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School Resources Ofc Grant ApCITY OF DUBUQUE, IOWA MEMORANDUM March 28, 2001 TO: FROM: SUBJECT: The Honorable Mayor and City Council Members Michael C. Van Milligen, City Manager School Resource Officer Grant Application Chief of Police Kim Wadding is recommending approval of a Cops in Schools Grant Application for an additional School Resource Officer. This is consistent with previou~s approval from the City Council to apply for two School Resource Officers; however, only one was funded. I concur with the recommendation and respectfully request Mayor and City Council approval. Michael C. Van Milligen MCVM/jh Attackment cc: Barry Lindahl, Corporation Counsel Kim B. Wadding, Police Chief To: Michael C. Van Milligen City Manager CITY OF DUBUQUE, IOWA MEMORANDUM March 26, 2001 From: Kim B. Wadding Police Chief Re: New SRO Application - 2001/02 INTRODUCTION: On May 30, 2000 Chief Joim Mauss submitted a memorandum to you requesting the City Council approve a Cops in Schools Grant Application for two School Resource officers. The request was granted and the application was submitted. As a result, one of the two School Resource Officer positions was funded. As we waited for word on the second position we were recently told we would have to submit a new application. DISCUSSION: The purpose of this memorandum is to resubmit a new application for a second federally funded School Resource Officer position. The Cops in Schools grant applications are to be postmarked no later than June 15, 2001. Priority consideration for FY 2001 f~nding will be given to applications received postmarked on or before May 11, 2001. As mentioned earlier, $125,000 is the maximum benefit per officer funded through the COPS program. The grant also requires a commitment from the local jurisdiction to continue funding the COPS position for at least a fourth year, one year beyond the grant funding. The following table outlines the estimated costs for one officer using the COPS funding. The costs reflect FY 2001 wage and benefit package and doesn't predict any future adjustments other than the normal step increases for a new officer. Salary & Benefits $46,665 $50,019 $51,727 $52,337 Uniforms & Training $3,600 $400 $400 $400 Federal Share $46,665 $42,516 $35,819 $0 City Share $3,600 $4,150 $8,354 $26,568 School Share $0 $3,753 $7,954 $26,168 RECOMMENDATION: Because this is considered a new application, I recommend the memorandum be sent to the City Council to update our action for continuing to seek a second federally funded School Resource Officer position. ACTION REQUESTED: To seek City Co~mcil approval and recommitment of a second federally funded SchOol Resource Officer position. CITY Of DUBUQUE, IOWA MEMORANDUM September 18, 2000 TO: Michael C. Van Milllgen City Manager FROM: Terry Lambert Acting Chef FY '01 Budgef A/nendment COP's In Schools Grant INTRODUCTION The purpose ofthis memo is to inform you that the Dubuque Police Department bas been awarded a fedcn~at COP's In Schools grant :~om the United States Department of Justice and to provide you with some prelknlnary budget impact figures. BACKGROUND The Dubuque Police Department, with City Council ~pproval, made application for a $250,000 COP's In Schools grant in June 2000. On September 7, 2000, we were notified that we were awarded a grant in the amount of $125,000. Our application sought funding for two officers but the grant award only provided funding for one officer. We were alerted dmkag the application process, that the number one was inadverteotly typed onto the application instead of the number two in the section of the application that asked for the number of officers requested. The COP's In Schools office was notified of the error and indicated that they made the appropriate changes on our application. We have since learned that the award amounts were decided before the error was corrected. We have been in contact with the COP's office and they have asked us to send a letter to then{ expressing our continued interest in the second officer. They have indicated that we have a good chance to receive funding for the second officer once they receive their new grant funds in October 2000. BUDGET AMMENDMENT ITEMS The t'oliowing numbers were obtained fi-om the grant application and are estimates only. The figures reflect FY 2001 wage and benefit package and do not predict any future adjustments other than normal step increases for a new officer. The grant will not fund the educational bonus benefit of an officer. Also, the City's share is higher than the school's share because of the cost of uniforms and training, which are not covered by the grant. Year 1 Year 2 Year 3 Year 4 Salary and Benefits $46,665 $50,019 $51,727 $52,337 Uniforms and Training 3,600 400 400 400 Federal Share $46,665 $42,516 $35,819 0 City Share 3,600 4,150 8,354 26,568 School SJ~are 0 3,751 7,954 26,168 *As indicated above, the educational bonus is not eligible for grant funding. A patrol officer who is at top step and who receives an educational bonus receives an additional 1;1810.64 per year based on the FY 2001 wage and benefit package. Educational bonus is calculated at 5% of an officer's base wage. Also, in the event we receive funding for the second officer, we will be requesting another budget amendment to cover the costs for that officer. Thank you for your consideration of this memo. SRO RETENTION PLAN The City of Dubuque and the Dubuque Community School District are committed to maintaining the School Resource Officer Program at least one year beyond the grant fund period. The City of Dubuque and the Dubuque Community School District will fund an equal share (50/50) of the total costs of the salaries and benefits of two of the three officers that will be assigned to the program. The positions will be funded through the annual budget process of the City of Dubuque and the Dubuque Community School District or by a combination of the annual budget process and any local or State grant applications. Agreed to and dated this of ,2001. Jane Petrek~ Sgpe,rintendent, Du, lpu~ue Community School District hael Van Millige~, City Manager, City of Dubuque Klm B]. Wadding, Chief of(~lice, City of Dubuque MEMORANDUM OF UNDERSTANDING The Dubuque Community School District and the City of Dubuque support the existing School Kesource Officer Program and share a mutual interest in expanding the program by the hiring of one additional officer. The City of Dubuque and the Dubuque Community School District will fund an equal share (50/50) of the total costs of the officer's salary and benefits that are not covered by grant funds during the grant period. After the grant period expires, the City of Dubuque and the Dubuque Community School District will continue to fund an equal share (50/50) of the total costs of the salaries and benefits of the additional officer. The Dubuque Community School District and the City of Dubuque, in expanding our partnership, expect the SRO program to: provide additional service to the junior high and high schools of the community while maintaining the current SRO program in the elementary schools; provide education to students concerning safety and legal issues; develop positive relationships between students and law enforcement; address community problems both in and around school properties; combat truancy and reduce and prevent crime on school property such as narcotics violations, assaults and thefts. Additionally, it is agreed upon and understood that unless exigent public safety conditions exist, officers assigned to the SRO program will be physically present on school property or working on school related matters during the traditional school year (September 1 thru June 7). During non-traditional school months (June-August), the SRO's will be assigned to other law enforcement duties at the discretion of the Chief of Police. It is also recognized that the SRO's are employees of the City of Dubuque Police Department and are expected to perform their duties in compfiance with all policies and procedures of the Dubuque Police Department. The Chief of P0lice will have primmy responsibility regarding employment matters