HomeMy WebLinkAboutexhibit1CATTACHMENT C
Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program
Drug Control and System Improvement Formula Grant Program
Quarterly Project Performance Report
RECORD IMPROVEMENT PROJECT
PURPOSE AREA 15B
(City)
(Project Name)
(Name of Person Completing Form) (Title)
STATE ID NUMBER: 05-CJ-K3-t 1-23-01-053
GRANT NUMBER: HS6455
(Phone)
Report Number
Quarterly Period
Report Due Dates
1
October 1 - December 31 _,
January 15
2
January 1 - March 31
April 15
3
April 1 - June 30
July 15
4
_ July 1 - September 30
October 15
Report Number
Quarterly Period
Report Due Dates
Note: Those questions that are directly related to your program have been highlighted for your
convenience. Alt questions must be answered and explained in the NARRATIVE portion of this report.
Any report not received by January 16; April 16; July 16; and/or October 16, will result in the issuance
of a "Noncompliance Notice" and a delay or denial of Reimbursement Requests.
FY2005 Quarterly Project Report
Criminal Justice Information System 158
Record Improvement Project
9.
During this reporting period, was a written plan of action to improve your department's
criminal 'ustice records s stem develo ed and/or revised? Y/N
2.
During this reporting period, did you purchase equipment and/or supplies to improve the
effectiveness of a CJIS? Y/N In the report narrative, briefly describe the quantities and
types of equipment and/or supplies ordered, shipped, delivered, and the location(s) of
receipt.
3.
During this reporting period, did you purchase equipment and/or supplies in conducting
a criminal justice information system project? YIN In the report narrative, briefly
describe the quantities and types of equipment and/or supplies ordered, shipped,
delivered, installed, and in use, including the location(s) of receipt,
4.
During this reporting period, did you establish a host site and companion host site for
felony pre -file conferences? YIN In the project narrative, briefly describe your progress
in completing this project activity.
5.
During this reporting period did you share your host site with other municipal police
departments? Y/N In the report narrative, indicate the number and names of police
departments, if any.
fi.
During this reporting period, how many felony pre -file conferences did you conduct
using video technology? Y/N in the report narrative, estimate and report the total
amount of officer "down time" you believe the operation of this pre -file center saved.
PROGRAM NARRATIVE
in accordance with FDLE, all projects must include a detailed description of
program activities for each quarter. Jurisdictions failing to complete this portion of
the report will be "Out of Compliance" in addition to a denial of reimbursement'
requests.
Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program ''
1. Total Federal Budget $
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(To Be Copied on Jurisdiction Letterhead)
Date of Claim:
2. Amount This invoice $
{75% of your current claim}
3. Amount of Previous invoices $ 4. Remaining Federal Balance $
{Subtract lines 2 & 3 from line 1 }
Sub Object Budget Line Item Exceeds
Code Categories Disallowed Budget
Salaries &
Benefits
Contractual
Services
Operating/
Capital Equipment
Expenses
Total Claim
Federal
Funds
Local Category
Match Totals
We request payment in accordance with our contract agreement in the amount of 75% of the Total Costs for this
Claim $ (75%), the balance of costs, $ (25%), to be recorded as our in -kind contribution to
comply with the local match requirements.
Attached, please find the records which substantiate the above expenditures. t certify that all of the costs have been paid and
none of the items have been previously reimbursed. Ali of the expenditures comply with the authorized budget and fall within
the contractual scope of services and all of the goods and services have been received, for which reimbursement is requested,
Respectfully submitted,
Chief of Police/Other City Official Payment Approved, Miami Dade County
Miami Dade County
Record Improvement Project
HSB455
Page 2 of 3
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS- Payroll Expenses
City: Date of Claim:
Project Name: Claim Number:
Name Date of Type of Total
Officer/Staff Activity Activity' Hours
`(Presentation, Parent Meeting. Field trip, etc.)
TOTAL HOURS . AT $ . PER HOUR = $
CERTIFY THAT PAYMENT FOR THE AMOUNT OF $
IS CORRECT.
OFFICER/STAFF SIGNATURE:
OFFICER/STAFF SOCIAL SECURITY NUMBER:
CHIEF OF POLICE/CITY OFFICIAL SIGNATURE:
VERIFY THAT THE ABOVE SERVICES WERE PROVIDED
Note: Parrott registers, time sheets and OT stfps, documenting payroll ex ens must be attached to process thispayment
Miami Dade County
Record Improvement Project
HS8455
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(Equipment, Supplies, Material Expenses)
City: Date of Claim:
Page 3 of 3
.
Project Name: Claim Number:
-
Item Date Check
Vendor Descr€ption Paid Number
Amount
t
TOTAL AMOUNT OF EXPENSES:
�.
NOTE: Copies of all invoices and cancelled checks for this request must be attached to process payment.