01/20/1993
AGREEMENT
Agreement, made as of the 3. tJCI' day of <-~ '
1993, between the Board of County Commissioners of' nroe County,
Florida (the "Board"), and Atwood Chiropractic Life Center (the
"Contractor" ) .
WHEREAS, a need exists in Monroe County Pretrial Services
Program 1:0 provide acupuncture treatment to its substance-abusing
clients in conjuction wi th implementing the Anti-Druq Abuse G.ranul
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#93-CJ-79-11-54-01-159; and 3 w-
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WHEREAS, the services to be procured are avai labi2~=rro~nlY:;
one source in the service area; and ~
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WHEREAS, the Contractor is the only certified, lrcensed_
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acupuncturist in Key West; -~ N
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NOW, THEREFORE, in consideration of the services~to be ~J
rendered by the Contractor to the County and to persons living in
Monroe County, it is agreed as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the
Contractor substantially and satisfactorily performing and
carrying out the duties and obligations of the Board as to
providingr acupuncture treatment to substance-abusing offenders in
Monroe County, Florida, shall pay to the Contractor the sum of
Nine Thou.sand, Seven Hundres Fi fty Dollars ($9, 750) for fi scal
year 1992-1993.
2. TERM. This Agreement shall commence upon execution and
terminate September 30, 1993, unless earlier -terminated pursuant
to other provisions herein.
3. PAYMENT. Payment will be paid monthly as hereinafter
set forth. On or before the 15th of each month, the Contractor
shall submit to the Monroe County Pretrail Services Program its
request for reimbursement. An itemized invoice properly dated,
describing the services rendered must be submitted in detail
sufficient for a proper preaudit and postaudit thereof, and all
other information as required by the County's Finance
Department. After the Clerk of the Board examines and approves
the monthly request for reimbursement, the Board shall reimburse
the Contractor. However, the total of said monthly payments in
the aggregate sum shall not exceed the total amount of $9,750
during the term of this agreement.
4. SCOPE OF SERVICES. The Contractor, for the
consideration named, covenants and agrees with the Board to
substantially and satisfactorily perform and carry out the duties
of the Board as outlined in the Anti-Drug Abuse subgrant award
agreement #93-CJ-79-11-54-01-059, entitled Monroe County Pretrial
.
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Services Substance Abuse Program, whic~ agreement is incorporated
herein by reference and attached hereto as Exhibit A.
5. RECORDS. The Contractor shall maintain appropriate
records to insure a proper accounting of all funds and
expenditures, and shall provide a clear financial audit trail to
allow for full accountability of funds recieved from said Board.
Access to these records shall be provided during weekdays, 8 a.m.
to 5 p.m., upon request of the Board, the state of Florida, or
authorized agents and representatives of the Board or state.
These records shall be retained for a minimum-of three years
subsequent to the termination date of this agreement.
The Contractor shall be responsible for repayment of any and
all audit exceptions which are identified by the Auditor General
of the state of Florida, the Clerk of Court for Monroe County, an
independent auditor, or their agents and representatives. In the
event of an audit exception, the current fiscal year contract
shall be offset by the amount of the audit exception.
6. INDEMNIFICATION AND HOLD HARMLESS. The Contractor
covenants and agrees to indemnify and hold harmless Monroe County
Board of County Commissioners from any and all claims which arise
out of, in connection with, or by reason of services rendered
under this agreement by the Contractor or any of its agents,
employees, officers, subcontractors, in any tier, occasioned by
the negligence or other wrongful act or omission of the
Contractor or its subcontractors in any tier, their employees or
agents. In the event the completion of services is delayed or
suspended as a result of Contractor's failure to purchase ~r
maintain required insurance, the Contractor shall indemnify. the
Board from any and all increased expenses resulting from such
delay. The first Ten Dollars ($10.00) of remuneration paid to
the Contractor is for the indemnification provided above. The
extent of liability is in no way limited to, reduced, or lessened
by the insurance requirements contained elsewhere within this
agreement. .
7. INDEPENDENT 'CONTRACTOR. At all times and for all
purposes hereunder, the Contractor is an independent contractor
and not an employee of the Board. No statement contained in this
agreement shall be construed so as to find the Contractor or any
of its employees, contractors, servants or agents ,to be employees
of the Board.
8. COMPLIANCE WITH LAW. In providing all services pursuant
to this agreement, the Contractor shall abide by all federal,
state and local statutes, ordinances, rules and regulations
pertaining to or regulating the provisions of, such services,
including those now in effect and hereinafter adopted and
including all those laws specified in Exhibit C (attached hereto
and incorporated herein by reference) which are applicable to
contractor. Any violation of said statutes, ordinances, rules or
regulations shall contitute a material breach of this agreement
and shall entitle the Board of terminate this contract
immediately upon delivery of written notice of termination to the
Contractor.
9. PROFESSIONAL RESPONSIBLILITY AND LICENSING. The
Contractor assures that all professionals have current and
,"
appropriate professional licenses andprofessional liability
insurance coverage. Funding by the Board is contingent upon
retention of appropriate local, state and/or federal
certification and/or licensure of the Contractor's program and
staff<. .
:':.1-':"';10.. INSURANCE. The Contractor shall obtain, prior to the
commencement of work governed by this agreement, at Contractor's
own --expense, that insurance specified in the Monroe County Risk
Management Manual Governing Insurance Requirements for
Coritractors Performing Work for Monroe Coufit~ETorIda,~- -;-,__n
incorporated in Attachment B. The Contractor shall provide
satisfactory evidence of the required insurance prior to the
execution of this contract via either Monroe County's certificate
of insurance or a certified copy of the actual insurance policy.-
The Contractor shall maintain the required insurance throughout
the entire term of this agreemeht. Failure to comply with this
provision may result in the immediate termination of
reimbursement.
The Board, at its sole option, has the right to request a
certified copy of any or all insurance policies required by this
agreemen1:.. If a certificate of insurance is provided, the
County-prepared form must be used. "Accord Forms" are not
acceptable.
