HomeMy WebLinkAbout09-0930 DEA Task Force STATE AND LOCAL TASK FORCE AGREEMENT
This agreement is made this 30th day of September, 2009, between
the United States Department of Justice, Drug Enforcement
Administration (hereinafter "DEA") , and the Elgin Police
Department (hereinafter "EPD" ) .
WHEREAS there is evidence that trafficking in narcotics and
dangerous drugs exists in the Chicagoland area and that such
illegal activity has a substantial and detrimental effect on the
health and general welfare of the people of State of Illinois,
the parties hereto agree to the following:
1 . The DEA Task Force will perform the activities and duties
described below:
a. disrupt the illicit drug traffic in the Chicagoland area
by immobilizing targeted violators and trafficking organizations;
b. gather and report intelligence data relating to
trafficking in narcotics and dangerous drugs; and
c . conduct undercover operations where appropriate and
engage in other traditional methods of investigation in order
that the Task Force' s activities will result in effective
prosecution before the courts of the United States and the State
of Illinois .
2 . To accomplish the objectives of the DEA Task Force, the EPD
agrees to detail one (1) experienced officer to the DEA
Task Force for a period of not less than two years. During this
period of assignment, the EPD officer will be under the direct
supervision and control of DEA supervisory personnel assigned to
the Task Force.
3 . The EPD officer assigned to the Task Force shall adhere to DEA
policies and procedures . Failure to adhere to DEA policies and
procedures shall be grounds for dismissal from the Task Force.
4. The EPD officer assigned to the Task Force shall be deputized
as Task Force Officers of DEA pursuant to 21 U.S.C. 878 .
5 . To accomplish the objectives of the DEA Task Force, DEA will
assign (5) five Special Agents to the Task Force. DEA will also,
subject to the availability of annually appropriated funds or any
continuing resolution thereof, provide necessary funds and
equipment to support the activities of the DEA Special Agents and
the EPD officer assigned to the Task Force. This support will
include: office space, office supplies, travel funds, funds for
the purchase of evidence and information, investigative
equipment, training, and other support items.
6 . During the period of assignment to the DEA Task Force, the EPD
will remain responsible for establishing the salary and benefits,
including overtime, of the officers assigned to the Task Force,
and for making all payments due them. DEA will, subject to
availability of funds, reimburse the EPD for overtime payments
made by it to EPD officer assigned to the DEA Task Force for
overtime, up to a sum equivalent to 25 percent of the salary of a
GS-12, Step 1, (RUS) Federal employee (currently $16, 903 .25) ,per
officer.
7. In no event will the EPD charge any indirect cost rate to DEA
for the administration or implementation of this agreement.
8 . The EPD shall maintain on a current basis complete and
accurate records and accounts of all obligations and expenditures
of funds under this agreement in accordance with generally
accepted accounting principles and instructions provided by DEA
to facilitate on-site inspection and auditing of such records and
accounts .
9 . The EPD shall permit and have readily available for
examination and auditing by DEA, the United States Department of
Justice, the Comptroller General of the United States, and any of
their duly authorized agents and representatives, any and all
records, documents, accounts, invoices, receipts or expenditures
relating to this agreement. The EPD shall maintain all such
reports and records until all audits and examinations are
completed and resolved, or for a period of three (3) years after
termination of this agreement, whichever is sooner.
10 . The EPD shall comply with Title VI of the Civil Rights Act of
1964, Section 504 of the Rehabilitation Act of 1973, the Age
Discrimination Act of 1975, as amended, and all requirements
imposed by or pursuant to the regulations of the United States
Department of Justice implementing those laws, 28 C.F.R. Part 42,
Subparts C, F, G, H and I .
11 . The EPD agrees that an authorized officer or employee will
execute and return to DEA the attached OJP Form 4061/6,
Certification Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements. The
EPD acknowledges that this agreement will not take effect and no
Federal funds will be awarded to the EPD by DEA until the
completed certification is received.
12 . 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 EPD shall clearly state: (1) the percentage of the
total cost of the program or project which will be financed with
Federal money and (2) the dollar amount of Federal funds for the
project or program.
13 . The term of this agreement shall be from September 30, 2009
to September 30, 2010 . This agreement may be terminated by
either party on thirty days advance written notice. Billings for
all outstanding obligations must be received by DEA within 90
days of the date of termination of this agreement. DEA will be
responsible only for obligations incurred by EPD during the term
of this agreement.
