HomeMy WebLinkAboutExhibit 5ATTACHMENT 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
SCHOOL RESOURCE OFFICER PROJECT
PURPOSE AREA 07A
(City)
(Project Name)
(Name of Person Completing Form) (Title)
STATE ID NUMBER; 05-JAGC-DADE-18-M8-077
GRANT NUMBER: HSB446
(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. All 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.
FY2006 Quarterly Project Report
School Resource Officer Project 07A
Miami
Please answer the highlighted questions that correspond to your project.
7.01 During this quarter, how many trespass warnings were issued to unauthorized personnel on school grounds?
7.03 During this quarter, how many student offenders were arrested off school grounds?
7.04 During this quarter, how many students were provided one or more counseling sessions?
7.05 During this quarter, how many parents were provided one or more counseling sessions?
7.07 During this quarter, how many crime prevention class presentations were conducted?
7a. In what setting did these activities take place?
7b. How many students participated in these presentations?
7.08 During this quarter, how many special events were conducted?
8a. List the type of events conducted.
7.09 During this reporting period, how many students were referred to public assistance agencies for services?
7.10 During this reporting period, how many in-service orientations were provided to teachers?
PROGRAM NARRATIVE
City:
Project Name:
Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(To Be Copied on Jurisdiction Letterhead)
Date of Claim:
Claim Number:
Telephone:
Claim Period:
1. Total Federal Budget $ 2. Amount This Invoice $
(75% of your currant claim)
3. Amount of Previous Invoices $ 4. Remaining Federal Balance $
Sub Object Budget Line Item Exceeds
Code Categories Disallowed . Budget
Salaries &
Benefits
Contractual
Services
Operating/
Capital Equipment
Expenses
Total Claim
)Sublracl lines 2 & 3 from Vine 1)
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, I certify that all of the costs have been paid and
none of the items have been previously reimbursed. All 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
School Resource Officer Project
HSB446
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 = $
I CERTIFY THAT PAYMENT FOR THE AMOUNT OF $ IS CORRECT.
OFFICER/STAFF SIGNATURE:
OFFICER/STAFF SOCIAL SECURITY NUMBER:
CHIEF OF POLICE/CITY OFFICIAL SIGNATURE:
I VERIFY THAT THE ABOVE SERVICES WERE PROVIDED:
Note: Payroll registers, time sheets and DT slips, documenting payroll expenses, must be attached to process this payment.
Miami Dade County
School Resource Officer Protect
HSt344b
City:
Project Name:
Vendor
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(Equipment, Supplies, Material Expenses)
Date of Claim:
Claim Number:
Item Date Check
Description Paid Number
Page 3 of 3
Amount
TOTAL AMOUNT OF EXPENSES•
NOTE: Copies of all Invoices and cancelled checks for this request must be attached to process payment.