grant activity,I
will report the conviction,in writing,within 10 calendar days
B.The grantee may insert in the space provided below the of the conviction,to:Department of Justice,Office of Justice
site(s)for the performance of work done in connection with Programs,ATTN:Control Desk,810 Seventh Street NW.,
the specific grant: Washington,DC 20531.
Place of Performance(Street address,city,county,state,zip
code)
As the duly authorized representative of the applicant,I hereby certify that the applicant will comply with the above certifications.
1.Grantee Name and Address:
csit/i/ / Oi e Otep
/.S/ ;]o y/u./ r4Ye. �.'N .-r!/ be/zo- ,Ss o3
2.Application Number and/or Project Name 3.Grantee IRSNendor Number
.0/5041 b
hod IA)451.14 o e4tt.e.r.0 r a�-c.0 w Sajed„ e6- G o o 5g.Z
fir! /O,r../i J f-ague.A-,
4.Typed Name and Title of Authorized Representative
Jeffrey Swoboda, Chief of Police November 18, 2015
5.Signature 6.Date
Ar
/J/
*U.S.Government Printing Office:1996-405-037/40014
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ELGIN,CITY OF 150 DEXTER CT
Entity DUNS: 010224772 CAGE Code: 5CHL9 ELGIN,IL,60120-5527,
Status:Active UNITED STATES
D a s h bo Expiration Date:06/01/2016
Purpose of Registration:Federal Assistance Awards Only
Entity Record
Core Data Entity Overview
Assertions
Reps&Certs
POCs Entity Information
Reports Name:ELGIN,CITY OF
Business Type:US Local Government
Service Contract Report POC Name:Grants Administrator
Registration Status:Active
BioPreferred Report Activation Date:06/04/2015
Expiration Date 06/01/2016
Exclusions
Active Exclusions
Inactive Exclusions
Excluded Family Members Exclusions
I` 111f�7'fa`7; 't�b9y^AACfT Active Exclusion Records?No
SAM I System for Averd Management 1.0 IBM vl.P.36.20150930-1631
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ELGIN,CITY OF 151 DOUGLAS AVE
Entity DUNS: 928349711 CAGE Code: 3ZLT3 ELGIN,IL,60120-5503,
Status:Active UNITED STATES
D a s h board Expiration Date:03/18/2016
Purpose of Registration:Federal Assistance Awards Only
Entity Record —
Core Data Entity Overview
Assertions —
Reps&Certs
POCs Entity Information
Reports Name:ELGIN,CITY OF
Business Type:US Local Government
Service Contract Report POC Name:Lori Grocke
Registration Status:Active
pioPreferred Report Activatim Date:03/19/2015
Expiration Date:03/18/2016
Exclusions
Active Exclusions
Inactive Exclusions
Excluded Family Members Exclusions
I''' 1Li 11}ft5`a[t1�itClt 'y Active Exclusion Records?No
SAM I System for Av rd Mana¢nwNLO IBM v1.P.36.20150930.1631
WWW4
Noteto all Users:This is a Federal Government computer system.Use of this (5: 15 90V,,
system constitutes consent to monitoring at all times.
Vendor Summary- Illinois Comptroller's Office Page 1 of 3
to
h , , LESLIE GEISSLER MUNGER
ILLINOIS COMPTROLLER
VENDOR SUMMARY
CITY OF ELGIN
Vendor Status: Certified
Fiscal Year 2016 Payment Information
To view payment/contract information from FY 2015, be sure to select it from the
drop down on the next screen. Thank you.
Contracts
Number of Contracts:
6
Total Contract Amount:
$11,442.92
Total Contract Encumbrances:
$11,442.92
Total Contract Expenditures:
$0.00
CONTRACT DETAILS
https://illinoiscomptroller.gov/Comptroller/?LinkServID=A67E 1864-1 CC 1-DE6E-2F2641... 9/15/2015
COVER PAGE
PRO RAM TITLE: Law Enforcement Prosecuter Based;
Victim Assistance Services
AGREEMENT NUMBER: 215046
PREVIOUS AGREEMENT NUMBERS) 214046, 213828, 213046, 212046,
211046,210046, 209046,208046,
206046,204546, 204046, 202046
ESTIMATED START DATE: September 1,2015
SOURCES OF PROGRAM FUNDING:
Funds:VOCA 2015 $ 72,486
Matching Funds: $ 18,122
Over-Matching Funds: $ 7,984.
Total: $98,592
IMPLEMENTING AGENCY'S NAME: Elgin,City of
ADDRESS (This address must be the physical 150 Dexter Court
address that is registered with SAM and include Elgin,IL
nine digit zip code): 60120-5527
IMPLEMENTING AGENCY'S AUTHORIZED David Kaptain
OFFICIAL:
TITLE: Mayor, City of Elgin I
FEDERAL EMPLOYER IDENTIFICATION
NUMBER: 36-6005862
IMPLEMENTING AGENCY'S DUNS 010224772
NUMBER:
IMPLEMENTING AGENCY'S SAM June 1,2016
REGISTRATION EXPIRATION DATE:
IMPLEMENTING AGENCY'S CAGE CODE: 5CHL9
IMPLEMENTING AGENCY'S FINANCIAL Colleen Lavery
OFFICER:
TITLE:"i Chief Financial Officer
TELEPHONE: (847)931-5625
PROGRAM AGENCY'S NAME:Mark n/a if Elgin Police Department
anything is the same as the Implementing Agency.
PROGRAM AGENCY'S MAILING ADDRESS
(If the same as above mark"N/A"): 151 Douglas Avenune
Elgin, Illinois
60120-5503
PROGRAM.AGENCY'S AUTHORIZED Jeffrey Swoboda
OFFICIAL:
TITLE: ;`
Chief of Police.
PROGRAM AGENCY'S DUNS NUMBER: 928349711
PROGRAM.AGENCY'S SAM REGISTRATION March 18,2016 '
EXPIRATION DATE:
PROGRAM AGENCY'S CAGE CODE: 3ZLT3
FISCAL CONTACT PERSON: Lacey Roberts
AGENCY: " Elgin Police Department
TITI.E: , Budget Analyst.
TE1.,EPRONE:. . (847)289=2685..,
FAIL: (847)289=2750
E-MAIL:. roberts,�aceyC cityofeigmrorg;
PROGRAM CONTACT PERSON: ';j6 Alin S'tingley
TITLE: ; Vtct m-Assistance Coordinator
TELEPHONE: (847)289-2686
FAX: (847)-289-27550
E-MAIL:. . stingley,j C cityofelgin:org
IMPLEMENTING AGENCY'S LEGISLATIVE , Congressional District: 8
DISTRICT'(Tins must be based on-the nine digit. State Senate District 22
zip code registered with SAM:The district;can be State Representative District;:43
located by using this linii.):' ;
PRIMARY AREA OF PERFORMANCE(This Elgin,Illlno�s ,
should be either the Program Agency's office or 60120-5503
the location where a majority of the grant activity -;
takes place.A street address does not need to be
provided,but please list city,state and nine digit
zip-code ..
PRIMARY -AREA OF PERFORMANCE"S Congressional District,8
GISLATIVE DISTRICT(This must be based State Senate District 22
on the'nine digit zip;code Iisted above.The district: State RepresentativeDistnet�43
can be located by using this link:):.
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$25,0000,000?
Question 3)Are the Program Agency's top five
compensated officers' compensation not available
through the Securities'and Exchange Commission
or 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 ,
2
Last Updated February 6,2015
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
INTERAGENCY AGREEMENT
Victims of Crime Act Victim Assistance Grant Program
Federal Fiscal Year 2015
This interagency agreement is entered into by the Illinois Criminal Justice Information Authority,with its offices at 300
W.Adams,Suite 200,Chicago,Illinois 60606,hereinafter referred to as the"Authority",and,the City of Elgin on
behalf of the Elgin Police Department,hereinafter referred to as the"Implementing Agency,"with its principal offices at
150 Dexter Court,Elgin,Illinois 60120-5527 for implementation of the Law Enforcement&Prosecutor-Based Victim
Assistance Services program.
WHEREAS,Section 7(k)of the Illinois Criminal Justice Information Act(20 ILCS 3930/7(k))establishes the Authority
as the agency"to apply for,receive,establish priorities for,allocate,disburse and spend grants of funds that are made
available...from the United States pursuant to the federal Crime Control Act of 1973,as amended,and similar federal
legislation,and to enter into agreements with the United States government to further the purposes of this Act,or as may
be required as a condition of obtaining federal funds;"and
WHEREAS,pursuant to the Authority's rules entitled"Operating Procedures for the Administration of Federal Funds,"
(20 Illinois Administrative Code 1520 et seq.)the Authority awards federal funds received by the State of Illinois
pursuant to the Victims of Crime Act and enters into interagency agreements with state agencies,units of local
government,and not-for-profit organizations for the use of these federal funds;and
WHEREAS,pursuant to the Victims of Crime Act,the Authority has been designated as the State agency responsible
for administering this program;and
WHEREAS,the Authority designated the Implementing Agency to receive funds for the purpose of implementing a
program to address one of the named areas.
NOW,THEREFORE,BE IT AGREED by and between the Illinois Criminal Justice Information Authority and the
Implementing Agency as follows:
SECTION 1. DEFINITIONS
"Program": means a planned,integrated approach to an identified problem which is characterized by clear goals,
measurable objectives,the implementation of strategies to achieve those objectives and a mechanism
for assessing the effectiveness of those strategies.
SECTION 2. PERIOD OF PERFORMANCE AND COSTS INCURRED
The period of performance of this agreement shall be from September 1,2015 through August 31,2016.
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 3. COMMENCEMENT OF PERFORMANCE
If performance has not commenced within 60 days of the original starting date of this agreement,the Implementing
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
1
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
Agency agrees to report by letter to the Authority the steps taken to initiate the program,the reasons for the delay,and
the expected starting date.
If the program is not operational within 90 days of the starting date of this agreement,the Implementing Agency agrees
to submit a second letter to the Authority explaining the implementation delay.The Authority may at its discretion either
cancel this agreement or extend the implementation date of the program past the 90-day period.
If the program is interrupted for more than 30 days after commencement,due to loss of staff or any other reason,the
Implementing Agency agrees to notify the Authority in writing explaining the reasons for the interruption and the steps
being taken to resume operation of the program.The Authority may,at its discretion,reduce the amount of federal funds
awarded and/or terminate this agreement if the program is interrupted for more than 90 days.
If this agreement is terminated due to this section,the Authority will only pay for those services rendered as of the date
service delivery ceased.Any funds advanced to the Implementing Agency and not expended as of that date shall be
repaid to the Authority upon notification by the Authority.
SECTION 4. PAYMENT
The maximum amount of federal funds under this agreement is$72,486 and is dependent on the expenditure of
matching funds as described in this agreement and Exhibit B,and the performance of the Implementing Agency in
accordance with the terms and conditions of this agreement.
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 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.In addition,
due to the unique requirements of the program being funded,the Implementing Agency may request that an advance
payment be made during any quarter and must include supporting documentation with the request.Requests for
advance payment are subject to review and approval.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 Implementing Agency must provide for the deposit of program funds,including federal and matching funds,into a
bank account in the name of the Implementing Agency,either depositing such funds into an account separate from any
of its other bank accounts or treating such funds as a separate line item per its budget and audited financial statements.
Federal funds shall be immediately deposited into such bank account.
SECTION 5. MATCH
The Implementing Agency certifies that it(a)meets the requirements of this agreement and(b)has at least 20 percent of
its support(including in-kind contributions)from sources other than federal funds for the program described in Exhibit
A.Therefore one dollar in cash or in-kind match is required for each four dollars of federal funding received.
Failure of the Implementing Agency to apply non-federal financial support to the program described in Exhibit A in
the amount of at least 20 percent of such program's costs,shall result in a proportionate reduction in the amount of
federal funds awarded under this agreement and may result in the return of funds already awarded.To meet this
matching funds requirement,the Implementing Agency shall apply non-federal financial support to the program,as
described in Exhibit B.
SECTION 6. NON-SUPPLANTATION
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
2
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
The Implementing Agency certifies tin.'VOCA funds will not be used to supplant(replace)State or local funds.
VOCA funds must increase the amount at would otherwise be available to the Implementing Agency for the types
of activities eligible for funding under e Victims of Crime Act.
SECTION 7. FUNDING ELIGIBILI Y REQUIREMENTS
Implementing Agency certifies that it,a d its subcontractors,shall use VOCA and match funds for only allowable
services,activities and costs,as describ.d in the Victims of Crime Act Crime Victims Assistance Program
Guidelines;Section E.Services,Activit es,and Costs at the Subrecipient Level.
The Implementing Agency certifies that i my those costs related to the delivery of direct services to victims of crime
shall be paid pursuant to this agreement, accordance with Exhibit B.
In administering the program described• Exhibit A the Implementing Agency agrees that it:
(a) Is a nonprofit organization or public agency that provides services to victims of crime;
(b) Has a record of providing effect ve service to victims of crime and at least 20 percent of its financial support
(including in-kind contributionsi is from non-federal sources;or,if it has not yet demonstrated a record of
providing services,it can demo strate that 25-50 percent of its financial support comes from non-federal
sources;
(c) Utilizes volunteers;
(d) Promotes coordinated public an' private efforts within the community served to aid crime victims;
(e) Assists victims in seeking availa'le crime victim compensation benefits;
(f) Maintains statutorily required c' it rights statistics on victims served by,national origin,sex,age,and
disability,where such statistics . e voluntarily provided by those receiving assistance,and permits reasonable
access to its books,documents, .apers,and records to determine whether the Implementing Agency is
complying with applicable civil .ghts laws;this requirement is waived when the Implementing Agency is
providing a service,such as tele•hone counseling,where soliciting the information may be inappropriate or
offensive to the crime victim;
(g) Provides services to victims off:deral crimes on the same basis as victims of State and local crimes;
(h) Provides services to crime victi s,at no charge,through the program described in Exhibit A;and
(i) Maintains confidentiality of clie -counselor information,as required by State and federal law.
Implementing Agency certifies that it,a d its subcontractors,shall not use VOCA or match funds to pay for
presentations given by VOCA or match unded personnel, unless the following conditions are adhered to. These
presentations should serve as a means o i reaching the project's target population either through outreach to individual
crime victims or through agencies that t pically have contact with the target population.
