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#3 Authorize to apply for a drug free communities support program grant (File Res. #2012-893) HEDBERG PUBLIC LIBRARY MEMORANDUM March 2, 2012 TO: City Council FROM: Bryan J. McCormick, Library Director SUBJECT: Action on a Proposed Resolution Authorizing the City Manager to Apply for a Drug Free Communities Support Program Grant (File Res 2012-893) Summary Funding and program reductions at Partners in Prevention and the Janesville School District have created a void in the promotion of the dangers of drug and alcohol abuse by underage youth in our community. A group of concerned community members have formed a coalition called Janesville Mobilizing 4 Change (JM4C) to fill this void. The coalition would like to apply for a Drug Free Communities grant from the US Department of Health and Human Services. However, the JM4C coalition is not yet established to receive federal funds, so it must partner with an eligible entity. Both the Hedberg Public Library and the City of Janesville Police Department are members of JM4C and are eligible to receive federal funding. File Resolution 2012-893 authorizes the City Manager to apply for a Drug Free Communities grant from the US Department of Health and Human Services in the amount of $125,000 and have the City of Janesville act as the fiscal agent. Request The Janesville Mobilizing 4 Change (JM4C) coalition requests that the City of Janesville act as the fiscal agent for a Drug Free Communities grant from the US Department of Health and Human Services. Recommendation The Library Director recommends that the City Council approve File Resolution 2012-893 which authorizes the City Manager to apply for a Drug Free Communities grant from the US Department of Health and Human Services in the amount of $125,000 and act as the fiscal agent for the grant. City Manager Recommendation The City Manager recommends approval. Background For several years Partners in Prevention has been in the Janesville area, advocating about the dangers of drug and alcohol abuse by underage youth in the community. In 2002 they received a Drug Free Communities grant from the US Department of Health and Human Services. This was a 10-year grant which 1 will expire on Sept. 29, 2012. In addition, the School District of Janesville has had an Alcohol, Tobacco and Other Drugs of Abuse (ATODA) Coordinator to help educate youth about these issues. Funding issues have brought cutbacks to the ATODA program at the School District, including the loss of the CRES Academy, and Partners in Prevention is no longer eligible for the federal Drug Free Communities grant (limit of 10 years of funding). This left a void in the promotion of the dangers of drug and alcohol abuse by underage youth in our community. Realizing that there is still a need to educate our youth about these dangers, as evidenced by the 2010 Youth Risk and Behavior Survey that was thth taken by all Janesville 10 and 12 graders, a group of concerned community members began meeting and formed a coalition called Janesville Mobilizing 4 Change (JM4C). The JM4C is a coalition created by community members from throughout the Janesville area who represent 12 different sectors (see attached membership roster). The coalition includes individuals representing the business community, parents, our youth (someone 18 or younger), the media, the schools, a youth- serving organization, law enforcement, a religious or fraternal organization, a civic or volunteer group, the healthcare profession, a state or local government agency with expertise in the field of substance abuse, and one other organization also involved in reducing substance abuse. The JM4C has an appointed Board of Directors and a set of by-laws which govern its operations. Once established, JM4C took a closer look at the 2010 Youth Risk and Behavior Survey along with the Safe and Supportive Schools survey. They conducted key stakeholder interviews, held youth focus groups, surveyed Janesville residents and examined social indicator data (truancy, dropout rates, and school and law enforcement issued consequences). The data identified two areas of concern in the Janesville area: the use of alcohol by underage youth and the abuse of prescription drugs. The JM4C discussed evidence-based strategies and actions which can promote the awareness of these problems and issues within our community, and decided to