of the SRO but will seek input from the Superintendent of the Dubuque Community School District when appropriate. Agreed to and dated this day of ,2001. Jane Petrek, S~pe~t~endent, Dubu~l})e Community School District ''gen, City Manager, City of Dubuque Ki~a B. ~radding, Chief of P-~e, City of Dubuque Dubuque Police Department Law Enforcement Center EO. Box 875 Dubuque, Iowa 5200443875 Phone (319) 589-4410 Fax (319) 589-4497 DUBUQUE POLICE DEPARTMENT 2001 COPS in SCHOOLS GRANT APPLICATION ADDENDUM PROBLEM IDENTIFICATION: General Problem: At the present time the Dubuque Police Department employs two full-time School Resource Officers (SRO) who provide service to twenty-six schools in the community: four high schools, three junior high schools and nineteen elementary schools. Approximately twelve thousand five hundred, (12,500) students attend school in the Dubuque community. The goals of our SRO program are to provide education to the students concerning safety and legal issues; develop positive relationships between students and law enforcement; address community problems both in and around the school properties; assist juvenile court services officers combat truancy; gather intelligence and enforce the law. This is a monumental task for Several officers to accomplish much less two. Simply stated, our SRO's spend the majority of their workday traveling from one school to the other "putting out fires." Due to their tremendous workload, the SRO's are unable to sufficiently address the problems of individual schools or their students. One of the key goals of our program is educating and interact~g with the students. Because of Service People Integrity Responsibility Innovation Teamwork 2 the ever-increasing caseload, our SRO's are able to schedule only a limited number of classroom presentations, consultations and individual school visits during their normal workweeks. The relationship between the SRO's and the students suffers when their ability to interact is so severely limited. The SRO's spend the majority oftheir time addressing the following problems in the schools: narcotics, truancy, thetis and assaults of both students and teachers. The SRO's also address issues that arise with neighbors surrounding the schools such as: loitering, fighting, littering, tobacco violations, parking and other traffic related problems. The SRO's are a liaison between the police department and the County Attorney's office. They are also liaisons between Juvenile Court Services and the Police Department and coordinate with them on a myriad of juvenile matters. The SRO's aLto process and manage approximately four hundred fifty, (450) annual juvenile missing persons records for the Police Department. The SRO's work very closely with Hillcrest Family Services, a community based youth shelter, in maintaining records of all of their residents who are on in-home supervision. Due to budget constraints, we have been unable to supplement the SRO program with additional officers. We were fortunate to receive a second SRO officer when we were awarded a 2000 "Cops In Schools (CIS)" grant. The second SRO position has helped our agency immensely but our continued shortage of available fimding and personnel has hampered our ability to achieve all ofthe goals of our program. The addition of a third SRO would entrance our program at the junior high and high school level and would provide much more oppommity for interaction between the SRO's and the students at all levels of our school district. We believe that this interaction is an 3 essential element in achieving one of the primary goals of community policing and that is to prevent crime before it occurs. Specific Problems: As our agency reported during our 2000 CIS grant application, the biggest problems facing our SRO's in the schools are: assaults, narcotics, thefts, neighborhood problems and m~ancy. Between January 1997 and January 2001, the SRO's and officers of the Dubuque Police Department have investigated approximately three hundred seventy, 070) assaults; responded to approximately five hundred eighty- five, (585) disturbances; investigated approximately three hundred eighty eight, (388) thefts and responded to approximately eight hundred fifty seven, (857) school related neighborhood complaints. During the same time period, officers of the Police Department filed approximately sixty-seven, (67) intelligence reports concerning narcotics related activity on school property. A particularly alarming statistic that was reported in our 2000 CIS grant application was the munber of teacher assaults that have been perpetrated by students dung school hours. In 1999, there were forty-seven, (47) teacher assaults reported. At the time of our 2000 CIS grant application we expected a new record of teacher assaults for the year 2000. That in fact did occur. In the year 2000, the Police Department investigated fifty-four, (54) teacher assaults, an average of 5.4 assaults per month. In the first two months of 2001, our agency has investigated fourteen, (14) teacher assaults, an average of 7.0 assaults per month. With the addition of our new SRO for the 2000-2001 school year, our SRO's have been able to assist Juvenile Court Services officers with truancy complaints and have made physical visitations to the residences oftruant students and have taken them to 4 school. This had not been poss~le in past years. Truancy continues to be a problem in our community but we simply don't have the personnel resources to effectively combat it. coMMUNITY POLICING STRATEGIES: The Dubuque Police Department espouses a community policing philosophy and has enjoyed tremendous success by creating partnerships with various individuals, groups and members of the business eommtmity, to solve problems and reduce the fear of crime and social disorder. Because all of the schools in the community are located in residential areas, the SRO's and school officials find themselves responding to complaints from neighborhood residents on a regular basis. The complaints stem from students loitering in the neighborhood before and at, er schook While congregating, the students engage in disruptive behavior such as fighting and littering. State law- prohibits children under the age of eighteen from smoking or using other tobacco products, yet numerous complaints are received from neighbors that the smdems are smoking as they loiter. The SRO's have been sensitive to the complaints of the neighbors and have worked with them by conducting early morning and late afternoon surveillance of the locations where the students have been known to congregate. Numerous tohaceo violation citations have been issued. The number of complaints of students loitering has been reduced since this enforcement initiative was undertaken~ Within the school setting, the SRO's partner with school officials, juvenile court services officers, social service agencies and parents to help identify and correct discipline, truancy and other emotional and behavioral problems of students. The SRO's conduct both individual and group counseling sessions with students, parents and school officials to remedy conflicts that 5 occur during school hours and to assist them with problems that may be occurring during non- school hours. In 1999, the SRO, school officials and juvenile court services officers initiated a pilot program titled "Connecting To Our Youth." The program was designed for families of elementary age children who are experiencing difficulties with their child's behavior. Such difficulties include but are not limited to: opposition to school and community rules and delinquent activity in the home, school or commullity, which has warranted police involvement. Some of the henefas of the program are: it helps build communication between the parent and child; offers different approaches to old problems; provides quality family time; provides time for parental networklng and empowers parents to enforce rules of the home. The program has been a tremendous success thus far. At the present time the SRO's also coordinate alcohol, shoplit~ing, and tobacco diversion program~ in which students are instructed on the perils of shoplffiing and the use