so
<br />EA
<br />s
<br />4D
<br />Edward Byrne Memorial State and Local Law
<br />Enforcement Assistance Formu.+la Grant Program
<br />511
<br />APPI.tCATION R-1-METW CHECKLIST Y.N,X
<br />this is a continuation protect, did you Check'Yes' and enter SILte Project ID Number for the previous Y
<br />year?
<br />I. APPLICATION
<br />Y,N,X
<br />cix d SacilI— Stud Addraaaas
<br />t is the name of the Subgrant Recipient Chief Elected f]ffieiel (AI,) the name ofthe
<br />for Chair
<br />hai(for r2ecou nty) y
<br />or the Mayor (for a city)? is this the came person who signed the signature page 9r
<br />Is the name of fie Chief Financial Officer (A 2.) coned, i.e., is this the Chief Financial Officer for the
<br />Subgrantee, rrot the Implementing AganCY7
<br />dmem, etc,)? is this the same person w
<br />the nrrtle of the tmpfementing Agency Chief Executive Officer (A3.) correct (e.g., the Sheriff for a Sheriffs
<br />Is h
<br />3 Is te, the Chief fora Police Depaho signed the signature page for the Y
<br />Implementing Agency?
<br />Does fire person Identified as Pro)edt Director (kit.) work for the implerneriting Agency in A.3.7 It there is a
<br />4 Contact Person oMwarthan the Project pi rector, did you enter the correct name, true, address phone and tax y
<br />numbers in tits appllarGon? Y N X
<br />APOCSUOn RNview Crlaekisl
<br />Sud rant A -afion Pacloage socdon 19 - "ll. t of
<br />[?cretr the title clearly identity the project (9. f,),
<br />t
<br />Does the Project tulle consist of 54 letter and spaces or lass?
<br />DARE Project, It should reflect DARE ii, third, DARE til, Eric.?
<br />i.e., rf K is a secand•year
<br />2
<br />is the correct subg rant period entered?
<br />Y,N.X
<br />Qx Ill
<br />Satter; c - Fie -cal f]sta
<br />It payment is not remitted to the Chief Financial officer (A2 m C.1,j, K can o or the Pbe ero act to on rof those
<br />!
<br />I
<br />identified in At., 2., or 4 ,. 1.5,. file Subgrant Recipient, ImplementingAgency
<br />2
<br />Is the method of payment. I.e., monthly or quarterly. reflected in C.2.7
<br />Is the Subgtant Recipients Federal Employer Identification Number (FEID) reflected in C.3.? Is this same
<br />3
<br />number rrsf eded In the Subgrant Recipient block on the signature page?
<br />d
<br />If project generated income can be earned from project activities, has 'Yes' been checked in C,S.?
<br />t
<br />,_. . ..
<br />Y,N,X
<br />ox i
<br />Seatfosr't3ram'rJa
<br />I
<br />Is the problem to be addressed dearly and briefly Identified?
<br />it this is a continuation project, did you briefly describe project activities to date and forplain any gaps between
<br />2
<br />current sed desired results?
<br />Are requested resources (Wzonnal, oxpengas, equipment, etc.) sufficient to address the identified problem,
<br />vAll be used to address the problem?
<br />Y
<br />3
<br />Hsve you cleerty identified howthese resources
<br />(who), methodology for
<br />to be served and service providers
<br />Are proposed project activities (what), people ro osed scheduie(s) (when) and other
<br />Iocation(s) (wham), P p
<br />4
<br />accomplishing the project (how), servicelsclivity
<br />x
<br />details included?
<br />1f contrartlual services will be used to implement any part of the project, aro nropased services doscuibed and
<br />necessary to meet program needs and
<br />$
<br />justified? Is there a discussion of why contracting for services is
<br />]r��
<br />objectives?
<br />it travel is necessary to achieve objectives, didyou include a line item for travel included untie expenses budget
<br />6 category?
<br />11x>r Section 1) Co tdnuatllw—AcUYRWa Impl ismorritaft ri Schedule
<br />Y,N,X
<br />1
<br />Are key activities for implementing the proposed project listed?
<br />y
<br />77
<br />2
<br />Are the dotes filled in correctly?
<br />APOCSUOn RNview Crlaekisl
<br />Sud rant A -afion Pacloage socdon 19 - "ll. t of
<br />
|