apply for a U.S. Department of Health and Human Services Drug Free Communities grant. This is the same grant that Partners in Prevention had received for 10 years but is no longer eligible to apply for (limit of 10 years of funding). Grant Application The grant is part of the Drug Free Communities Support Program (DFC) a collaborative effort between the Office of National Drug Control Policy and the Substance Abuse and Mental Health Services Administration (SAMHSA, an operating division of the U.S. Health and Human Services Department). The goals of the program are to reduce substance abuse among youth; help community coalitions strengthen collaboration, enhance intergovernmental communication and coordination, enable communities to conduct data-driven research-based prevention planning, and provide communities with technical assistance, guidance and financial support. 2 As part of the grant application the 12 sectors of the community must be represented by individuals or organizations supportive of the Drug Free Communities Support Program. The grant must also state the two areas of concern within the community (alcohol and prescription drug abuse) and have data to support that conclusion. Strategies, tactics and goals to address those two areas of concern must also be included in the grant application. A proposed budget must also be presented, including identification of monetary and in-kind contributions which must match the level of the grant. Partners in Prevention, a 10-year past recipient of this grant, has assisted JM4C with the grant application process and budget preparations. Analysis Attached to this memo is the proposed budget for the Drug Free Communities grant. Funds would be used to; hire an individual to serve as the Project Coordinator for JM4C; send JM4C staff and partners to national conferences where training sessions will be held; create informational brochures, posters and banners; create an informational website; conduct youth surveys; and translation of documents into Spanish. The Drug Free Communities grant has a match requirement of 100%. The match requirements can be met through a variety of in-kind contributions and do not necessarily require a cash contribution from the grantee. Partners in Prevention was able to meet all their match requirements through these in-kind contributions. However, the City Council needs to be aware that as the applicant and fiscal agent they will ultimately be responsible for meeting these match requirements. 3 RESOLUTION NO. 2012-893 A RESOLUTION AUTHORIZING THE FILING OF AN APPLICATION IN COOPERATION WITH THE JANESVILLE MOBILIZING 4 CHANGE (JM4C) COMMUNITY COALITION FOR A U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2012 DRUG FREE COMMUNITIES GRANT WHEREAS , the Janesville Mobilizing 4 Change (JM4C) Community Coalition has proposed to apply for a Drug Free Communities Grant from the U. S. Department of Health and Human Services in the amount of $125,000; and WHEREAS, the Youth Risk and Behavior Survey from 2010 revealed that 35% of juniors and 45% of seniors drank alcohol within the last 30 days, and 20% of juniors and 31% of seniors binge drank within the last 30 days; and WHEREAS, the Youth Risk and Behavior Survey from 2010 also revealed that 23% of juniors and 29% of seniors have taken a Rx drug without a doctor’s prescription, and 14% of juniors and 15% of seniors have taken on over-the-counter drug to get high; and WHEREAS, members of the community have banded together to create a coalition to increase awareness of these issues; and WHEREAS, the coalition comprises of members representing 12 different sectors of the Janesville community including youth, parents, business, media, schools, youth-serving organizations, law enforcement, religious or fraternal organizations, civic or volunteer groups, healthcare professionals, state or local government agency with expertise in the field of substance abuse, and other organizations involved in reducing substance abuse; and WHEREAS, JM4C proposes that the City of Janesville enter into a cooperative agreement as a fiscal agent for the grant, providing accounting and financial oversight of the federal grant; and WHEREAS, a minimum of a 100% match is required for the grant and this match will be met by in-kind community and staff contributions as outlined in the grant application; and WHEREAS , the Common Council of the City of Janesville finds