For the Drug Enforcement Administration:
4110,7
Jg Date: 7 U�
Gary'G Olenkiewicz
Specia Agent in harge
For the Elgin Police Department:
tCti t 1 11'' ( (J
Date: V tey
Lisa Womatk
Chief of Police
Date: OCA-00`
Sean Stegall
City Manager
U.S. DEPARTMENT OF JUSTICE
rigri 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
from. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying"and 28 CFR Part 67, "Government-wide Department and Suspension (Nonprocurement) and
Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material
representation of fact upon 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
As required by Section 1352, Title 31 of the U.S. Code, and statutes or commission of embezzlement, theft forgery,
implemented at 28 CFR Part 69, for persons entering into a bribery, falsification or destruction of records, making false
grant or cooperative agreement over $100,000, as defined at statements,or receiving stolen property;
28 CFR Part 69,the applicant certifies that:
(c) Are not presently indicted for or otherwise criminally or
(a) No Federal appropriate funds have been paid or will be civillycharged by a governmental entity (Federal, State, or
paid, by or on behalf of the undersigned, to any person for in- local) with ommission of any of the offenses enumerated in
fluencing or attempting to influence an officer or employee of paragraph(1)(b)of this certification;and
any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con- (d) Have not within a three-year period preceding this applica-
nection with the making of any Federal grant, the entering into tion had one or more public transactions (Federal, State, or
of any cooperative agreement, and extension, continuation, local)terminated for cause or default;and
renewal, amendment, or modification of any Federal grant or
cooperative agreement; B. Where the applicant is unable to certify to any of the
ib If anyfunds other than Federal a ro riated funds have statements in this certification, he or she shall attach an
been pad or will be paid to any person for influencing or at-
tempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or 3. DRUG-FREE WORKPLACE
an employee of a Member of Congress in connection with this (GRANTEES OTHER THAN INDIVIDUALS)
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL, "Disclosure of As required by the Drug Free Workplace Act of 1988, and
Lobbying Activities,"in accordance with its instructions; implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67 Sections 67.615 and 67.620-
(c) The undersigned shall require that the language of this cer-
tification be included in the award documents for all subawards A. The applicant certifies that it will or will continue to provide
at all tiers (including subgrants, contracts under grants and a drug-free workplace by:
cooperative agreements, and subcontracts) and that all sub-
recipients shall certify and disclose accordingly. (a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing, possession, or
2. DEBARMENT SUSPENSION,AND OTHER use of a controlled substance is prohibited in the grantee's
RESPONSIBILITY MATTERS workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(DIRECT RECIPIENT)
As required byExecutive Order 12549 Debarment and (b) Establishing an on-going drug-free awareness program to
q inform employees about-
Suspension, and implemented at 28 CFR lrt 67, for prospec-
tive participants in primarycovered transactions, as defined at (1) The dangers of drugs abuse in the workplace;
28 CFR Part 67,Section .510-
A. The applicant certifies that it and its principals:
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
(a) Are not presentlydebarred, suspended, proposed for debar- assistance programs;and
ment declared ineligible sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded (4) The penalties that may be imposed upon employees for
from covered transactions by any Federal department drug abuse violations occurring in the workplace;
or agency;
(c) Making it a requirement that each employee to be engaged
(b) Have not within a three-year period preceding this applica- in the performance of the grant be given a copy of the state-
fion been convicted of or had a civil judgment rendered against ment required by paragraph(a);
them for commission of fraud or a criminal offense in connec-
tion with obtaining,attempting to obtain,or performing a (d) Notifying the employee in the statement required by
paragraph (a) that, as a condition of employment under the
grant-,the employee will-
OJP FORM 4061/6(3-91)REPLACES OJP FORMS 4061/2,4062/3 AND 4061/4 WHICH ARE OBSOLETE.
(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
after receiving notice under subparagraph (d)(2) from an Check ❑ if there are workplace on file that are not identified
employee or otherwise receiving actual notice of such convic- here.
tion. Employers of convicted employees must provide notice
including position title to: Department of Justice, Office of Section 67, 630 of the regulations provides that a grantee that
Justice Programs, ATT-N: Control Desk, 633 Indiana Avenue, is a State may elect to make one certification in each Federal
N.W. Washington D.C. 20531. Notice shall include the iden- fiscal year. A copy of which should be included with each ap-
tification number(s)of each affected grant; plication for Department of Justice funding. States and State
agencies may elect to use OJP Form 4061/7.
