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Attachment B HOW TO APPLY FO I JAG GRANT REIMBURSEMENTS <br />2016 -DJ -BX -0746 <br />1. A letter on your cities letterhead that includes or states the foRowinw <br />A. Your agency's request for reimbursement in the amount of $ ; <br />13. Reference the specific JAG Award Year and Number: 2016 JAG DJ -BX -0746. <br />C. List of items purchased and types of costs being claimed for the quarter that watch your city's <br />initial write- uplrequest; <br />D. Certification that you complied with all procurement procedures outlined. in your agency's <br />procurement manual and financial and administrative requirements set forth in the current ON <br />Financial guide; <br />E. Letter is to be signed by the person authorized in the JAG Program MOU (City Manager). <br />2. Required attachments to the letter: <br />A. FEDERAL FINANCIAL REPORT <br />Your agency is required to submit quarterly Federal Financial Report using a Standard Form SF -425 <br />(OMB). This report reflects the cumulative actual federal monies spent, unliquidated obligations <br />incurred, and the unobligated balance of federal funds. The Federal Financial Report is due at the <br />Sheriff's Department Financial Division by the due dates indicated below: <br />Qtr. ending 03 -31 -YY due no later than 4/10 <br />Qtr, ending 06 -30 -YY due no later than 7110 <br />Qtr. ending 09 -30 -YY due no later than 10/10 <br />Qtr. ending 12 -31 -YY due no later than 01f10 <br />Reference guides for completing Federal Financial Reports is available at the DOJ -OJP website <br />htiu: / /wcvw.ojp.usd9j.gov/fimd ing /forms,htm <br />B. INVOICE BILLING OCSD <br />a. The package should include an invoice from the city billing the Orange County Sheriffs <br />Department (OCSD). The invoieelbill should reference the grant name, grant number and <br />quarter ending date. <br />b. OCSD will reference your city's invoice number when reimbursement is made to your <br />city. <br />C. BACKUP DOCUMENTS <br />a. All invoices/receipts and relevant purchase orders pertaining to federal monies spent. <br />b. Time Sheets and part of payroll register showing personnel name or other individual <br />identifier and details of payroll costs claimed, if any. <br />c. Copies of signed checks) for pmchase(s) and general ledger reports clearly indicating <br />expenditures for the quarter. <br />All of the above documents must be provided to our office; otherwise, our claim will not be <br />rocessed. Please send your claims to: <br />Orange County Sheriffs Department- Financial /Admin. Division <br />Attn: DarlaLazaridis <br />320 N. Flower Street, Suite 108, Santa Ana, CA 92703 <br />Contacts <br />Please directprograrn an eontpllartce relateel q estions to Nancy Ngaryen (7V lv[Nguyen Roesd.org) and questions <br />about reporting to Blanca Ramos (branms(a�ocsd.org). <br />Financial Inquiries: call Karla Lazaridis at Sheriff's Financial Management (714) 834 -6675 <br />25H -22 <br />