497438 - Hampton Victim Witness Program - Copy
Application Details

Contact Information

Face Sheet

Face Sheet

• Select the congressional district(s) that will benefit from the program.

  Congressional District(s)3rdChoose all that apply.

  Best Practice?NoFor JJDP programs only. Select all jurisdiction(s) served; if appropriate, select "STATEWIDE"

  Jurisdiction(s) ServedHAMPTONChoose all that apply.

  Program TitleHampton Victim Services Unit- Hampton Commonwealth's Attorney's Office Click here to see if you are certified.

  Certified Crime Prevention Community?Yes

  Type of ApplicationContinuation of Grant If Continuation or Revision of a grant,

  Grant Number22-O1029VW19 If Continuation of a grant,

  Performance Statement

Project Director

• NamePrefix KarlaFirst Name Middle Name ReavesLast Name Suffix

  TitleDirector

  Address236 N. King Street

  Address Line 2

  HamptonCity VirginiaState 23669Zip Code 3522+4

  Phone Number757-726-6978

  Fax Number757-726-6917

  Email Addresskreaves@hampton.gov Is the mailing address the same as the physical address?

  Mailing AddressYes

  Mailing Address

  Address Line 2

  City State 0Zip Code +4

Project Administrator

• NamePrefix MaryFirst Name Middle Name BuntingLast Name Suffix

  TitleCity Manager

  Address22 Lincoln Street

  8th FloorAddress Line 2

  HamptonCity VirginiaState 23669Zip Code 3522+4

  Phone Number757-727-6392

  Fax Number757-728-3037

  Email Addressmbunting@hampton.gov Is the mailing address the same as the physical address?

  Mailing AddressYes

  Mailing Address

  Address Line 2

  City State 0Zip Code +4

Finance Officer

• NamePrefix KarlFirst Name Middle Name DaughtreyLast Name Suffix

  TitleFinance Director

  Address22 Lincoln Street

  Address Line 2

  HamptonCity VirginiaState 23669Zip Code 3522+4

  Phone Number757-727-6320

  Fax Number757-727-6872

  Email Addresskdaughtrey@hampton.gov Is the mailing address the same as the physical address?

  Mailing AddressYes

  Mailing Address

  Address Line 2

  City State 0Zip Code +4

Budget

Budget

Budget Categories	Federal	State	Special	Cash Match	In-Kind Match	Total Program
Personnel	$282,054.00	$0.00	$120,880.00	$0.00	$0.00	$402,934.00
Consultant	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Travel	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Subsistence	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Equipment	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Supplies/Other	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Indirect Cost	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Total	$282,054.00	$0.00	$120,880.00	$0.00	$0.00	$402,934.00

Match Percentage

• Match Percentage0.00%

Funds From Other Sources

Source	Amount
Local funds	$141,736.00
	$141,736.00

Project Narrative Form

Project Narrative

• Demonstration of Need

Goals and Objectives

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Are Goals and Objectives required by the funding opportunity?No

Goals and Objectives

Goal Number	Goal	Objective	Activities	Month (in which implementation step occurs)
No Data for Table

Program Service Objectives - Victims

Direct Service Victims

Row	1st Fiscal Year	2nd Fiscal Year
Number of Victims	1000	1025
Total Number of Direct Service Witnesses to be Served by Program	725	51

Information & Referral Services

Information and Referral Services	1st Fiscal Year	2nd Fiscal Year
Criminal Justice Process	725	750
Vicitms' Rights Explanation
Victims' Rights Explanation: Protection	500	525
Victims' Rights Explanation: Financial Assistance and Social Services	475	500
Victims' Rights Explanation: Notices	600	625
Victims' Rights Explanation: Victim Input	800	825
Victims' Rights Explanation: Courtroom Assistance	550	600
Victims' Rights Explanation: Appeal/Habeas Corpus Services	15	20
Referral to Other Victim Services Program
Referral to Other Victim Services Program	100	100
Referral to Other Services, Supports, Resources: Crisis Referrals	75	75
Referral to Other Services, Supports, Resources: Crime Prevention	5	5
Referral to Other Services, Supports, Resources: Emergency Assistance	5	5
Victims' Compensation
Victims' Compensation	80	85
Total	3930	4115