All insurance policies must specify ~hat they are not
s66jectto cancellation, non~renewal,material change,' or
reduction in coverage unless a minimun of forty-five (45) days
prior not:ification is given to the Board by the insurer. The
standard language of "endeavor to provide notification" is
insufficient. The acceptance and/or approval of the Contractor's
insurance! shall not be construed as relieving the Contractor from
any liability or obligation assumend under this agreement or
.imposed blY law. -
Monroe County, Monroe County Board of County Commissioners,
its employees and officials shall be included as "additional
insureds"-on all policies, except for worker's compensation.
Any deviations from these general insurance requirements
must be requested in writing on the County-prepared form entitled
"Request for Waiver or Modification of Insurance Requirements"
and approved by Monroe County's Risk Manager.
11. MODIFICATIONS AND AMENDMENTS. Any and all modifications
of the services and/or reimbursement of services shall be amended
by an agreement amendment, which must be approved in writing by
the Board.
12. NO ASSIGNMENT. The Contractor shall not assign this
agreement except in writing and with the prior written approval
of the Board, which approval shall be subject to such conditions
and provisions as the Board may deem necessary. This agreement
shall be incorporated by reference into any assignment and any
assignee shall comply with all of the provisions herein. Unless
expressly provided for therin, such approval shall in no manner
or event be deemed to impose any obligation upon the Board in
addition to the toatl agreed upon reimbursement amount for the
services of the Contractor.
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13. NON-DISCRIMINATION. The Cont~actor shall not
discriminiate against any person on the basis of race, creed,
color, national origin, sex or sexual orientation, age, physical
handicap, or any other characteristic or aspect which is not
job-related in its recruiting, hiring, promotion, terminating or
any other area affecting employment under this agreement. At all
times, the Contractor shall comply with all applicable laws and
regulations with regard to employing the most qualified person(s)
for positions under this agreement. The Contractor shall not
discriminate against any person on thebasis--of race,creed,
color, national origin, sex or sexual orientation, age physical
handicap, financial status or any other characteristic or aspect
in its providing of services.
14. AUTHORIZED SIGNATORY. The signatory for the Contractor,
below, certifies and warrants that:
(a) The Contractor's name in this agreement is the full name
under which the Contractor is authorized to do business in the
State of Florida; and
(b) He or she is empowered to act and contract for the
Contractor.
15. NOTICE. Any notice required or permitted under this
agreement shall be in writing and hand-delivered or mailed,
postage pre-paid, by certified mail, return receipt requested, to
the other party as follows:
For Board:
Monroe County Grants Management
Public Service Building
5100 College Road
Stock Island, Florida 33040
For Contractor:
Atwood Chiropractic Life Center
1901 Fogarty Ave.
Key West, Florida 33040
16. CONSENT TO JURISDICTION. This agreement shall be
construed by and governed under the laws of the state of Florida
and venue for any action arising under this agreement shall be in
Monroe County, Florida.
17. NON-WAIVER. Any waiver of any breach of covenants
herein contained to be kept and performed by the Contractor shall
not be deemed or considered as a continuing waivet and shall not
operate to bar or prevent the Board from declairing a forfeiture
for any succeeding breach, either of the same ~onditions or
covenants or otherwise.
18. AVAILABILITY OF FUNDS. If funds cannot be obtained or
cannot be continued at a level sufficient to allow for continued
reimbursement of expenditures for services specified herein, this
agreement may be terminated immediatedly at the option of the
Board by written notice of termination delivered to the
Contractor. The Board shall not be obligated to pay for any
services or goods provided by the Contractor after the Contractor
has received written notice of termination, unless otherwise
required by law.
19. ENTIRE AGREEMENT. This agreement constitutes the entire
agreement of the parties hereto with respect to the subject
matter hereof and supersedes any and all prior agreements with
respect to such subject matter between the Contractor and the
Board.
IN WITNESS WHEREOF,' the parties hereto have caused this
instrument to be executed as of the day and year first written
above.
(Seal)
Attest: DANNY L. KOLHAGE, CLERK
By: ~-bd,C.~~
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Wi"tnesses
BOARD -OF COUNTY COMMISSIONERS 3J.~~/~3
OF MONR ~ OUNTY, FLORIDA
By:
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AIJPiKJVED t~~~~ TO ;,:r:F: !~.;~
AlVD LEGAL su.rFJCIr:{t;;'r.l:~
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EXHIBIT A
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state of Florida
Department of community Affairs
Division of Emergency Management
Bureau of Public Safety Management
2740 Centerview Drive
Tallahassee, Florida-----32399-2100
CERTIFICATION OF ACCEPTANCE OF SUBGRANT AWARD
The subgrantee, through its authorized representative,
acknowledges receipt and acceptance of subgrant award number
93-CJ-79-11-54-01-059 in the amount of $50,604, for a
project entitled:
Monroe County Pretrial services
substance Abuse Program
for the period of 10/01/92 through 09/30/93, in accordance with
the statement of work contained in the subgrant .application, and
subject to the Department of community Affairs' conditions of
agreement and special conditions governing this subgrant.
~"'.,"1I1 ~ ~ · ",,-~~.a--.~
(Signature of Authorized Off cial)
1I:fI-9::?
(Date f Acceptance)
C h {,f; r M&fll i :il;;1JI ~
(Typed Name and 1tle of Off1clal)
DCA-CJ Form 1 (June, 1985)
By
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C~~:J /0 --- -- CJ --- ZJ
(SEAL)
Attest:
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state of Florida
Department of Commuriity Affairs
Division of Emergency Management
Lawton Chiles
Governor
Bureau of Public Safety Management
2740 Centerview Drive
Tallahassee, Florida 32399-2100
/
Linda Loomis Shelley
Secretary
SUBGRANT AWARD CERTIFICATE
Subgrantee: Monroe County Board of Commissioners
Date of Award: 9/30/92
Grant Period: From: 10/01/92 To: 09/30/93
Project Title: Monroe County Pretrial Services
substance Abuse Program
Grant Number: 93-CJ-79-11-54-01-059
Federal Funds: $50,.604.00
BGMTF Funds:
state Agency Match:
Local Agency Match: $16,868.00
Total Project Cost: $67,472.00
Program Area: 013
Award is hereby made in the amount and for the period shown above of a grant
under Title I of the Omnibus Crime Control and Safe Streets Act of 1968,
P.L. 90-351, as amended, and the Anti-Drug Abuse Act of 1988, P.L. 100.690, to
the above ment.ioned subgrantee and subject to any attached standard or special
conditions.