of addictive substances. If the students cooperate with the program, any criminal charges that had been filed on them as a result of the shoplifting or consumption and/or possession of the addictive substances are dismissed. Our SRO's personally conduct the shoplifting and tobacco diversion programs on an overtime basis. QUALITY and LEVEL of COMMITMENT to PROGRAM At the present time, the Dubuque Police Depattment commits two full-time officers to the SRO program and one full time and several part-time officers to the Drug Abuse Resistance Education, (D.A_R~E.) program. One of the SRO positions is jointly ftmded by the Dubuque Police Department and the Dubuque Community School District. As stated previously, that position was made possible when we were awarded a 2000 CIS grant. The Police Departmem 6 is steadfast in maintaining our partnership with the schools of our community and has done the best that we can, considering our budget constraints, in fulfilling this mission~ Further evidence of the joint commitmem Js the fact that the Dubuque Police Department and the Dubuque Community School District are making application once again for a CIS grant. We are committed to expanding and enhancing our partnerships not only with the schools, but also other community agencies. Our intent is to maintain three, folMime SRO's after the grant period expires and expand the program as required in the future. The partnership and problem-solving element of our community policing philosophy within the schools is not limited to the SRO's. The patrol, administration and criminal investigation divisions of the Police Department also provide supplemental assistance to the schools and the SRO's on a regular basis. Between January 1, 1997 and January 1, 2001, officers of the Dubuque Police Department responded to over four hundred (400) calls for service to either assist the SRO orto assume the primary role in the calls for service when the SRO's were unavailable. During the 2000-2001 school year another youth gang began to form This new gang of high school students, identified as the "319's,' began harassing a number of students via personal contact, over the telephone and on the intemet. A combination of officers and the newly assigned SRO were effective in disbanding the gang through counseling sessions with the members of the gang and their parents. This gang was thwarted during its infancy stages and was brought to the attention of law enforcement by a high school student informing our new SRO of the gang's existence during an kfformal meeting at a local high school. This successful intervention may not have been possible had we not been awarded the funding for the second SRO position in 2000. 7 At the present time, the junior high and high schools comprise 20% of the total number of SChools in the Dubuque Community District. However, the majority of serious incidents and crimes that occur in the District take place at those schools. If grant funding is awarded, the Dubuque Police Department will intensify our presence and involvement in the junior high and high schools. Peer pressure becomes especially pervasive as children reach the junior high and high school level and we are committed to provide more attention and service to this group of students than we have in the past. The majority of the complaints that the Dubuque Police Department receives from neighhorhoods located adjacent to the schools in the community, are generated from those neighborhoods geographically situated by our junior high and high schools, The SRO staffing plan that we envision wilt assign two SRO's to work in the junior high and high schools on a full-time basis. Their tasks will include but not be limited to: investigation ofcrimlnal complaints within their assigned schools; partner with school officials in developing educational programs; develop a plan for combating truancy; commit time at each school site for positive interaction with students, and develop strategies to relieve the problems that currently plague the neighborhoods located adjacent to the schools, such as parking and other traffic related problems, loitering, littering and teen smoking. In effect, the SRO's will treat each school as a "commlmity within a community" alld will endeavor to solve problems with their partners, i.e., school officials and members of the community, by utilizing innovative problem solving tactics. Our plan will also commit one full-time SRO to the elementary schools. By concentrating primarily on those schools, the SRO will be able to focus all of bis/her attention on the problems associated with students attending those schools. The community policing philosophy practiced at the junior high and high schools will also be practiced at the elementary schools. Having one 8 SRO commit the majority of hisPacr attention to the elementary schools would be extremely beneficial to our community. A crisis in a school facility can be quite dlsmptlve to the learning environment~ Another benefit of expanding our SRO program is that in the event of such a crisis, we would be able to dispatch three officers who have specialized training in addressing school issues and working with school age children, to any school site within the community. This rapid response capability would enable us to assess a problem in a timely manner, identify and meet with our parmers to formulate a plan to resolve the crisis, and initiate the implementation of the plan, all in a relatively short period of time. .LINK to COMMUNITY POLICING: Recognizing that each junior high and high school is a community in and of itself, we believe that increasing the number of SRO's in those schools is the next logical step in our comm~mity policing efforts. The schools are governed by an administration, maintain their own support staffand each day a large number of people gather there to learn, teach and work. The community policing philosophy practiced by the Dubuque Police Department partners with all agencies within our city government to address crime, social disorder, and quality of life issues within our commullity. The Police Department fosters and maintains partnerships with landlords, neighborhood associations, the offices of probation and parole and a myriad of other social service and criminal justice agencies to assist us in problem-solving efforts. If additional grant funds are awarded, they would enable us to increase police assets not only within the schools but the community at large, and provide a greater opportunity for our agency to positively affect the lives of school age children in a forum othcr than the criminal 9 justice system The goal of our SRO program is to utilize partnerships to solve problems and reduce crime and social disorder in our schools and the community. We strive to provide a safe and secure school oommunity so that all of our sttldents have the best oppommity to develop into respons~le and contributing members of society. This proactive approach to problem solving will greatly reduce the problems we are experiencing in our schools and would ease the burden ofadmlnlstmtors and educators in dealing with these problems and allow them to focus their efforts on the education of the smdent~ The addition of SRO assets would enable the SRO to work closely with students, parents and school officials and develop partnerships to work toward a ~mified goal of finding solutions to the problems affecting our schools. The SRO program acts as a bridge between the school community and the neighborhoods in which our schools are located. If grant funds are awarded, it would allow our SRO program to reach further into those neighborhoods and foster stronger partnerships. Those partnerships can then be utilized to address problems caused by students in those neighborhoods. This proactive style of policing wilt surely improve the quality of life in those neighborhoods. Furthermore, the creation of these parmerships will undoubtedly have a positive impact on the safety and security of the school community located within the neighborhood If grant funds are awarded, the SRO's would be afforded more time to foster relationships and build trust with students. It is through these relationships that students share infomtion with the SRO's on gan4 and drug activity, alcohol and tobacco use and other criminal and non-criminal matters. Children affected by substance abuse, gang activity and crime in the community will be carrying the burden ofthose stressors into the school environment. The effects of those stressors will be manifested in many ways but ultimately w~l negatively affect the students, educators and administrators of the school community. 