Personal Advocacy / Accompaniment

Personal Advocacy / Accompaniment	1st Fiscal Year	2nd Fiscal Year
Emergency Medical Care	2	2
Medical Forensic Exam Accompaniment	0	0
Medical Forensic Exam Perform / Collect	0	0
Law Enforcement	5	5
Individual Advocacy	200	210
Immigration Assistance	0	0
Intercession
Intercession: Employer	25	30
Intercession: Creditor	0	0
Intercession: Landlord	5	5
Intercession: Academic Institution	5	5
Child / Dependent Care
Child / Dependent Care	1	1
Transportation Services
Transportation Services: A. Transport provided by Agency	0	0
Transportation Services: Reservations	25	25
Transportation Services: Reimbursement	25	25
Interpreter Services
Interpreter Services	5	5
Total	298	313

Emotional Support or Safety Services

Emotional Support or Safety Services	1st Fiscal Year	2nd Fiscal Year
Crisis Intervention	225	250
Hotline / Crisis Line Counseling	0	0
On-Scene Crisis Response	0	0
Individual Counseling	75	80
Support Groups	5	5
Other Therapy	0	0
Emergency Financial Assistance	5	5
Total	310	340

Shelter / Housing

Shelter / Housing	1st Fiscal Year	2nd Fiscal Year
Emergency Shelter / Safe House	5	5
Transitional Housing	30	45
Relocation Assistance	5	5
Total	40	55

Criminal / Civil Justice System Assistance

Criminal / Civil Justice System Assistance	1st Fiscal Year	2nd Fiscal Year
Event Notification
Event Notification: Case Status	725	750
Event Notification: Case Disposition	500	525
Event Notification: Advance Notification	450	475
Victim Impact Statement
Victim Impact Statement	150	150
Restitution Assistance
Restitution Assistance: Explanation	100	175
Restitution Assistance: Monitoring	0	0
Restitution Assistance: Collection	0	0
Restitution Assistance: Enforcement	15	20
Business Restitution
Business Restitution: Explanation	25	30
Business Restitution: Monitoring	0	0
Business Restitution: Collection	0	0
Business Restitution: Enforcement	5	5
Protective Order
Protective Order	30	40
Family Law Issues Assistance
Family Law Issues Assistance	5	5
Other Emergency Justice - Related Assistance
Other Emergency Justice - Related Assistance	25	25
Immigration Attorney Assistance
Immigration Attorney Assistance	0	0
Prosecution Interview
Prosecution Interview	150	175
Criminal Advocacy / Accompaniment
Criminal Advocacy/Accompaniment: Notification Assistance	175	200
Criminal Advocacy/Accompaniment: Liaison re: Prisoner Status	110	125
Criminal Advocacy/Accompaniment: Confidentiality Forms	30	35
Criminal Advocacy/Accompaniment: Criminal Justice Process	600	625
Criminal Justice Process
Criminal Justice Process: Support	145	175
Criminal Justice Process: Explanation of Steps	725	725
Parole Input	5	5
Escort	600	625
Closed Preliminary Hearing	10	10
Closed Ciruit TV	0	0
Total	4580	4900

Other

Row	Description	1st Fiscal Year	2nd Fiscal Year
Describe Service Provided (50 Charters Maximum) and unduplicative of existing service objectives.
Other
Other
Other

Program Service Objectives - Witnesses

Maximum Service

• The Program services a maximum of 5% of witnesses per fiscal year with the grant funds.