• VOCA or match funded staff ti e,not to exceed an average of 4 hours per month,may be used to provide
public presentations to commu ity groups and schools provided the primary purpose of the presentation is
to inform people about the VO i A funded project and available services.
• VOCA or match funded staff ti e,not to exceed an average of 10 hours per month,may be used to provide
public presentations to crimina justice personnel and medical service providers provided the primary
purpose of the presentation is tip inform people about the VOCA funded project and available services.
The Implementing Agency certifies that i and its subcontractors,will comply the conditions of the Victims of Crime
Act(VOCA)of 1984,sections 1404(a)( ),and 1404(b)(1)and(2),42 U.S.C. 10603(a)(2)and(b)(1)and(2).
SECTION 8. PROGRAM DESCRIP ION,BUDGET,EXHIBITS AND AMENDMENTS
The Implementing Agency agrees to un•-rtake and perform in a satisfactory manner in accordance with the terms
ILLINOIS ' NAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
3
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
and conditions of this agreement,the program described in the Program Description attached and incorporated as
Exhibit A and the Budget attached and incorporated as Exhibit B.
The documents appended are made a part of this agreement,as exhibits and amendments as the case may be.Any
amendment to this agreement must be signed by the parties to be effective.The Implementing Agency shall perform
the services subject to this agreement in accordance with all terms,conditions,and provisions set forth in such
exhibits and amendments.
SECTION 9. OBLIGATIONAL LIMITATION—AVAILABLITY OF APPROPRIATION
This agreement is contingent upon and subject to the availability of funds. The Authority,at its sole option,may
terminate or suspend this agreement,in whole or in part,without penalty or further payment being required,if(1)the
Illinois General Assembly or the federal funding source fails to make an appropriation sufficient to pay such
obligation,or if funds needed are insufficient for any reason(30 ILCS 500/20-60),(2)the Governor decreases the
Authority's funding by reserving some or all of the Authority's appropriation(s)pursuant to power delegated to the
Governor by the Illinois General Assembly;or(3)the Authority determines,in its sole discretion or as directed by
the Office of the Governor,that a reduction is necessary or advisable based upon actual or projected budgetary
considerations.Implementing Entity will be notified in writing of the failure of appropriation or of a reduction or
decrease.
SECTION 10. FINANCIAL CAPABILITY
The Authority may,in its discretion,require the Implementing Agency to provide documentation on its financial
capability. This may include,but is not limited to,copies of the Implementing Agency's annual report,credit
reports,delinquency status of Federal debt,and assurances on the adequacy of the Implementing Agency's
accounting system and operations. The Implementing Agency must comply with federal and state financial
management standards.
SECTION 11. REPORTING AND EVALUATION REQUIREMENTS
Unless another reporting schedule has been required or approved by the Authority,the Implementing Agency agrees to
submit the following minimum data to the Authority on a quarterly basis,with quarters beginning at the start of the
calendar year,within 15 days following the quarter covered by the report:
a) Victim Statistics:Total number of victims and significant others served by program,type of crime,
type of services provided,race,sex,age,national origin and disability,where such information is
voluntarily furnished by those receiving services;and
b) Staff Information:Number of hours and types of service contributed during the reporting period by
paid and volunteer staff.
The Implementing Agency agrees to submit the following information as required by the Authority:
a) Changes that have been made in the program since receiving the federal funds that will benefit victims
of crime;
b) A short description of how the program has coordinated its activities with other service providers in
the community;
c) A short description of how the program has assisted crime victims in seeking available crime victim
compensation benefits;
d) Victim statistics,including the total number of victims served by criminal justice status(i.e.
reporting/non-reporting,prosecution/non-prosecution);
e) Staff information,including the number of hours of training received by volunteers and paid staff;
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORFFY
Updated September 18,2015
Federal and State Grants Unit
4
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
0 Program information .nd activities,including the number of hours of training presented,number of
hours of public info ation and education programs presented;and
g) Number of referrals t• from other agencies.
Unless another reporting schedule has •-en required or approved by the Authority,the Implementing Agency is also
required to submit quarterly fiscal repo and to file year-end program financial status reports.The Executive
Director of the Authority will determin. the content and form of these reports.The Implementing Agency agrees to
report any additional information requ' -d by the Executive Director of the Authority.
SECTION 12. MAINTENANCE I INSPECTION OF RECORDS
The Implementing Agency agrees to ma' tain records which document activity reported to the Authority pursuant to this
agreement.Such records shall be accessi•le to the Authority for monitoring purposes no more than 10 days following a
request that such records be produced by the Implementing Agency.Inability of the Implementing Agency to produce
such records or failure to produce such records shall be cause for suspension or termination of this agreement.
The Implementing Agency agrees to ret in financial and program records for a minimum of 3 years after the
expiration date of this agreement,or 3 y-ars after closure of Implementing Agency's most recent audit report,
whichever is later.The Implementing Agency shall maintain,for this 3-year period,adequate books,records,and
supporting documents to verify the amo nts,recipients,and uses of all disbursements of funds passing in conjunction
with this agreement;the agreement and 11 records,books,paper,and documents related to the agreement shall be
available for review and audit by the A •itor General,federal awarding agency personnel or its representatives,the
Office of Chief Financial Officer or its r-presentatives,the Authority,or any person duly authorized by the
Authority;and the Implementing Agenc agrees to cooperate fully with any audit conducted by the Auditor General,
the federal awarding agency,the Author ty or any person duly authorized by the Authority,and to provide full access
to all relevant materials.Failure to main ain the books,records,and supporting documents required by this Section
shall establish a presumption in favor of the State for the recovery of any funds paid by the State under the agreement
for which adequate books,records,and •upporting documentation are not available to support their purported
disbursement.
If any litigation,claim,negotiation,audi ,review or other action involving the records has been started before the
expiration of the 3-year period,the reco ids must be retained until the completion of the action and resolution of all
issues that arise from it or until the end •f the regular 3-year period,whichever is later.
The Implementing Agency authorizes th Authority and Office for Victims of Crime(OVC)and/or the Office of the
Chief Financial Officer(OCFO),and its epresentatives,access to and the right to examine all records,books,paper
or documents related to this agreement.
SECTION 13. CLOSEOUT REQ ' MENTS
Within 30 days of the expiration date of is agreement or any approved extension thereof the following documents
must be submitted by the Implementing •gency to the Authority: (a)final financial status report;(b)final progress
reports;(c)property inventory report; (d any refund of unexpended funds and(e)other documents required by the
Authority.
SECTION 14.INSPECTION AND A 'DIT
If required by revised Office of Manage ent and Budget Circular A-133 "Audits of States,Local Governments,and
Non-Profit Organizations," the Impleme•ting Agency agrees to provide for an independent audit of its activities.
Audits shall be made annually,unless A-133 allows the Implementing Agency to undergo biennial audits.Audits
shall be made in accordance with the Ge•erally Accepted Government Auditing Standards(GAGAS),General
ILLINOIS C' NAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
5
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
Accounting Standards for Audit of Governmental Organizations,Programs,Activities and Functions,the Guidelines
for Financial and Compliance Audits of Federally Assisted Programs,any compliance supplements approved by the
Office of Management and Budget, and generally accepted auditing standards established by the American Institute
of Certified Public Accountants.Copies of all audits must be submitted to the Authority no later than 9 months after
the close of the Implementing Agency's audit period.Further,Implementing Agency understands and agrees that
funds may be withheld,or other related requirements may be imposed,if outstanding audit issues(if any)from OMB
Circular A-133 audits(and any other audits of Office of Justice Programs(OJP)grant funds)are not satisfactorily
and promptly addressed,as further described in the current edition of the OW Financial Guide,Chapter 19.
Known or suspected violations of any law encountered during audits,including fraud,theft,embezzlement,forgery,
or other serious irregularities,must be immediately communicated to the Authority and appropriate federal,State,
and local law enforcement officials.
The Implementing Agency agrees to develop and maintain a record-keeping system to document all agreement
related activities and expenditures.These records will act as the original source material for compilation of the data
required in this agreement and all other program activity.
The Authority,Illinois Auditor General and the Illinois Attorney General shall have access for purposes of
monitoring,audit and examination to all relevant books,documents,papers,and records of the Implementing
Agency,and to relevant books,documents,papers,and records of subcontractors.In addition,the Office of Victim
of Crime and the Office of the Chief Financial Officer or their representatives shall have access to and right to
examine all relevant books,documents,papers,and records of the Implementing Agency,and to relevant books,
documents,papers and records of subcontractors.
The Implementing Agency understands and agrees that the Authority or ON may withhold award funds,or may
impose other related requirements,if the Implementing Agency does not satisfactorily and promptly address
outstanding issues from audits required by the Part 200 Uniform Requirements(or by the terms of this award),or
other outstanding issues that arise in connection with audits,investigations,or reviews.
SECTION 15. PROCUREMENT REQUIREMENTS,REQUESTS FOR PROPOSALS
All procurement transactions shall be conducted by the Implementing Agency in a manner to provide,to the
maximum extent practical,open and free competition.The Implementing Agency must use procurement procedures
that minimally adhere to all applicable laws,executive orders and federal guidelines.The Implementing Agency shall
also adhere,and assure that its contractors and subcontractors adhere,to all applicable certification and disclosure
requirements of the Illinois Procurement Code.
The Implementing Agency shall follow its established procurement process if it minimally adheres to applicable
federal guidelines,and the following requirements.If the Implementing Agency's established procurement process is
less competitive than the following requirements,the following more competitive requirements must be adhered to in
lieu of the Implementing Agency's procurement process.
• For procurements of$100,000 or less,the Implementing Agency must solicit quotes or bids from at least three
sources.
• For procurements over$100,000,the Implementing Agency must formally advertise the proposed procurement
through an Invitation for Bids(IFB),or a Request for Proposals(RFP)process.
All procurements over$100,000,that involve the use of federal or matching funds,must be submitted by the
Implementing Agency to the Authority for review and written approval prior to their issuance.In addition,the
Authority reserves the right to request that any RFP or IFB,regardless of its dollar amount,be submitted to the
Authority for review and approval prior to its issuance.In addition,the Implementing Agency shall notify and submit
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
6
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
for approval to the Authority any other elevant procurement documents including but not limited to Request For
Information(RFI).
As required by the Authority,the Imple enting Agency shall submit documentation regarding its procurement
procedures and grant-funded purchases for Authority review and approval,to assure adherence to applicable federal
guidelines.
SECTION 16. SUBCONTRACTIN
The use of subcontractors for any work or professional services that involves the use of federal or matching funds is
subject to Authority approval.Any wor or professional services subcontracted for shall be specified by written
contract and subject to all terms and co editions contained in this agreement.If the use of subcontractors is approved
by the Authority,the terms and conditions of this agreement shall apply to and bind the party or parties to whom
such work is subcontracted as fully and completely as the Implementing Agency is bound and obligated.The
Implementing Agency shall make reaso able efforts to assure that all subcontractors adhere to the terms and
conditions of this agreement.The Auth'rity shall not be responsible for the performance,acts or omissions of any
subcontractor.
Subcontracts over $100,000 that are ded with federal or matching funds must be submitted by the Implementing
Agency for Authority review and appro al prior to their effective dates and execution by the Implementing Agency.In
addition, the Authority reserves the ri..ht to require that any subcontract funded with federal or matching funds,
regardless of its dollar amount, be sub 'tted to the Authority for review and approval prior to its effective date and
execution by the Implementing Agency.
As required by the Authority,the Imple enting Agency shall submit documentation regarding contracts to be funded
with federal or matching funds for Authority review and approval,to assure adherence to applicable federal
guidelines.
Approval of the use of subcontractors b the Authority does not relieve the Implementing Agency of its obligation to
assure performance under this agreeme t.
SECTION 17. ASSIGNMENT
The Implementing Agency shall make o assignment or transfer of this agreement,any subcontracts under this
agreement or of any of the monies due ereunder without prior written approval of the Authority.In the event that
the Authority approves such an assignment or transfer,the terms and conditions of this agreement shall apply to and
bind the party or parties to whom such ork is assigned or transferred as fully and completely as the Implementing
Agency is bound and obligated.
SECTION 18. INDEPENDENT CO TRACTOR
The Implementing Agency,in the perfo mane of this agreement,shall act as an independent contractor and not as an
agent or employee of the Authority.Th=Authority shall not be responsible for the performance,acts or omissions of
the Implementing Agency.The Implementing Agency shall be liable,and agrees to be liable for,and shall indemnify,
defend and hold the Authority harmless or all claims,suits,judgments and damages arising from the performance of
this agreement,to the extent permitted s∎ law.
SECTION 19. MANAGEMENT A u DISPOSITION OF EQUIPMENT AND COMMODITIES
Equipment and commodities acquired b, the Implementing Agency with agreement funds shall be used for purposes
of the program described in Exhibit A o nly. The Implementing Agency shall retain the equipment and commodities
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acquired with agreement funds as long as they serve to accomplish program purposes, whether or not the program
continues to be supported by federal funds. If the equipment or commodities originally purchased for the program
are no longer capable of fulfilling the needs of the program and must be traded in or replaced or there is no longer a
need for the equipment or commodities,the Implementing Agency shall request instructions from the Authority.
The Authority may deny equipment and commodities costs or require that the Implementing Agency relinquish
already purchased equipment and commodities to the Authority, if the Implementing Agency fails to employ an
adequate property management system, governing the use, protection and management of such property. The
Implementing Agency is responsible for replacing or repairing equipment and commodities that are willfully or
negligently lost, stolen, damaged or destroyed. The Implementing Agency shall provide equivalent insurance
coverage for equipment and commodities acquired with agreement funds as provided for other equipment and
commodities owned by the Implementing Agency.Any loss,damage or theft of equipment and commodities shall be
investigated and fully documented,and immediately reported to the Authority.
If, for an item of equipment described in Exhibit B to be funded with either federal or matching funds, the
Implementing Agency does not have a purchase order dated within 90 days after the start date of the agreement, the
Implementing Agency shall submit a letter to the Authority explaining the delay in the purchase of equipment. The
Authority may,in its discretion:
A. Reduce the amount of federal funding;
B. Cancel this agreement;
C. Allow the Implementing Agency to reallocate the federal or matching funds that were allocated for such
equipment to other allowable,Authority approved costs;or
D. Extend the period to purchase this equipment past the 90-day period.
Equipment purchased using federal or matching funds shall be year 2000 compliant and shall be able to process all
time/date data after December 31, 1999.
