202-18 Exhibit A - Edward Byrne Memorial Justice Assistance Grant Application.pdf

weaknesses noted in the report or opinion? Dyes A No 13. Which of the following best describes the applicant entity's accounting system: o Manual [Automated Elcombination of manual and automated 14. Does the applicant entity's accounting system have the capability to | identify the receipt and expenditure of award funds separately for each | Eyes [No E)Not Sure Federal award? 15, Does the applicant entity's accounting system have the capability to record expenditures for each Federal award by the budget cost categories shown in the approved budget? Elyes [No [Not Sure [lyes [No [Not Sure 16. Does the applicant entity's accounting system have the capability to record cost sharing ("match") separately for each Federal award, and | | | | | | maintain documentation to support recorded match or cost share? | Page 2 of 4

U.S, DEPARTMENT OF JUSTICE Approved: OMB No. 1121-0329 OFFICE OF JUSTICE PROGRAMS Expires 11 1/30/2020 FlYes [No EJ Not Sure | 17. Does the applicant entity's accounting system have the capability to | accurately track employees actual time spent performing work for each federal award, and to accurately allocate charges for employee salaries and wages for each federal award, and maintain records to support the actual time spent and specific allocation of charges associated with each applicant employee? 18. Does the applicant entity's accounting system include budgetary controls I Yes No tS to preclude the applicant entity from incurring obligations or costs that exceed a Oo Oo Not Sure the amount of funds available under a federal award (the total amount of the award, as well as the amount available in each budget cost category)? 19. Is applicant entity familiar with the “cost principles" that apply to recent & Yes oO No Oo Not Sure and future federal awards, including the general and specific principles set out in2C.F.R Part 200? PROPERTY STANDARDS AND PROCUREMENT STANDARDS 20. Does the applicant entity's property management system(s) maintain the | following information on property purchased with federal award funds (1) a A Yes Oo No O Nobsite description of the property; (2) an identification number; (3) the source of funding for the property, including the award number; (4) who holds title; (5) | acquisition date; (6) acquisition cost; (7) federal share of the acquisition cost: | (8) location and condition of the property; (9) ultimate disposition information? | 21 Does the applicant entity maintain written policies and procedures for procurement transactions that -- (1) are designed to avoid unnecessary or io Nes Oo ad a Not Sure duplicative purchases; (2) provide for analysis of lease versus purchase alternatives; (3) set out a process for soliciting goods and services, and (4) include standards of conduct that address conflicts of interest? 22. a) Are the applicant entity's procurement policies and procedures designed to ensure that procurements are conducted in a manner that & lis Oo No Oo Not Sure provides full and open competition to the extent practicable, and to avoid practices that restrict competition? 22. ) Do the applicant entity's procurement policies and procedures require ig Yes nm No oO Not Sure documentation of the

o the extent practicable, and to avoid practices that restrict competition? 22. ) Do the applicant entity's procurement policies and procedures require ig Yes nm No oO Not Sure documentation of the history of a procurement, including the rationale for the method of procurement, selection of contract type, selection or rejection of contractors, and basis for the contract price? 23. Does the applicant entity have written policies and procedures designed to prevent the applicant entity from entering into a procurement contract E] Yes [] No [] Not Sure under a federal award with any entity or individual that is suspended or debarred from such contracts, including provisions for checking the “Excluded Parties List’ system (www.sam.gov) for suspended or debarred sub-grantees and contractors, prior to award? TRAVEL POLICY 24. Does the applicant entity: (a) maintain a standard travel policy? Elyes [No (b) adhere to the Federal Travel Regulation (FTR)? A Yes 0 No SUBRECIPIENT MANAGEMENT AND uomrpane 25. Does the applicant entity have written policies, procedures, and/or In Yes guidance designed to ensure that any subawards made by the applicant entity under a federal award -- (1) clearly document applicable federal [No [J] Not Sure requirements, (2) are appropriately monitored by the applicant, and (3) E] N/A - Applicant does not make comply with the requirements in 2 CFR Part 200 (see 2 CFR 200. sy? | sbavards under any OJP awards Page 3 of 4