This award is subject to all applicable rules, regulations, and conditions as
contained in the Financial and Administrative Guide for Grants, Guideline
Manual 7100.10, Office of Justice Programs, Common Rule for State and Local
Governments and A-87, or OMB Circulars A-110 and A-21, in their entirety. It
is also subject to such further rules, regulations and policies as may be
reasonably prescribed by the State or Federal Government consistent with the
purposes and authorization of P.L. 90-351, as amended, and P.L. 100.690.
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SUBGRANT AWARD CERTIFICATE (CONTINUED):
This grant shall become effective on the beginning date of the grant period,
provided that within 30 days from the date of award, a properly executed
certificate of Acceptance of Subgrant Award is returned to the department.
R G10ev'" 4. /1.1(CL/{
Authorized Off'icial
Robert G. Nave, Director
Division of Emergency Management
O '10 9
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Date
[X]This award is subject to special and/or standard conditions (attached).
BPSM Revised 7-1-79
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DCA CON'I'RACT NO.
93-CJ-79~11-54-01-059
STATE OF FLORIDA - DEPARTMENT OF COMMUNITY AFFAIRS
DIVISION OF EMERGENCY 'MANAGEMENT
BUREAU OF PUBLIC SAFETY'MANAGEMENT
SUBGRANT APPLICATION FOR FEDERAL ANTI-DRUG ABUSE ACT FUNDS
A~ NAMES & ADDRESSES
1.
CONTINUATION. YES X
NO
2 · PREVIOUS STATE PROJECT ID NUMBER--fIF- YES IN LABOVE).
92 CJ 63 11 54 01 130
- - - - -
- 1-
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LEAVE BLANK. COMPLETED BY BPSM STAFF. . -
.......
0.- -
-
3. UNIQUE ID. 90-076 -
4 . Monroe County Pretrial Services Substance JUN. 2 1992
NAME. Abuse Program
5. SUBGRANT RECIPIENT. BUREAU OF ~;;el '('
I SAFETY MAN ~Gi:~;; ;:,T
NAMfe~ Thomas W. Brown · r . _~. .
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TITLE Monroe County Adm1nistrator
ADDRESS Puhlic Ser~i~e Building, Win~ III Stock Island, Key West, FL
ZIP CODE 33040
AREJ\ CODE AND 'fELEPliONE NUMBER
AREA CODE AND FAX PIIONE NUMBER
(305 ) 294 / 4641
(305 ) 292 / 4401
6. CHIEF FINANCIAL OFFICER.
NAME: Danny Kolhage
. TITLE ~1 erk ~f the Court
ADDRESS 'iOO Whitehead Street. Key West! FL
ZIP CODE 11040
AREA CODE AND TELEPHONE NUMBER
AREA~ CODE AND FAX PliONE NUMBER
( --1Q5.. ) -2..2.9....1 464 1
(--1Q5..)~/ 1864
7. IMPLEMENTING AGENCY.
NAME There93 D. Westerfield
TI TLE ni rp~ tor.. Pre t ri al Services
ADDRESS 171 ~lemin~ Street. Second Floor, Key West, FL
ZIP CODE ---llQ40
AREA CODE AND TELEPIIONE NUM8EI~
AREA CODE AND FAX PI lONE NUMBER
( -1QL ) --1.2!!.1 7 288
(.2QL)--12l.1 3435
8. PROJECT DIRECTOR.
NAME. Th~r~~~ n WeHterfield
TITLE n1r(,t::t:nr. Pretrial, Services
ADDRESS 323 Flemin~ Street, Second Floor, Key West, FL
ZIP <:::ODE 33040
AREA CODE AND TELEPIJONE NUMBER
AREA CODE AND FAX PIIONE NUMBER
(~) 294 / 7288
(~)~/ 3435
. to
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B. ADMINISTRATIVE DATA
LEAVE BLANK. COMPLETED BY BPSM STAFF.
9 . POPULATION.
10. GOVERNMENT LEVEL.
11.' COUNTY. --
12. . PROJECT TITLE.
Monroe County Pretrial Services Substance Abuse Program
.r-
LEAVE BLANK. COMPLETED BY BPSM STAFF.
13. PROGRAM AREA.
14 . PROJECT TYPE.
15. AGENCY TYPE.
16. MULTI-JURISDICTIONAL.
17. AWARDED.
18. FOR PERIOD.
.
BEGINNING: (MONTH)~/(DAY)~/(YEAR)~
ENDING: (MONTH)~/(DAY)~/(YEAR)~
C. FISCAL DATA
19. REMIT WARRANT TO. Chief Financial Officer
20. VENDOR #.
596000749
21. SAMAS #.
22. AWARD.
TOTALS
FEDERAL MATCH TOTAL
$27,469.50 $ 9,156.50 $36,626.00
11,700.00 3,900.00 15,600.00
11,434.50 3,811.50 15.246.00
-0- -0- -0-
-0- -0- -0-
-0- -0- -0-
$50,604.00 $16,868.00 $67,472.00
SALARIES AND BENEFITS
CONTRACT SERVICES
EXPENSES
OPERATING CAPITAL
DATA PROCESSING
INDIRECT COSTS
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D. PROBLEM IDENTIFICATION AND PROPOSED SOLUTION
IN.A MAXIMUM OF TWO (2) TYPED PARAGRAPHS, BRIEFLY DESCRIBE A
SPECIFIC PROBLEM TO BE ADDRESSED WITH SUBGRANT FUNDS.. IF YOU
ARE SEEKING FUNDS TO CONTINUE EXISTING PROJECT ACTIVITIES,
DESCRIBE ANY GAPS BETWEEN CURRENT AND DESIRED PROJECT RESULTS.
IN A MAXIMUM OF TWO (2) TYPED PAGES, BRIEFLY-DESCRIBE HOW '..
PROJECT ACTIVITIES WILL ADDRESS THE TARGETED PROBLEM. DESCRIBE
WHO WILL DO WHAT, WHEN, WHERE AND HOW.
START BELOW AND USE CONTINUATION PAGES AS NECESSARY.