it is in the best interest of the community to facilitate these drug and alcohol awareness activities. NOW, THEREFORE BE IT RESOLVED by the Common Council of the City of Janesville that it authorizes and directs the City Manager to participate in a cooperative agreement for an application to the U. S. Department of Health and Human Services, and that the City Manager is authorized to act in connection with the application and to provide such additional information as may be required and to administer the program in accordance with all applicable State and Federal regulations. BE IT FURTHER RESOLVED, that in-kind community and staff contributions are hereby committed to meet the minimum match requirement of 100% of the Drug Free Communities Grant funding. BE IT FURTHER RESOLVED, that the City Manager, and his designees, are hereby authorized to negotiate, draft, prepare, execute, file and modify such other documents, papers and agreements ancillary and/or pertaining thereto and, from time to time, to take and/or make whatever other minor actions and/or minor modifications to the above described agreements as the City Manager and/or his designee may deem necessary and/or desirable to effectuate the purposes of such agreements and the intent of this resolution. ADOPTED: Motion by: Second by: APPROVED: CouncilmemberAyeNayPassAbsent Dongarra-Adams Eric J. Levitt, City Manager Liebert McDonald ATTEST: Rashkin Steeber Voskuil Jean Ann Wulf, City Clerk-Treasurer APPROVED AS TO FORM: Wald Klimczyk, City Attorney Proposed by: Janesville Mobilizing 4 Change Prepared by: Hedberg Public Library Director Janesville Mobilizing 4 Change 2012-13 Section G: Budget and Budget Justification, Existing Resources, Other Support A. Personnel: FEDERAL REQUEST Position Name Annual Salary/Rate Level of Effort Cost Project To be selected $41,600 ($20/hr) 100% $41,600 Coordinator salaried TOTAL $41,600 JUSTIFICATION: The Project Coordinator will coordinate coalition meetings, and project activities, including training, coalition communication, community relations, data collection and dissemination of results, salary based on local averages for community organizer positions. NON-FEDERAL MATCH Position Name Annual Salary/Rate Level of Effort Cost Project Director Bryan $94,120 10% $9,412 McCormick TOTAL $9,412 JUSTIFICATION: The Project Director will provide oversight of grant, including fiscal and personnel management, project implementation and evaluation, and training and technical assistance. Match from the fiscal agent, the City of Janesville, Hedberg Public Library FEDERAL REQUEST $41,600 (enter in Section B column 1 line 6a of form SF424A) NON-FEDERAL MATCH$9,412 (enter in Section B column 2 line 6a of form SF424A) B. Fringe Benefits : List all components of fringe benefits rate FEDERAL REQUEST Component Rate Wage Cost FICA 7.65% $41,600$3,182 Health Insurance Project Coordinator annual $17,057 Life Insurance Project Coordinator annual $166 WRS - retirement Project Coordinator annual $2,454 TOTAL $22,859 JUSTIFICATION:. Fringe reflects current rate for agency NON-FEDERAL MATCH Component Rate Wage Cost FICA-PD 7.65% $94,120 $720 Workers Compensation 2.5% x 10% (PD) $94,120 $235 2.5% (PC) $41,600 $1,040 Health Benefit package -PD $17,057/year 10% $1,706 WRS – retirement-PD .06% x 10% $94,120 $565 TOTAL $ 4,266 JUSTIFICATION: This line item reflects the donated cost of Employer's FICA and Workers Compensation and Benefits package for the Project Director and workers compensation for the Project Coordinator,from the fiscal agent, the City of Janesville, Hedberg Public Library. Janesville Mobilizing 4 Change 2012-13 FEDERAL REQUEST $22,859 (enter in Section B column 1 line 6b of form SF424A) NON-FEDERAL MATCH$4,266 (enter in Section B column 2 line 6b of form SF424A) C. Travel: Explain need for all travel other than that required by this application. Local travel policies prevail. FEDERAL REQUEST Purpose of Travel Location Item Rate Cost New Grantee Washington, Airfare $260/flight x 2 $520 Training DC persons Hotel $250/night x 2 persons $1,500 x 3 nights Per Diem $71/day x 2 persons x $426 (meals) 3 days Ground $60/person x 2 $231 Transportation persons + 200 miles to airport Coalition Academy Ft. Dodge, Iowa Ground 595 miles x $.555 $330 Week 1 Transportation Coalition Academy Ft. Dodge, Iowa Ground 595 miles x $.555 $330 Week 2 Transportation Coalition Academy Ft. Dodge, Iowa Ground 