10 In utilizing fostered partnerships, problems specifically related to the school can be adequately identified and addressed. The problem-solving goal ofthe SRO is to take the lead in bringing the affected partners together. The problem will be routinely and specifically investigated. The problem will then be precisely and accurately described and then broken down into specific aspects. Conditions causing the problem will be identified and considered. The methods developed to handle the problem must be understood and its limits of effectiveness must be openly acknowledged in order to find the best response. A proactive response to the problem will then he developed and implemented. The SRO wilt monitor the response and adjust it as Lastly, the SRO can llnk other Police Department parmers to the school community to address specific problems or other special concerns such as street maintenance, zoning issues, animal control and property owners. 2000 CIS GRAI~IT AWARD ACCOMPLISltMENTS: So why does our agency deserve funding for an additional SRO officer? To us, the answer is a simple one. We have proven our commitment to the SRO program and to the philosophy of commllnlty policing. We have created a very positive and dynamic working relationship with the Dubuque Comrmmity School District and believe that we are making a difference. The CIS grants have been created to assist law enforcement agencies and their school districts create partnerships to solve school and youth related problems. We have proven our commitment and resolve to accomplish this goal, but acknowledge that we have more to do. The SRO position that was awarded to our agency via the 2000 CIS grant began his duties in October 2000 and made an immediate impact. The SRO's, in partnership with Juvenile Court Services and the Police Department's Community Police liaison officers, have intensified 11 their supervision ofjunior high and high school students who are on juvenile probation~ The SRO's are working with the Dubuque Community School District to develop a comprehensive K-12 substance abuse/conflict resolution program. Our SRO's have assisted Juvenile Court Services officers on numerous home visits of truant students and have been insmamental in gett~g students out ofhed and out of baby-sitting jobs and back into the classroom. The SRO's have built informal classroom visits into their schedules in the junior and senior high schools, which is something that has never been achieved before. Lastly, by doubling our SRO staff this past year (from one to two), more one on one interaction has taken place between the students and the SRO's. Dubuque Comrmmity School District officials are so pleased with the progress of the past five months, they eagerly joined us in our efforts to obtain a third SRO via this application process. CONCLUSION: We believe that the documents that we have furnished in the CIS grant application not only demonstrate our need for additional SRO resources, but also our desire to expand the philosophy of commtmity oriented policing within our comm~mity. This CIS grant application underscores the commitment of the Dubuque Police Department and the Dubuque Commtmity School District to expand our partnership and pursue our mtmml goal of creating a safe educational system in a thriving, problem solving community. U~S. Departmeat of Justice Office o£ ¢ommu~ Oziemcd Policing Services I COPS i pplica tion www. usdoj.gov/cops COPS in Seheels 2001 APldieatien Ferm This form is to be completed by jurisdictions wishing to apply for grants to pay for salaries and benefits of new or rehired School Resource Officers to be deployed to work in and around schools under the COPS in Schools grant program. By signing this form, you also acknowledge your understanding that the COPS in Schools program grants provide a maximum Federal contribution of up to a cap of $125,000 per officer over the three-year grant period, with any remaining costs to be paid with local funds. There are no waivers of the local match under the COPS in Schools grant program. All budget calculations must be based on the salary of an entry-level officer in your department. In addition, all grant recipients must develop a written plan to retain their COPS-funded officer positions at the enneluslon of l*ederal funding. This plan must be submitted to the COPS Office at the time of application to be considered for funding, and must be signed by both the law enforcement and government executives. The COPS Offiec will monitor grantee implementation of the retention plan for one full local budget cycle fuilowing expiration of the Federal grant period. The application must also include a Memorandum of Understanding 0VIOU) to document the roles and responsibilities of the collaborative effort between law enforcement and education~ The MOU must be signed by the law enforcement executive and the appropriate school official and must be submitted at the time of application to be considered for funding. The application must also include a Narrative Addendum to document that the School Resource Officers will be assigned to work in and around primary or secondary schools, and provide a descriptive narrative of the use of the School Resource Officers. COPS in Schools funding must be used to hire new, additional School Resource Officers, over and above the number of sworn officers that your agency would fund with state or local funds in the absence of the grant (including other School Resource Officers). Your agency may not reduce its state or locally-funded level of sworn officers (including other School Resource Officers) as a result of applying for or receiving COPS in Schools grant funding. [For additional information, please see page 7 of the Application Instructions ManuaL] COPS in Schools funding may also be used to rehire sworn officers ptvviously employed by your agency who have been laid off for financial reasons unrelated to the availability of the COPS in Schools grant. Your agency must obtain prior written approval from the COPS Office, however, if you wish to use COPS in Schools funding to rehire any officer who is laid off after the official award start date of the COPS in Schools grant. Applications are due and must be postmarked no later than June 15, 2001. Priority consideration for FY 2001 funding will be given to applications received postmarked on or before May 11, 2001. Applications received postmarked after May 11, 2001, but postmarked on or before June 15, 2001 will receive secondary consideration for funding in FY 2001. Ali applications received prior to the June 15, 2001 deadline that are not funded in FY 2001 because of limited funding will be carried over for consideration in FY 2002 (subject to available funding). COPS in Seheo 1 Please complete the information below. Each item or question must be answered in full. All requested information must be typed. Previous editions of this application are obsolete and may not be used. Applicant Orgamlzation's Legal Name: Dubuque Police Department Applicant Agency EIN Number (assigned by the IRS~ this number should be nine digits): 42-6004596 [lithe Office of Justice Programs has assigned your department an EL~ Number, please use that assigned number. Otherwise, your Internal Revenue Service EIN number should be used For farther clarO~cation, please refer to your Application Instruction Manual, page 3.] IA 0310100 Applicant Agency ORI Number: [Assigned by the FBl for UCR reporting. This number should be seven digits long, beginning with the two letters of youe state abbreviation. For farther clarO~cation, please refer to your ~pplication btstruc~on Mamu~ page 3.] Federal Congressional District Number(s): Are you contracting for law enforcement services? ~ Yes ~ No If ~yes,~ enter the name and agency inforrna~on of the contract law enforcement department in the Exeaative Information secO'on bek~. [For further clar~cation in determining if this applies to your agency, please refer to the Applica~on Instruction Manual, page 3.] (Note: Please list the h~test ranking official for each category) Kim B. Wadding Law Enforcement Executive's Name: Title: Chief of Police Agency Name: Dubuqug Police Department Address: 770 Iowa Street City: Dubuque State: IA Zip Code:. 