  The Program Services a Maximum of 5% of Witnesses?Yes

Service Provided

Service Provided	1st Fiscal Year	2nd Fiscal Year
Witness' Rights Information (Pre-Printed)
Witness' Rights Information (Pre-Printed)	200	51
Witness' Rights Explanation
Witness' Rights Explanation: Protection	5	5
Witness' Rights Explanation: Employer Services	5	5
Witness' Rights Explanation: Confidentiality	5	5
Witness' Rights Explanation: Interpreter Services	0	0
Protection	0	0
Protection
Intercession-Employers	0	0
Intersession - Employers
Assistance w/ Interpreter Services	0	0
Assistance with Intepreter Services
Optional: Dispositions	10	5
Dispositions
Optional: Courtroom Explanations	25	25
Courtroom Explanations
Optional: Courtroom Tours	5	5
Total	255	101

Direct Service Witnesses

Row	1st Fiscal Year	2nd Fiscal Year
Number of Witnesses	200	51
Total Number of Direct Service Witnesses to be Served by Program	200	51

Program Development

• Separate Waiting AreasYes

  Directory of ServicesYes

  Continuance NotificationYes

  Campus Sexual AssaultYes

  Service Provision Number of Hours5

Other Required Certifications

• Grant funded staff hours devoted to the provision of services to witnesses will be limited to 5% or less.

  5% or LessYes Grant funds will enhance or expand direct services to crime victims and witnesses and will not be used to supplant (replace) other funds. Grant funds may not be used to replace or substitute for state and/or local government funds that would otherwise be available for crime victim assistance services.

  Expand or Enhance ServicesYes Applicant agrees to collect required evaluation and reporting data and submit it to DCJs by the 15th working day after the close of each quarter and comply with any other programmatic and financial reporting requirements.

  Evaluation and Reporting DataYes Applicant agrees to maintain confidentiality of client-counselor information, as required by law. See attachment 9 for sample Confidentiality Statement.

  ConfidentialityYes Applicant agrees to use volunteers. The Victim/Witness Program will use volunteers and interns to provide direct and generic services to crime victims and witness under the supervision of program staff. The volunteers or interns can be recruited from local high schools and area colleges or universities and will be trained and supervised by program staff members.

  VolunteersYes

Personnel and Employee Fringe Benefits

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Is Personnel being requested?Yes

Personnel

Employee Name	Position Title	Position	Total Hours Per Week (if applicable)	Total Hours Per Year	Total Annual Salary (grant-funded plus other sources)	Percent being requested	Number of Grant-Funded Hours (hours per year)	Grant-Funded Full Time Equivalent (“FTE”)	Total Salary Amount Requested from Grant	New Position?	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Personnel Total
Karla Crump Reaves	Director	Full Time	40	2080	$92,876.00	100.00%	2080	1	$92,876.00	No	$65,013.00	$0.00	$27,863.00	$0.00	$0.00	$92,876.00
Latasha Powell Mason	Assistant Director	Full Time	40	2080	$68,959.00	100.00%	2080	1	$68,959.00	No	$48,271.00	$0.00	$20,688.00	$0.00	$0.00	$68,959.00
Sydni Ewell	Victim Services Specialist	Full Time	40	2080	$50,430.00	100.00%	2080	1	$50,430.00	No	$35,301.00	$0.00	$15,129.00	$0.00	$0.00	$50,430.00
Leann Clary	Victim Services Specialist	Full Time	40	2080	$48,033.00	100.00%	2080	1	$48,033.00	No	$33,623.00	$0.00	$14,410.00	$0.00	$0.00	$48,033.00
Paulina Ramirez	Victim Services Specialist	Full Time	40	2080	$46,137.00	100.00%	2080	1	$46,137.00	No	$32,296.00	$0.00	$13,841.00	$0.00	$0.00	$46,137.00
Shaneetra Biggs	Victim Services Specialist	Full Time	40	2080	$46,137.00	100.00%	2080	1	$46,137.00	No	$32,296.00	$0.00	$13,841.00	$0.00	$0.00	$46,137.00
			240	12480	$352,572.00		12480	6.00	$352,572.00		$246,800.00	$0.00	$105,772.00	$0.00	$0.00	$352,572.00