SECTION 20. CONFLICTS OF INTEREST
The Implementing Agency agrees to comply with applicable provisions of the Illinois Procurement Code(30 ILLS
500)prohibiting conflicts of interest,and all applicable terms,conditions and provisions of the code are made a part
of this agreement the same as though they were incorporated and included herein.
No employee, officer or agent of the Implementing Agency shall participate in the selection, or in the award or
administration of a contract supported by federal funds if a conflict of interest,real or apparent, would be involved.
The Implementing Agency shall establish safeguards to prohibit employees from using their positions for a purpose
that is or gives the appearance of being motivated by a desire for private gain for themselves or others.
SECTION 21.IMPLEMENTING AGENCY COMPLIANCE
The Implementing Agency agrees to comply with all applicable laws,regulations,and guidelines of the State of
Illinois,the Federal Government and the Authority in the performance of this agreement,including but not limited
to:
The Uniform Administrative Requirements,Cost Principles,and Audit Requirements in 2 C.F.R.Part 200,
as adopted and supplemented by the Department of Justice(DOJ)in 2 C.F.R.Part 2800(the"Part 200
Uniform Requirements").
The Victims of Crime Act;Office of Justice Programs,Office for Victims of Crime,Victims of Crime Act
Victim Assistance Grant Final Program Guidelines(62 FR 19607,April 22, 1997);the Department of Justice
Grants Financial Guide as posted on the OW website;and the Office of Justice Programs'Financial Guide
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
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(current edition).
Office of Management and Bu•get Circulars A-21,A-87,A-102,A-110,A-122,and A-133,Executive
Order 12372;Illinois Grant Fu ds Recovery Act(30 ILCS 705);Illinois Procurement Code(30 ILCS 500);
State Comptroller Act(15 ILC. 405);Authority Federal Grant Financial Guidelines;and the rules of the
Authority(20 Ill.Adm.Code 1.20 et seq.).
Provisions of 28 CFR applicab e to grants and cooperative agreements including Part 18,Administrative
Review Procedures;Part 20,C iminal Justice Information Systems;Part 22,Confidentiality of Identifiable
Research and Statistical Info ation;Part 23,Criminal Intelligence Systems Operating Policies;Part 30,
Intergovernmental Review of I epartment of Justice Programs and Activities;Part 38,Equal Treatment for
Faith-Based Organizations;P.1 42,Non-Discrimination/Equal Employment Opportunity Policies and
Procedures;Part 46,Protectio of Human Subjects;Part 61,Procedures for Implementing the National
Environmental Policy Act;P. 163,Floodplain Management and Wetland Protection Procedures;Part 66,
Uniform administrative require ents for grants and cooperative agreements to State and local governments;
Part 67,Governmentwide Deb. ent and Suspension(Nonprocurement);and Part 69,New Restrictions on
Lobbying;Part 70,Uniform ad inistrative requirements for grants and agreements(including subawards)
with institutions of higher educ a tion,hospitals and other non-profit organizations;Part 83,Government-
wide requirements for drug-fre• workplace(Grants).
Section 8136 of the Departme of Defense Appropriations Act of 1988(P.L. 100-463,effective October 1,
1988).
National Environmental Policy Act of 1969,42 U.S.C.pars.4321 et seq.
National Historic Preservation ct of 1966, 16 U.S.C.pars.470 et seq.
- Flood Disaster Protection Act •f 1973,42 U.S.C.pars 4001 et seq.
Clean Air Act of 1970,42 U.S. .pars.7401 et seq.
Clean Water Act,33 U.S.C.p. s. 1368 et seq.;Executive Order 11738;and EPA regulations(40 CFR Part
15).
Federal Water Pollution Contr.l Act of 1948,as amended,33 U.S.C.pars. 1251 et seq.
- Safe Drinking Water Act of 19'4,42 U.S.C.pars. 300f et seq.
Endangered Species Act of 19 3, 16 U.S.C.pars. 1531 et seq.
Wild and Scenic Rivers Act of 1968,as amended, 16 U.S.C.pars. 1271 et seq.
Historical and Archeological I.to Preservation Act of 1960,as amended, 16 U.S.C.pars.469 et seq.
Coastal Zone Management Act of 1972, 16 U.S.C.pars. 1451 et seq.
Coastal Barrier Resources of 1'82, 16 U.S.C.pars.3501 et seq.
- Indian Self Determination Act,25 U.S.C.par.450f.
Intergovernmental Cooperatio Act of 1968,42 U.S.C.4201 et seq.
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,42 U.S.C.pars.4601 et
seq.
Hatch Political Activity Act of 940,as amended,5 U.S.C.pars. 1501 et seq.
Animal Welfare Act of 1970,7 U.S.C.pars.2131 et seq.
Demonstration Cities and Met•politan Development Act of 1966,42 U.S.C.pars.3301 et seq.
Federal Fair Labor Standards 'ct of 1938,as amended,29 U.S.C.pars. 201 et seq.
SECTION 22. NATIONAL ENVIRO ENTAL POLICY ACT AND RELATED LEGISLATION
The Implementing Agency understands at all OJP awards are subject to the National Environmental Policy Act
(NEPA,42 U.S.C. section 4321 et seq.) .nd other related Federal laws(including the National Historic Preservation
Act),if applicable.The Implementing Agency agrees to assist OJP in carrying out its responsibilities under NEPA
and related laws,if the Implementing Agency plans to use VOCA funds(directly or through subaward or contract)to
undertake any activity that triggers thes- requirements,such as renovation or construction.(See 28 C.F.R.Part 61,
App.D.)The Implementing Agency also agrees to comply with all Federal,State,and local environmental laws and
regulations applicable to the developme it and implementation of the activities to be funded under this award.
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The Implementing Agency acknowledges that this section applies to new activities whether or not they are being
specifically funded with federal grant or matching funds,in connection with the program.As long as the new activity
is being conducted by the Implementing Agency,or any subgrantee,subcontractor,or any third party,and the new
activity needs to be undertaken in order to use the federal grant or matching funds in connection with the program,
the terms of this section must be met.
None of the following activities will be conducted,directly or indirectly,by the Implementing Agency,any its
contractors or sub-contractors,or a related third party action:
• New construction.
• Any renovation or remodeling of a property either(a)listed or eligible for listing on the National Register of
Historic Places or(b)located within a 100-year flood plain.
• A renovation that will either(a)result in a change in its basic prior use,or(b)significantly change its size.
• Research and technology whose anticipated and future application could be expected to have an effect on the
environment.
• Implementation of a new program involving the use of chemicals other than chemicals that are(a)purchased as
an incidental component of a funded activity and(b)traditionally used,for example,in office,household,
recreational,or educational environments.
For existing and continuing programs or activities that will be funded with federal grant or matching funds through
the Authority,upon request by the Authority as directed by OVC,the Implementing Agency shall cooperate with
OVC in any preparation by OVC of a national or program environmental assessment of that funded program or
activity.
SECTION 23. NATIONAL HISTORIC PRESERVATION ACT COMPLIANCE CERTIFICATION
If the Implementing Agency is considering renovation work that would alter or otherwise improve the exterior or
interior of a structure that will be used to accommodate the grant program,the Implementing Agency certifies it shall
assist the Authority and the Office of Victims of Crime(OVC)in complying with the National Historic Preservation
Act(NHPA).
The Implementing Agency must establish and maintain records to determine if the structure is 50 years or older. If
any portion of the structure is 50 years or older,the Implementing Agency shall contact the Authority. The
Implementing Agency shall provide the Authority with any information needed to comply with NHPA. This may
include assisting the Authority and OVC in consulting with the State Historic Preservation Office and amending the
proposed renovation to avoid any potential adverse impact to an historic structure. The Implementing Agency
cannot begin the proposed renovation of a structure 50 years or older until the Implementing Agency receives written
approval from the Authority.
The Implementing Agency acknowledges that this section applies to proposed renovation work whether or not it is
being specifically funded with federal grant or matching funds. As long as the proposed renovation is being
conducted by the Implementing Agency or any third party to accommodate the use of the federal grant or matching
funds,the Implementing Agency must assist the Authority and OVC in complying with the NHPA.
If the records established and maintained by the Implementing Agency clearly document that the structure is less
than 50 years old,the implementing Agency must submit these documents to the Authority to receive approval for
the proposed renovation being exempt from the NHPA.
SECTION 24. EQUAL EMPLOYMENT OPPORTUNITY PROGRAM
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Pursuant to 28 CFR Part 42(Nondiscri ination;Equal Employment Opportunity;Policies and Procedures),except
those recipients specifically exempted b 28 CFR Part 42.302(c),if the Implementing Agency has less than fifty
employees or receives an award of less an$25,000 or is a nonprofit organization,a medical institution,an
educational institution,or an Indian trib;,then it is exempt from the EEOP requirement.To claim the exemption,
your organization must complete and submit Section A of the Certification Form.
If Implementing Agency is a governme agency or private business and receives an award of$25,000 or more,but
less than$500,000,and has fifty or mor; employees(counting both full-and part-time employees but excluding
political appointees),then it has to prep. e a Utilization Report(formerly called an EEOP Short Form),but it does
not have to submit the report to the OC for review.Instead,the Implementing Agency has to maintain the
Utilization Report on file and make it a .ilable for review on request.In addition,your organization has to
complete Section B of the Certification 'orm,and return it to the Authority.
If the Implementing Agency is a gove ent agency or private business and has received an award for$500,000 or
more and has fifty or more employees(c•unting both full-and part-time employees but excluding political
appointees),then it has to prepare a Util zation Report(formerly called an EEOP Short Form)and submit it to the
OCR for review within sixty days from e date of this letter.For assistance in developing a Utilization Report,
please consult the OCR's website at http//www.ojp.usdoj.gov/about/ocr/eeop.htm.In addition,the Implementing
Agency has to complete Section C of th: Certification Form and return it to the Authority.
The Implementing Agency acknowledg-. that failure to submit an acceptable EEO Plan,if required by this section,
is a violation of this agreement and may esult in suspension or termination of funding,until such time the
Implementing Agency is in compliance.
SECTION 25. NONDISCRIMINATI I N
The Implementing Agency certifies that o person shall be excluded from participation in,denied the benefits of,
subjected to discrimination under,or de ied employment in connection with any activity funded under this
agreement on the basis of actual or perc-ived race,color,age,religion,national origin,disability,or sex.The
Implementing Agency agrees to have wr tten sexual harassment policies which satisfy the requirements set forth in
the Illinois Human Rights Act. (775 MC. 5).
National origin discrimination includes •iscrimination on the basis of limited English proficiency(LEP).To ensure
compliance with Title VI of the Civil Ri..hts Act of 1964 and the Safe Streets Act,the Implementing Agency is
required to take reasonable steps to ensu e that LEP persons have meaningful access to programs.Meaningful access
may entail providing language assistanc: services,including oral and written translation when necessary.
Faith-Based and Community Organizati•ns that statutorily qualify as eligible applicants under ON programs are
invited and encouraged to apply for assi'tance awards and will be considered for awards on the same basis as any
other eligible applicants and,if they rec-;ve assistance awards, will be treated on an equal basis with all other
grantees in the administration of such a ards.No eligible applicant will be discriminated against on the basis of its
religious character or affiliation,religio name,or the religious composition of its board of directors or persons
working in the organization.
The Implementing Agency assures comps iance with the following laws,and all associated rules and regulations:
Non-Discrimination requireme is of the Omnibus Crime Control and Safe Streets Act of 1968,as amended,
42 U.S.C. 3789d(c);
Title VI of the Civil Rights Act of 1964,as amended,42 U.S.C. 2000d;
Guidance to Federal Financial ssistance Recipients Regarding Title VI Prohibition Against National
Origin Discrimination Affectin: Limited English Proficient Persons(Federal Register,June 18,2002,
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Volume 67,Number 117,Page 41455-41472);and Executive Order 13166 Limited English Proficiency
Resource Document: Tips and Tools from the Field;
Section 504 of the Rehabilitation Act of 1973,as amended,29 U.S.C.794;
The Americans with Disabilities Act,42 U.S.C. 12132 et seq.;
Title IX of the Education Amendments of 1972,20 U.S.C. 1681;
The Age Discrimination Act of 1975,42 U.S.C.6102;
The Department of Justice Non-Discrimination Regulations,28 CFR Part 42,subparts C,D,E,G;and I
The Department of Justice regulations on disability discrimination,28 CFI(Part 35;
The Department of Justice regulations on sex discrimination in education programs,28 C.F.R.54;
The Illinois Human Rights Act,775 ILCS 5;
The Public Works Employment Discrimination Act,775 ILCS 10;
The Illinois Environmental Barriers Act,410 ILCS 25.
The Equal Treatment for Faith-Based Organizations,28 C.F.R.Part 38.
All applicable provisions,rules and regulations of these Acts are made a part of this agreement by reference as
though set forth fully herein.
In the event that a Federal or State court or administrative agency makes a fmding of discrimination after a due
process hearing on the grounds of race,color,age,religion,national origin,disability,or sex against the
Implementing Agency,or any subgrantee or contractor of the Implementing Agency,the Implementing Agency will
forward a copy of the finding to the Authority.The Authority will forward a copy of the finding to the Office for
Civil Rights,Office of Justice Programs.
SECTION 26. CONFIDENTIALITY OF INFORMATION
The Implementing Agency agrees not to use or reveal any research or statistical information furnished under this
program by any person and identifiable to any specific private person for any purpose other than the purpose for
which such information was obtained in accordance with this program and all applicable federal guidelines and
legislation.Such information shall be immune from legal process and shall not,without the consent of the person
furnishing the information,be admitted as evidence or used for any purpose in any action,suit or other judicial,
legislative or administrative proceeding.
SECTION 27. DEBARMENT AND A DRUG-FREE WORKPLACE CERTIFICATION
As required by the Authority, the Implementing Agency shall complete and submit the Certification Regarding A
Drug-Free Workplace and shall certify that neither it nor its principals are presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal
department or agency.
The Implementing Agency certifies that it has not been barred from contracting with any unit of State or local
government as a result of a violation of Section 33E-3 or 33E-4 of the Criminal Code of 1961,as amended.
SECTION 28. LOBBYING CERTIFICATION
Federal funds are prohibited from being used for influencing or attempting to influence persons in connection with
covered federal transactions,which include the awarding,making,entering into,extension,continuation,renewal,
amendment,or modification,of federal grants or contracts. No funds under this grant may be used,either directly or
indirectly,to support the enactment,repeal,modification,or adoption of any law,regulation,or policy,at any level
of government.