520~] Telephone:. 319-589-4411 Fax: 319-589-4497 Emait Address: Type of Poliee Agency: ~ Municipal rn State [J County PD ~ Sheriff* rn Tribal* ~ Transit* ~l School* gl University/College* (~l Public or rn Private?) r~Publi¢ Homing* m New Start-Up* (please specify type of agency)'. *Departments applylng from agency' ~fpes with an asterisk next to them must cotaplete the additional information questionnaires cor~ained in the Application 1G% This adt~Yonal infortnation must be svxbmitted with your c£ppIleation. Government Executive's Name: Title: Mayor A~r~ss: 50 West 13th Street Terrance M. Duggan Name of Government Entity: City: Dubuque State: IA Zip Cod~: Telephone: 319-589-4120 Fax: 319-589-0890 Email Address: , hi 8Dhoo18 2 Type of Government Entity: 121 State ra City ~ Town 121 County ~ Borough r~ Township ~1 Territory ~ Region ~1 Community ~1 Pueblo rn Nation I~i Other (please specify): 121 Village Council School District Contact Information: Name of contact person in your department who is familiar with this grant: Michael J. Sullivan Titie: Captain Email Address: Telephone: 3±9-D89-4467 Fax: 319-589-4497 Under the COPS in Schools grant program, applicants must enter into a partnership agreement with an official for a specific school or school district with general educational oversight authority in that jurisdiction. If there are going to be multiple partners involved in this project, please provide the following information for each of the partners on the additional partners page included in this application, floweret, yon mast designate one school official as the school representative aader the grant program. Please provide the information for that individual in the space below. If the proposed project affects an entire school district, then the official with general educational oversight over the entire school district should complete the information below. Name ofPartnerAgeneyor SehoolBistrict: School OfficialName: Jane Petrek Address: 2300 Chancy Road Dubuque Community School Digtrict Titie: Superintendent City: Dubuque State: IA Zip Code: 52001 Telephone: 319-588-5105 Fax= 319-588-852] Email Address: In addition, at the time the application is submitted, applicants for the COPS in Schools grant prom'am must include two written documents prepared in cooperation with the partner agency, or agencies, involved in the ~rogram. :irst, you must submit a Memorandum ofUndersmeding (IViOU) that details the roles and responsibilities of the parmers involved in this project. For additional information on this requirement, please refer to page 6 of this application form. Second, you must also submit a COPS in Schools Narrative Addendum detailing the proposed project. For additional information on this requirement, please refer to page 7 of this application form. COPS in Sehools 3 All COPS in Schools awards will conta'm an "Additional Grant Condition" that must be signed and returned to the COPS Office. This grant condition is eonta'med in the award package and requires the officer(s) deployed into the School Resource Officer position(s) and the individual designated as the School Representative under the grant program to attend a COPS in Schools Training. The COPS Office will reimburse grantees for training, per diem, travel and lodging for attendance of required participants up to the maximin of $1,t00 per person attending. All awarded applicants will receive additional information on these trainings after the official notification of the grant award. Has your jurisdiction received other COPS grants? ~ Yes If"yes," under which l~ogram(s)? (Choose all that apply.) ~i COPS Phase I ~! COPS AI-IEAD t21 COPS MORE l~Llnivemal I~Sng Program 121 Anti-Gang Initiative/Youth Firearms Violence Initiative 1~1 Community Policing to Combat Domestic Violence 121 Problem-Solving Partnerships ~i Regional Commtmity Policing Institutes ~1 Small Communities Crrant Program 121 CICP [1 Other (please specify): ra No ~1 COPS FAST ~i Troops to COPS ~1 COPS in Schools t~1 Police Corps 1~ School-Based Partnerships 121 Tn'bal Resources Grant Program ~ Technology What is the total number of new officer positions for which you are now applying? Do not include otticer positions funded under any other COPS grants. Full-time: 1 Part-time: Total amount of Federal funds requested for all full-time and part-time officers: $ 125,000 Total non-Federal matching funds required {local share): $ 23,411.00 [To answer these ques~ous, complete the budg*t section for one officer and then multiply by the number of requested officers listed above.J Population served as of 2000 U.S. Census: 57,538 and square miles covered: 27,5 m~ 1 ~ Note: If numbers from the 2000 U.S. Census are not yet available to you, please use 1990 U.~ Ceusus figures. [Exclude the population and square miles pr~trily served by other law enforcement agencies within yourj~risdictiora For example, sheriffs departments ttcast exclude populations and areas covered by a city police d~paranent for which the sher~'s department has no primary law enforaement authority.] Current budgeted locally-funded sworn fore~ strength as of February 1, 2001: Full-time officers: 91 Part-time officers: 0 [Include all state or locally-funded officer positions budgeted as of this time. Do not include any C0tPS-fimded officers in this number] Actual locally-funded sworn force strength as of February 1, 2001: Full-time officers: 86 Part-time officers: 0 [Do not include state or local~-funded vacancies, COPS-fanded posltions, or reserve positions] I certify that the information provided on this form is tree and accurate to the best of my knowledge. I understand that prior to any grant award, the applicant must comply with all application and program requirements of the Public Safety Partnership and Community Policing ~ct of 1994 and other requirements of Federal law. ~ (d~ignatu~e of person named on ~t of this form} Government Executive's Signature: Date: (signa~e of person named on the front of this form) School Official's Signature: Date: (signature of person named under "Partner lnformagon" as the designated School Representative for this grant program and the required training) Please return one original and tw~ copies of all application materials that are being submitted with this request for funding. This includes the Community Policing Information Worksheet (for first-time COPS applicants), the Budget Information forms, Assurances, Certifications, a written Retention Plan, the Memorandum of Undemanding, the COPS in Schools Narrative Information, and any additional information that is required. Completed applications should be sent to: COPS in Schools Control Desk U.S. Department of Justice 1100 Vermont Avenue, NW 8th floor Washington, DC 20530 [For overnight delivery, please use 20005 as the zip code.] Note: Since an original signature is needed to process all funding requests, foxed copies will NOT be accepted. OMB Approval Number: 1103-0027 COPS in Seheol8 U.S. Department of Justice Office of Comm~mity Oriented Policing Services Certifications Regarding Lobbying; B ebarment, Suspension and Other Responsibility Matte~ D mD Free ! orkplace Requirements Coordination with Affected Agencies, Non-Supplanting; and Retention. Although the DepmSanent of Justice has made ex~a'y effort to simplify the application process, other provisions of Federal law require us to seek your certification regarding certain matters. Applicants should read the regulmions cited below and the instructions for certifica- tion included in the regulations to ~mderstand ~ requirements and wbetber they apply to a particular applicant. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," and 28 CFR Part 67, "Govea~nnnt-wide Debarment end Suspm~ion (Nonprocoremen0 and Government-wide Requirements for Drug-Free Workplace (Gnmts)," and the coordination and non-supplanting requirements of the Public Safety Partnership and Community Policing Act of 1994. The certifications shall be lrented as a material representation of fact upon which reliance will be placed when the Daparmmat of Justice determines to award the covered grant_ L Lobbying As required by Section 1352, ]gfle 31 of the U.S. Code, and imple- mented at 28 CFR Part 69, for pemoan entering into a grant or tOOl> erative agreement over $100,000, as defined at 2g CFR Part 69, the applicant cer6fies that: A. No Federal appropriated funds have been paid or wiLl be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connec- tion with the making of any Federal gnmt; ~ enteaJng into of any Coopemli~ agreement; and the extension, continuation, renewal, amendment or modification of uny Federal grant or ecepemtive agreemang B. If any funds other than Fede~t appropriated funds have been paid or will be paid to any person for influencing or attenapfing to influence an offiear or employee of any agency, a lvlember of Congress, un officer or employee of Congress, ar an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Slandard Form -- ILL, "Disclosure of Lobbying Activities," in ancerdnnee with ils instructions; C. The undersigned shaii nxluire that the language of this certi- fication he included in the award documents for all subawards at all tiers (including subgraot~ contracts under grants and cooperddve agreements, and subcoatxanls) and that all sub- recipicms shall eerafy and disclose acco~i~ly. 2. Debarment, Suspension and Other Responsibility ~ (Direct Recipient) As mqalmd by Executive Order 12549, Debermont and ~inn, and implemented at 28 CFR Part 67, for prospective participaats in primary covered lransuctioas, as defined a~ 28 CFR Part 67, Section 67.5t0 -- A. Thc applicant eerdfias that it and its pr~cipals: (i) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a state or Federal court, or vqlnsaarily excluded from covered Wansactions by any Fedeial department or agency; (ii) Have not within a three-year period preceding this applica- tion been convicted of or had a civil judgment renderexl against thea~ for cemmir, sion of fraud or a criminal offans~ in connec- tion with obtaining, aflgalpting to obtain, or performing public (Federal, stele or local) mmsaction or contract under a public tramactlon; violation of Federal or state antitrust statutes or commission of embezzlement, thei~ forgery, bribery, falsifica. lion or destruct~n of records, making false statements, or reeeiv- ing stolen property; (iii) Are not pmscnfly indicted for or otherwi~ crhainally or civilly charged by a governmental entity (Federal state or local) with enmmlssiou of any of file offenses enumerated in Faragraph (A)(ii) of ~ eenificatinn; and (iv) Have not within a threc-year period preceding this applica- tion had one or more public tmm~ctions (Federal, state or local) terminated for cause or defanlt; and B. Where the applicant is unable to certify to any of the stat~ ments in this certification, he or she shall attach an explanation 3. Drag-Free Workplace (Grantees Other Than Individuals) As ~ uired by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67, Sections 67.615 and 67.620 - A. The applicant certifies that it will, or will continue to, provide a drug-free workplace by: (i) Publishing a statement notifying employees that the unlawful manufacture, dtstrfouHor~ ddspensh~, posses- s~on or use of a controlled substance is prohibited in the grantee~s workplace a~d sp~ng the actions that will be taken against employees for violation of such prohibition; (ii) Establishing an on-going drug-free awareness pro- gram to inform employees about - (a) The dangers of drug abuse in the workplace; {b) The grantee's policy of maintaining a drug-free work- plac~ (c) Any available drug counseling, rehabilitation aud employee assistance programs; and (d) The penalties that may be imposed upon employees for dmg-almse violations occurring in the workplac< (iii) Making it a requLrement that each employee to be engaged in the peffu, m~-ce of the grant be given a copy of the statement re4 uimd by paragraph (i); {iv) Notifying the emptoy~e in the statement re~lui~d by paragraph (i) that, as a condition of employment under the grant, the employee wa'Il - (a) Abifle by the terms of the s~emem; and (b) Notify ~he employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workpIace no later than five calendar days aft~ such con- victio~ (v) NotLCying the agenc3¢ Ln wriltn~ wilh~ 10 calendm~ days after ~ notice under subparagraph 0v)(b) such convictk~ Employers ~f ecmvicted employees must provide notie~ including posilion title, to: COPS affeeled dar days of receiving notice under subparagraph with n~pect to any employee who is so c{mvict~d - (a) Taking a~ persormd action against such an empkB~ee~ up to and inclucl~ng ~ cons~em with the r~ uirements of the Relmbllimtion A~ of lfff3, as amende& or (b) Re~ uiring such employee I~ tma'tifipam ~y in a drag abuse assistance or rebabRilafion program approved for such proposes by a Federal, state or local health, law enfoccement or other appropriate (vii) Making a good faith eff~rt to continue to maintain a dru~-free workplace through implementation of para- B. The grantee may insert in the space provided below the si~e(s} for the performance of work done in connection with fie spec~c grant: Place of ~ (street address, city, coun~ state, zip c~de) Check ~ fflhere are werkplaces on file that are not i~ here. Section 67.630 of the reg~ flations provides that a grantee that is a sta~e may elect 1~ make one cerii~ca- lion in each Federal fiscal yea~ a copy o~which should be imMded wi~h each applimtion for Department of Justice funding. Sta~es and state cies may elect ~o use OJP Form 40~1/7. Cbeck El ffthe state has etec~d to complete OJP Form 40~1/7. 4. Coord/~at~o~; The Public Safety Partnership and Community Policing Act of 1~4 ral uires applicants to certify ~hat there has been appropriate coordinatio~ with all agefleies that may be affected by the apptim~s grant proposal ff with all ~ffect~cl a~lcies~ The applicant hereby certifies that Federal funds will not be used to replace or supplant state or local funds, or funds supplied by flae Bureau of Indian Afra~, that ~o or for law enforcecnent purpo~s, Tlte applicant hereby ~ that it understands that it must abide by its submitted plan to retain the additional dvilian positions and redeployment levels for at least one locally set budget cycle at the conclusion of the Cra~ N Dubuque Police Department 770 Iowa St Dubu ue, lA 52001 ~ra~ee _ .an'm and Addre~ .............................................................. ~< No. ~or ~ Nme: .............................. Gm~ ~" ~ ~ ~ .... *~e Kim B Wadding, Chief of Police T~d N~ ~ T~ ~m ~:_ _ _ _~ F~9~. ~: _ ~$~z..~9~ ...................... Sigr~ure: ......................................................... Date: ..................................... U.S, ])epar~aant of Justice Office of Corem*miry Oriented Policing Services Several pmvisinus of Federal law and policy apply to all g~nt programs. We (the Office of Community Oriantod Policing Services) need to secure your assusance that you (the applicant) will comply with ~ pmvisions~ If you would tike further informa~iou about any of the matters on which we seek your assurance, plebe contact us. By your m,thorized mprescntat~e's signature, you assure us and cartify to us that you will comply with all legal and adm~istrative re~alremants that govern tbe applicant for acceptance and use of Federal grant funds. In Farficular, you assure us th~ 1. You have been legally and officially authorized by the appro- p~into geveraiug body (for example, mayor or city coancil) to apply for this grant and lhat the persons si?