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Problem Identification
Through prior requests for Anti-Drug Abuse Funds for Monroe
County's Pretrial Services Substance Abuse Program, Monroe County
and the Pretrial Services Department (PTS) have developed and
implemented a program which allows PTS to more c~osely supervise
substance abuse offenders. Prior to the implementation of the
program, less than half of the drug-charged offenders released to
the supervision of PTS submitted to random urinalysis/drug testing
even though it was required under the conditions of their release.
This was largely due to the fact that these clients, most of whom
were indigent, had to be referred to either the Monroe County
Health Department or to private physicians for urinalysis, the cost
of which ran from $40 to $50 per test. Through the implementation
of the present Pretrial Substance Abuse program under the 1990-1991
grant funds and its continuation under 1991-1992 grant funds,
financial means have been available to provide frequent
urinalysis/drug testing free of charge to substance-abusing
defendants. In addition, the full-time Substance Abuse Counselor
added to the staff with grant funding provides assessment, case
management, substance abuse education, and supportive counseling to
these defendants. .
During the 1990-1991 grant period, 163 of 352 drug-charged
offenders screened were released to the supervision of the Pretrial
Substance Abuse program. Of the clients whose cases were closed in
1990-1991, 40% successfully completed the Pretrial Substance Abuse
program. Of those who failed, nine CS%) were terminated due to a
rearrest on a new charge while under the supervision of the program
compared to a 6% rearrest rate for cocaine-charged offenders in
1989. However, overall failure, e. g., failing to comply wi th
release conditions, is still significantly high. Program staff
attribute this partly to a lack of effective treatment resources in
the communi ty and the clients' inabili ty to. reduce cravings and
fear of withdrawal to the point where they are open to traditional
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D. PROBLEM IDENTIFICATION AND PROPOSED SOLUTION can't
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treatment strategies. Only through daily assistance in this
struggle can many clients begin a true rehabili tati ve process.
While the program is proud of its successes, the need for treatment
resources is readily apparent. Given the lack of intervention and
treatment resources for pretrial offenders in Monroe County, the
program is requesting to continue and expand services under the
auspices of Anti -Drug Abuse Funds as ci ted in Department of
Community Affairs Rule #9G-16.007(17) and #9G-16.007(13),
respectively, governing eligible purposes and programs.
Proposed Solution
Early identification, screening, assessment, drug
testing/urinalysis, case management, education and supportive
counseling of substance abusing criminal defendants are key
elements of the Pretrial Services Substance Abuse program. No
other component of the criminal justice system has as early access
to criminal defendants as does the Pretrial program which screens
every arrestee within twenty-four hours of arrest. However, until
the implementation of the Substance Abuse program made possible by
the 1990-1991 Anti-Drug Abuse grant award, Pretrial Services was
frustrated in its attempts to effectuate appropriate procedures
designed to intervene the sUbstance-abusing behavior of defendants
released to PTS supervision. By providing the services noted
above, the program has had some success in beginning the
rehabilitation process. Thus, the continuation of current
activities can insure intervention services where otherwise none
would exist.
Timely intervention is critical for interrupting substance abusing
behavior. Therefore, the program seeks to begin intervention
services within two to three days of a substance-abusing
defendant's release, if not on the release date itself. It should
be noted that intervention services are located in close proximity
to the Monroe County Jail (directly across the street) in the
Pretrial Services program offices for continuity in service
delivery.
The continuation of the current intervention component is critical
to the implementation of the proposed treatment component as well
as to the success of those offenders ineligible for or unwilling to
participate in the treatment component as it would be provided by
the Pretrial Substance Abuse program. Intake provided by the
current Substance Abuse Counselor will continue to assess the
individual needs of substance-abusing offenders including
alternative treatment services. Drug testing in the intervention
program will continue to impose controls on drug use by offenders,
thereby reducing the risks of pretrial misconduct posed by the
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D. PROBLEM IDENTIFICATION AND PROPOSED SOLUTION con't
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release of substance abusers.
(See Attachment A for overview and protocol of the current
intervention program proposed for continuation. The. Substance
Abuse Counselor's job description is appended at Attachment B.)
A key informant survey conducted by the Monroe County Substance
Abuse Policy Advisory Board in early 1992 concluded that more
outpatient treatment was the. second most effective way of
addressing the problem of alcohol/drug abuse in Monroe County
(prevention/education services was ranked number one). The
treatment program proposed herein is modeled after the nationally
acclaimed outpatient program offered to offenders in Metro-Dade,
Florida -- Diversion and Treatment Program.
The proposed program would encompass innovati ve interventions
followed by referral to traditional treatment modalities.
AssessmE~nt and evaluation techniques designed to identify offenders
who are most likely to benefit from acupuncture treatment would be
utilized. Daily acupuncture sessions haven proven to reduce
craving, enabling participants to better utilize conventional
interventions. Clients will receive an instructional session led
by the Substance Abuse Counselor concerning the role of acupuncture
in their treatment. The purpose of acupuncture is to ameliorate
treatment barriers, thereby enhancing the individual's
recepti veness to substance abuse treatment. A licensed
acupuncturist will be contracted with to administer the treatment
and acupuncture will not be used wi thout the client's consent;
however, all other. program components would be mandatory and
include urinalysis testing conducted by the Substance Abuse
Counselor and follow-up on referrals to treatment groups.
...
The continuation of the current intervention program as well as the
expansion to include a treatment component has the full support of
the 16th Judicial Circuit Court of Florida and of the Monroe County
Substance Abuse Advisory Council.
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E. PROGRAM OBJECTIVES AND PERFORMANCE MEASURES
'COMPLETE UNIFORM PROGRAM OBJECTIVES AND PERFORMANCE MEASURES
(FOUND IN APPENDIX VI) FOR THE FEDERALLY AUTHORIZED PROGRAM
AREA yOU WANT TO IMPLEMENT. YOUR APPLICATION IS NOT COMPLETE
WITHOUT THEM AND AN INCOMPLETE APPLICATION WILL NOT BE
CONSIDERED FOR SUBGRANT FUNDING.
START BELOW AND USE CONTINUATION PAGES AS NECESSARY.
IDENTIFY AND MEET TREATMENT NEEDS
Intervention Program
program Objective 13.2.1: To provide 255 offenders with intake and
screening services during the grant period.