Employee Fringe Benefits

Employee Name	FICA	Retirement	Group Life	Health Insurance	Workers’ Comp	Unemployment	Disability	Other	Requested Employee Fringe Benefits Total	If Other, Please Describe	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Employee Fringe Benefits Total
Sydni Ewell	$3,529.00	$8,808.00	$618.00	$0.00	$0.00	$0.00	$100.00	$0.00	$13,055.00		$9,139.00	$0.00	$3,916.00	$0.00	$0.00	$13,055.00
Paulina Ramirez	$3,529.00	$8,808.00	$609.00	$6,996.00	$0.00	$0.00	$272.00	$0.00	$20,214.00		$14,149.80	$0.00	$6,064.20	$0.00	$0.00	$20,214.00
Leann Clary	$0.00	$9,170.00	$644.00	$6,996.00	$0.00	$0.00	$283.00	$0.00	$17,093.00		$11,965.00	$0.00	$5,128.00	$0.00	$0.00	$17,093.00
	$7,058.00	$26,786.00	$1,871.00	$13,992.00	$0.00	$0.00	$655.00	$0.00	$50,362.00		$35,253.80	$0.00	$15,108.20	$0.00	$0.00	$50,362.00

Position and Justification

Employee Name	Description of Position	Justification for Position
Latasha Powell Mason	Latasha is the Assistant Director of the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. She continues to provide direct services to crime victims pursuant to VA. Code Section 19.2-11.01 and to manage daily operations and service delivery of the victim witness specialists in General District, Juvenile and Domestic and Circuit Courts. In addition, Latasha continues to provide direct services to victims of Sexual Assault and other cases as needed.	This position has an advanced knowledge and expertise necessary to ensure that all project matters are handled effectively. This position is necessary, essential and allowable under the VWP guidelines because it oversees and assists in the day to day operation of the victim services unit. It is essential to have an Assistant Director to ensure that advocates understand and carry out daily direct service delivery to crime victims in accordance with 19.2-11.01 of the Code of Virginia, maintain quarterly statistics and manage staff. Without this position it would negatively impact the program's success.
Shaneetra Biggs	Shaneetra is a Victim Witness Specialist for the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. Continues to provide direct services to crime victims pursuant to code section 19.2-11.01 on the B Team which prosecutes adult cases of violent crimes to include, gangs, guns, robbery, burglary, malicious wounding, homicides and other crimes against persons. These services include but are not limited to: Virginia Victims' Fund assistance, Restitution, Victim Impact Statements, Victim Notification and Interpreters.	This position is considered key personnel and is one of the most important because of the daily direct contact and service delivery provided to crime victims. The staff often work numerous hours and work at a deficit because of the increased crime rate, victim/witnesses, growth of Commonwealth's Attorney's and lack of victim/witness staff to accommodate the growth. Without this position our statistical data decreases giving a false illusion of need. This position is an integral part of this office and services would suffer without it.
Karla Crump Reaves	Karla is the Director of the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. She continues to oversee, prepare Victim Witness Grant, and provide supervision and guidance and to ensure that direct services to crime victims are in compliance with grant requirements and the Virginia Victims and Witnesses of Crime Act. In addition, she continues to provide direct services to crime victims and families in Homicide cases and other cases as needed.	This position is necessary and essential to the overall operation of this program. It ensures that staff is equipped, trained, knowledgeable of the Crime Victims and Witnesses Rights Act and that the program continues to be in compliance with all financial and direct service delivery requirements at a reasonable cost. Without this position, over 30 + years of experience would be jeopardized, negatively impacting the overall success of the program, it's history and its continued success in providing quality customer service to the victims and witnesses served in the Hampton community.
Leann Clary	Leann is a Victim Witness Specialist for the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. To provide direct services to crime victims pursuant to code section 19.1-11.01 on the Juvenile and Domestic Relations team which prosecutes cases involving juveniles who commit crimes of sexual assault, robbery, burglary, malicious wounding, homicides and other crimes against persons. These services include but are not limited to: Virginia Victims' Fund assistance, Restitution, Victim Impact Statements, Victim Notification and Interpreters,	This position is considered key personnel and is one of the most important because of the daily direct contact and service delivery provided to crime victims. The staff often work numerous hours and work at a deficit because of the increased crime rate, victim/witnesses, growth of Commonwealth's Attorney's and lack of victim/witness staff to accommodate the growth. Without this position our statistical data decreases giving a false illusion of need. This position is an integral part of this office and services would suffer without it.
Paulina Ramirez	Paulina is a Victim Witness Specialist for the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. Continues to provide direct services to crime victims pursuant to code section 19.2-11.01 on the A Team which prosecutes adult cases of sexual assault, robbery, burglary, malicious wounding, homicides and other crimes against persons. These services include but are not limited to: Virginia Victims' Fund assistance, Restitution, Victim Impact Statements, Victim Notification and Interpreters. In addition this position is responsible for providing direct services to Spanish speaking victims of crime.	This position is considered key personnel and is one of the most important because of the daily direct contact and service delivery provided to crime victims. The staff often work numerous hours and work at a deficit because of the increased crime rate, victim/witnesses, growth of Commonwealth's Attorney's and lack of victim/witness staff to accommodate the growth. Without this position our statistical data decreases giving a false illusion of need. This position is an integral part of this office and services would suffer without it.
Sydni Ewell	Sydni is a Victim Witness Specialist for the Hampton Victim-Witness grant program. She is a full-time employee working 2080 hours per year. To provide direct services to crime victims pursuant to code section 19.2-11.01 on the Juvenile and Domestic Relations prosecution team, with emphasis on Domestic Violence cases. These services include but are not limited to: Virginia Victims' Fund assistance, Restitution, Victim Impact Statements, Victim Notification and Interpreters. Sydni works closely with Hampton Police and Transitions with the Lethality Assessment Program	This position is considered key personnel and is one of the most important because of the daily direct contact and service delivery provided to crime victims. The staff often work numerous hours and work at a deficit because of the increased crime rate, victim/witnesses, growth of Commonwealth's Attorney's and lack of victim/witness staff to accommodate the growth. Without this position our statistical data decreases giving a false illusion of need. This position is an integral part of this office and services would suffer without it.

