Res 2004-034 - Laserfiche WebLink

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JUVENILE ACCOUNTABILITY BLOCK GRANT (JABG) WAIVER OF FUNDS FORM 249. OFFICE OF THE GOVERNOR CRIM/NAL JUSTICE DMSION P.O. Box 12428 AUSTIN, TEXAS 78711 512/463-1919 FAX: 5121475-2440 WWW. GOVE RNOR.$TATE.TX.1JS 1 T.A.C. {}3.1211 Any entity receiving a local allocation may waive their ability to apply for funds and choose instead to waive the allocation back to the Governor's Criminal Justice Division or to another larger or neighboring jurisdiction that may still benefit the waiving agency's area. The grant applicant that is requesting CJD funding is responsible for obtaining the written authorization from each entity that chooses to waive an allocation. In addition, the grant applicant is responsible for forwarding this signed document at the same time that the "Grant Application Certification Form" is submitted to CJD via facsimile or mail. CJD will not award any additionalwaived funds to the applicant organization until the waiver form is signed and received by CJD via facsimile or mail. PART I: WAIVER OF ALLOCATION 2, Does the entity choose to waive their allocation to another entity?. [] Yes 3. If you selected 'Yes', for either # 1 or # 2 above, PROVIDE the following information: a) The name of entity waiving funds: I City of San Marcus b) The waived funds amount ($): c) The name of the organization that will receive the waived I Hays County allocation. [] No · [] No $8,558.00 d) If funds are being waived to more than one organization, ENTER the additional name(s) of the organization(s) receiving funds and the amount of the waived funds: Name(s) of the Entity(ies) Receiving Waived Funds Hays County $8,558.00 Waived Funds Amount ($) PART I1: SIGNATURE AUTHORIZING THE WAIVER OF ALLOCATION The above-named entity waiving the allocation understands that if funds are waived to the Governor's Office, Cdminal Justice Division (CJD), that those funds may be earmarked at the discretion of the executive director of the Cdminal Justice Division. Or, if funds are waived to another entity, the above-named entity waiving funds understands that those funds may be used ta provide juvenile accountability-based services to the waiving agency's target area. The entity waiving funds hereby authorizes the above-named organization(s) to receive the allocated funds. Dan O'Leary Name of the Entity's Authorized Official City of San Marcus Title of the Entity's Authorized Official Name of the Waiving Entity City Manager . ~_~ ~. '. . February 24, 2004 Soigffi~J;Jre of the ET,ty ~ Author,zed Effective Date CJD GRANT APPLICATION KIT - PAGE 26 JABG:LOCAL (CFDA-16.523) ISSUE DATE: DECEMBER 2003