595 miles x $.555 $330 Week 3 Transportation Regional coalition WI Dells, WI Hotel $70/night x 2 persons $420 training: WI x 2 nights Prevention Per Diem $61/day x 2 persons x $366 Conference (meals) 3 days Ground 174 miles x 0.555 $97 Transportation CADCA Mid-year July 21-25, Airfare $425/ flight +$40 $930 2013 Austin, baggage x 2 people TX Hotel $125/night x 4 nights $2,000 x 2 people Per Diem $71/day x 4 days x 2 $568 (meals) people UDETC 2011 conference Airfare $300/flight + baggage $680 Conference rates (Orlando, ($40) x 2 persons FL) Hotel $125/night x 2 persons $750 x 3 nights Per Diem $56/day x 2 persons x $336 (meals) 3 days Prime 4 Life Ames, IA Hotel $77/night x 2 persons $462 training x 3 nights Per Diem $46/day x 2 persons x $368 Janesville Mobilizing 4 Change 2012-13 (meals) 4 days Mileage 615 miles x $.555 $341 Local transportation Mileage 2000 miles @ $1,110 0.555/mile TOTAL $12,096 JUSTIFICATION: The grant requires travel of 2 persons to attend a new grantee meeting in Washington, DC. Transportation costs include airfare average cost as of 3/5/12 of $260 (including luggage charges) + bus transportation to airport + ground transportation in Washington DC = $231 Lodging is based on 3 nights at the Federal per diem rate (IRS Publication 1542) per agency policy for two people. Coalition Academy for three separate weeks in Iowa, mileage only at agency’s personally owned vehicle (POV) reimbursement rate. Two coalition members are to attend the State Prevention Conference usually held in WI Dells, WI. Travel estimates are based on past experience and available Federal per diem rate and agency’s personally owned vehicle (POV) reimbursement rate (.555). Two coalition members will attend the CADCA Mid-year Institute scheduled for Austin, TX; Transportation costs include airfare average cost as of 3/5/12 of $465(including luggage charges) Lodging and per diem is based on 4 nights at the Federal per diem rate (IRS Publication 1542) per agency policy for two people. Two police officers will be attending the Underage Drinking Enforcement Training Center conference (2013 location unknown). Travel expenses based on previous experience at the 2011 conference in Orlando, FL and at the Federal per diem rate. Prime 4 Life training for two Janesville School District employees as described in the Action Plan in Ames, IA. Travel expenses based on the Federal per diem rates. Local travel is needed to attend local meetings, project activities, and training events. Local travel rate is based on agency’s personally owned vehicle (POV) reimbursement rate, attributable to the Project Coordinator to attend staff meetings and to travel coalition meetings and activities. NON-FEDERAL MATCH Purpose of Travel Location Item Rate Cost Coalition meetings Hedbeg public Average of 10 miles/ meeting $.555/mile $1,998 x 24 meetings x 15 members: Library Calculations: 10*24*15*$.555 TOTAL $1,998 JUSTIFICATION: Coalition members will attend at least two coalition meetings per month for Board and committee meetings. Coalition members (15) will travel on average ten miles for each of 2 monthly meetings. Match donated by coalition members FEDERAL REQUEST $12,096 (enter in Section B column 1 line 6c of form SF424A) NON-FEDERAL MATCH $1,998 (enter in Section B column 2 line 6c of form SF424A) D. Equipment : an article of tangible, nonexpendable, personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit – federal definition. FEDERAL REQUEST$ 0 – (enter in Section B column 1 line 6d of form SF424A) NON-FEDERAL MATCH$ 0 – (enter in Section B column 2 line 6d of form SF424A) Janesville Mobilizing 4 Change 2012-13 E. Supplies : FEDERAL REQUEST Item(s) Rate Cost General office supplies $75/mo. x 12 mo. $900 Postage .16 x 1300 x 5 schools $1,040 Computer $1,200 Printer and Ink cartridges(5) $150 + (5*$110) $700 Copier and toner cartridges (3) $550 + (3*$150) $1,000 Projector $1,000 Printing: Coalition information 2400 brochures x $.50 $1,200 Parent Network printing 250 x $1.00 x 2 schools $500 Know The Law brochure 500 copies x $.25 $125 Good Drugs Gone Bad 500 copies x $1.00 $500 packets Rx Drop Box awareness 1000 brochures x $.50 $500 TOTAL $8,665 JUSTIFICATION: Describe need and include explanation of how costs were estimated. Office supplies is based on past experience including paper supplies, meeting supplies and small office equipment (stapler, calculator, etc.) for general operations of