Personnel and Employee Fringe Benefits Totals

• DCJS FUNDS

Federal Funds$282,053.80

State Funds$0.00

Special Funds$120,880.20

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Personnel/Fringe Total

TOTAL$402,934.00

Consultant Subsistence & Travel

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Are Consultant and/or Consultant Travel being requested?No

Consultant

Name of Consultant	Consultant Hourly Rate	Total Number of Hours	Total Consultant Cost	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Consultant Total
No Data for Table

Consultant Subsistence (lodging + meals) & Travel

Name of Consultant	Number of Nights	Lodging Rate	Total Lodging	Number of Days	Per Diem Rate	Total Meals	Number of Miles	Mileage Rate	Total Travel	Other Subsistence/Travel	Total Other Travel	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Consultant Subsistence & Travel Total
No Data for Table

Consultant Role Description and Justification

Name of Consultant	Description of Consultant's Role	Justification for Use of Consultant
No Data for Table

Consultant Subsistence & Travel Totals

• DCJS FUNDS

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Consultant Subsistence & Travel Total

TOTAL$0.00

Travel

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Is Travel being requested?No

Local Mileage

Number of Miles	Mileage Rate	Total Local Mileage	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Local Mileage Total
No Data for Table

Non-Local Mileage

Number of Miles	Mileage Rate	Total	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Non-Local Mileage Total
No Data for Table

Mileage Description and Justification

Type	Description of Mileage	Justification for Mileage
No Data for Table

Travel Totals

• DCJS FUNDS

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Travel Total

TOTAL$0.00

Subsistence/Other Travel Costs

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Are Subsistence/Other Travel Costs being requested?No

Subsistence

Event Title	Number of People Attending	Number of Nights	Lodging Rate	Total	Number of Days	Per Diem Rate	Total	Total Subsistence	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Subsistence Total
No Data for Table

