The URL can be used to link to this page

Home My Public Portal Aboutr 07:182 2f\e$ahtftolt af tire ~anr1tgIr of illnrterdj tr ~ JJ. 07-182 No. Dale nf AdllPlion July 12, 2007 AUTHORIZING MAYOR TO EXECUTE THE GRANT AGREEMENT WITH THE NEW JERSEY DEPARTMENT OFCOl\1l\1UNITY AFFAIRS FOR THE CARTERET SPECIALS 'VHEREAS, the Carteret Specials desires to apply for and obtain a grant from the New Jersey Dep~rtment of Community Affairs for approximately $1,000.00 to carry out a field trip to the American Museum of Natural History, NY; and BE IT THEREFORE RESOLVED, that the C~rteret Specials and the Borough of Carteret do hereby authorize the application for such a grant; and BE IT FURTHER RESOLVED, that the Carteret Specials and the Borough of Carteret recognizes and accepts that the Depaliment may offer a lesser or greater amount and therefore, upon receipt of the grant agreement from the New Jersey Department of Community Affairs, does further authorize the execution of any such grant agreement; and also, upon receipt of the fully executed agreement from the Department, does further authorize the expenditure of funds pursuant to the terms of the agreement between Calieret Specials and .the Borough of Carteret and the New Jersey Department of COnllllunity Affairs. NOW, THEREFORE, BE IT FURTHER RESOLVED that the persons whose names, titles, and signatures appear below are authorized to sign the application, and that they or their successors in said titles are authorized to sign the agreement, and any other documents necessary in connection therewith: (Ron G. McPhee) (Daniel J. Reiman) Grants & Public Information Coordinator (title) Ma or (title) Adopted tlllS lih day of July, 2007 and certified as a true copy of the original on July 13; 2007. KATHLEEN M. BARNEY, RMC/CMC Municipal Clerk \1 COUNCIL,,"l~N YES NO NV A.n. COUNCILMAN YES NO - NY A.n. BELL.INO --.. .- X NAPLES X DIAZ X RIOS . . y ~- .KRU~ IX. . S ITARZ v X-Indicate. VOle AB- Absent NV - Not Voting XOR - Indknlc,; Vole Itl Ovcrruk VC(tl . ,-.'----- Adoptcd at a meeting. ofthc Munidpa! Council ~~k 2~ . - . A~Ct'~a~~ RECORD OF COUNCIL VOTE r /.-c1,;fq;.V~')' PHt:Dul; ',' New Jersey Department of Community Affairs (;;;~D\ '(~\ APPLICATION FOR GRANT FUNDS cr. ,,,1,\1 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION g ,)\\\'l "t /!/J c'/ ~,~'~"'o,<~l ~~'->~hFtKS_fY In accordance to Federal Executive Order 12549, "Debarment and Suspension," the undersigned certifies, to tneDest of his or her knowledge that as an applicant, this agency or its key employees: a, are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by any Federal Department or agency, or by the State of New Jersey; b, have not within a 3-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) transaclion or contract under a public transportation; violation of Federai or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruclion of records, making false statements, or receiving stolen property, c, are not presently indicted or for otherwise criminally or civilly charged by a governmental entity (Federal, State, or Local) with commission of any offenses enumerated in paragraph (b) of this certification; and d, have not within 3-year period preceding this applicalion had one or more public transactions (Federal, State, or Local) terminated for cause or default The applicanl agrees that by submitting this applicalion, it will obtain from all its subgrantees a certification that includes without modificalion paragraphs (a), (b), (c), (d), of this certificalion in accordance with Federal Executive Order 12549. NAME OF AGENCY The Carteret Specials, Borough of Carteret NAME AND TITLE OF OFFICIAL SIGNING FOR AGENCY Daniel J, Reiman, Mayor SIGNATURE OF ABOVE OFFICIAL DATE SIGNED NOTE: The following document relaled to Debarment and Suspension as required by Federal regulations will be used as the basis for complelion of this certification: List of parties excluded from Federal Procurement or Non-Procurement Programs, This document is distributed by U,S. General Services Administration, U,S, Printing Office, Washington, D,C, This document can be acquired from the Superintendent of Documents by calling (202) 783-3238, . [ '$-409 DEe 04 SCHEDULE G New Jersey Department of Community Affairs APPLICATION FOR GRANT FUNDS CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the besl of his or her knowledge that: a. No granl funds awarded from State and/or Federal appropriations have been paid or will be paid, by or on behalf of the grantee, 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 the making of any grant, the making of any loan, the entering into of any cooperative agreement, and the exlension, continuation, renewal, amendment, or modification of any grant, loan, or cooperative agreement b. If any funds other than State and/or Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to infiuence 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, grant, loan, or cooperative agreement, the grantee shall complete and submit the Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. This form can be found at the following website