the project. Postage is based on approximately 1300 piece bulk mailings to parents @ two high and 3 middle schools@ $.16 each. The Project Coordinator will need a computer, printer and copier; all costs are based on previous experience of fiscal agency. Projector will be used for presentations; price quote from Quill.com. Printing: All materials are identified in the action plan; costs are based on previous experiences with local printer (Custom Copies, Inc.) NON-FEDERAL MATCH Item(s) Rate Cost Educational Materials 3000*.67 $2,000 Copies .06 x 6,667 $400 Bulk Mail permit Annual fee $190 TOTAL $2,590 JUSTIFICATION: Describe need and include explanation of how costs were estimated. Educational materials are supplied for public ATODA information from The Wisconsin Clearinghouse for Prevention Resources and local hospital and mental health providers. Copies for project activities will be additionally supplied by the City of Janesville, St. Paul’s Lutheran Church and Rock County Human Services Department. Bulk mail permit will be donated by the City of Janesville- actual cost. FEDERAL REQUEST$8,665 – (enter in Section B column 1 line 6e of form SF424A) NON-FEDERAL MATCH$ 2,590 - (enter in Section B column 2 line 6e of form SF424A) F. Contract : generally amount paid to non-employees for services or products. A consultant is a non-employee who provides advice and expertise in a specific program area. FEDERAL REQUEST (Consultant) Janesville Mobilizing 4 Change 2012-13 Name Service Rate Other Cost City of Janesville Accounting Services $75/hour x 5.559 $5,000 hrs/month x 12 months Partners in Prevention- Coalition Technical $50 x 40 hours $2,000 Rock County, Inc. Assistance TOTAL $7,000 JUSTIFICATION:Explain the need for each agreement and how they relate to the overall project. Fiscal agent accounting support for payroll, accounts payable and federal reporting. Partners in Prevention to support Goal 1 with local technical assistance and consultation in coalition building, implementation, sustainability and internal evaluation best practice, as well as joint county- wide environmental strategy efforts. FEDERAL REQUEST (Contract) Entity Product/Service Cost SJ Consulting Diversity Training $2,000 Foremost Media Website development $3,300 Tricia Clasen Evaluator $5,000 TOTAL $10,300 JUSTIFICATION: Explain the need for each agreement and how they relate to the overall project. SJ Consulting will deliver training as outlined in Action Plan. Foremost Media to develop website to ensure information dissemination goals can be met, cost based on previous experience of similar coalitions in Rock County. Tricia Clasen, Evaluator, to monitor and evaluate implementation and measure community change, $5000 (UW Rock County standard rate). NON-FEDERAL MATCH (Consultant) Name Service Rate Frequency Cost Conference attendance: Bryan New Grantee Meeting $45 32 hrs $1,296 McCormick Coalition Coalition Academy – 3 $21.36 120 hours $2,563 weeks member Coalition CADCA Midyear $21.36 40 hours $854 Institute member Coalition WI Prevention $21.36 32 hours $1,367 Conference member 2 Police UDETC $40 32 hours $2,560 officers 2 Teachers Prime 4 Life$40 40 hours $3,200 Coalition Meetings: Executive 5 members x 1 meeting $23.14 2 hours $2,777 committee x 12 months (average) Coalition 15 members x 1 $21.36 2 hours $7,690 meetings meeting x 12 months Committee 5 committees x 4 $21.36 2 hours $10,253 meetings member x 12 months Janesville Mobilizing 4 Change 2012-13 Regional Partners in Prevention- $21.36 / 2 hours /month + $1,196 meetings Southern Alliance - Chairperson 8 hours quarterly Coalition Information Dissemination activities per Action Plan: Presentations 2 members x 18 $21.36 12 x 1.5 hr $1,154 presentations presentation 6 x 2 hr training 6 x 2 hr training $ 256 Translation Translate into materials $25.00/page 100 pages $2,500 services Spanish including website 25 events -2 youth $8.00 4 hrs each event $1,600 Informational Booths 25 events – 2 adults $21.36 4 hrs each event $4,272 Trainers: Gretchen Risk & Protective $50.00 3 hours $150 Dypold factors Julia Sherman Environmental $50.00 4 hours $200 strategies Coalition Planning and Implementation activities per Action Plan: Parents Who Chad Sullivan and 4 $21.36 10 hours each school $2,136 Host Lose the coalition members – 2 2 Most high schools schools Party Patrol – 2 $40.00 8 hours per Prom $1,280 Officers for 2 Proms Easiest Place to