FY 2019 Paul Coverdell Forensic Science Improvement

Subaward Applications and Required Forms

CFDA 16.742

All Assurances and Certifications (listed on the Subaward Application Checklist) that require signatures are attached at the end of the Subaward Application forms.

FY 2019 Paul Coverdell Forensic Science Improvement Grant Program

Subaward Program Application Overview

Name of Applicant Agency: ____________________________________________

Title of Proposal: _____________________________________________

Proposal Abstract (limit 100 words or less):

Applicant Information

Official Name of Applicant Agency: ______________________________________________

Type of Agency: _____State _____County _____Municipality _____Nonprofit

Address: ________________________________________________________

City/State: ______________________ Zip Code: ___________ County: ______________

Implementing Agency (if different than applicant) ______________________________

Federal ID Number: ____________________________

Agency DUNS Number : __________________________________________

Is Applicant Agency registered with the System for Award Management? ____ Yes ____ No

If no, please explain _____________________________________

Name of Project: ____________________________________________________

Type of Application: _____ New _____ Continuation CFDA# _______________

Name of Project Contact: _________________________________

Address (if different from above): ________________________________________________

________________________________________________

Telephone Number: ___________________________________

Fax Number: ____________________ Email Address:______________________________

Congressional District: ______________________________

Areas affected by the Project (Statewide, county, city): ______________________________

Proposed Project start and end dates: ________________________________________

Name of Chief Financial Officer: _________________________ Telephone: _______________

Name/Title of Authorized Representative: _______________________________________

Signature of Authorized Representative: ___________________________________________________

Project Narrative

The program narrative must specifically describe the manner in which Coverdell grant funds will be used to carry out the State plan to improve the quality and/or timeliness of forensic science or medical examiner/coroner’s office services cover current operations. (Reduction of forensic analysis backlogs is considered an improvement in timeliness of services.) If grant funds are requested for projects to address the challenges to the State’s forensic science laboratories posed by the opioid abuse crisis, the program narrative should describe the challenges posed and how the requested funds would help to address them.

Include Agency Background and Mission; Problem Statement/Needs Assessment; Goals, Objectives and Activities; Partnership/Collaboration/Coordination of Services; Project Management and Staff; Program Evaluation. If agency received prior funding under the Paul Coverdell Subaward Program, please describe activities completed. Use as many pages as necessary to describe your proposal in detail.

Project Work Plan

Project Name: ____________________________________________________

Objective	Activity	Person Responsible	Project Start and Completion Dates

Subaward Application Checklist

Paul Coverdell Forensic Science Improvement Grants Program

What an Application Should Include:

☐	Application Authorization
☐	Subaward Program Application Overview
☐	Applicant Information
☐	Project Narrative
☐	Project Work Plan
☐	Budget Detail Worksheet
☐	Budget Narrative (Budget should be annotated to delineate opioid-related and non-opioid items)
☐	Federally Approved Indirect Cost Rate Agreement (if applicable)
☐	Certification Regarding Lobbying; Debarment, Suspensions and Other Responsibility Matters; and Drug-Free Workplace Requirements
☐	Single Audit Requirement & Certification with proof of compliance if applicant is subject to audit requirements
☐	Department of Law and Public Safety Debarment and Suspension Certification with proof of eligibility for federal funds
☐	Certified Standard Assurances
☐	Forensic Laboratory Accreditation Documentation
Coverdell Statutory Certifications
☐	Certification as to Forensic Science Laboratory System Accreditation
☐	Certification as to Use of Funds for New Facilities
☐	Certification as to External Investigations
☐	Certification as to Generally Accepted Laboratory Practices and Procedures
☐	External Investigations Attachment
☐	Statement Regarding Proposed Use of Funds to Address Challenges Posed by the Opioid Abuse Crisis (if applicable)
☐	NIJ Programmatic Coversheet and Checklist