If receiving more than$100,000 pursuant to this agreement,Implementing Agency agrees to provide a Certification
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Regarding Lobbying to the Authority a d,if applicable,a Disclosure of Lobbying Activities form.If a subcontractor
will receive more than$100,000 in fed- al funds pursuant to this agreement,Implementing Agency will provide to
the Authority a Certification Regarding •bbying and,if applicable,a Disclosure of Lobbying Activities form signed
by the subcontractor.The Implementin_Agency must provide these certifications and disclosures as required by the
Authority.
SECTION 29. INTERNATIONAL i TI-BOYCOTT CERTIFICATION
The Implementing Agency certifies that neither it nor any substantially-owned affiliated company is participating or
shall participate in an international boy••tt in violation of the provisions of the U.S.Export Administration Act of
1979;or the regulations of the U.S.De•. tment of Commerce promulgated under that Act.
SECTION 30. DRUG FREE WOR I'LACE CERTIFICATION
If the Implementing Agency has 25 or ore employees and is receiving$5,000 or more under this agreement,the
Implementing Agency certifies that it p •vides,and will continue to provide,a drug free workplace in accordance
with the Drug Free Workplace Act(30 II CS 580).
The Act requires that no grantee or con actor shall receive a grant or be considered for the purposes of being
awarded a contract for the procurement •f any property or services from the State unless that grantee or contractor
has certified to the State that the granter or contractor will provide a drug free workplace.False certification or
violation of the certification may result sanctions including,but not limited to,suspension of contract or grant
payments,termination of the contract or grant and debarment of contracting or grant opportunities with the State for
at least one(1)year but not more than f e(5)years.
For the purpose of this certification,"gr tee" or"contractor"means a corporation,partnership,or other entity with
twenty-five(25)or more employees at e time of issuing the grant,or a department,division,or other unit thereof,
directly responsible for the specific pe •rmance under a contract or grant of$5,000 or more from the State.
The contractor/grantee certifies and agr;es that it will provide a drug free workplace by:
(a) Publishing a statement:
(1) Notifying employees Ii at the unlawful manufacture,distribution,dispensing,possession or use of a
controlled substance, ncluding cannabis, is prohibited in the grantee's or contractor's workplace.
(2) Specifying the actions that will be taken against employees for violations of such prohibition.
(3) Notifying the employe that,as a condition of employment on such contract or grant,the employee
will:
(A) abide by the terms of the statement;and
(B) notify th- employer of any criminal drug statute conviction for a violation occurring
in the workplace no later than five(5)days after such conviction.
(b) Establishing a drug free aware ess program to inform employees about:
(1) the dangers of drug a•use in the workplace;
(2) the grantee's or contra tor's policy of maintaining a drug free workplace;
(3) any available drug co nseling,rehabilitation,and employee assistance program;and
(4) the penalties that may be imposed upon an employee for drug violations.
(c) Providing a copy of the statem.nt required by subparagraph(a)to each employee engaged in the
performance of the contract or a ant and to post the statement in a prominent place in the workplace.
(d) Notifying the contracting or gr.nting agency within ten(10)days after receiving notice under part(B)of
paragraph(3)of subsection(a)above from an employee or otherwise receiving actual notice of such
conviction.
(e) Imposing a sanction on,or req firing the satisfactory participation in a drug abuse assistance or
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rehabilitation program by,any employee who is so convicted,as required by section 580/5 of the Drug Free
Workplace Act.
(f) Assisting employees in selecting a course of action in the event drug counseling,treatment,and
rehabilitation is required and indicating that a trained referral team is in place.
(g) Making a good faith effort to continue to maintain a drug free workplace through implementation of the
Drug Free Workplace Act.
SECTION 31. DISCLOSURE OF SOLICITATION FOR EMPLOYMENT
The Implementing Agency shall notify the Authority's Ethics Officer if the Implementing Agency solicits or intends
to solicit for employment any of the Authority's employees during any part of the award funding process or during
the term of any interagency agreement awarded.
SECTION 32. ELIGIBILITY FOR EMPLOYMENT IN THE UNITED STATES
The Implementing Agency shall complete and keep on file,as appropriate,the Immigration and Naturalization
Service Employment Eligibility Form(I-9).This form shall be used by the Implementing Agency to verify that
persons employed by the Implementing Agency are eligible to work in the United States.
SECTION 33. DISPOSITION REPORTING CERTIFICATION
The Implementing Agency certifies that it is in compliance with the reporting provisions of the Criminal
Identification Act(20 ILCS 2630),when applicable,and agrees to cooperate with the Authority and other parties in
the implementation of the State's Criminal Records Improvement Plan,developed by the Authority pursuant to
federal law.
SECTION 34.CRIMINAL INTELLIGENCE SYSTEM OPERATING POLICIES CERTIFICATION
If the program described in Exhibit A is subject to requirements of the Criminal Intelligence System Operating
Policies,28 C.tR Part 23,the Implementing Agency certifies to the Authority that the program shall conform with
the operating policies set forth in 28 CFR Part 23.20 and meets funding criteria set forth in 28 CFR Part 23.30.If the
program is subject to these requirements,the Implementing Agency shall cooperate with specialized monitoring and
auditing of the program as may be required by 28 CFR Part 23.40(a),and shall comply with operating policies
required by 28 CFR Part 23.40(b).
SECTION 35. COPYRIGHTS,PATENTS
If this agreement results in a copyright,the Authority and the Office for Victims of Crime reserve a royalty-free,
nonexclusive and irrevocable license to reproduce,publish or otherwise use,and to authorize others to use,for
government purposes,the work or the copyright to any work developed under this agreement and any rights of
copyright to which a grantee,subgrantee or a contractor purchases ownership with grant support.
If this agreement results in the production of patentable items,patent rights,processes,or inventions,the
Implementing Agency shall immediately notify the Authority.The Authority will provide the Implementing Agency
with further instruction on whether protection on the item will be sought and how the rights in the item will be
allocated and administered in order to protect the public interest,in accordance with federal guidelines.
SECTION 36. STATEMENTS,PRESS RELEASES,ETC.
When issuing statements,press releases,requests for proposals,bid solicitations,and other documents describing
projects or programs funded in whole or in part with federal money,the Implementing Agency shall clearly state(1)
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the percentage of the total cost of the pro:. am or project which will be financed with federal money,and(2)the
dollar amount of federal funds for the pro ect or program.
SECTION 37. PUBLICATIONS
The Implementing Agency shall submit to e Authority for review,a draft of any publication that will be issued by the
Implementing Agency describing or result g from programs or projects funded in whole or in part with federal or
matching funds,no later than 60 days prio i to its printing.
For publications over 20 pages,the Autho city will submit comments to the Implementing Agency no later than 30 days
after receipt of the draft.If more than one .uch publication is submitted,the Authority reserves the right to extend the
30-day review period.
For publications of 20 pages or less,the A thority will submit comments to the Implementing Agency no later than 10
working days after receipt of the draft.If 'lore than one such publication is submitted,the Authority reserves the right to
extend the 10-day review period.
The Authority reserves the right to require the resubmission of any publication for additional review and comment,prior
to its printing.
The Implementing Agency shall submit to the Authority,copies,the number of which will be specified by the Authority,
of the final publication no later than 20 da.s prior to release of the fmal publication.
Exceptions to the above publication requ'cements may be granted upon prior Authority approval.
Any such publication shall contain the fol •wing statement:
"This project was supported by Grant#2015-VA-GX-0049,awarded by the Office for Victims of Crime,Office of
Justice Programs,U.S.Department of Ju.tice,through the Illinois Criminal Justice Information Authority.Points of
view or opinions contained within this doll ument are those of the author and do not necessarily represent the official
position or policies of the U.S.Departme t of Justice,or the Illinois Criminal Justice Information Authority."
Publications subject to these requiremen s include any planned, written,visual or sound materials,including but not
limited to,brochures,booklets,videos, ••sters,radio and television announcements,training fliers,interim or final
reports,and conference and presentation materials,that are substantively based on the project and prepared by the
Implementing Agency. These requirem= is are inapplicable to press releases,newsletters and issue analyses.
SECTION 38. FEDERAL TAXPAY OR IDENTIFICATION NUMBER
Under penalties of perjury,the Impleme ting Agency certifies that the name,correct taxpayer identification number,
and listed below are correct:
Name: City of Elgin
Taxpayer Identification Number: 36-6005862
Social Security Number
or
Employer Identification Numb,r
(If you are an individual, enter your na e and SSN as it appears on your Social Security Card. If completing this
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certification for a sole proprietorship, enter the owner's name followed by the name of the business and the owner's
SSN or EIN.For all other entities, enter the name of the entity as used to apply for the entity's EIN and the EIN.)
Legal Status(check one):
Individual Nonresident Alien
Sole Proprietorship Tax Exempt
Partnership/Legal Corporation Pharmacy/Funeral Home/Cemetery(Corp.)
Corporation providing or billing medical Corporation NOT providing or billing
and/or healthcare services medical and or healthcare services
X Government Pharmacy(non-corporate)
Estate or Trust Non-profit Corporation/Tax Exempt
Non-profit Corporation/Non-Tax Exempt Other(Specify)
(Implementing Agency marking non-profit corporation/tax exempt shall supply the Authority with a copy
of their affirmation letter showing their 501(c)(3)status.)
SECTION 39.FEDERAL GRANT INFORMATION
By signing this agreement,the Implementing Agency acknowledges that it has been informed of the following
information regarding the federal funds received under this agreement:
• Federal Awarding Agency:Office of Justice Programs,Office for Victims of Crime
• Catalog of Federal Domestic Assistance(CFDA)Number and Title: 16.575 Crime Victims Assistance
• Grant Award Name and Number:Crime Victim Assistance Grant Program(2015-VA-GX-0049)
• Grant Award Year:Federal Fiscal Year 2015
SECTION 40.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
b)To maintain a current registration in the System for Award Management(SAM)database.The Implementing
Agency must update or renew their SAM registration at least once per year to maintain an active status.Information
about registration procedures can be accessed at www.sam.gov.
The Implementing Agency's SAM registration is valid until: 06/01/2016
c)Shall provide the Authority with their Commercial And Government Entity(CAGE)Code.The CAGE Code
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
16
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
request process is incorporated into the I CR registration.
Implementing Agency's CAGE Code: 5CHL9
d)The Implementing Agency and Progr•m Agency further agree that all agreements entered into with subgrantees or
contractors,shall require compliance by e subgrantee or contractor with the Federal Funding Accountability and
Transparency Act of 2006 and all requir ments of 2 C.F.R. §33.200 including obtaining a DUNS number and
maintaining registration with SAM.The.cquisition of a DUNS number and registration with SAM database is not
required of subgrantees and contractors ho are individuals.
e)The Implementing Agency shall provi.e the Authority with completed"Addendums to Agreements"for all
subgrantees and subcontractors.Copies Il f blank Addendums to the Agreement are available from your grant
monitor.
SECTION 41. RENEGOTIATION, 1 ODIFICATION,OR AMENDMENT OF THE INTERAGENCY
AGREEMENT
No alteration,variation,modification,to ination,addition to or waiver of any provisions of this agreement shall be
valid or binding unless in writing,and si: ed by the parties.For purposes of modification of this agreement which do
not involve increases or decreases in fun.ing,the signature of one representative of the Implementing Agency is
sufficient.The parties agree to renegotia e,modify,or amend this agreement to ensure continued consistency with
federal and State laws,and regulations.
SECTION 42. INTEGRATION
This document and the exhibits,amend ents,and items incorporated by reference constitute the entire agreement
between the parties pertaining to the sub ect matter of this agreement and supersede all prior and contemporaneous
agreements and understandings of the p. ies,oral or written,which are not fully expressed herein.No alleged
covenant,representation,or condition net expressed in this agreement shall affect or be effective to interpret,change
or restrict the express provisions of this greement.
SECTION 43. SEVERABILITY
If any term or provision of this agreeme t is held invalid, unenforceable, voidable or void,that term or provision
shall not affect the other terms or provisions of this agreement which can be given effect without the invalid term or
provision.
SECTION 44. TERMINATION OR 'USPENSION OF THE INTERAGENCY AGREEMENT
The Executive Director of the Authorit may suspend or terminate performance of this agreement, in whole or in
part, when an Implementing Agency fai s to comply with any State or federal law or regulation or with the terms or
conditions of this agreement. The Authority may take one or more of the following actions:
• Temporarily withhold cash pay ents pending correction of the deficiency by the Implementing Agency
• Disallow all or part of the cost r f the activity or action not in compliance
• Wholly or partly suspend or ter Mate the current agreement
• Withhold further awards to the mplementing Agency
• Pursue other legal remedies,as.pplicable.
If the Authority terminates an agreement the Authority will notify the Implementing Agency in writing of its decision,
specify the reason, afford the Implement ng Agency a reasonable time to terminate project operations,and request the
Implementing Agency seek support from a ther sources. An agreement that is terminated pursuant to this section will be
ILLINOIS C• NAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
17
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
subject to the same requirements regarding audit,recordkeeping,and submission of reports as an agreement that runs for
the duration of the period of performance. Any appeals will be conducted in accordance with the Authority's Operating
Procedures for the Administration of Federal Funds(20 II.Adm.Code 1520.60).
SECTION 45.FAILURE TO FILE IN A TIMELY FASHION.
In order to preclude the possibility of lapsing of funding, the Authority is requiring the timely filing of all required
reports. Reports shall include but are not limited to, quarterly fiscal reports, quarterly progress reports and all reports
included in the closeout materials.The quarterly fiscal and progress reports are due not more than 15 days after the end
of the quarter unless another reporting schedule has been required or approved by the Authority. The fmal date for
submission for all of the closeout material reports is 30 days after the end of the grant period.
Failure to meet the reporting dates established for the particular reports shall result in the"freezing"of all funds. The
frozen funds shall not be limited to a particular grant that is delinquent,but all grant funds that the Implementing Agency
has with the Authority shall be frozen.Funds will be released following the completion of all the reporting requirements.
SECTION 46.COURT APPOINTED SPECIAL ADVOCATES
The Implementing Agency shall,on agreements that fund Court Appointed Special Advocates(CASA),ensure and
provide documentation(i.e.time and attendance records)that any and all funds are utilized"solely"to benefit
victims of crime. Therefore,VOCA funds shall be used to pay for only,that portion of the coordinator's time,which
is devoted to supervision,training,etc.of those volunteers who provide direct services to child victims of physical
and sexual abuse,criminal neglect and or abandonment.