U.S. DEPARTMENT OF JUSTICE Approved: OMB No. 1121-0329 OFFICE OF JUSTICE PROGRAMS Expires 11/30/2020 26. Is the applicant entity aware of the differences between subawards under | Ores 1 No C1 Not Sure federal awards and procurement contracts under federal awards, including | the different roles and responsibilities associated with each? E] N/A - Applicant does not make | subawards under any OJP. awards 27. Does the applicant entity have written policies and procedures designed | Oo Yes [J No oO Not Sure to prevent the applicant entity from making a subaward under a federal | award to any entity or individual is suspended or debarred from such | EE] N/A - Applicant does not make subawards? subawards under any OJP awards DESIGNATION AS 'HIGH-RISK' BY OTHER FEDERAL AGENCIES 28. |s the applicant entity designated “high risk” by a federal grant-making ' Ol yes fl No [J Not Sure agency outside of DOJ? (High risk includes any status under which a federal awarding agency provides additional oversight due to the applicant's past performance, or other programmatic or financial concerns with the applicant.) If"Yes", provide the following: (a) Name(s) of the federal awarding agency: (b) Date(s) the agency notified the applicant entity of the "high risk" designation: (c) Contact information for the "high risk" point of contact at the federal agency: Name: Phone: Email (d) Reason for "high risk" status, as set out by the federal agency: CERTIFICATION ON BEHALF OF THE APPLICANT ENTITY (Must be made by the chief executive, executive director, chief financial officer, designated authorized representative ("AOR"), or other official with the requisite knowledge and authority) | On behalf of the applicant entity, | certify to the U.S. Department of Justice that the information provided above is | complete and correct to the best of my knowledge. | have the requisite authority and information to make this certification on behalf of the applicant entity. Name: John O. Gross Date: 2018-08-06 o Other: Phone: (973) 325-4070 Page 4 of 4

DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 Approved by OMB 0348-0048 (See reverse for public burden disclosure.) 1. Type of Federal Action: [8 | a. contract b. grant ¢. cooperative agreement d. loan e, loan guarantee f. loan insurance 2. Status of Federal Action: a, bid/offer/application b, initial award c. post-award 3, Report Type: a. initial filing b. material change For Material Change Only: year quarter date of last report 4, Name and Address of Reporting Entity: Prime (2 subawardee Tier , lf known: ‘Towuship of West, Orange: . 66 Main Street, West Orange, NID7052 Congressional District, if known: 5, If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime: Congressional District, if known: 6. Federal Department/Agency: US, Department of Justioe Office of Justice Progranis Bureau of Jéstics Assistance 7. Federal Program Name/Description: Edward Byrne Memorial Justice Assistance (JAG) Grant Program CFDA Number, iFapplicable: 16.738 9. Award Amount, if known: $ 410. a. Name and Address of Lobbying Registrant (if individual, lastname. first name. MI. NIA b, Individuals Performing Services (including address if different from No. 10a) (ast name. first name. MI): NIA . 4, information requested through this form Js authorized oy tia 34 U.S.C. eaciion * 1962. This disclosure ot lobbying activities Is @ materlal ropresantalicn of fact upon which reliance was placed by the tier above when this transaction was rade of entered into. This discosure is raquied pursuant to 3 U.S.C, 1352. This information wil ba reported to the Cangrass semi-annually and will bo avallabla for public inspection. Any person wit fails 10 flo the roquirad dischosure shell ba Subject to a chvl peralty of not less that $10,000 and not more than $100,000 for ‘ach such talkie Signature: John K. Sayers... CK Tega Print Name: John K: Sayers @ ae = Title; _ Business Administrator Telephone No.: (973) 325-4050 Date; 2 Foderal Use Only: Authorized for Local Reproduction Standard Form LLL. (Rev. 7-87)

i i ' INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES ‘This disclosure form shall be completed by the reporting entity, whether subawardee or prima Federal recipient, at the Initiation or receipt of @ covered Federal action, or a material change to a previous fling, pursuant to tite 31 U.S.C. section 1352. The filing of a form is required for each payment or agreementto make paymentto any lobbying entity for influencing or attempting to influence an officer or employeeof any agenoy, a Member of Congress, an officer or employee of Congress, or an employeeof a Member of Congrass in connection with a covered Federalaction. Complete all ilems that apply for both the inital filing and material change report, Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been sectired to influence the outcome of a coverad Federal action, 2. Identify the status of the covered Federal action. 2 . Identify the appropriate classification of this report. If this Is a followup repert caused by a material change te [he information previously reported, enter the year and quartarin which the change occurred. Enter the date of the last previously submitted report by this reporting ently for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity, Include Congressional District, If known. Check the appropriate classification of the reporting entity that designates if it is, er expects to be, a prime or subaward recipient. Identify the tier of the subawardee,e.g., the first susawardee of the prime is the 1st fier. Subawards include but are not limited to subcontracts, subgrants and contract awards under granis. ca If the organization filing the report in tem 4 checks "Subawardee,"then enter the full name, address, cily, State and zip code of the prime Federal recipient. Include Congressional District, If known. ca . Enter the name of the Federal agency making the award or loan commitment. Include at least one organizationallevel below agency name, if known, For example, Department of Transportation, United States Coast Guard. N Enter the Federal program name or description for the covered Federal action (itern 1). If known, enter the full Catalog of

n, For example, Department of Transportation, United States Coast Guard. N Enter the Federal program name or description for the covered Federal action (itern 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments, 2 . Enter the most appropriate Federal identifying number avallablefor the Federal action identified in item 4 (¢.g., Request for Proposal (RFP) number; Invitation for Bid (FB) number, grant announcement number; the contract, grant, or loan award number; the epplication/proposal control number assigned by the Federal agency). include prefixes, @.9,, "RFP-DE-90-001." 9 For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 6. 40. (a) Enter the full name, address, cily, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified In item 4 to influence the covered Federal action. (b) Enter the full namas of the individual(s) performing services, and include full address if different from 10 (a), Enter Last Name, First Neme, and Middle Initial (Ml). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control} Number, The valid OMB control number for this information collection Is OMB No. 0348-0046, Public reporting burden for this collect|on of information is| estimated to average 10 minutes per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data} needed, and compleling and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of| information, including suggestions for reducing this burden, to the Office of Managementand Budget, Paperwork Reduction Project (0348-0046), Washington, | DC 20603.

PLEASE NOTE: The West Orange Police Department has forwarded a complete copy of this application to the West Orange Township Council for their review. The final certification page will be signed upon review of the application by the Township Council members and upon verification that all needed documents are complete. Upon singing the Certification and Assurances page by the Township’s Mayor, Police Chief James Abbott will ensure that the signed and dated Certifications and Assurances page is submitted to DOJ in accordance with grant program guidelines.

U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS Local Government: FY 2018 Certification of Compliance with 8 U.S.C. §§ 1373 & 1644 On behaif of the applicant government entity named below, and in support of its application, ! certify under penalty of perjury to the Office of Justice Programs (‘OJP’), U.S. Department of Justice ("USDOv"), that all of the following are true and correct: (1) | am the chief legal officer of the State ar local government of which the applicant entity named below is a part (‘the jurisdiction"), and | have the authority to make this certification on behalf of the jurisdiction and the applicant entity (that is, the entity applying directly to OJP). | understand that OUP wail rely upon this certification as 2 material representation in any decision to make an award to the applicant entity (2) | have carefully reviewed 8 U.S.C. §§ 1373(a} & (b), and 1644, including the prohibitions on certain actions by State and local government entities, agencies, and -officials regarding information on citizenship and immigration status. | also have reviewed the provisions set out at (or referenced in) 8 U.S.C. § 1551 note (“Abolition ... and Transfer of Functions”), pursuant to which references to the “Immigration and Naturalization Service” in8 US.C. §§ 1373 & 1644 are to be read, as a legal matter, as references to particular components of the U.S. Department of Homeland Security. (2) | (@nd also the applicant entity) understand that the U.S. Department of Justice will require States and local governments (and agencies or other entities thereof) to comply with 8 U.S.C. §§ 1373 & 1644, with respect to any “program or activity” funded in whole or in part with the federal financial assistance provided through the FY 2018 OJP. program under which this certification is being submitted (the "FY 2018 OJP Program’ identified below). specifically including any such “program or activity” of a governmental entity or -agency that is a subrecipient (at any tier) of funds under the FY 2018 OUP Program. (4) | (ard also the applicant entity) understand that, for purposes of this certification, "program or activity’ means what it means under title VI of the Civil Rights Act of 1964 (see 42 U.S.C. § 2000d-4a), and that terms used in this certification that are defined in 8 U.S.C. § 1101 mean what they mean under that section 1101, except that the term

the Civil Rights Act of 1964 (see 42 U.S.C. § 2000d-4a), and that terms used in this certification that are defined in 8 U.S.C. § 1101 mean what they mean under that section 1101, except that the term “State” also shail include American Samoa (of. 34 U.S.C. § 10251(a)(2)). Also, | understand that, for purposes of this certification, neither a “public” institution of higher education (/¢., one that is owned, controlled, or directly funded by a State or loca! government) nor an Indian tribe is considered a State or local government entity or agency {5} | Rave conducted (or caused to be conducted for me) a diligent inquiry and review concerming both— (a) the “program or activity’ to be funded (in whole or in part) with the federal financial assistance sought by the applicant entity under this FY 2018 QUP Program; and {b) any prohibitions or restrictions potentially applicable to the "program or activity” sought to be funded under the FY 2018 OJP Program that deal with sending to, requesting or receiving from, maintaining, or exchanging information of the types described in 8 U.S.C. §§ 1373(a) & (b), and 1844, whether imposed by a State or local government entity, -agency, or-clficial (6) As of the date of this certification, neither the jurisdiction nor any entity, agency, or official of the jurisdiction has in effect, purports to have in effect, or is subject to or bound by, any prohibition or any restriction that would apply to the “program or activity” to be funded in whole or in part under the FY 2018 OJP Program (which, for the specific purpose of this paragraph 6, shail not be understood to include any such “program or activity” of any subrecipient at any tier), and that deals with either—~ (1) a government entity or -oificial sending er receiving information regarding citizenship or immigration status as described in & U.S.C. §§ 1373(a) & 1644: or (2) a government entity or -agency sending to, requesting or receiving from, maintaining, or exchanging information of the types (and with respect to the entities) described in 8 U.S.C. § 1373(6) | acknowéedge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34 U.S.C. § 10271-10273},