Subsistence Description and Justification

Event	Description of Costs	Justification for Costs
No Data for Table

Other Travel Costs

Event Title	Number of People Attending	Number of Airfare Tickets	Airfare Rate	Total Airfare	Other Travel Costs	Total Cost for Air and Other Fares	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Other Travel Costs Total
No Data for Table

Other Travel Costs Description and Justification

Event	Description of Other Costs	Justification for Other Costs
No Data for Table

Subsistence/Other Travel Costs Totals

• DCJS FUNDS

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Subsistence/Other Travel Costs Total

TOTAL$0.00

Equipment

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Is Equipment being requested?No

Equipment

Equipment Item	Cost Per Item/Monthly Rate	Total Number of Items/Number of Months	Total Cost	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Equipment Total
No Data for Table

Equipment Description and Justification

Equipment Item	Description of Equipment	Justification for Equipment
No Data for Table

Additional Documentation

Description	File Name	Type	Size	Upload Date
No files attached.

Equipment Totals

• DCJS FUNDS

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Equipment Total

TOTAL$0.00

Supplies & Other Expenses

Requested

• If this is not requested, please indicate that here and then mark this form as complete.

  Are Supplies & Other Expenses being requested?No

Supplies & Other Expenses

Supply/Item Requested	Cost Per Item/Monthly Rate	Total Number of Items/Number of Months	Total Cost	Federal Funds	State Funds	Special Funds	Cash Match	In-Kind Match	Supplies & Other Expenses Total
No Data for Table

Supply/Item Requested Description and Justification

Supply/Item	Description of Supply/Item	Justification for Supply/Item
No Data for Table

Supplies & Other Expenses Totals

• DCJS FUNDS

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Supplies & Other Expenses Total

TOTAL$0.00

Indirect Costs

Requested

• If this is not requested, please indicate that here and mark this form as complete.

  Are Indirect Costs being requested?No

• Certification of De Minimis Indirect Cost Rate
  Eligibility Criteria:
• The award recipient has never received a Federally-negotiated indirect cost rate for any federal awards.
• The award recipient has received less than $35 million in direct federal funding for the fiscal year requested.
• The de minimis rate approved will be applied to the MTDC. This base includes all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of each subaward (subgrants and subcontracts).
• The MTDC will exclude equipment, capital expenditures, and the portion of each subaward in excess of $25,000. Other items will only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant federal agency for indirect costs.
• The project costs will be consistently charged as either indirect or direct and will not be double charged or inconsistently charged as both.
• The proper use and application of the de minimis rate is the responsibility of the award recipient. The Office of Justice Programs and/or the Virginia Department of Criminal Justice Services may perform a financial monitoring review to ensure compliance with 2 CFR Part 200.

Are you requesting De Minimis Indirect Cost? I certify that the above eligibility criteria has been met to use a de minimis indirect cost rate of up to 10%.

Certification

Project AdministratorName

Date

Title

Direct Expenditures

Category	Amount
Salaries and Wages	$0.00
Fringe Benefits	$0.00
Travel	$0.00
Supplies and Other	$0.00
Consultants/Contractual	$0.00
Other Expenses (equipment, other)	$0.00
Total	$0.00

Tuition Remission

• Amount$0.00

Contractual

Name	Amount	Excess Amount	Total Amount
No Data for Table

Equipment and Capital Expenditures

• Amount$0.00

Other Expenses

Category	Amount
Space/Rental Costs	$0.00
Scholarships/Fellowships	$0.00
Participant Support Cost	$0.00
Patient Care	$0.00
Total	$0.00

Expenditure Totals

• Total Direct Expenditures (Excluding Match)$0.00

  Total Excluded Expenditures$0.00

  Base Expenditures$0.00

  Indirect Cost Rate (from ICRA or DE Minimis 10%)0.00%

  INDIRECT COSTS AMOUNT$0.00

• DCJS Funds

Federal Funds$0.00

State Funds$0.00

Special Funds$0.00

• Match Funds

Cash Match$0.00

In-Kind Match$0.00

• Total

Total$0.00

Indirect Cost Agreement

Attachments

Attachments Required?

