Policy Text
BSCC
Powered by Submittable
Title
City of Hayward Police
Department
by
David Dorn
in
Organized Retail Theft
Prevention Grant Program
david.dorn@hayward-ca.gov
07/07/2023
id. 41333658
Original Submission
07/07/2023
The Organized Retail Theft (ORT) Prevention Grant Program
Application is divided into five (5) sections as identified below:
Background Information Contact Information Program Information
Proposal Narrative and Budget
Mandatory Attachments Each section
has a series of questions requiring a response.
Applicants will be
prompted to provide written text, select options from a drop down
menu, select options from a multiple choice menu, or upload
attachments. Questions with a red asterisk require responses.
Applicants will not be able to submit the application until all questions
with a red asterisk have been completed. Applicants may reference
the ORT Prevention Grant Program Proposal Instruction Packet for
background information, key dates, rating factors, and other
important information to aid in the completion of the ORT Prevention
Grant Program Application. The ORT Prevention Grant Proposal
Instruction Packet is available on the Board of State and Community
Corrections (BSCC) website. NOTE: Applicants may start and stop
their application but must select "Save Draft" at the bottom of the
application before existing.
SECTION I -
BACKGROUND
INFORMATION
This section requests information about the applicant’s name,
location, mailing address, and tax identification number.
Name of Applicant
(i.e., Police
Department, Sheriff’s
Department, or
Probation
Department)
City of Hayward Police Department
Multi-Agency
Partnerships
Information (if
applicable)
Applicants may apply for funding as part of a multi-agency
partnership (two [2] or more agencies). The agencies and
jurisdictions comprising the collaborative application are not required
to be contiguous. One (1) Lead Public Agency must be identified on
behalf of the partnership.
Multi-Agency
Partnerships
No: This is not a Multi-Agency Partnership Application
Lead Public Agency
Information
All applicants are required to designate a Lead Public Agency (LPA)
to serve as the coordinator for all grant activities. The LPA is a
governmental agency with local authority within the applicant's city or
county. The applicant may choose to fill the role of LPA itself or it
may designate a department, agency, or office under its jurisdiction
to serve as the LPA. The role of the LPA is to coordinate with other
local government agency partners and non-governmental
organizations to ensure successful implementation of the grant
program. The LPA is responsible for data collection and
management, invoices, meeting coordination (virtual and/or in-
person), and will serve as the primary point of contact with the BSCC.
Lead Public Agency
City of Hayward Police Department
Applicant's Physical
Address
300 W. Winton Ave
Hayward
CA
94544
US
Applicant's Mailing
Address (if different
than the physical
address)
n/a
Mailing Address for
Payment
300 W. Winton Ave
Hayward
CA
94544
US
Tax Identification
Number
94-69000346
SECTION II -
CONTACT
INFORMATION
This section requests contact information for the individuals
identified as the Project Director, Financial Officer, Day-to-Day Project
Contact, Day-to-Day Fiscal Contact, and the Authorized Signature.
Project Director
David
Dorn
Project Director's
Title with
Agency/Department/Organization
Lieutenant
Project Director's
Physical Address
300 W. Winton Ave
Hayward
CA
94544
US
Project Director's
Email Address
david.dorn@hayward-ca.gov
Project Director's
Phone Number
+15102937104
Financial Officer
Laura
Gomez
Financial Officer's
Title with
Agency/Department/Organization
Senior Management Analyst
Financial Officer's
Physical Address
300 W. Winton Ave
Hayward
CA
94544
US
Financial Officer's
Email Address
laura.gomez@hayward-ca.gov
Financial Officer's
Phone Number
+15102937055
Day-To-Day Program
Contact
David
Dorn
Day-To-Day Program
Contact's Title
Lieutenant
Day-To-Day Program
Contact's Physical
Address
300 W. Winton Ave
Hayward
CA
94544
US
Day-To-Day Program
Contact's Email
Address
david.dorn@hawyard-ca.gov
Day-To-Day Program
Contact's Phone
Number
+15102937104
Day-To-Day Fiscal
Contact
Laura
Gomez
Day-To-Day Fiscal
Contact's Title
Senior Management Analyst
Day-To-Day Fiscal
Contact's Physical
Address
300 W. Winton Ave
Hayward
CA
94544
US
Day-To-Day Fiscal
Contact's Email
Address
laura.gomez@hayward-ca.gov
Day-To-Day Fiscal
Contact's Phone
Number
+15102937055
Name of Authorized
Officer
Bryan
Matthews
Authorized Officer's
Title
Acting Chief of Police
Authorized Officer's
Physical Address
300 W. Winton Ave
Hayward
CA
94544
US
Authorized Officer's
Email Address
bryan.matthews@hayward-ca.gov
Authorized Officer's
Phone Number
+15102937070
Authorized Officer
Assurances
checked
SECTION III -
PROGRAM
INFORAMTION
This section requests a Project Title, Proposal Summary description,
Program Purpose Area(s) selection, and Scope Funding Category
selection.
Project Title
Hayward