SECTION 47.REPORTING GRANT IRREGULARITIES
The Implementing Agency shall promptly notify the Authority through their Grant Monitor when an allegation is
made,or the Implementing Agency otherwise receives information,reasonably tending to show the possible
existence of any irregularities or illegal acts in the administration of grant funds.The Authority,per its'agency
policy,shall determine the reasonableness of the allegation of the irregularities or illegal action and determine the
appropriate course of action.Possible actions would include conducting an internal audit or other investigation or
contacting the proper authorities. Illegal acts and irregularities shall include but are not limited to such matters as
conflicts of interest,falsification of records or reports both data,fiscal and programmatic,and the misappropriation
of funds or other assets.
The Implementing Agency shall inform any subgrantee or contractor of the Authority's grant funds that the
subgrantee or contractor is similarly obligated to report irregularities and the Implementing Agency shall provide a
copy of the Authority' s policy to any subgrantee or contractor.A copy of the Authority's policy is available on the
web at http://www.icjia.state.il.us/public/.
Failure to report known irregularities can result in suspension of the Interagency Agreement or other remedial action.
In addition,if the implementing agency's auditor or other staff becomes aware of any possible illegal acts or other
irregularities prompt notice shall be given to the Implementing Agency's director.The Implementing Agency,in
turn,shall promptly notify the Authority as described above of the possible illegal acts or irregularities.If the
possible misconduct involves the Implementing Agency's director,the Implementing Agency staff member shall
provide prompt notice directly to the Authority.
In addition,the Authority,if in its judgment there is a reasonable allegation of irregularity or illegal act,shall inform
the Office of Justice Program's Office of the Comptroller,the Department of Justice's Office of Professional
Responsibility and the Office of Inspector General,and state and local law enforcement agencies or prosecuting
authorities,as appropriate,of any known violations of the law within their respective area of jurisdiction.
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
18
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
The reporting of any irregularities,illeg.l acts and the proposed or actual corrective action shall be reported to the
Authority at:
Illinois Criminal Justice Information Au ority
Attn: Grant Monitor
300 W.Adams Suite 200
Chicago,IL 60606
Phone: 312-793-8550
SECTION 48.REPORTING POTE AL FRAUD,WASTE OR SIMILAR MISCONDUCT.
The Implementing Agency shall prompt y refer to the Authority,via their assigned Grant Monitor,and the
Department of Justice Office of Inspector General(OIG)any credible evidence that a principal,employee,agent,
contractor,subcontractor,or subgrantee as either(1)submitted a false claim for grant funds in violation of the False
Claims Act or(2)committed a criminal •r civil violation of laws pertaining to fraud,conflict of interest,bribery,
gratuity,or similar misconduct involvin grant funds.
Potential fraud,waste,abuse or miscond ct shall be reported to the Authority by mail at:
Illinois Criminal Justice Information Au ority
Attn: Grant Monitor
300 W.Adams Suite 200
Chicago,IL 60606
Phone: 312-793-8550
Potential fraud, waste,abuse or miscond ct shall be reported to OIG by mail or e-mail at:
Office of the Inspector General
U.S.Department of Justice
Investigation Division
950 Pennsylvania Ave,N.W.Room 470
Washington.D.C. 20530
E-mail:oig.hotline @usdoj.gov Pho e: 1-800-869-4499 Fax: (202)616-9881
More information is available from the •OJ OIG website at www.usdoj.gov/oig.
SECTION 49.USE OF FUNDS
Implementing Agency certifies that it,a s its subcontractors,shall use federal and match,if applicable,funds for
only allowable services,activities and c.sts,as described in Exhibit A.
The Implementing Agency certifies that 'inly those costs listed in Exhibit B shall be paid pursuant to this agreement.
Implementing Agency understands the p•yment of funds shall be withheld until such certifications are received by
the Authority.
SECTION 50.PROHIBITED CONT ACTOR
ILLINOIS C' NAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
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City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
The Implementing Agency understands and agrees that no funds will be contracted or sub-awarded,either directly or
indirectly,to or in support of the Association of Community Organization for Reform Now(ACORN)or its
subsidiaries without the express prior approval of the Authority.
SECTION 51.TEXT-MESSAGING WHILE DRIVING
The Authority encourages the Implementing Agency to adopt and enforce policies banning employees of the
Implementing Agency or Program Agency and contractors or subcontractors from text messaging while driving any
vehicle during the course of performing work funded by this agreement,and to establish safety policies and conduct
education,awareness,and other outreach to decrease crashes caused by distracted drivers.
SECTION 52.VICTIM COMPENSATION AWARENESS
The Implementing Agency shall certify that victims are notified of the VOCA Victims Compensation program
administered through the Office of the Illinois Attorney General.Notification is defined as simply advertising the
Victim Compensation program through posters or brochures publicly displayed in the agency's office or by verbally
making the victim aware of the program.This notification requirement does not apply to crisis services.
The Implementing Agency shall detail their method of notification in the Program Narrative/Exhibit A.
SECTION 53.DUPLICATION OF FUNDING
The Implementing Agency agrees that if it currently has an open award of federal funds or if it receives an award of
federal funds other than this VOCA award,and those award funds have been,are being,or are to be used,in whole
or in part,for one or more of the identical cost items for which funds are being provided under this VOCA award,
the Implementing Agency will promptly notify,in writing,the Authority.
SECTION 54.HIGH-RISK GRANTEES
Implementing agency agrees to comply with any additional requirements that may be imposed during the grant
performance period if the Authority determines that Implementing Agency is a high-risk grantee pursuant to 28
C.F.R.parts 66,70.
SECTION 55.CONFERENCES AND TRAINING MATERIALS
The Implementing Agency agrees that any training or training materials developed under this award shall adhere to
the OJP Training Guiding Principles for Grantees and Subgrantees available at
www.ojp.usdoj.gov/funding/ojptraininguidingprinciples.htm.
The Implementing Agency agrees to comply with all applicable laws,regulations,policies and guidance(which
includes specific cost limits,prior approval,and reporting requirements)governing the use of federal funds for
expense related to conferences,meetings,trainings,or other events, including the provision of food and beverages at
such events,and the cost of attendance.
SECTION 56.RELIGIOUS AND MORAL BELIEFS OF STUDENTS
The Implementing Agency understands and agrees that grant funds may not be used to discriminate or denigrate the
religious or moral beliefs of students who participate in programs for which financial assistance is provided from
those funds,or of the parents or legal guardians of such students.
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
20
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
SECTION 57.COMPUTER NETWO
Implementing Agency understands . d agrees that no award funds shall be used to maintain or establish a
computer network unless such network bl•cks the viewing,downloading,and exchange of pornography.Nothing in
this section limits the use of funds for any Federal,State,tribal,or local law enforcement agency of any other entity
carrying out criminal investigations,pros;cution,or adjudication activities.
SECTION 58.PROVIDING SERVIC OS TO LIMITED ENGLISH PROFICIENCY INDIVIDUALS
Implementing Agency will, in accordant: with DOJ guidance pertaining to Title VI of the Civil Rights Act of 1964,
42 U.S.C. §2000d,take reasonable steps to provide meaningful access to their programs and activities for persons
with limited English proficiency.
SECTION 59.DEMOGRAPHIC DAT
Implementing Agency agrees to collect a d maintain information on race,sex,national origin,age,and disability of
victims receiving assistance through this :greement, where such information is voluntarily furnished by the victim.
SECTION 60.TIME KEEPING
The Implementing Agency shall,in furth-rance of its performance of all aspects of the program description and
budget as set forth in Exhibit A and Exh'sit B,maintain time keeping records for all grant-funded personnel as
follows:
1. Personnel who spend 100%of eir time on the program—within thirty(30)days of the execution of this
agreement,the Implementing • :ency must provide the Authority documentation explaining the
Implementing Agency's time k.eping procedures.The time keeping procedures must be approved by the
Authority.
2. Personnel who spend less than 100%of their time on the program—the Implementing Agency will maintain
timesheets for these employees The timesheets must:
[ Reflect an after-the-fact distr bution of the actual activity of each employee(not budgeted time);
[_!Account for the total activity for which each employee is compensated;
,Be prepared monthly and coi tide with one or more pay periods;and
Be signed by the employee a d approved by a supervisory official having firsthand knowledge of the
work performed.
Within thirty(30)days of the :xecution of this agreement,the Implementing Agency must provide the
Authority with a copy of the ti• esheet that will be used by personnel who spend less than 100%of their
time on the program.The time.heet must be approved by the Authority.Signed timesheets shall be made
available for inspection during site visits,and upon request as part of the Authority's monitoring and
oversight responsibilities.
SECTION 61.GRANT FUNDS REC 1 VERY AND INVOLUNTARY WITHHOLDINGS
This interagency agreement is subject t i the Illinois Grant Funds Recovery Act(30 ILCS 705/1 et.seq). The
Implementing Agency certifies that it, .nd its sub-grantees and sub-contractors,are not presently subject to a grant
funds recovery action under the Illinois Grant Funds Recovery Act(30 1LCS 705/1 et. seq)or an Involuntary
Withholding by the State of Illinois or .ny other state.The Implementing Agency also certifies that a grant recovery
action by any grantor,or an Involuntar Withholding action by the State of Illinois or any other state has not been
initiated against it,or any of its sub-gr. tees and/or sub-contractors, within the past five(5)years.
ILLINOIS RIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
21
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
The Implementing Agency shall notify the Authority if it or any of its sub-grantees and/or sub-contractors is
currently the subject of a grant funds recovery action,has been the party to a grant funds recovery action in the past
five(5)years,is currently subject to an Involuntary Withholding by the State of Illinois or by any other state,or has
been subject to an Involuntary Withholding by the State of Illinois or by any other state within the past five(5)years.
The Authority may terminate this agreement,at the Authority's sole discretion,if the Implementing Agency or any of
its sub-grantees and/or sub-contractors is a party to a grant funds recovery action,has been a party to a grant funds
recovery action within the past five(5)years,becomes a party to a grant funds recovery action,is subject to an
Involuntary Withholding,has been the subject of an Involuntary Withholding within the past five(5)years,or
becomes the subject of an Involuntary Withholding.
SECTION 62.CRIMINAL CONVICTIONS
The Implementing Agency certifies that its own and its sub-grantees' and its sub-contractors' board members,
executive officers,directors,administrators,supervisors,managers,and financial officers and anyone holding such a
position of authority have not been convicted of theft,fraud,or any other crime involving dishonesty within the past
ten(10)years.
The Implementing Agency shall notify the Authority if any of its own or any of its sub-grantees'and/or its sub-
contractors'board members,executive officers,directors,administrators,supervisors,managers,or financial officers
or anyone holding such a position of authority have been convicted of theft,fraud,or any other crime involving
dishonesty within the past ten(10)years or become convicted of theft,fraud,or any other crime involving
dishonesty.The Authority may terminate this agreement,at the Authority's sole discretion,if the Implementing
Agency's or any of its sub-grantees'and/or its sub-contractors' board members,executive officers,directors,
administrators,supervisors,managers,or financial officers or anyone holding such a position of authority have been
convicted of theft,fraud,or other crime of dishonesty within the past ten(10)years or become convicted of theft,
fraud,or any crime involving dishonesty.
SECTION 63.RESTRICTIONS AND CERTIFICATIONS REGARDING NON-DISCLOSURE
AGREEMENTS AND RELATED MATTERS
The Implementing Agency and any entity that receives a contract or subcontract with any funds under this award,
may not require any employee or contractor to sign an internal confidentiality agreement or statement that prohibits
or otherwise restricts,or purports to prohibit or restrict,the reporting(in accordance with law)of waste,fraud,or
abuse to an investigative or law enforcement representative of a federal department or agency authorized to receive
such information.
The foregoing is not intended to contravene requirements applicable to Standard Form 312(which relates to
classified information),Form 4414(which relates to sensitive compartmented information),or any other form issued
by a federal department or agency governing the nondisclosure of classified information.
1. In accepting this award,the Implementing Agency—
a.represents that it neither requires nor has required internal confidentiality agreements or statements from
employees or contractors that currently prohibit or otherwise currently restrict(or purport to prohibit or
restrict)employees or contractors from reporting waste,fraud,or abuse as described above;and
b.certifies that,if it learns or is notified that it is or has been requiring its employees or contractors to
execute agreements or statements that prohibit or otherwise restrict(or purport to prohibit or restrict),
reporting of waste,fraud,or abuse as described above,it will immediately stop any further obligations of
award funds,will provide prompt written notification to the Authority,and will resume(or permit
resumption of)such obligations only if expressly authorized to do so by the Authority.
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
22
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
2.If the Implementing Agency makes su.awards or contracts under this award--
a. it represents that—
(1)it has determined at no other entity that the Implementing Agency's application proposes may
or will receive award nds(whether through a subaward,contract,or subcontract)either requires
or has required interns,confidentiality agreements or statements from employees or contractors
that currently prohibit iir otherwise currently restrict(or purport to prohibit or restrict)employees
or contractors from re•orting waste,fraud,or abuse as described above;and
(2)it has made approp fate inquiry,or otherwise has an adequate factual basis,to support this
representation;and
b. it certifies that,if it learns or s notified that any subrecipient,contractor,or subcontractor entity that
receives funds under this award's or has been requiring its employees or contractors to execute agreements
or statements that prohibit or o erwise restrict(or purport to prohibit or restrict),reporting of waste,fraud,
or abuse as described above,it ill immediately stop any further obligations of award funds to or by that
entity,will provide prompt wri -n notification to the agency making this award,and will resume(or permit
resumption of)such obligations only if expressly authorized to do so by that agency.
SECTION 64.INDIRECT COSTS
If the Implementing Agency is eligible u der the Part 200 Uniform Requirements to use the"de minimis" indirect
cost rate described in 2 C.F.R. 200.414( 1,and that elects to use the"de minimis" indirect cost rate,must advise the
Authority in writing of both its eligibilit and its election,and must comply with all associated requirements in the
Part 200 Uniform Requirements.The"d; minimis" rate may be applied only to modified total direct costs(MTDC).
SECTION 65.NON-PROFIT ORGA ATIONS
The Implementing Agency agrees, if it is a non-profit organization,to make their financial statements available
online(either on the Authority's,its own or another publicly available website).OVC will consider sub-recipient
organizations that have Federal 501(c)(3 tax status as in compliance with this requirement,with no further action
needed,to the extent that such organization files IRS Form 990 or similar tax document(e.g.,990-EZ),as several
sources already provide searchable onlin- databases of such financial statements.
ILLINOIS C' NAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
23
City of Elgin on behalf of the Elgin Police Department
Law Enforcement&Prosecutor-Based Victim Assistance Services
Agreement#215046
SECTION 66. ACCEPTANCE&CERTIFICATION
The terms of this interagency agreement are hereby accepted,executed,and where applicable,certified and acknowledged,by the
Oft 15
proper officers and officials of the parties hereto: a) ,
1)// 1s 1
John Maki Date
Executive Director
Illinois Criminal Justice Information Authority
I, David Kaptain, Mayor, under oath, do hereby certify and acknowledge that: (1) all of the
information in the grant agreement 215046 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 215046 and(3)the awarding of grant funds is conditioned upon the Authority's receipt
of this certification.
Olt A _1 4g/ 11/18/2015
• id Ka Tin Date
Mayor
City of Elgin
Debra Nawrocki
I,eelleetrbavery,Chief Financial Officer,under oath,do hereby certify and acknowledge that:(1)
all of the information in the grant agreement 215046 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 215046 and(3)the awarding of grant funds is conditioned upon the Authority's receipt
of this certification.
Le, S
11/18/2015
Ge14eeri-Laaeff-.Debra Nawrocki 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 215046 is true and correct to best of my knowledge,
information and belief,(2)the grant funds shall be used only for - purposes described in the grant
agreement 215046 and(3)the awarding of grant funds is con' Toned upon the Authority's receipt
of this certification.
i'
E , i 1.1/18/2015
Swobo•a Date
/ Chief Police
Elgin Police Department
ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY
Updated September 18,2015
Federal and State Grants Unit
24
VICTIMS OF CRIME ACT
EXHIBIT A:
PROGRAM NARRATIVE
Standard Non-InfoNet Reporting
I. Description of organization
1. Program Agency Name: Elgin Police Department
Mailing Address: 151 Douglas Ave., Elgin, IL 60120-5503
Telephone number: 847-289-2750
2. Please provide the following information for your VOCA program service area(attachments are
acceptable).
A. List the county(ies) or municipality(ies) served by your VOCA program.
Kane and a small portion of Cook
B. Federal Congressional District number(s) 8
C. State Senatorial District number(s) 22
D. State Representative District number(s) 43
These districts can be found by visiting the Illinois State Board of Elections website.
Type of program agency (Check one)
A. Criminal justice government*
® Law Enforcement ❑ Court
❑ Prosecution ❑ Corrections
❑ Probation ❑ Other(specify)
B. Non-criminal justice government
❑ Social Services ❑ Hospital
❑ Mental Health ❑Public Housing
❑ Other(specify)
C. Private: Non-profit
❑ Hospital ❑ Shelter
❑ Rape Crisis ❑ Mental Health
❑ Religious Organization ❑ Other(specify):
D. Other: Describe
*If your agency is a governmental unit, such as law enforcement or prosecution, please provide a short
description of how the activities described within this application have been coordinated with the victim
service providers in the community served. Include letters of support from all agencies listed as part of
the application.
We work with several community agencies to provide comprehensive services to victims and their families. For
victims who need emergency shelter, we refer them to the Elgin Community Crisis Center. Victims who need
substance abuse treatment are referred to the Renz Addiction Treatment Center. Victims who need free legal
services are referred to Prairie State Legal Services. Victims who need extensive mental health services are
referred to the Ecker Center and Family Services Association. Victims are referred to other agencies for other
needs as well, but these are the primary agencies.
If your agency is not able to coordinate these activities with a victim service agency please explain why.
3. Purpose of VOCA funds: (select one)
Revised 05/13
❑ Start a new victim services project ❑ Expand or Enhance an existing project not
funded by VOCA in a previous year.
® Continue a VOCA funded victim project ❑ Technology
funded in a previous year
4.
Crime Victim Assistance Funds Awarded: $72,486 Project Begin Date: 9/1/15
Grant Number: 215406 Project End Date: 8/31/16
5. These VOCA funds will primarily be used to: (check one)
❑ Expand services into a new geographic area ❑ Offer new types of services
❑ Serve additional victim populations ® Continue existing services to crime victims
❑ Other(specify)
6. For this victims' services program indicate the number of VOCA funded paid staff, full-time
equivalent** (FTE) 1.2
**FTE is the program full time equivalent total listed in Question 3a in the Summary of Program Section.
7. Volunteers used in any capacity throughout your agency should be counted and reported.
Does your organization use volunteers?
® Yes—complete part A &B
❑ No—complete the volunteer waiver certification included in the continuation packet.
A. How many Full-time Equivalent(FTE) volunteer staff are used by your agency as a whole,not
just the VOCA funded program?
2.5
B. What activities do they perform?
Agency-wide volunteers perform mostly clerical work.They work in the Training and Community Relations Units.
These volunteers perform the following tasks:updating files and information regarding policies and procedures,and assisting
in neighborhood watch and special event programs.The social work interns in the Victims Services Unit provide direct
services such as case management,intake assessment,follow-up,and counseling to individuals in the community who may
be involved with a police matter or who need general assistance.Most of these interns do not work in the Domestic Violence
Program,but they may assist the Domestic Violence Case Manager when there is a backlog of victims to contact.
8. Identify the amount of the VOCA-Funds allocated to serve victims accordingly.
ALL GENERAL CRIME $
OR
Child Abuse(includes child sex abuse) $
Domestic violence $ 72,486
Sexual assault $
Underserved
DUI/DWI crashes $
Survivors of homicide victims $
Assault and/or Battery $
Adults molested as children $
Revised 05/13 2
Elder abuse $
Robbery $
Other violent crime(specify)Domestic Violence $
TOTAL(should match question#4.) $ 72,486
Revised 05/13 3
9. Sub-grant Match(financial support from other sources for this program):
Value of In Kind Match $
Cash Match $ 26,106
Total $ 26,106
10. Please provide the total amounts of funding allocated to All Victim Services based on your agency's
current fiscal year budget:
Other Federal funds (excluding these VOCA funds) $
VOCA funds (award amount) $ 72,486
State $
Local $
Other $
❑This agency certifies that it receives over$500,000 in federal funds agency wide and it is required to
have an A-133 Audit.
11. Identify the victims to be served through this VOCA-Funded project(include match funded
activities)by checking the type of crime(s)At least one must be selected.
❑ Child Physical Abuse ❑ Adults molested as children
❑ Child Sexual Abuse ❑ Survivors of homicide victims
❑DUI/DWI Crashes ❑ Robbery
®Domestic Violence ❑ Assault
❑Adult Sexual Assault ❑ Other Violent Crimes (specify)
❑Elder Abuse ❑ Other(Specify)
12. Check the services to be provided by this VOCA—funded project. Check all that apply
® Crisis Counseling ❑ Criminal Justice Support/Advocacy
®Follow Up Contact ❑ Emergency Financial Assistance
❑Therapy ❑ Emergency Legal Advocacy
❑Group Treatment X Assistance in Filling Compensation Claims*
❑ Crisis Hotline Counseling ® Personal Advocacy
❑ Shelter/Safe House ® Telephone Contacts (Information and Referral)
® Information and Referral(In person) ❑ Other(Specify)
*Assistance in filling compensation claims is MANDATORY
Revised 05/13 4
I I Summary of organization
In this section, we are trying to ga. a general sense of your organization's activities, NOT solely
the program for which you are see g VOCA funds.
1. Please provide a brief descrip ion of your entire organization, including details of different
units and staffing.
The Elgin Police Departme t has a total of 180 sworn officers and 92 civilian employees.
It now consists of the following m.in units:
--Chief of Police and the Deputy hief and adminstration assistants. They handle planning and
research, budget, payroll, internal •ompliance and training. All the following units report to the
Chief of Police.
-- Operations,headed by the Oper• ions Commander, consists of three patrol shifts, crisis
negotiation, tactical response, and ommunications (dispatch).
-- Investigations, headed by the In estigations Commander,handles both adult and juvenile
crime investigations and includes _ang and narcotic crimes. This unit also includes technical
services, records and evidence, an. social services (also known as Victims Services).
--Administration,headed by the •ministrations Commander, provides administration support,
adjudication, media relations, traf c and parking law enforcement, crossing guards, special
events, court liaisons,jail, asset m.nagement, facility management, and the information desk.
Elgin is centered along the banks •f the Fox River, and is located approximately 38 miles
northwest of Chicago. Communit oriented policing has been the Elgin Police Department's
mode of operation for 20 years. C•mmunity-oriented policing involves a collaborative effort
among police officers and citizens to lessen crime and to change conditions that contribute to
social disorder. Community polici g involves working with the public and private agencies, local
businesses, schools, churches, and residents to improve the community and forge a lasting
partnership between community embers and the Police Department. The Social
Services/Victims Assistance Servi es Unit was established 23 years ago as part of the
community-oriented policing initi.tive.
2. Besides the services funded II ough this VOCA grant, what (if any) other victim services
does your agency provide? In lude examples of how these services are coordinated with the
VOCA funded activities.
The Victims Services Unit(also known as the Social Services Unit) was established in
1991 as an integral part of enhanc g the community oriented policing concept. The mission of
the unit is to provide another way or the community to interact with police to solve social
problems that may develop into c iminal behaviors and to help victims to recover from the
impact of victimization.The Victi s Assistance Coordinator's responsibilities are 1) to provide
short-term individual and family •.unseling to crime victims, including direct victims and
witnesses of violent crime, 2)wor diligently with families and juveniles who are regularly in
contact with the police to reduce eir problematic behaviors, and 3) assist individuals and
families making use of communit resources and in navigating the judicial and school systems.
The Victims Services Unit has str i ng partnerships with other social service agencies, the judicial
system, churches, and schools to -duce criminal intent and activity by helping at-risk
populations to meet their needs • d resolve their conflicts in socially acceptable and legal ways.
The Victims Assistance Coordina or is the only FTE of the unit. At any given time,there are
between two and six graduate-lev-1 interns from local colleges reporting to the Victims
Assistance Coordinator to assist i providing the unit's services. The interns are not paid for their
services,but they are gaining the xperience they need to complete their Masters program in
social work or a related field. Th.. Victims Assistance Coordinator supervises and directs these
Revised 05/13 5
interns and works closely with their college supervisors to ensure the students achieve their goals
while also successfully providing services to the individuals and families who seek help from the
Victims Services Unit. Since the Coordinator oversees the VOCA funded Domestic Violence
(DV) Case Manager, who is a part time employee, she is aware of all of the DV victims and
provides support and follow up as needed.
3. Please indicate the total number of staff dedicated to all victim services at your organization,
not just this VOCA funded program.
Type of staff Number of staff
Number of staff providing direct service. 2 part-time (20)hrs.
(Do not include managerial and support staff in this count). per week each)
Number of managerial staff 1 FTE,partially used
as VOCA match
Number of administrative support staff 0
4. Does this program make a special effort to target any un-served or underserved populations?
❑ Yes—check all un-served/underserved populations being targeted
® No—skip to Section III
❑ American Indian ❑ Lesbian, gay, bisexual, transgender
❑Asian ❑People with disabilities
❑ Black or African American ❑ Limited English proficiency
❑ Elderly ❑ Mental health issues
❑ Hispanic or Latino ❑ Substance abuse issues
❑ Homeless or living in poverty ❑Rural areas
❑ Immigrants, refugees, or asylum seekers ❑ Children
❑ Other(specify):
Revised 05/13 6
II. Summary of Program
This section will help us underst. d the program for which you are seeking VOCA funds. This
must include all direct services to i e provided to crime victims with VOCA and match funds. Do
not include a description of activit es that will not be funded with VOCA or match funds.
1. Description of program: Ple.se provide a description of your VOCA funded program.
Include information on any e •rts to target underserved victim populations listed above that
are served by this program, su•h as minority, elderly or disabled populations.
The Domestic Violence(DV) s rogram of the Victims Services Unit at the Elgin Police
Department provides services i• victims of domestic violence and their family members. DV
victims come from every popu ation--female and male, young and elderly, all races and
religions, wealthy and poor.
The DV program is not limite• to partner abuse. It also addresses family violence-- including
violence between siblings,par.nts and their children, and roommates. In addition, the DV
program provides services to ildren who witness violence in their homes. The primary DV
program services include:
--Review all DV police repo .
-- Contact the victims cited on the reports via phone or letter to offer services, information,
and referrals
-- Assist victims who directly equest help (with or without police reports)
--Provide referrals to other co unity resources, mostly for legal advocacy and assistance
in obtaining orders of protecti on, emergency shelter, and fmanical aid
-- Provide crisis counseling to victims and their family members
--Provide personal advocacy
-- Assist victims in safety pl. ing
-- When appropriate,head up .upport groups for victims who need this additional support
The Domestic Violence(DV) ase Manager's primary goal is to contact as many victims as
possible to offer information . d services to help them and their children to be safe. To do
this, the case manager makes :s much use of other community resources as possible. For
example, when victims wish t• obtain help in resolving legal issues such as orders of
protection, divorce, and custo i y of children, the DV Case Manager refers them to agencies
who have specialized legal ad ocates. Victims in the Kane county area in Elgin are referred
to the Community Crisis Cen'-r and Prairie State Legal Services for free legal assistance.
Victims in the Cook County .f ea in Elgin are referred to LifeSpan in Rolling Meadows for
free legal assistance. Howeve , the DV Case Manager will directly assist victims in obtaining
orders of protection and prov'.a criminal justice support when other agencies'legal
advocates are not available w thin the critical timeframe.
2. Who oversees this program? 'lease include position titles and duties. (Do not include
personal information.)
Victims Assistance Coon inator; duties to the Domestic Violence Program include
supervising the Domestic Violen e Case Managers, submitting grant data reports and budget
reports to grant monitors and to anagement of the Elgin Police Department and the City of
Elgin,monitoring the budget, an' providing direct services to victims of domestic violence as
necessary, especially direct refe ials to the case managers when victims call directly or are
referred directly by the police o ;leers.
3. Staff
Revised 05/13 7
a. Report staff by title. Include employees who are part-time and/or only partially funded
with this grant as well as program funded consultants/contractors. Include employees
who are funded with any required grant match. Report all FTEs in decimals, not
percentages and report in terms of total time at the agency and time spent on the
program.
Agency Full % time on Program Full
Title of Staff Person Time VOCA funded Time
Equivalent* program Equivalent*
Example:Advocate .50 100 .5
Example: Counselor .75 50 .375
Domestic Violence Case Manager .50 100 .50
Domestic Violence Case Manager .50 100 .50
Victims Assistance Coordinator 1 20 .20
TOTAL(should equal#6 in Section I 2 N/A 1.2
Description of Organization)
*Agency FTE is calculated by the number of total hours worked in a week divided by the average
work week for your organization.
**Program FTE is calculated by Agency FIE times the time on the program.
b. What are the primary qualifications (e.g. education, language skills etc.) of program—
funded staff?
The primary qualification for the Domestic Violence Case Manager position(s) is a
Masters degree in social work or counseling.
The primary qualification for the Victims Assistance Coordinator position is a
Masters degree in social work or related area. For more details of qualifications see
the attached job descriptions as required for the next item(c.).
c. Please attach an updated job description for each position including duties and
qualifications. If this position is not 100% VOCA-funded, asterisk the duties that
apply to this program on the job description.
Victims Compensation Program
As a condition of receiving VOCA funds the Office on Victims of Crime (OVC) mandates that
programs receiving VOCA funds must notify* all victims of the VOCA Victims Compensation
program administered through the Office of the Illinois Attorney General.
4. Please explain how your agency informs victims of the VOCA Victims' Compensation
program.
During the intial follow-up call or in-person meeting with every victim, the Domestic
Violence Case Manager informs the victim of the VOCA Victims'Compensation program.
Whenever a victim cannot be reached by phone or in-person meeting, the victim receives this
information in a letter from the Domestic Violence Case Manager. Also,the Victims'
Compensation program is advertised in the office in flyers and brochures. Whenever a victim is
interested, the Domestic Violence Case Manager will download the Victims'Compensation
application from the State's Attorney's website and assist the victim in filling it out.
Revised 05/13 8
*Notification is defined as simply advertising the Victims' Compensation program through posters or
brochures publicly visible in the agency's office. Other options include: providing information and
referrals concerning the program and assistance with the application.
IV. Statement of Problem
This section will help us understand why your program is important to crime victims that come
into contact with your agency as well as the community you serve. This section should document
the problem(s)the organization continues to face and justify a need for continued funding.
1. Use the table below to identify the crime(s) this program will target and provide three years
of county level data for your service area. If your program does not target a specific type of
crime please include the three highest crime rates for the victims this program serves
for the jurisdiction your program serves. Data for Index offenses are available on the Illinois
Criminal Justice Information Authority's (ICJIA) website or the publication, Crime in
Illinois, produced by the Illinois State Police (ISP).
2009-2011
Type of crime: Type of crime: Type of crime:
Domestic Violence
i; ,1: k kt i 'ayt^` '.< 5°• 'vim I I e1
1,868 N/A
* If multiple counties are served by your VOCA funded program please list the counties served
here, and accumulate the crime numbers above.
2. What is the problem(s) your VOCA funded program has identified through its contact with
the victim population served that this program addresses? (What do crime victims need that
they would not get if not for the services provided through this program?)
Safety is the key issue for victims of domestic violence but the majority of them lack
knowledge of or access to community resources that can help them to leave their abusive
partners safely. They also lack the emotionally supportive family and friends they need to
follow through with utilizing community resources, including emergency shelter, victim
compensation, crisis counseling, legal advocacy, etc. Of those victims who do have supportive
extended family or friends,many victims would prefer to come to a neutral agency for help
because they do not want to put their loved ones at risk.Victims who are ambiguous about their
feelings toward their abusers and confused about their options for themselves and their children
need to be able to explore those feelings in resolving these issues so they can make informed
decisions.
3. Use the space below to provide any anecdotal information based on the experiences of
agency staff or other sources within your jurisdiction that may highlight the crime(s) and
victims served through this program. Please do not use names or any other information that
would identify a specific victim.
The following are five examples of victims served during the last grant period,the types
of services that were provided, and the amount of time spent on each:
1.)Provided crisis counseling,personal advocacy, and legal advocacy to male victim and his 5-
year-old daugher.Total hours spent on this case was about 40 hours.
Revised 05/13 9
2. Provided criminal justice and personal advocacy to a victim and assisted police in gathering
information from the victim and her distraught mother to help police in finding and arresting the
offender. Also provided several referrals for extra support to both the mother and the victim
within their communities. Approximately 10 hours were spent on this case.
3. Provided crisis counseling,personal advocacy, and referrals to resources to a Laotian family
whose 27-year-old son is chronically mentally ill and violent, a danger to the family and the
public. Referrals were for resources who could speak Laotian to continue to help the family to
have the 27-year-old son involuntarily committed to a residential mental health facility. About 8
hours were spent on this case.
4. Provided crisis counseling to a 19-year-old female victim who had been in a dispute with her
sister. The 19-year-old was taking care of her much younger siblings because their father is too
ill. The case manager worked with the family to find community resources to help the 19-year-
old with her siblings. About 5 hours were spent on this case.
5. Provided crisis counseling to an elderly woman who had been a victim of her adult
grandchildren. Also provided referrals to support groups,AL-Anon and NAMI,because her
grandchildren are suffering from PTSD and addiction due to their mother having been killed by
their father. About 3 hours were spent on this case.
Revised 05/13 10
V. Goals and Objectives
This section provides an overview of your program's accomplishments during the current performance period, and also helps us learn about what
helped or hindered your program during this time. (This section should provide guidance as to whether objectives or program strategies should be
modified for the upcoming year.)
A universal goal was developed for your current grant program. Please indicate the goal that was chosen for your current performance period.
Goal: To provide direct services to (check one) for the purpose of alleviating trauma and suffering incurred from victimization.
❑ All crime victims ® Domestic Violence
(Sub-population of crime victims.This should match the crime(s) indicated in Section: IV)
If completing this section prior to the end of the program performance period please estimate.
...... ...... .. . . . ... ... . . ... ... .... ......
Nu be
r Number of clients Number for
identified ied.from
(Objective) that actually Objective met?* upcoming
Service Provided prior received this Yes or No performance
performance service.* period.
period.
a. Crisis Counseling 70 97 yes 70
b.Follow Up Contact 700 778 yes 700
c. Therapy 0 0 yes 0
d. Group Treatment 0 0 yes 0
e. Crisis Hotline Counseling 0 0 yes 0
f. Shelter/Safe House 0 0 yes 0
g. Information and Referral (In person) 95 89 no 70
h. Criminal Justice Support/Advocacy 0 11 yes 0
i. Emergency Financial Assistance 0 0 - yes 0
j. Emergency Legal Advocacy 0 0 yes 0
k. Personal Advocacy 65 69 yes 60
1. Telephone Contacts (Information and Referral) 500 614 yes 500
m. Other(specify):
n. Other(specify):
*If you did not meet the objective(s) listed above, please detail each objective not met.
We believe there might have been a mistake in logging g,, Informations and Referral (In Person),because the number should have matched, at a
minimum,the number for a., Crisis Counseling, as every person who receives crisis counseling also receives Information Referrals (In Person).
Revised 05/13
1. What were the successes of ,our program during the current performance period? Include
any anecdotal information th.t may highlight the crime(s) and victims served through this
program. Do not use names o other information that would identify a specific victim.
Highlights of successes include a woman victim, to whom the case manager had provided
crisis counseling and personal ad ocacy years ago, left a thank you card and small gift at the
front desk on Valentine's Day fol this case manager. The card stated she is doing very well and
that she could not have been succ-ssful at rebuilding her life without this case manager's help.
The gift was a necklace with the mity symbol, representing the "infinite potential of people's
lives when free from violence". I e woman explained in the card that the necklace came from
Avon's charity product line, whi•I has the mission to end domestic violence. She stated
everything she spent on the neckl•ce went to this charity.
And at least 10 victims succ ssfully obtained emergency orders of protection with the help
of the case manager.
2. What barriers did you exp-rience in implementing your program during the current
performance period? How di. you respond to them? Include any anecdotal information that
may highlight the crime(s) . d victims served through this program. Please do not use
names or other information t at would identify a specific victim or a particular person.
None at this time.
3. Is there anything else you wo Id like us to know based on your experiences with the current
performance period? If so,phase describe here.
At some point,we would 11 e to see the purpose or mission of VOCA to be extended to
include violence prevention servi es, e.g., more educational outreach to help the youth
understand how to have healthy r lationships.
Revised 05/13
VI. Program Implementation
The problem statement describes the issue(s) to be addressed in the following year. This section
will tell us how these ends are going to be accomplished by describing how the VOCA grant as
well as match funded activities will be implemented in clear, logical detail and should explain
how your program will achieve its goals and objectives and work to resolve the issues addressed.
1. Please describe the specific activities each staff member (federal and match funded) under
this program will provide to crime victims and explain how those activities benefit your
target population.
Domestic Violence Case Managers' Activities and Benefits to Victims:
--Review police reports on DV incidents and contact victims via phone or letter to offer
information, services, and referrals. Victims will benefit from this service because they will learn
that help is available to them at no cost to them, which is the first step in breaking their isolation
and empowers them with knowledge and hope that with help they can end the abuse in their
lives.
--Provide crisis counseling, including safety planning, to victims and their family members.This
service will help victims to think rationally about their options and make better, informed
choices, which will help them to end the abuse in their lives.
-- Provide personal advocacy. This will benefit victims who need extra support in removing the
obstacles that are holding them back from leaving their abusive partners, including helping them
to communicate with other agencies who serve victims,helping them to find resources for
financial aid, transporting them to job interviews, etc.
--When legal advocates from other community agencies are not available, provide legal
advocacy such as criminal justice support and assistance in obtaining orders of protection. This
will help victims to navigate through a complex and impersonal legal system to obtain more
support in ending the abuse in their lives.
--Attending events such as the National Night Out or Take the Night back to hand out
information about the Domestic Violence Program and further out reach to victims. Since at least
one out of four people are victims of domestic violence, per nationwide statistics, distributing
information about our Domestic Violence program at these events is bound to reach more than a
few victims who need help but who did not know help was available.
--Provide information on the Domestic Violence Program to police officers as needed to ensure
police are aware of the Domestic Violence program and how we can work together to help
victims. This will benefit victims in that police will be more sensitive to their needs and more
proactive at referring them to our program to receive help.
-- As requested by schools or any other organization in the community, provide information
about our Domestic Violence Program to reach more silent victims. This will benefit victims in
that they will know they have support and understanding in the community.
The Victim Assistance Coordinator will supervise the Domestic Violence Case Manager, and
assist the Domestic Violence Case Managers in the activites listed above as needed, which will
benefit the victims as stated above.
2. Explain how the issues or barriers to the implementation of the program that you listed
above in Section V, question 2, will be addressed during the new program period?
N/A
3. What training needs have you identified for the staff funded under this program?
Revised 05/13 14
Case managers need to continue to pursue their required CEU work for renewal
of their professional liscenure. his training, however, is funded by the Elgin Police
Department.
4. How will you address those wining needs? If unable to address those needs,please explain
why.
Case Managers will atte d professional seminars.
5. If VOCA funds were not avai'able,has your organization developed a plan for the
continuation of this program?Please explain.
If VOCA funds were not a ailable, the Domestic Violence Program would cease to exist
unless another grant could be fo d to fund the program or unless the City of Elgin was in a
better financial position to fund ii. As of today, no other source of funding has been found.
Revised 05/13 15
VII. Implementation Schedule
The implementation schedule should be used as a planning tool for the program and should reflect a realistic projection of how the program will
proceed. The Implementation Schedule should indicate: the VOCA funded activities and services that will be provided; the month the activity/service
begins; the month the activity/service is completed; the personnel responsible for each activity/service; and the frequency with which the
activity/service will be provided. Please use the following implementation schedule form using examples as a guide.
' , 9 B x, �e W s 5.0 �� WW nW. 6 : "6 f "W W 4 �i.A, ® ! � �
` r
Example: Distribute Brochures Month 1 Ongoing Volunteers As needed
Example: Hire Medical Advocate Month 1 Month 2 Coordinator N/A
Example:Provide Support Groups Month 2 Month 12 Advocate Weekly
Domestic Violence Case
Provide crisis counseling Month 1 Ongoing Manager As Needed
Domestic Violence Case
Provide follow-up contact Month 1 Ongoing Manager As Needed
Provide telephone information and referrals Month 1 Ongoing Domestic Violence Case As Needed
Manager
Provide criminal justice support and legal Month 1 Ongoing Domestic Violence Case As Needed
advocacy Manager
Provide Victim Compensation Assistance Month 1 Ongoing Domestic Violence Case As Needed
Manager
Supervise the Domestic Violence Case Month 1 Ongoing Victims Assistance Coordinator As Needed
Managers
Submit data and budget reports to grant
monitors and management at the program Month 1 Ongoing Victims Assistance Coordinator As Needed
agency
Provide referrals to case managers an any Month 1 Ongoing Victims Assistance Coordinator As Needed
other direct service to victims as needed
Revised 05/13
E► HIBIT B: BUDGET
IDENTIFICA LION OF SOURCES OF FUNDING
Implementing Agenc : City of Elgin
Agreement • : 215046
SOURCE AMOUNT
Federal Amount: VOi A FFY: 15 $72,486
Subtotal: $72,486
Match: City of Eli $18,122
Subtotal: $18,122
Over Match: City of El��n $7,984
Subtotal: $7,984
GRAND I OTAL $98,592
B1
Budget&Budget Narrative City of Elgin Agreement# 215046
PERSONNEL SERVICES H°lluai #Months %Time On Federal Match
Job Title Salary On Program Program Amount Contribution Total Cost
Domestic Violence Case Managers Total Salary Combined: $56,170.00 $ 56,170.00 $ - $ 56,170.00
Domestic Violence Case Manager, 1 $ 28,085.00 12 100% $ - $ - $ -
`Domestic Violence Case Manager,2 $ 28,085.00 12 • 100% $ - $ I$
Victim Assistance Coordinator $ 83,598.00 12 20% $ - $ 16,719.00 $ 16,719.00
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
Total FTE for use on Fringe Benefit Worksheet 2.20 $ - $ - $ -
Total Salary $ 56,170.00 $ 16,719.00 $ 72,889.00
Fringe Benefits(Use figure from Fringe Benefit Worksheet) $ 16,316.00 $ 9,387.00 $ 25,703.00
TOTAL PERSONNEL SERVICES $ 72,486.00 l $ 26,106.00 I $ 98,592.00
Budget Narrative for Personnel.Please give a brief description for each line of the Personnel Services Budget.