Performance Measures:
Document the number of drug-charged offenders screened by PTS
staff for the purpose of determining the offender's
eligibility for the program. Staff will maintain a daily list
of all offenders screened with a notation of those charged
with dru9-related offenses. .
Document the number of staff~referred offenders who receive
intake services provided by the Substance Abuse Counselor for
the purpose of obtaining basic background information on the
client including a brief history and problem identification.
The Substance Abuse counselor will maintain data to reflect
the number of clients receiving intake services.
Program Objective 13.2.2: To provide 135 offenders with drug
screening/urinalysis tests during the grant period.
Performance Measures: .
Document the number of clients receiving drug testing as well
as the results of~the tests through the maintenance of a drug
teBtlng log by the Substance Abuse Counselor.
program Objective 13.2.3: To provide 0 offenders with diagnostic
services during the grant period.
Not applicable: Subgrant funds are not used to provide
diagnostic services.
Program Objective 13.2.4: To provide 100 offenders with
psychosocial assessments during the grant period.
Performance Measures:
Document the number of clients receiving assessments. The
Substance Abuse Counselor will maintain data to reflect the
number of clients who receive assessments.
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E. PROGRAM OBJECTIVES AND PERFORMANCE MEASU~ES con't
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Program Objective 13.2.5: To provide 100 offenders wi th case
management services during the grant period.
Performance Measures:
Document the number of clients receiving case management
services. The Substance Abuse Counselor will maintain data to
reflect the number of clients who receive case management
services.
Program Objective 13.2.6: To provide 85 offenders with short-term
supportive counseling during the grant period.
Performance Measures:
Document the number of clients receiving short-term supportive
counseling. The Substance Abuse Counselor will maintain data
to reflect the number of clients who receive short-term
supportive counseling.
Program Objective 13.2.7: To provide 170 offenders with court
liaison services during the grant period.
Performance Measures:
Document the number of clients. receiving court liaison
services. Given the nature of pretrial release and its
incumbent relationship with the courts, all program clients
will receive these services. The Substance Counselor will
maintain data on the nU~er of clients placed in the program.
Program Objective 13.2.8: To refer 80 offenders to nonresid~ntial
drug treatment programs during the grant period.
Performance Measures:
Document the number of clients receiving referrals to
nonresidential treatment programs. The Substance Abuse
Counselor will maintain data to reflect the number of clients
given nonresidential treatment referrals.. As well, the
Substance Abuse Counselor will follow-up to insure that the
client availed him/herself of the referral service and will
maintain data to reflect that outcome.
program Objective 13.2.9: To refer 10 offenders to residential
drug treatment programs during the grant period.
Performance Measures:
Document the number of clients receiving referrals to
residential treatment programs. The Substance Abuse Counselor
will maintain data to reflect the number of clients given
referrals to residential treatment. As:. well, the Substance
Abuse Counselor will follow-up to determine whether the client ~
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E. - PROGRAM OBJECTIVES AND PERFORMANCE MEASURES con't
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actually entered residential treatment and will maintain data
to reflect that outcome.
program Objecti~e 13.2.10: To provide 170 offenders with offender
tracking and reporting services during the grant period.
Performance Measures:
Document the number of clients tracked and reported. All
program clients will be tracked. The Substance Abuse
Counselor will maintain data on the number of clients placed .
in the program. Reports of client progress will be provided
to the court as requested and/or required by the program
protocol. Reports of client progress will also be provided to
referral and other related agencies, e.g., HRS, DOC, etc.,
within the confines of confidentiality provisione.
Program Objective 13.2.11: To estimate that 70 offenders will
successfully .complete this intervention program during the grant
period.
Performance Measures:
Document the number of clients who successfully complete the
program. The Pretrial Services Director and the Substance
Abuse Counselor will maintain data to reflect the number .of
successful and unsuccessful clients as well as -maintain
information as to the primary reason clients were'
unsuccessfully terminated from the program.
Nonresidential proqram
Program Objective 13.3.1: To provide 45 offenders with intake and
screening services during the grant period.
Performance Measures:
Document the number of drug-charged offenders Bcreened by PTS
staff for the purpose of determining the offenderls
eligibility for the program. Staff will maintain a daily list
of all offenders screened with a notation of those' charged
with drug-related Offenses.
Document the number of staff-referred offenders who receive
intake services provided by the substance Abuse Counselor for
the purpose of obtaining basic background information on the
client including a brief history and problem identification.
The Substance Abuse Counselor will maintain data to reflect
the number of clients receiving intake ~ervices.
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E. . PROGRAM OBJECTIVES AND PERFORMANCE MEASURES con't
Page 4
Program Objective 13.3.2: '1'0 provide 45 offenders with drug
screening/urinalysis tests during the grant period.
Performance Measures:
Document the number of clients receiving drug testing as well
as the results of the tests through the maintenance of a drug
testing log by the Substance Abuse Counselor.
Program Object1ve 13.3.3: To provide 0 offenders with diagnostic
serv~ces during the grant period.
Not applicable: Subgrant funds are not used to provide
diagnostic services.
Program Objective 13.3.4: To provide 45 offenders with
Psychosocial assessment during the grant period.
Performance Measures:
Document the number of client receiving assessments. The
Substance Abuse Counselor will maintain data to reflect the
number of clien~s who receive assessments.
Program Object1ve 13.3.5: To provide 45 offenders with case
management services during the grant period.
Performance Measures:
Document the number of clients receiving case management
services. The Substance Abuse Counselor will maintain data to
reflect the number of clients who receive case management
services.
Program Objective 13.3.6: To provide 45 offenders with treatment
services during the 9~ant period.
Performance Measures:
Develop individualized treatment plans for each client
including treatment goals and objectives and the type and
frequency of services needed by the client.
Document in the individualized treatment plan the need for
continuing care after discharge.
Document the number of clients receiving acupuncture by number
of units of service.
Program Objective 13.3.7: To provide 0 offenders with
rehabilitation eervices during the grant period.
Not applicable: Subgrant funds are not used to provide
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E. PROGRAM OBJECTIV~S AND PERFORMANCE MEASURES con't
Page 5
rehabilitation services.
Program Objective 13.3.8: To provide 45 offenders with offender
tracking and reporting services during the grant, period.