~ng tbe application and these assurances on your behalf me anthodzed to do so and to act on your behalf with respect to any is~aes that may arise dm4ag processing of this applicaton- 2. You will comply with the provisions of Federal law which limit certain political activities of your employeus whose prin- alpal employment is ia conoecfion with an activity financed ia whole ur ia part with this grant. These restrinlioas ~e set ~orth in 5 U.S.C. § 1501, et seq. 3. You x~l comply with the minimum wage and maxianma hours provisions of the Federal Fair Labor Standards Act, if they apply to you. 4. You will establish safeguards, if you have not done so alr~tdy, 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, partionlarly those with whom they have fam~y, business or other ties. 5. You will give the Department of Justice or the Comptroller C, onea~ secess to and ~ fight to exwmine records and doth- meres related to the gnat. 6. You will comply with all requirements imposed by the Department of Justice as a condition or odmlnistrative require- meat of the gram; with the program gaidelines; with the require~onts of OMB Circoiats A47 (governing cost calcola- tions) a~l A-128 or A433 (governing audits); with the appli- cable provisions of the OminOus C~me Control and Safe Streats Act of ~968, us amended; with 28 CFR Part 66 0Jnithrm Administxafve Requireanants); with the provisions of ~e em'rem edition of the appropriate COPS grant owner's manual; and with all other applicable laws, orders, regulations or circulars. 7. You will, to the extent ptautleable and consistent with appli- cable law, seek, mcru~ and hire qualified members of mdal and cthain minority g~aps and qualified womco in order to furt~r effective law enforcement by increasing their ranks within the sworn positions in your agoney. 8. You will nog on the ground of race, color, religion, origin, gender, disability or age, unlawfully exehide any person from participation in, deny the benefits of or employment to any person, or subject any person to discrimination in connec- tion with any programs or activities funded ia whole or in part with Federal fumt~ These eivli tights mqtfiremants are found in the non-diserimthation provisions of the Omnibus Crime Cona'ol and Safe Sircets Act of t968, as amended (42 U.S.C. § 3789(d)); Tire VI of the Civil Rights Act of 1964, as amended (42 U.S.C. § 2000d); the ~alian Civil ~ghis ACt (25 U.S.C. §§ 1301-1303); Section 504 oftbo Rehabilitation Ant of 1973, as amended (29 U.S.C. § 794); l~tle II, Subtitle A of the Americans with Disabll~es ACt (ADA) (42 U.S.C. g 12101, et seq.); the Age Discrimination Act of 1975 (42 U.S.C. § 6101, ct seq.); and Depurtment of Justice Non-Disor~atnaton Regalatons conteined ia Tille 28, Parts 35 and 42 (subparts C, D, E and G) of ~ Code of Fedaral Regulations. A. In the event that any court or administrative ~eney makes a f'mdiag of discrimination on grounds of race, color, religion, national origin, gender, disab~ity or age ageiust you a~r a due process hearing, you agree to forward a copy of the finding to the Office of Civil Rights, Office of Justice Programs, 810 7th Street, NW, Wushington, DC 20531. B. If you are applying for a grant of $500,000 or more and Department regulations (28 CFR 42.301 et seq.) require you to submit an Equal Oppommity Employment Plan, you will do so at the time of this applieaton, if you have not done so ia the past. If you am applying for a grant of less than $500,000 and the regalatious require you to maintain a Plan on file in yonr office, yon ~vill do so within 120 days of yoor grant award. 9. You will insure tl~ tbe facilities ander your ownerabip, lease or supervision which shall be utilized in ~e accomplish- ment of the project are not listed on tbe Envinmmental Protcetion A ganey's (EPA) list of Vinlating Facilities and that you will notify us if you are advised by the EPA indicating that a facility to be used ia this grant is under consideration for l~- ing by EPA. 10. Ifyoor state has established a review and comment proce- dore under Executive Order 12372 and has selected this pro- gram for ~wlew, yon have made this wpplleation available for ~xiew by the stme Sin4~le Point of Conlact~ 11. You wiU devise a plan to retain the increased hiring level with state and local funds after the conclusion of your gram. I hexeby cerfi~mP~e/wi~x~ t~he above assurances that govea'a the application and use of FederallY./ U.S. Department of Justice Office of Community Oriented Polidng Setwices COPS re Sehed8 ,alt Pmorm Bmb et Bflrorm ofl Applicant Nmae: ORI Code (Assigned by FBI): State: This m~rksheet will assist you in properly o.~anizing and estimating yom costs and providing the necessary details for financial review. Complete Part 1 if you are request- ing funds foe full-time office~s, Pat 2 if you are requesting part-time offiee~s, and both parts if you are requesting full- and pact-time officers. Everyone must complete a Budget Surmmry, The budget information you provide will be used to calculate you~ grant mount, Assistance in completing this information is available from the U.S. Department of Justice Response Center at :[-800.421~6770, or by writing the COPS Office~ 1100 Vermont Avenue, NW, Washington, DC 20530. ~lso, you can tefe~ to the sample budget included ha rials application kit. OMB Approval Number; l103-0027 Part I: Cenfldete If yeu are requesOno FuMime Offleer8 I, Cost Per Full-Time Office~. Year 1 Current Annual Entry-Level Base Sah~y $ 33,062 Annual Fringe Benefits: base salary Inst~uetlons~ Please indicate the Law Bnforcement Agency's cost roi each of the following categories, Please do not include emplOYee contribution costa. Enter the base annual salary that ymlr department currently Pays a new, ent~devel offlce~ *Sodal Security *Medicate Health Insurance $ 0 % 1.45 0/0, S.6, Life Insurance $ , 66 % .002 Vacation $ 2 weeks/vr. %. StckLeave $ 12 :daY~/yr. % ... Re ement % *Worker's Comp, ~$ % .... 0 *UnemploTment Ins. I~ ~ % 0 Other ~8}~day Pay $ 1,289 % q.q Other.. $ ......... % Cost fo~ Sodal Security may not exceed 6,2°/0 Cost fo~ Medicate may not exceed 1,45 % Costs toward health insucanee coverage* please indicate if this is for Family Coverage ( ) Yea ( ) No Costa toward ~fe insurance coverage, Vacation costs, if not included in base salary. Sick leave costs, if not included in base salar~ Contribution to retirement benefits, Costs of worker's compensation. Costs of unemployment insurance, Costs of equipment, training, uniforms, vehicles and overtime ate not permitted. Total Fringe Benefits $ 13,603...... Total Year 1 Salary and Benefits $ 46,665 Sum of departmem fringe benefit costs for Year 1. Year I base salary plus Year 1 fringe benefits Previous editloa° a~e'obsolete and should not be used. (o2/oa/2ool) pine ~ Department Name: 2. Cost Per Full-Time Officer - Year 2 Cum:eat Annual Entry-Level Base Salary $ 34,382 Annual Fgnge Benefits: *Serial Security $ 0 . $ 499 *Medicare $ ~ Health Insurance Life Insurance Vacation Sick Leave Re~ement *Worker's Comp. *Unernl~!oyment Ins. Other n°lidaY P~Y other Total Fringe Benefits Total Year 2 Salary and Benefits 3, Cost Per Full-Time Officer - Year 3 Current Annual Entry-Level Base Salary Annual Fringe Benefits: *Social Secut4ty * Medicare Health Insurance 15,637 $ 35,734 $ ¢1s _ $ 6, 49 Life Insura_qce $ 71 Vacation $ ~r. SickLeave $12 d~ys/yr. Retirement $ ,~ ~ 0~ .. *Worker's Comp, $ 0 *Unemployment Ins, $ 0 Other l-lei±day Pay $ 1,393 O~er Id'fie. Bonus $~ Total Fringe Benefits Total Year 3 Salary and Benefits 15,993 % of base salary % 0 % ' 1.45' %o 17'9'" % % o % %° , % of base salary % 0 % ,, %7.2 , % 17 .... % 0 ....... % 0 % 3.9 % 5 Page 2 om Code (Assi ed by Instructions: Enter the base annual salary that your department currently pays a new, entry-level Cost for Serial Security may not exceed 6.2% Cost for Medicate may not exceed 1.45 % Costs toward health insurance coverage, please indicate i{ this is for Family Coverage ( ) Yes ( ) No Costs toward life insurance coverage, Vacation costs, if not included in base salary, Sick leave costs, if not included in base salary. Contribution to tenement benefits, Costs of worker's compensation, Costs of unemployment insurance, Costs of equipment, tmining, uniforms, vehicles and overtime are not permitted, Sum of department fringe benefit costs for Year 2. Year 2 base salaof plus Year 2 fringe benefits Inatmetions: Enter the base annual salary that your department currently pays a new, entry.leval officer. Cost for Social Security may not exceed 6,2% Cost for Me&care may not exceed 1.45 % Costs toward health insurance coverage, please in&cate if this is for Fatrdly Coverage ( ) Yes ( ) No Costs toward life insurance coverage. Vacation costs, if not included in base salary. Sick leave costs, if not included in base satatl~ Contribution to retirement benefits, Costs of worker's compensation. Costs of unemployment insurance, Costs of equipment, training, uniforms, vehicles and overtime are not permitted, Sum of department fringe benefit cost~ for Year 3. Year 3 base salary plus Year 3 fringe benefits DePartment Name: ORI Code (Assigned by FBI): Part 2: Complete If' You Are Requesting Part-Time Officers Note: There is a funding cap for part-time officers in proportion to the numbe~ of' hours worked (e.g, 20 hours/40 hours week = .5 full-tlme equivalent officer). 