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2015-2016 VOCA GRANT APPLICATION PART 1. APPLICANT INFORMATION Name of Applicant Agency: The applicant agency is the legal name of the agency that is seeking VOCA funding. Enter the name as it should appear on a contract in the event the agency receives VOLA funding. Indian River County Sheriffs Office Federal Data Universal Numbering System (DUNS) Number: 1039894332 Federal Employee Identification Number (FEIN): 59-6000677 Registered with the System of Award Management (formerly CCR)? IYES Agency Director: Prefix (Mr., Ms., Dr., etc.) Mr. Title: ISheriff Name: I Deryl Loar Telephone #: 772-569-6700 x6404 Fax #: 772-569-8144 Mailing Address: (Street, P.O. Box, etc.) 4055 41 st Avenue City: Vero Beach State: FL 9 -Digit Zip Code: 32960-1802 E -Mail Address: dloar iresheriff.or Performance Report Contact: Prefix (Mr., Ms., Dr., etc.) RiD Title: I Victim Advocate Coordinator Name: I ShirleyRosemond Telephone #: 772-978-6255 Fax #: 772-569-8144 Mailing Address: (Street, P.O. Box, etc.) 4055 41 st Avenue City: Ivero Beach = State: FL 9 -Digit Zip Code: 32960-1802 E -Mail Address: lsrosemondQircsheriff.oM Financial Contact: Prefix (Mr., Ms., Dr., etc.) Miss Title: I Planner/Grant Manager Name: JAmber Grier Telephone #:1772-978-6214 Fax #: 772-567-9755 Mailing Address: 14055 41 st Avenue (Street, P.O. Box, etc.) City: lVero Beach State: FL 9 -Digit Zip Code: 32960-1802 E -Mail Address: a rier iresheriff.or I acknowledge that I have read, understand, and agree to the conditions set forth in the Victims of Crime Act (VOCA) Grant Application, Instructions and the Final Program Guidelines for the duration of the grant period. I certify that the information contained in this application is true, complete and correct. I acknowledge that the applicant agency, if awarded a VOCA grant, will comply with Federal Rules Regulating Grants and State Criteria. Subrecipients must comply with the applicable provisions of VOCA, the Final Program Guidelines, the requirements of the OJP Financial Guide, effective edition, and all laws, rules and regulations applicable to expenditures of State funds including the Reference Guide for State Expenditures. Subrecipients must maintain appropriate programmatic and financial records that fully disclose the amount and disposition of VOCA funds received. This includes: financial documentation for disbursements; daily time and attendance records specifying time devoted to allowable VOCA victim services; client files; the portion of the project supplied by other sources of revenue; job descriptions; contracts for services; and other records which facilitate an effective audit. Subrecipients will abide by any additional eligibility or service criteria as established by the state grantee including submitting statistical and programmatic information on the use and impact of VOCA funds, as requested. PUBLIC AGENCIES ONLY: I hereby certify that pursuant to theyOCA Final Program Guidelines, grant funds will be used to enhance or expand services and will not be used to supplant s6te;and local funds that would otherwise be available for crime victim services. -, ---�,. � • • y, Signature of Agency Director:,- Date: 210 Page 12