Pro9ram Measures:
Document the nu~ber of clients tracked and reported. All
program clients will be tracked. The Substance Abuse
Counselor will maintain data on the number of clients placed
in the program. Reports of client progress will be provided
to the court as requested and/or required by the program
protocol. Reports of client progress will also be provided to
referral and other related agencies, e. 9., HRS, DOC, ate.
within the confines of confidentiality provisions.
Program Objective 13.3.9: TO estimate that 30 offenders will
successfully complete this nonresidential program during the grant
period.
Program Measures:
Document the number of clients who successfully complete the
program. The Pretrial Services Director and the Substance
Abuse Counselor will maintain data to reflect the number of
succ~ssful and unsuccessful clients as well as maintain
information as to the primary reason client5 were
unsuccessfully terminated from the program.
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F. PROJECT BUDGET SCHEDULE
THE PROJECT BUDGET SCHEDULE INCLUDES SIX BUDGET CATEGORIES
(SALARIES AND BENEFITS, CONTRACTUAL SERVICES, EXPENSES,
OPERATING CAPITAL OUTLAY (OCO), DATA PROCESSING SERVICES,
INDIRECT COSTS) AND TOTAL PROJECT COSTS.
TYPE OR PRINT DOLLAR AMOUNTS ONLY IN APPLICABLE CATEGORIES AND
LEAVE OTHERS BLANK.
BUDGET CATEGORY I FEDERAL I PROJECT I BUDGET CATEGORY
SUPPORT MATCH TOTALS
~
1. SALARIES
AND $27,469.50 $ 9,156.50 $36,626.00
BENEFITS
2. CONTRACTUAL' , I
SERVICES 11,700.00 3,900.00 15,600.00
3. EXPENSES I 11,434.50 I 3,811.50 I 15,246.00
4. OPERATING
CAPITAL -0- -0- -0-
o OUTLAY
5. DAT.A
PROCESSING -0- -0- -0-
SERVICES
6. INDIRECT ," I I
COSTS -0- -0- -0-
7. TOTAL I
PROJECT $50,604.00 $16,868.00 $67,472.00
COSTS
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PROJECT BUDGET NARRATIVE
. YOU MUST DESCRIBE LINE ITEMS FOR EACH APPLICABLE BUDGET
CATEGORY THAT YOU ARE REQUESTING SUBGRANT FUNDING. PROVIDE
SUFFICIENT DETAIL TO SHOW COST RELATIONSHIPS TO PROJECT
ACTIVITIES. IN ADDITION, DESCRIBE SOURCES OF MATCHING FUNDS.
START BELOW AND USE CONTINUATION PAGES' AS NECESSARY.
Salaries and Benefits
This category reflects a cost of $26,000 for the salary to support
one full-time Substance Abuse Counselor. Also included are
benefits (FICA, retirement and health insurance) at $10,626 for the
position.
Contract Services
Acupuncture services to be contracted for with a licensed
acupuncturist are reflected in this category. These services were
calculated based on an hourly rate -- services to be rendered one
hour a day, five days a week at approximately $60 per hour.
Expenses
Items in this category include: Travel at $800 to include out-
of-county travel for the Substance Abuse Counselor to attend
training conferences, seminars, etc.
Costs associated with telephone services at approximately $420 to
include monthly service charges and long distance service.
printi?g forms, business cards, notices, etc. at $500.
Consumable office supplies and postage at $500.
Subscriptions to professional publications regarding substance
, abuse and memberships to professional pretrial and substance abuse
. organizations at $200.
..
Educational materials for clients such as workbooks, videotapes,
informational brochures and pamphlets, etc. at $1000.
Medical supplies including drug tests, gloves, specimen cups,
acupuncture needles, alcohol wipes, needle dispensers, etc. as well
as lab services for confirmation of questionable positive test
r~sults at $11,626.
Client transportation to services such as detox at $200.
Matching funds for this project will be provided by Monroe County
Board of County Commissioners, Subgrantee, from the Board of County
Commissioners Contingency Funds.
. . .
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H · ACCEPTANCE AND AGREEMENT
ALL PERSONS INVOLVED IN OR HAVING ADMINISTRATIVE RESPONSIBILITY
'FOR THE SUBGRANT MUST READ THESE "ACCEPTANCE AND AGREEMENT"
CONDITIONS. THE "ACCEPTANCE AND AGREEMENT" (SECTION I) MUST BE
RETURNED AS PART OF THE COMPLETED APPLICATION.
NOTE CONDITION NO. 13: ONLY PROJECT COSTS INCURRED ON OR AFTER
THE EFFECTIVE DATE OF THIS AGREEMENT AND ON OR PRIOR TO THE
TERMINATION DATE OF A RECIPIENT'S PROJECT ARE ELIGIBLE FOR
REIMBURSEMENT.
CONDITIONS OF AGREEMENT. UPON APPROVAL OF THIS SUBGRANT, THE .
APPROVED APPLICATION AND THE FOLLOWING TERMS OF CONDITIONS WILL
BECOME BINDING. NON-COMPLIANCE WILL RESULT IN PROJECT COSTS 'r
BEING DISALLOWED.
THE TERM "DEPARTMENT", UNLESS OTHERWISE STATED, REFERS TO THE
DEPARTMENT OF COMMUNITY AFFAIRS. THE TERM "DIVISION", UNLESS
OTHERWISE STATED, REFERS TO THE DIVISION OF EMERGENCY
MANAGEMENT. THE TERM "BUREAU", UNLESS OTHERWISE STATED, REFERS
TO THE BUREAU OF PUBLIC SAFETY MANAGEMENT.
THE TERM SUBGRANT "RECIPIENT" REFERS TO THE GOVERNING BODY OF A
CITY OR A COUNTY OR AN INDIAN TRIBE WHICH PERFORMS CRIMINAL
JUSTICE FUNCTIONS AS DETERMINED BY THE U.S. SECRETARY OF THE
INTERIOR, AND INCLUDES AN IMPLEMENTING AGENCY WHICH IS A
SUBORDINATE AGENey OF A CITY, COUNTY OR INDIAN TRIBE, OR AN
AGENCY UNDER THE DIRECTION OF AN ELECTED OFFICIAL (FOR EXAMPLE,
SHERIFF OR CLERK OF THE COURT).
1 . REPORTS
~HE RECIPIENT SHALL SUBMIT DEPARTMENT QUARTERLY PROJECT
PERFORMANCE REPORTS TO THE BUREAU BY FEBRUARY 1, MAY 1,
AUGUST 1, AND NOVEMBER 1 COVERING SUBGRANT ACTIVITIES DURING
THE PREVIOUS QUARTER.
THE RECIPIENT SHALL SUBMIT AN ANNUAL PROJECT PERFORMANCE
REPORT, FOR EACH TWELVE (12) MONTH PERIOD OF PROJECT
ACTIVITIES. THIS REPORT SHALL BE SUBMITTED TO THE BUREAU
WITHIN THIRTY (30) DAYS AFTER THE END OF THE ORIGINAL
TWELVE (12) MONTH PERIOD.
IN ADDITION, IF THE SUBGRANT AWARD PERIOD IS EXTENDED BEYOND
TWELVE (12) MONTHS, ADDITIONAL QUARTERLY PROJECT PERFORMANCE
REPORTS SHALL BE SUBMITTED AS WELL AS A FINAL PROJECT
PERFORMANCE REPORT. THE LATTER REPORT SHALL COVER THE
ENTIRE TIME FRAME OF PROJECT ACTIVITIES AND IS DUE WITHIN
THIRTY (30) DAYS AFTER THE END OF THE EXTENDED PERIOD.
THE RECIPIENT SHALL SUBMIT MONTHLY FINANCIAL CLAIM REPORTS
[DCA-NA 3 (A-G, REVISED JANUARY 1991)] TO THE BUREAU. A
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FINAL FINANCIAL CLAIM REPORT AND A CRIMINAL JUSTICE CONTRACT
(FINANCIAL) CLOSEOUT PACKAGE SHALL BE SUBMITTED TO THE
BUREAU WITHIN FORTY-FIVE (45) DAYS OF THE SUBGRANT
TERMINATION PERIOD. SUCH CLAIM SHALL BE DISTINCTLY
'IDENTIFIED AS "FINAL". FAILURE TO COMPLY SHALL RESULT IN
FORFEITURE OF REIMBURSEMENT.
THE RECIPIENT SHALL SUBMIT OTHER REPORTS AS MAY BE
REASONABLY REQUIRED BY THE BUREAU. ALL REQUIRED REPORTS,
INSTRUCTIONS, AND FORMS SHALL BE DISTRIBUTED WITH THE
SUBGRANT AWARD.
2. FISCAL CONTROL AND FUND ACCOUNTING PROCEDURES
THE RECIPIENT SHALL ESTABLISH FISCAL CONTROL AND FUND
ACCOUNTING PROCEDURES THAT- ASSURE PROPER DISBURSEMENT AND
ACCOUNTING OF SUBGRANT FUNDS AND REQUIRED NON-FEDERAL
EXPENDITURES. ALL FUNDS. SPENT ON THIS PROJECT SHALL BE
DISBURSED ACCORDING TO PROVISIONS OF THE PROJECT BUDGET AS
APPROVED BY THE BUREAU.
ALL EXPENDITURES AND COST ACCOUNTING OF FUNDS SHALL CONFORM
TO OFFICE OF JUSTICE PROGRAMS FINANCIAL AND ADMINISTRATIVE
GUIDE FOR GRANTS (GUIDELINE MANUAL 7100.1D, U.S. DEPARTMENT
OF JUSTICE COMMON RULE FOR STATE AND LOCAL GOVERNMENTS, AND'
IN FEDERAL OFFICE OF MANAGEMENT AND BUDGET CIRCULARS A-87,
A-lID AND A-21, IN THEIR ENTIRETY).
ALL FUNDS NOT SPENT ACCORDING TO THIS AGREEMENT SHALL BE
SUBJECT TO REPAYMENT BY THE RECIPIENT.
3. COMPLIANCE WITH "CONSULTANT'Su COMPETITIVE NEGOTIATION ACT"
THE RECIPIENT, WHEN APPLICABLE, AGREES TO SATISFY ALL
R~QUIREMENTS PROVIDED IN SECTION 287.055, FLORIDA STATUTES,
KNOWN AS THE IICONSULTANT'S COMPETITIVE NEGOTIATION ACT".
4. APPROVAL OF CONSULTANT CONTRACTS
THE DEPARTMENT SHALL REVIEW AND APPROVE IN WRITING ALL
CONSULTANT CONTRACTS PRIOR TO EMPLOYMENT OF .A CONSULTANT.
APPROVAL SHALL BE BASED UPON THE CONTRACT'S COMPLIANCE WITH
REQUIREMENTS FOUND IN THE OFFICE OF JUSTICE PROGRAMS'
fINANCIAL AND ADMINISTRATIVE GUIDE FOR GRANTS (GUIDELINE
MANUAL 7100.1D) AND APPLICABLE STATE STATUTES. THE
DEPARTMENT'S APPROVAL OF THE RECIPIENT AGREEMENT DOES NOT
CONSTITUTE APPROVAL OF CONSULTANT CONTRACTS.
5. ALLOWABLE COSTS
ALLOWANCE FOR COSTS INCURRED UNDER THE SUBGRANT SHALL BE
DETERMINED ACCORDING TO "GENERAL PRINCIPLES- OF ALLOWABILITY
AND STANDARDS FOR SELECTED COST ITEMS" SET FORTH IN THE
OFFICE OF JUSTICE PROGRAMS' FINANCIAL AND ADMINISTRATIVE
.
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GUIDE FOR GRANTS (GUIDELINE MANUAL 7100.ID), U.S. DEPARTMENT
OF JUSTICE'S COMMON RULE FOR STATE AND LOCAL GOVERNMENTS,
OFFICE OF MANAGEMENT AND BUDGET'S CIRCULAR NO. A-a7, "COST
PRINCIPLES APPLICABLE TO GRANTS AND CONTRACTS WITH STATE AND
LOCAL GOVERNMENTS", OR OFFICE OF MANAGEMENT AND BUDGET'S
CIRCULAR NO. 21, "COST PRINCIPLES FOR EDUCATIONAL
INSTITUTIONS".