1, Pa~t-Time Hours: What is the average number of horns per week that your part-time COPS officer will veork? ....... How many hours per k is 'deted fulLti mployment? wee enml me e : What is the average numbet of hours per yeer that your part-time COPS officer will work? What is the hourly rate for the pa~t-time COPS officer? :: , Multiply the hourly rate by the average number of hours pet yea~ and enter this amount belo~. 2, Cost Pet Part-Time Officer ~ Year I Insi~uctionst Please indicate the Law Enforcement A~ency's cost for each of ~he following categories, Please do not include employee contflbntlon costs. Current Pamual Entry-Leval Base Salary $ Annual Fringe Benefits: % of base salary Entet the base annual rally that yom department currently pays a new, ent~-levd officer. Social Seemity Medica~e Health Insurance l~fe Insurance Vacation Sick Leave Re~ement *Worker's Comp, *Unemployment Ins, Other Other .... Cost for Sodal Security may not exceed 6,2% Cost for Medicare troy not exceed 1,45 % Costs reward health insu~mce coverage, please indkate if this is for Family Coverage ( ) Yes ( ) No Costs toward life insurance coverage, Vacation costs, if not included in base salary, Sick leave costs, if not included in base sala~ Couttibutiun to ~etirement benefits, Costs o£ worker's compensation. Costs of unemployment insurance, Costs of equipment, tcakfing, uniforms, vehicles and overtime are not permitted. Total Fringe Benefits Total Year 1 Salary and Benefits Sum of department l~lnge benefit costs for Year I, Year i base salary plus Yea~e 1 fringe benefits Department Name: 3. Cost Per Part-Tkne Officer - Year 2 ORI Code (Assigned by FBI): Insteneflons Current Annual Eutqr-Level Base Salary $ ....... Annual Fringe Benefits: *Social Security $ , , *Medicare $ .......... Health Insurance Life Insurance Vacation Sick Leave Retirement *Worker's Comp, *Unemployment Ins. Other ...... % of base salary Enter the base annual salary that your department cu.trently pays a new, entry-level officer. Cost for Social Security may not exceed 6,20/0 Cost for Medicate may not exceed 1,45 % Costs toward health inmtance coverage, please indicate if th~s is for Family Coverage ( ) Yes ( ) No Costs toward life inmmnce coverage. Vaca~on costs, if not included in base salad. Sick leave costs, if not included in base salary. Con~bution to retirement benefits, Costs of workeis compensation. Costs of unemployment Insurance, Costs of equipment, tzalning, uniforms, vehicles and overtime are not permitted, Total Fringe Benefits Total Year 2 Salary and Benefits Sum of department fringe benefit costs for Year 2. Year 2 base salary plus Year 2 fringe benefits 4. Cost Per Part-Time Officer - Year 3 Instructions Current Annual Entry-Level Base Salary Annual Fringe Benefits: *Serial Security Medicare Health Insurance Life Insurance $ ........... Vacation $ ......... Sick Leave Re~ement *Worker's Comp. $ ........... *Unemployment Ins. $ .... Other $ Other, , , $ ...... % of base salary Ente~ the base annual salary that your department currently pays a new, entryqeval officer Cost for $odal Security may not exceed 6.2% Cost for Medicate may not exceed 1.45 % Costs toward health insurance coverage, please indicate if this is fo£ Fenaily Coverage ( ) Yes ( ) No Costs toward life insm=nce coverage. Vacation costs, if not included in base salary, Sick leave costs, if not included in base salar~ Contzibution to retirement benefits. Costs of workees compensation. Costs of unemployment insurance. Costs of equipment, training, uniforms, vehicles md overtime are not permitted. Total Fringe Benefits $ , _ Total Year 3 Salary and Benefits $ __ Sum of department fringe benefit costs fo£ Year 3. Year 3 base salary plus Year 3 fringe benefits Department Name: ORI Code (Assigned by FBI): Pa.~t 3: COPS in Schools G~ant Program - Budget Summary After completing Patt 1 and/or Part 2 of this form, answer the following questions. If necessa~, attach an explanation of how you computed salaries and benefits fo~ the worksheet. Be sure to answer EVERY question. Missing o~ erroneous information eon greatly slow the grant-making p£oceas. if yom department% second~ and thkd-yeat coats fo~ salaries and/o~ benefits ate greater than ~e ~st y~, ~eck ~e ~eason(s) why in the space bflow: ~ Co~t of ~ adjus~ent (CO~) ~ Step ~es ~ Ch~ ~ benefit costs ~ ~teP raises and afte~ one ~_ nf~o~ ..... ~ ~ 2, Please ente~ the name of' your Federal Cognizant Agency in the space provided: Department of Justice .. (State arid municipal agencies that receive Federal grants are requited m have audits of those grants forwarded to asingle Federal agency Ouaflee~ HUD~ HH$, Transportations etc.), The single Federal agency where such audits are sent is known aa your "Cognizant Federal Agency," For assistance ia det~rmtn~ ing which Federal agency tecetves your audits, call 1.800-421.6770,) 3. Starting date of youe fiscal yeae: 4u,.~y 1 .... Ending datel June 30 . Month /Day /Yeat Month/Day/Yeat IP NO FUNDS WERE BUDGETED NOR PICA, (SOCIAL SECURITY, MEDICARE), WORKER'S COMPENSATION OR UNEMPLOYMENT YOU i MUST PROVIDE AN EXPLANATION IN THE SPACE PROVIDED: ~ P~e5 Department Name: ORI Code (Assigned by FBI): Fill out the following 3-year projection, showing how the Federal share and your share will change year by year for one officer, If your total three year project cost pe~ office~ i~ less than $125,000 or less then the~e is no local match, If your total tb2ee year project cost per officer is greater than $125,000 then your local match is the difference between the total pl:oject cost and $125,000. In cases where there is a local match requkement, the Federal share of total salaries and benefits must decrease each year leading to full local funding by the fourth year of an officer's employment, At the same ~ne, your local share must increase each year. The percentage of total officer salaries and benefits paid with Federal funds must be less in Year 2 than in Year 1 and less in Year $ than in Year 2, Looking at it from the local funding perspective, the percentage of total officer salaries and benefits paid with local funds must be mote in Year 2 than in Year I and mo~e in Year 3 than in Ye~ Z Federal Share Req~ent for One Fullqime Officers Salary and Benefits TOTAL ~ 3 YEARS Federal 3~mount (Fe~eentage must dec,ease each year and Federal Amount may not exceed $12S,000) 46,665 $ 42,516 $ 35,819 $ 125,000 100 % 85 % 69 Local Sha~e $ (Percentage must increase each year) % 0 .$ 7,503 $ 15,908 $ 23,411 % 15 % 31 Total $ 46,665 (Federal Amount plus Local Amount) Year 1 total $ 50,019 $ 51,727 $t48,411 'Year 2 total Year 3 total Total 3-year costs Federal Share Requirement for Oale Past, time Officer'S Salary and Benefits YEaR 1 Fede~ Amount $ (Percentage must decrease each year) % Local Sha~e (Percentage must increase each year) Total (Federal Amount plus Local Amount) Year I total Year 2 total page YEAR 3 Year 3 total TOTAL. 3 YEARS $ Total 3-year costs Department Name: ORI Code (Assig~aed by FBI): Contact Information for Budget Questions The undersigned attests to the accuracy of the Budget Information submitted on the preceding page~ Name (typed) of Authorized Official: Kim B. Wadding, Tide: Chief of Police Phone: 56B ~/~,~ 89-4411 ,. , ~ , 563-589-4497 ~(~/(>~ :__ .Date: Signature: