COUNTY JUDGE PAT TINLEY COMMISSIONERS' COVRT H.A. "BVSTER" HALDWIN, PCT. 1 WILLIAM "HILL" WILLIAMB, PCT. 2 JONATAHAN LSTZ, PCT. 3 DAVE NICHOLSON, PCT. 4 February 12, 2007 THE COUL3TY COL3RT OF KERB COUNTY, TEXAS 700 MAIN, I(HRRVILLH, TEXAS 78028 THL: (830) 792-2211 FAX: (830) 792-2218 E-MAIL: kerrcocc@ktc. com The Office on Violence Against Women c/o Lockheed Martin Aspen Systems Corporation OVW Safe Havens: Supervised Visitation and Safe Exchange Program Mail Stop 2K 2277 Research Boulevard Rockville, MD 20850 Dear OVW Safe Havens Program Staff: CLHRX JANNHTT PIEPHR COURT COORDINATOR KATHY MITCHELL Attached please find our application for OVW Safe Havens: Supervised Visitation and Safe Exchange Grant Program, CDA 16.527. This is our first experience making application for a US Department of Justice grant, and the first for using Grants.gov. We've taken great care to comply with all the provisions of the grant application kit, including how the requirements in this offering differ from others currently available through DOJ. If we have inadvertently overlooked something, we hope you will give us an opportunity to correct any error or omission. The County, the courts, the prosecutor's office and our partner, the local victim's services agency, are all looking forward to working with the Office on Violence Against Women on this important project. We really appreciate the chance you have given rural areas like ours to compete for scarce funds with the metropolitan areas. The problems of domestic violence, sexual assault, child abuse and stalking are no less potent here for children and families, but they become more easily hidden and more complicated to address due to the scattered population, limited government and private resources, lack of media markets, and cultural differences of naral areas. A Safe Havens Program would be a significant step towards improving the safety for children, adult victims of violence and abuse, and our communities. Thank you in advance for your consideration. 1£you have any questions, please let us know. Sincerely, Honorable Pat Tinley Kerr County Judge Kid CARES Safe Haven Project County of Kerr, Texas Application Contents SF-424 Application for Federal Assistance Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters, and Drug-Free Workplace, OJP Form 4061/6 Summary Data Sheet Project Abstract/Proposal Summary Project Narrative Project Budget Detail Worksheet and Narrative County of Kerr Letter of Nonsupplanting, dated February 12, 2007 Memorandum of Understanding between County of Kerr and Hil- Country Crisis Council County of Kerr Letter Certifying that the Development Project will meet Statutory and minimum requirements of grant program Resumes of Key Project Staff pp 1-4 PP 5-8 Pg 9 pg 10 pp 11-30 pp 31-40 pg 41 pp 42-44 pg 45 pp 46-48 OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 ' 1. Type of Submission: ' 2. Type of Application: ' If Revision, select appropriate letter(s): ^ Preapplication [/~ New - - _ ~. _._ _ JD Application i J Continuation 'Other (Specify) Changetl/Corrected Application [~ Revision i _ ' 3. Date Received: 4. Applicant Identifier: _ _ .. f Completed by Grants.gov upon submissron. Sa. Federal Entity Identifier: ' Sb. Federal Award Identifier: ~_ _. - __. - _. ~ I L__ .__. _. State Use Only: 6. Date Received by State: 02/13!2007 C ~ 7. State Application Identifier: ~TX-R-20070209-0001-50 ____ ___ __ - _. , 8. APPLICANT INFORMATION: ' a. Legal Name: County to Kerr, Texas ' b. EmployerlTaxpayer Identification Number (EINITIN): ' c. Organizational PUNS: 746001494 ~~ 6117538980000 d. Address: " Street/; 700 Main Street C _ _ _- -_ _ - _ . _ Straet2: C - __ _ - _ - - - - `City: Kemille _ _- - - 1 ._ _._ county: ' State: C TX. Texas Province: L ' Country: ~ J USA: UNITED STATES 'Zip !Postal Code: 78028-5323 __ _ ~- -_ _ _ e. Organizational Unit: Department Name: Division Name: Kerr Cty. Commissioners Court _ ~ ~_ f. Name and contact Irdormadon of person to be contacted on matters involving this application: ~ `First Name: Ilse _ Prefix: Mrs. _ Middle Name: ~ _ ' Last Name: Bailey Suirx: j TNe: Assistant County Attorney Organizational AiFliation: - ,... .. _. County of Kerr, Texas - - _ t 'Telephone Number. C30-792-2225 _ ~ FaxNUmber: 830-792-2228 "Email: ibailey~co.kerr.tx.us OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 9. Type of Applicant 1: Select Applicant Type: B: County Government I J Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: __ _ __ _ _ II _ ___. _J `Other (specify): ' 10. Name of Federal Agency: ____ Office of Violence Against Women 11. Catalog of Federal Domestic Assistance Number: 16.527 CFDA Title: Supervised Vsitation, Safe Havens for Children " 12. Funtling Opporlunlty Number: OVW-2007-1525 1 ~ _ _ .__ 1 `Title: OVW FY 2007 Safe Havens: Supervised Visitation and Sate Exchange Grant Program 13. Competition Itlentffication Number: OVW-2007-1525 -~ --- - -- _. _. _ __._ Title: 14. Areas Affected lry ProJeet (Cities, Counties, States, etc.): Kerr County--Kerrville, Ingram, Hunt, Mountain Home, Me Divide, Center Point Bandera County-Bandera, Medina, Lakehills, Pipe Creek, Tarpley - _ -_ II J ' 15. Descriptive Title of Applicant's Pro)ect: _.~ Kid CARES Sate Haven Project ~ ~-- - Attach supporting tlocuments as specified in agency instructions. AAd At(achmelts Delete Attaohmetlt5: View Attaer,ments 2 OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 16. Congressional Districts Of: `a. Applicant ~TX-021 ~ • b. Program/Project TX-021 __~ Attach an additional list of Program/Projec t Congressional Districts if needed. ll Add Attachment 77. Proposetl Project: • a. Start Date: 06/01/200))1 ' b. End Date: 05/31/2010 18. Estimated Funding ($): `a. Federal ~ 399,903.00 "b. Applicant ~ 0.00 _ _ _. _- 0.~ " c. State L - _ "d. Local [ ..- _ _ ~ 0~ _ _ ' e. Other L O.OOI ' f. Program Income ~ 0.00 • g. TOTAL [ _ 399,903.00 • 19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on 02/13/2007 __~ b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. ` 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) [~ Yes [/~ No 27.'By signing this application, I certify (7) to the stataments contained in the list of eergfications•' and (2) that the statements herein am true, complete and accurate to the best of my knowledge. 1 also provide the required assurances'" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent, statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Tkle 228, Section 7007) /0 "*IAGREE `• The list of certifications and assurences, or an interact site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. ~ `First Name: Pal _ . _ Middle Name: _ __ __ _ _ 'Last Name: Tinley _ - .___ ~ Sutfix: ~ • Title: Kerr County Judge • Telephone Number: 830-792-2211 Fax Number: 830-782-2218 ___ _ __ ` Emaii: tinle p yQco.kerr.tx.us - ~ ~ ~ ~--~ • Signature of Authonzed Represen _! -; Uate Signed: /2~ AuMorized for Local Reproduction Standard Form 424 (Revised 102005) Prescribed by OMB Circular A-102 OMB Number 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 'Applicant Federal Debt Delinquency Explanation The following fieltl should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avoitl extra spaces and carriage returns to maximize the availability of space. certification--lobbying, debarment, suspension U.S. DEPARTMENT OF JUSTICE 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 form. 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 Debarment and Suspension (NOnpro-curement) and Government-wide Requirements for Drug- Free workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement. 1. LOBBYING As required by section 1352, Title 31 of the u.s. code, and implemented at 28 CFR Part 69, for persons entering into a grant or cooperative agreement over E100,000, as defined at 28 CFR Part 69, the applicant certifies that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for in-fluencing or attempting to influence an officer or employee of ofyaagency, a Member of Congress, an officer or employee of Congress, or an employee Member of Congress in con-nection with the making of any Federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement; (b) If any funds other than Federal appropriated funds have been paid or will be paid 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 connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, "Disclosure of Lobbying Activities," in accordance with its instructions; (c) The undersigned shall require that the language of this cer-tification be included in the award documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all sub-recipients shall certify and disclose accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS 5 certification--lobbying, debarment, suspension (DIRECT RECIPIENT) As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510 A. The applicant certifies that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, state, or local) with commission of any of the offenses enumerated in paragraph (1)