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Resolution No. 19-36
RESOLUTION
AUTHORIZING ACCEPTANCE OF METROPOLITAN MAYORS CAUCUS
POWERING SAFE COMMUNITIES GRANT AND AUTHORIZING THE
EXECUTION OF A GRANT ACCEPTANCE FORM
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,ILLINOIS,that
the City of Elgin, Illinois hereby accepts the Metropolitan Mayors Caucus Powering Safe
Communities grant in the amount of$9,362 for installation of cameras in city parks.
BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,
ILLINOIS,that Richard G. Kozal,City Manager,be and is hereby authorized and directed to execute
a grant acceptance form with the Metropolitan Mayors Caucus regarding the installation of cameras
in city parks, a copy of which is attached hereto and made a part hereof by reference.
David J. Kaptain, Mayor
Presented: March 20, 2019
Adopted:
Vote: Yeas Nays:
Recorded:
Attest:
Kimberly A. Dewis, City Clerk
Resolution No. 19-36
RESOLUTION
AUTHORIZING ACCEPTANCE OF METROPOLITAN MAYORS CAUCUS
POWERING SAFE COMMUNITIES GRANT AND AUTHORIZING THE
EXECUTION OF A GRANT ACCEPTANCE FORM
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS,that
the City of Elgin, Illinois hereby accepts the Metropolitan Mayors Caucus Powering Safe
Communities grant in the amount of$9,362 for installation of cameras in city parks.
BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,
ILLINOIS,that Richard G. Kozal,City Manager, be and is hereby authorized and directed to execute
a grant acceptance form with the Metropolitan Mayors Caucus regarding the installation of cameras
in city parks, a copy of which is attached hereto and made a part hereof by reference.
s/ David J. Kaptain
David J. Kaptain, Mayor
Presented: March 20, 2019
Adopted: March 20, 2019
Omnibus Vote: Yeas: 8 Nays: 0
Attest:
s/Kimberly Dewis
Kimberly Dewis, City Clerk
111 Metropolitan
�_) Mayors
?WIC/tiff
Powering Safe Communities Grant Acceptance Form
Recipient organization: Elgin,City of
Name of Project:Survelliance Camera project
Source of Funds: ComEd
The Powering Safe Communities Recipient Assurances and Requirements document has been reviewed
and approved for signature.Signature below certifies that the individuals listed in this document are
authorized to act in their respective areas for matters related to this agreement.
For recipient organization:
j March 20,2019
Ali-aSignature of AUTHORIZED REPRESENTATI!E DATE
Richard G. Kozal
Print Name
City Manager
TITLE
For the Metropolitan Mayors Caucus:
DAVID E. BENNETT DATE
EXECUTIVE DIRECTOR
METROPOLITAN MAYORS CAUCUS
Send to:
Brian Tomkins
Project Manager
Metropolitan Mayors Caucus
233 S.Wacker Drive,Suite 800
Chicago, IL 60606
btomkins@mavorscaucus.org
Please send signed acceptance form to btomkins@mayorscaucus.ora. One counter-signed original will be
returned to you.
Powering Safe Communities Grant Acceptance Form 2018
ATTACHMENT A
II i\JIct1'Oj )olilan
■■ 1\/lavOrS
Powering Safe Communities Grant 2018
Recipient Assurances and Requirements
Cooperating Agencies
Administrator: Metropolitan Mayors Caucus (Caucus)
Funder: Corn Ed
Recipient Project Implementation Terms
A. Scope of Work
The grant application submitted by the recipient serves as the Scope of Work for the grant project. You
must complete the work as proposed. Prior approval is required for any change such as:
• change in the scope or the objective of the project(even if there is no associated budget
revision);
• change in a key person specified in the application or award document;
• significant changes in local match
B. Budget Revisions
Revisions to the budget proposed in the Scope of Work greater than 10%are not allowed without prior
approval by the Metropolitan Mayors Caucus.
C. Grant Period
The Grant Period begins when the Award Acceptance Farm is signed by both the Recipient and the
Metropolitan Mayors Caucus. Recipients may incur eligible grant-related costs after that date.
Matching expenses incurred after that date are eligible for reporting.
The Grant Period ends when the project is complete and Final Report and Reimbursement Requests are
submitted by no later than March 29,2019.
D. Use of Funds
Funds are to be expended only for services and goods described in the Scope of Work and Budget,
submitted at the time of application. All expenditures must support improved public safety directly.
E. Notification
The recipient shall immediately notify the Caucus of changes that impact the timely completion of
activities supported under this grant.This notification shall include a statement of the action taken or
contemplated, and any assistance needed to resolve the situation.
F. Reporting Requirements
You are required to submit one Progress Report to the Caucus describing activities on your grant project
by October 31,2018. If you finish your project on or before this date,only a Final Report is due.
Recipient Assurances and Requirements
Powering Safe Communities 2018 1
G. Close-Out Procedure
All work for this grant project,the Final Report and Reimbursement Request must be completed and
submitted to the Metropolitan Mayors Caucus by March 29,2019.
Recipients must submit a completed Final Report describing accomplishments relative to the Scope of
Work is due at project completion. A Reimbursement Request detailing the expenditures related to the
grant project must accompany the Final Report. The Reimbursement Request must also contain
documentation of accomplishments,grant expenditures, and matching expenditures. Please use the
forms provided.
Please familiarize yourself with this form and keep careful records of all costs related to the grant
project. For each expense you must provide evidence of:
• The nature of the good or service and cost;
• the date(s)it was acquired or performed;
• the provider of the good or service (employees or vendors);
• and proof of payment.
H. Payment Procedures
The Metropolitan Mayors Caucus will reimburse grant recipients for successful completion of the Scope
of Work as documented by the Final Report. Recipients may only receive one payment at the successful
conclusion of the project for actual expenditures(not-to-exceed the Grant Award). An invoice and
financial documents must be submitted to the Metropolitan Mayors Caucus no later than March 29,
2019 addressed to:
Brian Tomkins
Project Manager
Metropolitan Mayors Caucus
233 S.Wacker Drive,Suite 800
Chicago, IL 60606
btomkins@mayorscaucus.org
312-201-4508
Retain this agreement for your records. You agree to these terms by signing the Award Acceptance Form.
Recipient Assurances and Requirements
Powering Safe Communities 2018 2
R 'Metropolitan
NVavors
Powering Safe Communities Grant Progress Report
Due October 31, 2018
Recipient Organization:
Date Report Submitted:
Project Title:
Recipient Project Manager:
Name
Title:
Phone: email address:
Respond to these questions using your own format or submit this report as an email attachment by
October 31,2018. If you complete your project by this date,submit only the Final Report and Request
for Reimbursement.
To: Brian Tomkins
Project Manager
Metropolitan Mayors Caucus
btomkins@mayorscaucus.org
312-201-4508
1. What is the status of your Powering Safe Communities project?
2. Have you made your planned project purchases? If not,why not?
3. Describe outcomes of this project to date. Please attach any public communication about of this
project(press release,news story).
4. When do you anticipate completing your project?
Submit completed report by October 31, 2018 to btomkins@mayorscaucus.org.
1
Na Metropolitan A.Cover Sheet
Mayors
Powering Safe Communities
Final Report and Reimbursement Request
Due March 29, 2019
Recipient Organization:
Date Report Submitted:
Recipient Project Manager:
Name
Title
Phone: Email address:
Grant Reimbursement Checklist:
Submit the following documents
A.Cover Sheet
B. Narrative Report
C.Signed Reimbursement Worksheet
Form W-9
Official,dated invoice to the Metropolitan Mayors Caucus on your agency's letterhead
_Paid invoices to vendors with proof of payment
Documentation of matching expenditures
_Examples of outreach,communication, public engagement and publicity
Please be sure all documents are labeled with your organization name and dated.An e-mail of this final
report to btomkins@mayorscaucus.org is preferred.
Send to: Brian Tomkins
Project Manager
Metropolitan Mayors Caucus
233 S.Wacker Drive
Chicago, 1L 60606
btomkins@mayorscaucus.org
312-201-4508
Return this Cover Sheet with completed Narrative Final Report, Reimbursement Worksheet and checklist
items
Final Report and Reimbursement Request
Powering Safe Communities 2018
�• Metropolitan
Mayors
B. Powering Safe Communities Final Narrative Report
Recipient Organization:
Date Report Submitted:
Please respond to the following questions. You may use your own format or complete this form.
1. What did you accomplish with the Powering Safe Communities grant?
2. Is your project is primarily the purchase of equipment/supplies? Yes/No
Is the item purchased installed and operational? Is it performing as expected? Has there been a need to
use it yet?
3. Have you encountered any challenges in completing this project?
4. Please describe any related outreach efforts to residents and constituents, if relevant. Attach related
brochures,newsletter articles,or other public messages.
S. Other comments:
Complete and return this report to btomkins@mayorscaucus.orq
Final Report and Reimbursement Request
Powering Safe Communities 2018
�$ Metropolitan
INlavors C.Signed Reimbursement Worksheet Instructions
REIMBURSEMENT WORKSHEET INSTRUCTIONS
Use this form to summarize all costs related to the project. This summary should align with the budget
in your proposal adjusting for any reductions in your award from your original request.
Costs are to be divided between those eligible for reimbursement from the grant and those paid by your
organization as your local share.The total of all costs in Column a should be equal to or less than the
amount your grant award. All costs must be directly related to the grant outcomes and must have been
incurred during the Grant Period. See example below.
1. Assemble paid invoices and records for all eligible costs related to the grant project.
2. Itemize payments to each vendor,name the vendor and good or service. (i.e.AED Purchase:
ACME Supply,$10,000)Enter the portion of those charges that are eligible for reimbursement as
the Grant Share in Column B. The entire cost is eligible for reimbursement,unless costs exceed
your grant award.
3. Enter the amount of those purchases for labor or goods that are greater than your grant award
in Column C. The total in Column D should be your total expenditure for all purchases related to
your project.
4. Assemble time sheets, department personnel reports and records for all in-house services
eligible to be used as Local Share/Match. These include labor for installation,supervision,
training work,and administration directly related to the project. If you are not claiming in-kind
services as match, this documentation is not necessary.
S. Summarize charges for in-house labor and equipment use and itemize by category. (i.e. Labor
for training, $1,100; Fire Chief supervision, $900.) Enter these costs in in Column C.
6. Enter any donated services or goods in Column C. If you are not claiming donations as match,
this documentation is not necessary.
7. Total all columns. Column B must be equal to or less than your grant award. Column C is your
total matching contribution to the project. Column D is the total project costs.
Questions?
For assistance, contact Brian Tomkins, Project Manager, (312)201-4508 or
btomkinsamayorscaucus.orq
For your reference only. Do not submit this page.
Final Report and Reimbursement Request
Powering Safe Communities 2018
• Metropolitan
/v� �r�}ll��|�fon
Ell Mayors
ay���~s
- -
Example for Reference Only: Your grant award for was$6,000. You purchased a total$10,000 worth of
AED equipment. Your in-house staff provided training at a cost of$1,100.Your supervisory costs were
$900
A B C D
Cost rant Share Local Share/ Total
Match
In-house Expenses
In-house Services
Training 1'100 2.000
Supervision—Fire Chief 900
—
Purchased
ewrchaswd Gnmds&Services
ACME Medical Supply
6'000 4,000 10.000
4xso,
|
Total � __$6.00O $6,000 $12'000
DOCUMENTATION:
All costs reported in the Reimbursement Worksheet must be well documented. For each expense you
must provide evidence of:
• the nature of the good or service and cost;
• the date(s) it was acquired or performed;
• the provider of the good or service (employees or vendors);
• and proof of payment.
1. For purchased goods submitted as 'Grant Share'and/or'Local Share/Match': Include invoice(s)
that identify the vendor;you as the customer;the date; item(s) purchased. Only final invoices are
acceptable, bids or quotes are not.
2. For contracted services: Include invoice(s)that identify the vendor;you as the customer;the date(s)
of service.
For both: Provide canceled check(s),or bookkeeping records indicating payment was made. Payment
documentation must refer to vendor, invoice or purchase order number, and date. Without proof of
payment, expenses will not be reimbursed.
3. For in-kind expenses reported as'Local Share/Match': Include appropriate documentation to
verify the nature of the work performed;the date(s); locations; employees who performed the
work. These may include work orders,time sheets/cards, signed supervisor reports,etc. For in-
houseequipmentuseprovider*co,duindicatin0e4uipnnentused'upe,atnr,datesand |ocudons.
Reference the source of your reported equipment rates i.e., FEMA. If you are not claiming in-kind
labor or services as match, this documentation is not necessary.
Final Report and Reimbursement Request
Powering Safe Communities 2018
• N 1 etropolitan
UR Mayors
For your reference only. Do not submit this page
C. Reimbursement Worksheet
Recipient Organization:
A
Cost Grant Share Local Share/ Match Total
In-house Expenses
In-house Personnel
Services
In-house Equipment Use
Purchased Goods&Services
Donated/In-kind Goods&Services
Other (Describe)
Total $
Submitted by Recipient Project Manager:
Name
Title
Date
Complete this form using actual project expenses and submit to btornkinsPrnoyorscaucus.orq
Final Report and Reimbursement Request
Powering Safe Communities 2018