(f) Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph (d)(2), with Check ❑ if the State has elected to complete OJP Form
respect to any employee who is so convicted- 4061/7.
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the DRUG-FREE WORKPLACE
requirements of the Rehabilitation Act of 1973,as amended;or (GRANTEES WHO ARE INDIVIDUALS)
(2) Requiring such employee to participate satisfactorily in a As required by the Drug-Free Workplace Act of 1988, and
drug abuse assistance or rehabilitation program approved for implemented at 28 CFR Part 67, Subpart F, for grantees, as
such purposes by a Federal, State, or local health, law enforce- defined at 28 CFR Part 67;Sections 67.615 and 67.620-
ment,or other appropriate agency;
A. As a condition of the grant I certify that I will not engage
(g) Making a good faith effort to continue to maintain a drug- in the unlawful manufacture distribution, dispensing, posses-
free workplace through implementation of paragraphs (a), (b), sion, or use of a controlled substance in condition any
(c),(d),(e),and(f). activity with the grant;and
B. The grantee may insert in the space provided below the B. If convinced of a criminal drug offense resulting from a
site(s) for the performance of work done in connection with violation occurring during the conduct of any grant activity, I
the specific grant: will report the conviction, in writing, within 10 calendar days
of the conviction, to: Department df Justice, Office of Justice
Place of Performance (Street address, city, country, state, zip Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W.,
code) Washington, D.C.20531.
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:
Elgin Police Department
151 Douglas Avenue
Elgin, Illinois 60120
2. App' - ,,n Number and/or Project Name 3. Grantee IRSNendor Number
(4) fl
ijc_____--
Chief Lisa Woma t k
4. Typed Name and Title of Authorized Representative
5. Signature 6. Date
•
CHICAGO FIELD DIVISION
FUNDED TASK FORCE AGREEMENT
ELGIN POLICE DEPARTMENT
DISTRIBUTION:
Original Office of Operations Management
1 copy ASAC Ando
1 copy Group 22
1 copy Elgin Police Department
1 copy AO/Fiscal
1 copy Program Analyst
1 copy SAC' s Office
Distributed: JUL 2 0 2009
1s°'°'"""'",, UNITED STATES DEPARTMENT OF JUSTICE
DRUG ENFORCEMENT ADMINISTRATION
TO: DATE 07-23-2008
Enclosed is the Task Force Agreement covering the period September 30,
2008 through September 30, 2009, along with the Certification covering
workplace requirements.
Please sign both the Agreement and Certification and return to me to the
below address before August 15, 2008.
You will receive a copy for your files after final signature. I can be reached
at 312-353-6520 if you need additional information.
Drug Enforcement Administration
230 South Dearborn, Suite 1200
Chicago, IL 60604
Attn: ASAC Ando
FROM: ASAC Scott Ando
FORM DEA-277 (6-00)
STATE AND LOCAL TASK FORCE AGREEMENT
This agreement is made this 30th day of September, 2008, between
the United States Department of Justice, Drug Enforcement
Administration (hereinafter "DEA" ) , and the Elgin Police
Department (hereinafter "EPD" ) .
WHEREAS there is evidence that trafficking in narcotics and
dangerous drugs exists in the Chicagoland area and that such
illegal activity has a substantial and detrimental effect on the
health and general welfare of the people of State of Illinois,
the parties hereto agree to the following:
1 . The DEA Task Force will perform the activities and duties
described below:
a. disrupt the illicit drug traffic in the Chicagoland area
by immobilizing targeted violators and trafficking organizations;
b. gather and report intelligence data relating to
trafficking in narcotics and dangerous drugs; and
c. conduct undercover operations where appropriate and
engage in other traditional methods of investigation in order
that the Task Force' s activities will result in effective
prosecution before the courts of the United States and the State
of Illinois .
2 . To accomplish the objectives of the DEA Task Force, the EPD
agrees to detail one (1) experienced officer to the DEA
Task Force for a period of not less than two years . During this
period of assignment, the EPD officer will be under the direct
supervision and control of DEA supervisory personnel assigned to
the Task Force.
3 . The EPD officer assigned to the Task Force shall adhere to DEA
policies and procedures . Failure to adhere to DEA policies and
procedures shall be grounds for dismissal from the Task Force.
4 . The EPD officer assigned to the Task Force shall be deputized
as Task Force Officers of DEA pursuant to 21 U.S.C. 878 .
5 . To accomplish the objectives of the DEA Task Force, DEA will
assign (5) five Special Agents to the Task Force. DEA will also,
subject to the availability of annually appropriated funds or any
continuing resolution thereof, provide necessary funds and
equipment to support the activities of the DEA Special Agents and
the EPD officer assigned to the Task Force. This support will
include: office space, office supplies, travel funds, funds for
the purchase of evidence and information, investigative
equipment, training, and other support items.
6 . During the period of assignment to the DEA Task Force, the EPD
will remain responsible for establishing the salary and benefits,
including overtime, of the officers assigned to the Task Force,
and for making all payments due them. DEA will, subject to
availability of funds, reimburse the EPD for overtime payments
made by it to EPD officer assigned to the DEA Task Force for
overtime, up to a sum equivalent to 25 percent of the salary of a
GS-12, Step 1, (RUS) Federal employee (currently $16, 328 .75) ,per
officer.
7 . In no event will the EPD charge any indirect cost rate to DEA
for the administration or implementation of this agreement.
8 . The EPD shall maintain on a current basis complete and
accurate records and accounts of all obligations and expenditures
of funds under this agreement in accordance with generally
accepted accounting principles and instructions provided by DEA
to facilitate on-site inspection and auditing of such records and
accounts.
9 . The EPD shall permit and have readily available for
examination and auditing by DEA, the United States Department of
Justice, the Comptroller General of the United States, and any of
their duly authorized agents and representatives, any and all
records, documents, accounts, invoices, receipts or expenditures
relating to this agreement. The EPD shall maintain all such
reports and records until all audits and examinations are
completed and resolved, or for a period of three (3) years after
termination of this agreement, whichever is sooner.
10. The EPD shall comply with Title VI of the Civil Rights Act of
1964, Section 504 of the Rehabilitation Act of 1973, the Age
Discrimination Act of 1975, as amended, and all requirements
imposed by or pursuant to the regulations of the United States
Department of Justice implementing those laws, 28 C.F.R. Part 42,
Subparts C, F, G, H and I .
11 . The EPD agrees that an authorized officer or employee will
execute and return to DEA the attached OJP Form 4061/6,
Certification Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements . The
EPD acknowledges that this agreement will not take effect and no
Federal funds will be awarded to the EPD by DEA until the
completed certification is received.
12 . 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 EPD shall clearly state: (1) the percentage of the
total cost of the program or project which will be financed with
Federal money and (2) the dollar amount of Federal funds for the
project or program.
13 . The term of this agreement shall be from September 30, 2008
to September 30, 2009 . This agreement may be terminated by
either party on thirty days advance written notice. Billings for
all outstanding obligations must be received by DEA within 90
days of the date of termination of this agreement. DEA will be
responsible only for obligations incurred by EPD during the term
of this agreement.
For the Drug Enforcement Administration:
Date:
Gary G. Olenkiewicz
Special Agent in Charge
For the Elgin Police Department:
Date:
Olntem' `olarin
City Manager
U.S. DEPARTMENT OF JUSTICE
=‘-`9. 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
from. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67, "Government-wide Department and Suspension (Nonprocurement) and
Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material
representation of fact upon 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
As required by Section 1352, Title 31 of the U.S. Code, and statutes or commission of embezzlement, theft forgery,
implemented at 28 CFR Part 69, forpersons entering into a bribery, falsification or destruction of records, making false
grant or cooperative agreement over $100,000, as defined at statements,or receiving stolen property;
28 CFR Part 69,the applicant certifies that:
No Federal appropriate funds have beenpaid or will be (c) Are not presently indicted for or otherwise criminally or
(a). pP civillycharged by a governmental entity (Federal, State, or
paid, by or on behalf of the undersigned, to any person for in- local) with commission of any of the offnses enumerated in
fluencing or attempting to influence an officer or employee of paragraph(1)(b)of this certification; and
any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con- (d) Have not within a three-year period preceding this applica-
nection with the making of any Federal grant,,the entering into tion had one or more public transactions (Federal, State, or
of any cooperative agreement, and extension, continuation, local)terminated for cause or default;and
renewal, amendment, or modification of any Federal grant or
cooperative agreement; B. Where the applicant is unable to certify to any of the
(b) If anyfunds other than Federal appropriated funds have statements in this certification, he or she shall attach an
en pad or will be paid to any persfr influencing or at-
tempting
to this application.
tempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or 3. DRUG-FREE WORKPLACE
an employee of a Member of Congress in connection with this (GRANTEES OTHER THAN INDIVIDUALS)
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL, "Disclosure of As required by the Drug-Free Workplace Act of 1988, and
Lobbying Activities,"in accordance with its instructions; implemented at 28 CFR Part 67, Subpart F, for grantees, as
(c) The undersigned shall require that the language of this cer defined at 28 CFR Part 67 Sections 67.615 and 67.620
tification be included in the award documents for all subawards A. The applicant certifies that it will or will continue to provide
at all tiers (including subgrants, contracts under grants and a drug-free workplace by:
cooperative agreements, and subcontracts) and that all sub-
recipients shalrcertify and disclose accordingly. (a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing, possession, or
DEBARMENT SUSPENSION,AND OTHER use of a controlled substance is prohibited in the grantee's
2. DEBARMENT,
E ITIS MATTERS workplace and specifying the actions that will be taken against
(DIRECTRN RECIPIENT) employees for violation o such prohibition;
(b) Establishing an on-going drug-free awareness program to
As required by Executive Order 12549, Debarment and inform employees about-
Suspension, and implemented at 28 CFR Prt 67, for prospec-
tive participants in primary covered transactions, as defined at (1) The dangers of drugs abuse in the workplace;
28 CFR Part 67, Section 67.510-
A. The applicant certifies that it and its principals:
(2) The grantee's policy of maintaining a drug-free workplace;
Are not presentlydebarred, suspended, proposed for debar- (3) Any available drug counseling, rehabilitation, and employee
(a) P P P . assistance programs; and
ment, declared ineligible sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded (4) The penalties that may be imposed upon employees for
from covered transactions by any Federal department drug abuse violations occurring in the workplace;
or agency;
(c) Making it a requirement that each employee to be engaged
(b) Have not within a three-year period preceding this applica- in the performance of the grant be given a copy of the state-
tion been convicted of or had a civil judgment rendered against ment required by paragraph(a);
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain,or performing a (d) Notifying the employee in the statement required by
paragraph (a) that, as a condition of employment under the
grant,the employee will-
OJP FORM 4061/6(3-91) REPLACES OJP FORMS 4061/2,4062/3 AND 4061/4 WHICH ARE OBSOLETE.
(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
after receiving notice under subparagraph (d)(2) from an Check ❑ if there are workplace on file that are not identified
employee or otherwise receiving actual notice of such convic- here.
tion. Employers of convicted employees must provide notice
including position title to: Department of Justice, Office of Section 67, 630 of the regulations provides that a grantee that
Justice Programs, ATTN: Control Desk, 633 Indiana Avenue, is a State may elect to make one certification in each Federal
N.W., Washington D.C. 20531. Notice shall include the iden- fiscal year. A copy of which should be included with each ap-
tification number(s)of each affected grant; plication for Department of Justice funding. States and State
agencies may elect to use OJP Form 4061/7.
(f) Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph (d)(2), with Check ❑ if the State has elected to complete OJP Form
respect to any employee who is so convicted- 4061/7.
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the DRUG-FREE WORKPLACE
requirements of the Rehabilitation Act of 1973,as amended; or (GRANTEES WHO ARE INDIVIDUALS)
(2) Requiring such employee to participate satisfactorily in a As required by the Drug Free Workplace Act of 1988, and
drug abuse assistance or rehabilitation program approved for implemented at 28 CFR Part 67, Subpart F, for grantees, as
such purposes by a Federal, State, or local health, law enforce- defined at 28 CFR Part 67;Sections 67.615 and 67.620-
ment,or other appropriate agency;
A. As a condition of the grant I certify that I will not engage
(g) Making a good faith effort to continue to maintain a drug- in the unlawful manufacture distribution, dispensing, posses-
free workplace through implementation of paragraphs (a), (b), sion, or use of a controlled substance in condition any
(c),(d),(e),and(f). activity with the grant;and
B. The grantee may insert in the space provided below the B. If convinced of a criminal drug offense resulting from a
site(s) for the performance of work done in connection with violation occurring during the conduct of any grant activity, I
the specific grant: will report the conviction, in writing, within 10 calendar days
of the conviction, to: Department of Justice, Office of Justice
Place of Performance (Street address, city, country, state, zip Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W.,
code) Washington, D.C.20531.
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:
Elgin Police Department
151 Douglas Avenue
Elgin, Illinois 60120
2. Application Number and/or Project Name 3. Grantee IRSNendor Number
4. Typed Name and Title of Authorized Representative
Olufemi Folarin, City Manager
Senn R. Stcgall, Acting City Manager
5. Signature 6. Date
r '