address: htto://www.hhs.Qov/oaqam/oam/oooortunities/rfo0202/sf111.0df. c. The grantee shall require that the language of this compliance requirement (certification) be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This requirement (certification) is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into Ihis transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certificalion shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF AGENCY The Carteret Specials, Borough of Carteret NAME AND TITLE OF OFFICIAL SIGNING FOR AGENCY Daniel J. Reiman, Mayor SIGNATURE OF ABOVE OFFICIAL DATE SIGNED FS-40h DEe 04 { New Jersey Department of Community Affairs APPLICATION FOR GRANT FUNDS CERTIFICATION SHEET SCHEDULE H I certify that this agency is in possession of and will comply with the Terms and Conditions for Administration of Grants and the applicable Cost Principles. I have read the Certification Regarding Debarment and Suspension (Schedule G of the Application for Grant Funds) and certify to the best of my knowledge that as an applicant this agency and its key employees are in compliance with this requirement I will also obtain such certification from all subgrantees in accordance with Federal Executive Order 12549. This form will be maintained on file in the agency's office. I have read the Certification Regarding Lobbying (Schedule H of the Application for Grant Funds) and, to the best of my knowledge, certify that this agency is in compliance. This form will be maintained on file in the agency's office. If I have not been funded by NJDCA for the current State Fiscal Year, I have attached a copy of my audit If I have never been funded in the past, I have attached my organizations incorporation papers. I understand Ihat my payments will depend on timely submission of all reports. I have submitted a listing of the Officers and Directors (Schedule D of the Application for Grant Funds) and their addresses and will notify you in writing within ten days of any changes as they occur. For renewal applications, I have submitted only changes from the original submission. The Statement of Mayor/County Official (Page 2 of the Application for Grant Funds) has been sent to the Mayor/County Official for signature on the date of our submission of the application to the New Jersey Department of Community Affairs. The Statement of Board President (Page 2 of the Application for Grant Funds) has been sent to the Board President for signature on the date of our submission of the application to the New Jersey Department of Community Affairs. I certify, that in compliance with Executive Order 134, this agency has not made political contribution to a candidate committee and/or election fund of any candidate or holder of the public office of Governor, or to any State or County political party committee. I certify thaI this agency Is not delinquenl on any Federal or State debt As a non-profit corporation, I certify that this agency has 501(c)(3) status (or comparable status) as required by the Internal Revenue Service and is registered as a charitable organization in accordance with N.J.SA 45:17A-18 et seq. I have read, understand, and will comply with the instructions received with the grant INITIALS application oackaae. NAME OF AGENCY The Carteret Specials, Borough of Carteret NAME AND TITLE OF CERTIFYING OFFICIAL FOR AGENCY Daniel J. Reiman, Mayor 31GNATURE OF CERTIFYING OFFICIAL DATE SIGNED I FS-40i DEe 04 SCHEDULE I: RESOLUTION Whereas, the Carteret Specials desires to apply for and obtain a grant from the New Jersey Department of Community Affairs for approximately $1,000 to carry out a field trip to the American Museum of Natural History, NY. Be it therefore RESOL VED, 1) that the Carteret Specials & Borough of Carteret does hereby authorize Ihe application for such a grant; and, 2) recognizes and accepts that the Department may offer a lesser or greater amount and therefore, upon receipt of the grant agreement from the New Jersey Department of Community Affairs, does further authorize the execution of any such grant agreement; and also, upon receipt of the fully executed agreement from the Department, does further aulhorize the expenditure of funds pursuant to the terms of the agreement between Carteret Specials & Borough of Carteret and the New Jersey Department of Community Affairs. Be it further RESOL VED, that the persons whose names, titles, and signatures appear below are authorized to sign the application, and Ihat they or their successors in said tities are authorized to sign the agreement, and any other documents necessary in connection therewith: (signature) (signature) (type or print name) (type or print name) (title) (title) II CERTlFICA TlON: I, , the (name of Board Secretary 1 Government Clerk) , (title of position - Board Secretary or Government Clerk) of (formal name of organization) hereby certify that at a meeting of the Board of Directors 1 Governing Body held on (meeting date) the above RESOLUTION was duly adopted. AFFIX GOV'T, CORPORATE OR NOTARY SEAL (Signature of Secretary of the Board of Directors or Government Clerk) (1/04)