Budget Narrative 215046 •
The designated grant amount support two part-time Domestic Violence Case Managers,each work 20 hours per week at an hourly pay rate of$27.0057 each 52 weeks per year opposite schedules.The annual salary is$28,085 for
each totaling$56,170.
$27.0057 hourly X 20=$540.00 weekly X 52 weeks=$28,085 yearly x 2 equivalent positions=$56,170 total salary for the two part-time positions.
The fringe benefits for the two positions include the following:IMRF,FICA,Unemployment,Workmen Compensation and Liability insuranc:=$12,80 he flat rate benefits include health medical insurance and opted sick day pay
=$9,090.00 this totals to$21,892,for this grant period.The grant award covers$16,316 of fringe and flat rated benefits the city cash match of$53-76 covers balance of fringe and flat rated benefits.The amounts of$16,316+
$5,576=$21,892 in benefit cost.
ii`l ... -: k 1
The match amount in-kind funds are 20%of the Victim Assistance Coordinators annual salary which is$20,530;with salary and fringe benefit applicable to the salary.The amounts of$16,316+$5,576=$21,892 in benefit cost+
$20,530 of in-kind match+$56,170=grand total of$98,592.
The DV Case Managers responsibilities includes the following duties:review and respond to all domestic battery and domestic disturbance reports by phone and/or letter including partner abuse and family violence, provide
crisis counseling,advocacy(legal and personal), safety planning with the victims,and provide additional resources as needed,complete documentation of case work through case notes and data.The Victim Assistance
Coordinator supervises both DV Case Managers completes their annual evaluation,and directs the accomplishments'of each managers yearly goals relevant to work related to domestic violence; grant goals and objectives and
unit goals.Additionally the VAC manages the Victim Services Unit,supervises master and bachelor level interns and oversees all other operations of the Victim Services Unit.
Budget&Budget Narrative City of Elgin Agreement# 215046
EQUIPMENT Pro-rated Federal Match
Item Cost per Unit #of Units Share Amount Contribution Total Cost
N/A $ - $ - $ - $ -
$ - $ - $ - $
$ - $ - $ $
$ $ - $ - $
$ $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
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# 215046
COMMODITIES Federal Match
Item Cost/Month #of Months Amount Contribution Total Cost
N/A $ - $ - $ - $ -
$ - $ - $ - $ -
$ $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $
$ - $ - $ - $
$ - $ - $ - $ -
TOTAL COMMODITIES COST $ - I $ - 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# 215046
TRAVEL Federal Match
I _
Cost/Mile #of Miles/mo #of Months Amount Contribution Total Cost
N/A $ - $ - $ - $
$ $ - $ - $
$ - $ - $ - $
Cost/person #of people #of days $ - $ - $ -
- - $ - $
$ $ - $ - $ -
$ $ - $ - $ -
$ - $ - $ - $ -
*State late is calculated at$.56/milt.If agcncy ratc 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# 215046
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# 215046
GRAND TOTAL Federal Match
Amount Contribution Total Cost
PERSONNEL SERVICES $ 72,486.00 $ 26,106.00 $ 98,592.00
EQUIPMENT $ - $ - $ _
COMMODITIES $ - $ - $ _
TRAVEL $ - $ - $ _
CONTRACTUAL $ - $ - $ _
TOTAL COST $ 72,486.00 I $ 26,106.00 I $ 98,592.00
All procurements must be competitive
FRINGE BENEFIT WORKSHEET:Agreement# 215046
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
DCDCnATUCl CC OrR/'CO/....11..l' 19 ,....-111121
RATED FRINGE BENEFITS DV Case Managers Rate as % of Salary
FICA 7.650%
UNEMPLOYMENT 0.500%
RETIREMENT/PENSION 12.270%
WORKER'S COMP 0.340%
DENTAIJVISION 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) $56,170.00
TOTAL RATED FRINGE BENEFITS $12,802
FLAT RATE FRINGE BENEFITS $per FTE
HEALTH/MEDICAL INSURANCE $8,782.00
OTHER(SPECIFY) —$(� 5 i C k 0 a -yA) $308.00
•
Total Flat Rate Fringe $9,090.00
Number of grant—funded HE(full-time equivelent)positions receiving Flat Rate 100
Fringe Benefets.(Please use figure from cell F-11 of Budget Detail)*
FLAT RATE FRINGE BENEFITS $9,090
TOTAL FRINGE BENEFITS: (Total rated+Total flat rate benefits) $21,892
*PLEASE REFER TO YOUR RESPONSE IN EXHIBIT A, SECTION II, QUESTION #1.
FRINGE BENEFIT WORKSHEET:Aereemept# 215046 Victims Assistance Coordinator
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
D •DCnrr7.TDr OrDT11!'c0/....rr../' 19 .....1 UI 21
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) $16,719.60
TOTAL RATED FRINGE BENEFITS $3,811
FLAT RATE FRINGE BENEFITS $per FTE
HEALTH/MEDICAL INSURANCE $0.00
OTHER(SPECIFY) $0.00
Total Flat Rate Fringe $0.00
Number of grant—funded I'-1'h(full-time equivelent)positions receiving Flat Rate 0.20
Fringe Benefets.(Please use figure from cell F-11 of Budget Detail)*
FLAT RATE FRINGE BENEFITS $0
TOTAL FRINGE BENEFITS: (Total rated+Total flat rate benefits) $3,811
*PLEASE REFER TO YOUR RESPONSE IN EXHIBIT A, SECTION II, QUESTION #1.
Job Description
Domestic Violence Case Manager(100% funded by VOCA)
The Domestic Violence Case Manager must have a Masters degree in social work,human
services, or counseling, and should have at least one year of prior experience in providing social
services or counseling services. The essential functions and tasks of this position follow:
• Assist victims of domestic violence in obtaining orders of protection.
• Assist victims with filing police reports and victim compensation claim forms.
• Facilitate court advocacy services for victims of domestic violence.
• Review domestic violence police reports and contact victims to offer services.
• Provide safety planning services to victims of the domestic violence.
• Provide crisis counseling services to victims of domestic violence and their families.
• Refer domestic violence victims to various community agencies as needed.
• Maintain detailed case files and documentation of services.
• Conduct home visits to domestic violence victims in conjunction with police backup, if
needed.
• Transport domestic violence clients to court hearings.
• Perform miscelleanous personal advocacy tasks for victims of domestic violences as
needed.
The Domestic Violence Case Manager reports to the Victim Assistant Coordinator.
Victims Assistance Coordinator(10% funded by VOCA)
The Victims Assistance Coordinator must have any combination of education end experience
equivalent to graduation from an accredited college or university with a Master's degree in social
work and considerable experience as a victim advocate. The essential functions and tasks of this
position follow:
• Planning and coordinating crisis intervention services for victims and families;
responding to inquiries;reviewing incidents and reports;maintaining records and files.
• Develops services and programs for at-risk youth;
• Coordinates the services and staff of the victim assistance office,including the Domestic
Violence Program;
• Trains and supervises victim assistance staff;
• Advises victims of case status and progress as needed;
• Maintains contact with and provides support to victims and/or family members
throughout the criminal justice process;
• Refers victims to appropriate service support agency for assistance;
• Initiates contact with victims and families;
• Disseminates appropriate forms to victims; helps victims complete forms;
• Provides short and long term counseling, follow-up, assessment and advocacy to families,
adolescents and individuals;
• Provides crisis interventio ;
• Participates on committees task force and planning of community-based projects;
• Serves as liaison with loca social service agencies;
• Communicates and coord. ates work with law enforcement agencies, other agencies and
service providers;
• Develops, coordinates, im•lements and evaluates direct services to crime victims;
• Develops and disseminates victim assistance information;
• Educates criminal justice . d law enforcement personnel regarding victim assistance;
• Recruits, interviews, trains and supervises volunteer interns;
• Makes presentations for ri e watch, service and community groups to promote
awareness of available prosy ams;
• Performs related tasks as r;quired.
Ecker Center
for Mental Health 1845 Grandstand Place Elgin, Illinois 60123-4983
August 26,2015
To Whom It May Concern,
This is a letter of support for the continuation of Victims of Crime Ad(VOCA)grant funding to
the Elgin Police Department for its Domestic Violence Program. This program is an important
resource for all Elgin community residents who become victims of domestic violence. The
program is a highly professional,accessible and well managed. its domestic violence case
managers provide crisis counseling,personal and legal advocacy, and referrals to other agencies
in the community.The case managers review all police reports on domestic battery, domestic
disputes, and violations of domestic violence and contact victims to offer services.
For the last 12 years,the VOCA grant has been the primary source of funding for the Domestic
Violence Program,We strongly hope that VOCA will continue this valuable funding because it
benefits not only service recipients but the entire community.
Sincerely,
Karen Beyer
Executive Director
!United f
Mope, Recovery and well Being
United; Way! ,
Voice 847-695-0484 Way'. f►►' ' °"'�*' '
DEAF/HARD OF HEARING.'ILLINOIS RELAY CENTER AT 711
°n�edWa
FAX 847-695-1265
www.edcercenter.org
1024 WEST MAIN STREET Serving Kane,DeKalb,
s 7 PRAIRIE STATE LEGAL. SERVICES nd Kendall Counties
a�?�•� �: &� Si ST.CHARLES,It 50174
G '.
PHONE:1-630-232-9415
f IOU.FREE:1-$00.942-4612.(CUENTS)
Access l e i s FAX:1-630-232-9402
KATHRYN BETTCHER,MANAGING ATTORNEY SARAH MEGAN,DIRECTOR OF LITIGATION
STAFF ATTORNEYS
AMARIS DANAK KATHLEEN L FINN AMBER MOORE MARGARET WEIRICH
BRANDY R.MUTEHART GHARLENE RIEFLER ANNETTE VOSS
August 27, 2015
To Whom It May Concern;
T am writing this letter in support of the Elgin Police Department's application for
VOCA funding for its Domestic Violence Program. Prairie State Legal Services provides civil
legal services to low income and elderly clients at no cost. In Kane County we have a courthouse
project at the Kane County Judicial Center at which we assist victims in their efforts to obtain
protective orders. Part of the success of that project depends on the collaborations we have with
other agencies and programs that provide non-legal services to domestic violence and sexual
assault victims.,
One of the programs that provides important supportive services to victims is the
Domestic.Violence Program of the Elgin Police Department. We make referrals to that program
and receive referrals from the program.The support victims receive from the Domestic Violence
Program greatly enhances victims' safety. Again, I very much support the Elgin Police
Department's application for continued grant funding for the Domestic Violence Program.
Sincerely,
VialftA-gik
11G-
Kathryn McGowan Bettcher
Managing Attorney
KMcGB/sa
OFFICES IN BLOOMINGTON,GALESBURG,JOUET,KANKAXEE,MCHENRY,OTTAWA,PEORIA,ST.CHARLES,ROCK ISLAND,ROCKFORD,WAUKEGAN AND WHEATON
United
II LS t�tad�`
LIVE o�D.
..... FAMILY Strong Families # Strong Communities
I§
.. SERVICE
A •: ASSOCIATION
of
Greater Elgin Anita
AlleilSt 26,2015
To Whom It May Concern:
This letter is one of support for the Domestic Violence Program Services that are offered
by the Elgin Police Department.
As the Executive Director of a partner agency that serves the mental health needs of
vulnerable persons in the City of Elgin,our staff are very aware of the vital function that
the services that are offered by the Domestic Violence Program at the Elgin Police
Department play in aiding and supporting persons involved in family violence situations,
sexual assault,and victims of violent crimes. Through our agencies collaborative
vyorking arrangement,I am aware of the quality and timely services that our mutual
clients receive from the Domestic Violence Program.
The Elgin community is vulnerable at this time due to mounting economic pressures on
the residents of Elgin Along with an alarming increase in housing foreclosures,
unemployment and bankruptcies,more and more people are experiencing symptoms of
mental illness that sometimes displays itself in the form of family violence.
In summary,the services of the Domestic Violence Program at the Elgin Police
Department are a vital resource in the Elgin community and I urge the applications
reviewers to support the continued funding of this program.
Sincerel
10 Alf
Lisa A.La Forge,LCSW,ACSW
Executive Director
Telephone
(847)695.3680
Facsimile Administrative Office 7ri-village,!Stanch [United ,;--,4 C A
(547)695-+1552 1140 N.McLean Blvd.,Suitt I. 1535 Burgundy Parkway +a } g ,
Executive Director :Elgin.,Illinois Streamwood,.Illinois
Lisa Laf urge 60123 641107 `
enz
Addiction
Counseling
Center
www.RenzCenter.org
ADMINISTRATION
One American Way
Elgin,IL 60120
(847)742-3545
Fax:(847)697-5583 August 27, -015
OUTPATIENT OFFICES
Two American To Whom It May Concern:
Elgin,IL 60120 0120 y
(847)742-3545
Fax:(847)742-3559 Renz Addic ion Counseling Center, a community-based non-profit providing
TDD:(847)742-0242 alcohol and substance abuse prevention and treatment programs, fully supports
the Elgin Po ice Department's pursuit of the Illinois Criminal Justice Information
409 Illinois Avenue,#1A Authority an the Victims of Crime Act(VOCA)grant.
St.Charles,IL 60174
(630)513-6886
Fax:(630)513-6892 We unde d the Police Department provides quality services to victims of all
types of fam ly violence, including partner abuse, sibling abuse,roommate abuse,
1535 Burgundy Parkway extended f. ily abuse and dating abuse. We believe that the Domestic Violence
Streamwood,IL 60107 Case Manag r position is very important to the success of this program.
(630)837-6445
Fax:(630)637-7184 Renz Center supports and encourages a continuation of grant funding in FY 16
for the Elgin Police Department.
Passage Program
Two American Way Please feel -e to contact me if I can be of further assistance.
Elgin,IL 60120
(847)742-3545
Fax:(847)697-5685 rtcerely,
PREVENTION OFFICE
One American Way
Elgin,IL 60120 e O '
(847)742-3545 ye D -ctor
Fax:(847)697-2719
JSs
EMPLOYEE
ASSISTANCE SERVICES
One American Way
Elgin,IL 60120
(847)742-4033
Fax:(847)697-5583
Restoring Hope&
Recovering Lives . . .
For A Healthier,Safer
Community
United 101113#4
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