• Are additional attachments required by the funding opportunity?Yes

Attachments

Description	File Name	Type	Size	Upload Date
2022 Updated Organization Chart	2022 Victim Services Organization Chart.pdf	pdf	213 KB	06/16/2022 10:25 AM
Confidentiality Statement	CONFIDENTIALITY POLICY.docx	docx	12 KB	06/16/2022 12:36 PM
Designation Authority Letter from City Manager	Designating Authority Letter- City Manager.pdf	pdf	51 KB	06/16/2022 10:25 AM
Job Description: This includes job description for Director, Assistant Director, Victim Services Specialist, Volunteer and Intern.	Victim Witness Job Descriptions.docx	docx	22 KB	06/16/2022 10:25 AM
List of cooperative agreements.	Cooperative agreements.docx	docx	11 KB	06/16/2022 10:25 AM
SAM Registration. This is proof of SAM registration for the City of Hampton. This information was retrieved from https://sam.gov/SAM	SAM REGISTRATION.docx	docx	15 KB	06/16/2022 10:25 AM

Non-Supplantation

Non-Supplantation

• Applicants under this grant program are required to certify to DCJS, that the funding requested in this application does not supplant or replace, in whole or in part, federal, state, or local funds already supporting current program services.
  
  I certify that the grant funds requested under this grant program will be used to supplement existing funds and will not replace (supplant) funds that have been appropriated for the same purposes.

  CertificationYes

  Project AdministratorStevenFirst Name BondLast Name

  Assistant City ManagerTitle 06/14/2022Date

Civil Rights Certification of Compliance

Certification of Compliance - Project Information

• Is This Applicable to Your Project?Yes PERSON RESPONSIBLE FOR REPORTING CIVIL RIGHTS FINDINGS OF DISCRIMINATION

  NameKarlaFirst Name Crump ReavesLast Name

  236 N. King StreetAddress Line 1

  236 N. King StreetAddress Line 2

  HamptonCity VirginiaState 23669-Zip Code +4

  Email Addresskreaves@hampton.gov

Project Director Certification

• Is This Applicable to Your Project?Yes I acknowledge that I viewed the training on Civil Rights available on the DCJS website (Victims Services page) or at the Office for Civil Rights Training for Grantees.
  I accept responsibility for ensuring that project staff understands their responsibilities as outlined in the presentations. I understand that if I have any questions about the material presented and my responsibilities as a grantee that I will contact my grant monitor.

  Project Director CertificationYes

  Project DirectorKarlaFirst Name ReavesLast Name 06/10/2022Date

Project Administrator Certification

• Is This Applicable to Your Project?Yes

  CertificationCertification B Therefore, I hereby certify that the funded entity will prepare and submit an EEOP and Certification HERE within 60 days of the award. The EEOP shall be submitted in accordance with 28 CFR §42, subpart E, to Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice that will include a section specifically analyzing the grantee (implementing) agency. (If you have already submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.)

  CertificationYes SIGNATURE AUTHORITY’S CERTIFICATION: As the Project Administrator for the above Grantee:
  I certify that I have read and am fully cognizant of our duties and responsibilities under this Certification.
  
  I certify that this agency will maintain data (and submit when required) to ensure that: our services are delivered in an equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity Requirements, 28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with limited English proficiency as required by Title VI of the Civil Rights Act, (See also, 2000 Executive Order #13166).
  
  I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of discrimination will submit these findings, if any, to the DCJS within 45 days of the finding, and/or if the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date.

  Project Administrator CertificationYes

  Project AdministratorStevenFirst Name BondLast Name 06/14/2022Date

  TitleAssistant City Manager

Authority Certification

Authority Certification

• Authorized IndividualStevenFirst Name BondLast Name

  Assistant City ManagerTitle 06/14/2022Date