Laurie Bartz and 4 $21.36 10 hours $1,068 Get Beer coalition members Positive Social Mike Guisleman $35.00 8 hours planning $560 Norm 4 coalition members @ $21.36 4 hrs planning $684 2 Campaign – each school 5 hrs implementing $854 high schools 7 youth @ each school $8.00 4 hrs planning $448 5 hrs implementing $560 3 Rx Drop Police Officer $40.00 2 hours/month for 12 $2,880 Boxes - sorting Pharmacist $50.00 months $3,600 Social Network Communication $21.36 2 hours/month for 12 $2,051 development committee – 4 coalition months members Town Hall Chris Ramos and 4 $21.36 10 hours planning $2,136 2 meeting – coalition members for 7 hours day of event $1,495 high schools each school S.A.D.D. – 2 25 youth at each school $8.00 1 hour/week during $14,000 high school school – 35 weeks Parent Mike Guisleman $35.00 7 hours $490 Network 3 coalition members @ $21.36 14 hours $1,794 development – each high school 2 high schools Janesville Mobilizing 4 Change 2012-13 ID Sign Carly Kjones + 4 youth $8.00 10 hours $400 installation at One coalition member $21.36 10 hours $214 alcohol retailers Life of an 2 school personnel at $25.00 20 hours $2,000 Athlete each high school (2) development TOTAL $ 82,538 JUSTIFICATION:Explain the need for each agreement and how they relate to the overall project. The estimated dollar value of all adult volunteer time for 2010 is $21.36 per hour per the Independent Sector. (http://independentsector.org/volunteer_time) Youth volunteers are valued at $8.00 per hour. All activities listed are a direct reflection of the Action Plan. Coalition members have volunteered their time as identified in the above chart and through the signed Coalition Involvement Agreements. NON-FEDERAL MATCH (Contract) Entity Product/Service Cost Contract SUB-TOTAL $0.00 JUSTIFICATION:Explain the need for each agreement and how they relate to the overall project. FEDERAL REQUEST $ 17,300 – (enter in Section B column 1 line 6f of form SF424A) (combine the total of consultant and contact) NON-FEDERAL MATCH$82,538 – (enter in Section B column 2 line 6f of form SF424A) (combine the total of consultant and contact) G. ConstructionNOT ALLOWED : – Leave Section B columns 1&2 line 6g on SF424A blank. H. Other : expenses not covered in any of the previous budget categories FEDERAL REQUEST Item Rate Cost JM4C Coalition liability Annual $1,000 insurance S.A.D.D. leadership training Ropes course, TBD $3,000 Rotary Membership Project Annual $600 Coordinator Billboard (2) $585 each $1,170 Easiest Place to Get Beer 4 Banners $125 each $500 Media Campaign Newspaper print ad – back page $1,800 Positive Social Norm 2*30 Posters @ $2.50 each $150 Campaign – 2 high schools 2*2 Banners $125 each $500 Janesville Mobilizing 4 Change 2012-13 2*500 Bookmarks $.10 each $100 2*500 student incentives @ $1.00 each $2,000 S.A.D.D. development – 2 2* $1000 adult stipend $2,000 schools 2*500 student incentives @ $1.00 each $1,000 300 window cling signs @ $5.00 each $1,500 ID Sign installation at 500 brochures x $.25 each $125 alcohol retailers 1000 fliers x $.125 each $125 Police Officer Training 2 Police Officers 6.25 $500 hrs x $40/hr Compliance checks 2 Police Officers 8 hrs x 2 checks x $40/hr $1,280 Alcohol retailers recognitions – 50 @ $15 each $750 Town Hall meeting Meeting supplies $2.50/person x 100 people $250 CADCA membership Annual $300 Conference Registrations: UDETC 2 people @ $275 each $550 CADCA Mid-year 2 persons x $555 $1,110 Registration Registration for WI $190 x 2 people $380 Prevention Conference Prime For Life 2 registrations @ $895 each $1,790 TOTAL $22,480 JUSTIFICATION: Breakdown costs into cost/unit: i.e. cost/square foot. Explain the use of each item requested. . NON-FEDERAL MATCH Item Rate Cost Office space, furnishings, $800/month x 12 months $9,600 & copier usage Telephone/Internet 12 mos. X $225 $2,700 Meeting Space: Coalition and Committee 84 meetings per action plan @$35/ meeting. $2,940 Meeting Space Coalition Activity Space 24 meetings per action plan @$35/ meeting. $840 Town Hall meeting space 2 meetings @ $250 each $150 Advertising: Banner placement 10 banners @ 1 month each @ $225 $2,250 Press releases 2 /month x 12 months x $228.78 $5,491 TOTAL $24,321 JUSTIFICATION:Breakdown costs into cost/unit: i.e. cost/square foot. Explain the use of each item requested . FEDERAL REQUEST $ 22,480 – (enter in Section B column 1 line 6h of form SF424A) NON-FEDERAL MATCH$ 24,231 – (enter in Section B column 2 line 6h of form SF424A) Janesville Mobilizing 4 Change 2012-13 Indirect cost rate: We intend to waive the indirect costs FEDERAL REQUEST0 (enter in Section B column 1 line 6j of form SF424A) $ NON-FEDERAL MATCH0 (enter in Section B column 2 line 6j of form SF424A) $ BUDGET SUMMARY: Category Federal Request Non-Federal Match Total Personnel $41,600 $9,412 $51,012 Fringe $22,859 $4,266 $27,125 Travel $12,096 $1,998 $14,094 Equipment 0 0 0 Supplies $8,665 $2,590 $11,255 Contractual $17,300 $82,538 $99,838 Other $22,480 $24,321 $46,801 Total Direct Costs* $125,000 $125,124 $250,124 Indirect Costs 0 0 0 Total Project Costs $125,000 $75,103 $250,124 * TOTAL DIRECT COSTS: FEDERAL REQUEST $125,000 – (enter in Section B column 1 line 6i of form SF424A) NON-FEDERAL MATCH$125,124 – (enter in Section B column 2 line 6i of form SF424A) Sum of Total Direct Costs and Indirect Costs TOTAL PROJECT COSTS: FEDERAL REQUEST$125,000 (enter in Section B column 1 line 6k of form SF424A) NON-FEDERAL MATCH$125,124 (enter in Section B column 2 line 6k of form SF424A) Sector Organization Name and Sector Member Specific Contribution to Coalition Role in Organization Name Youth Carly Kjornes Craig High School Senior Serves as JM4C’s Youth Chair, on the (age 18), Member of Executive Committee and as a liaison Youth 2 Youth of Rock between JM4C, Youth 2 Youth, and the County (peer-to-peer school district. Provides a youth advocacy group focused perspective and participates in youth on UAD, Rx misuse and training and youth leadership activities youth marijuana use), Serving second term as advisory board member to Fighting Against Corporate Tobacco (FACT) a state youth advocacy group Parent Desh Moeller Parent of two Janesville Brings the perspective of a Janesville teenagers and is the Vice parent to JM4C, serves on the President of Operations at communication committee, and YMCA facilitates communication between JM4C and the parents who utilize the YMCA programs Business Lori Copus Mortgage Consultant, Serves as JM4C’s Vice Chair, on the M&I Bank a division of Executive Committee, and on the Data BMO Financial Group Analysis Committee. Serves as a liaison between JM4C and the business community – specifically the local banking and real estate groups Media Laurie Huml – Vice Visionary, Local Provides media coverage of JM4C Eckert Vision TV activities and events School Mike ATODA Coordinator, Brings expertise on ATODA Guisleman Janesville School District prevention/ treatment issues, and a knowledge of current high school trends and activities regarding substance use to JM4C. Serves as liaison between JM4C and school district Youth-Serving Laurie Bartz Young Adult Librarian, Serves as JM4C’s Secretary, on the Organization Hedberg Public Library Executive Committee and on the Communication Committee. Brings knowledge of youth values, trends and other opportunities for youth leadership Law Enforcement Chad Sullivan Police Specialist, Serves as liaison between JM4C and Janesville Police Police Department. Provides expertise Department and knowledge of current community drug trends and emerging issues Sector Organization Name and Sector Member Specific Contribution to Coalition Role in Organization Name Religious or Fraternal Karl Miller Congregational President, Provides knowledge of local faith Organization St. Paul’s Lutheran community and facilitates Church, School & communication between JM4C and Daycare faith community members Civic or Volunteer Glenn Disrude President, Golden ‘K’ Recruits outside volunteers to Group Kiwanis Club participate in coalition events Healthcare Professional Ryan Assistant Director, Provides expertise on healthcare field Messinger Healthnet of Rock County and administration, serves on communication committee, and as a liaison between JM4C and Healthnet patients – non (or under) insured citizens State, Local, or Tribal Carrie City of Janesville, Alcohol Keeps JM4C up-to-date on actions Governmental Agency Kulinski License Advisory within the City of Janesville in regards with Expertise in the Committee Member to alcohol license applications, Field of Substance Abuse renewals, amendments, and City policies and ordinances regarding alcohol Other Organization Tim Perry Administrator, Crossroads Brings expertise in the areas of drug Involved in Reducing Counseling Center prevention, intervention and substance Substance Abuse abuse treatment