ALL PROCEDURES EMPLOYED IN THE USE OF FEDERAL FUNDS TO
PROCURE SERVICES, SUPPLIES OR EQUIPMENT, SHALL BE ACCORDING
TO U.S. DEPARTMENT OF JUSTICE' COMMON RULE FOR STATE AND
LOCAL GOVERNMENTS, OR ATTACHMENT "0" OF OMB CIRCULAR
NO. A-110 AND FLORIDA LAW TO BE ELIGIBLE FOR REIMBURSEMENT.
6.
TRAVEL
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ALL TRAVEL REIMBURSEMENT FOR OUT-OF-STATE OR OUT-OF-GRANT
SPECIFIED-WORK-AREA SHALL BE BASED UPON WRITTEN APPROVAL OF
THE DEPARTMENT PRIOR TO COMMENCEMENT OF ACTUAL TRAVEL.
THE COST OF ALL TRAVEL SHALL BE REIMBURSED ACCORDING TO
LOCAL REGULATIONS, BUT NOT IN EXCESS OF PROVISIONS IN
SECTION 112.061, FLORIDA STATUTES.
ALL BILLS FOR ANY TRAVEL EXPENSES SHALL BE SUBMITTED
ACCORDING TO PROVISIONS IN SECTION 112.061, FLORIDA .
STATUTES.
7. WRITTEN APPROVAL OF CHANGES IN THIS APPROVED AGREEMENT
RECIPIENTS SHALL OBTAIN APPROVAL FROM THE DEPARTMENT FOR
MAJOR CHANGES. THESE INCLUDE, BUT ARE NOT LIMITED TO:
A.CHANGES IN.PROJECT ACTIVITIES, DESIGNS OR RESEARCH
PLANS SET FORTH IN THIS APPROVED AGREEMENT;
B. BUDGET DEVIArIONS THAT DO NOT MEET THE FOLLOWING
CRITERION. THAT IS, A RECIPIENT MAY TRANSFER FUNDS
BETWEEN BUDGET CATEGORIES AS LONG AS THE TOTAL AMOUNT
OF TRANSFER (INCREASE OR DECREASE) DOES. NOT EXCEED
TEN (10) PERCENT OF THE TOTAL APPROVED BUDGET CATEGORY
AND THE TRANSFER IS MADE. TO AN APPROVED BUDGET LINE
ITEM; OR,
C. TRANSFERS OF FUNDS ABOVE THE TEN (IO) PERCENT CAP SHALL
BE MADE ONLY IF A REVISED BUDGET IS APPROVED BY THE
DEPARTMENT.
. D. UNDER NO CIRCUMSTANCES CAN TRANSFERS OF FUNDS INCREASE
THE TOTAL BUDGETED AWARD. TRANSFERS DO NOT ALLOW FOR
INCREASING THE QUANTITATIVE NUMBER OF ITEMS DOCUMENTED
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IN ANY APPROVED BUDGET LINE ITEM. FOR EXAMPLE,
EQUIPMENT ITEMS IN .THE OPERATING CAPITAL OUTLAY OR
EXPENSE CATEGORIES OR STAFF POSITIONS IN THE SALARIES
AND BENEFITS'CATEGORY.
8. REIMBURSEMENT SUBJECT TO AVAILABLE FUNDS
THE OBLIGATION OF THE STATE OF FLORIDA TO REIMBURSE
RECIPIENTS FOR INCURRED COSTS IS SUBJECT TO AVAILABLE
FEDERAL ANTI-DRUG ABUSE ACT FUNDS.
9. ADVANCE FUNDING
ADVANCE FUNDING IS AUTHORIZED UP TO TWENTY-FIVE (25) PERCENT.
OF THE FEDERAL AWARD FOR EACH PROJECT ACCORDING TO
SECTION 216.181(12)(B), FLORIDA STATUTES (1991); THE OFFICE
OF JUSTICE PROGRAMS' FINANCIAL AND ADMINISTRATIVE GUIDE FOR
GRANTS (GUIDELINE MANUAL 7100.1D); AND, U.S. DEPARTMENT OF
JUSTICE'S COMMON RULE FOR STATE AND LOCAL GOVERNMENTS.
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ADVANCE FUNDING SHALL BE PROVIDED TO A RECIPIENT UPON A
WRITTEN REQUEST TO THE DEPARTMENT JUSTIFYING THE NEED FOR
SUCH FUNDS. THIS REQUEST INCLUDING THE JUSTIFICATION SHALL
BE ENCLOSED WITH THE GRANT APPLICATION.
10.. COMMENCEMENT OF PROJECT
IF A PROJECT HAS NOT BEGUN WITHIN SIXTY (60) DAYS AFTER
ACCEPTANCE OF THE SUBGRANT AWARD, THE RECIPIENT SHALL SEND A
LETTER TO THE BUREAU INDICATING STEPS TO INITIATE THE
PROJECT, REASONS FOR DELAY AND REQUEST AN EXPECTED PROJECT
STARTING DATE.
IF A PROJECT HAS NOT BEGUN WITHIN NINETY (90) DAYS AFTER
ACCEPTANCE OF THE SUBGRANT AWARD, THE RECIPIENT SHALL SEND
ANOTHER LETTER TO THE BUREAU, AGAIN EXPLAINING REASONS FOR
DELAY AND REQUEST ANOTHER REVISED PROJECT STARTING DATE.
UPON RECEIPT OF THE NINETY (90) DAY LETTER, THE DEPARTMENT
SHALL DETERMINE IF THE REASON FOR DELAY IS JUSTIFIED OR
SHALL, AT ITS DISCRETION, UNILATERALLY TERMINATE THIS
AGREEMENT AND REOBLIGATE SUBGRANT FUNDS TO OTHER DEPARTMENT
APPROVED PROJECTS. THE DEPARTMENT, WHERE WARRANTED BY
EXTENUATING CIRCUMSTANCES, MAY EXTEND THE STARTING DATE OF
THE PROJECT PAST THE NINETY (90) DAY PERIOD, BUT ONLY BY
FORMAL WRITTEN AMENDMENT TO THIS AGREEMENT.
11. EXTENSION OF A CONTRACT FOR CONTRACTUAL SERVICES
EXTENSION OF A CONTRACT FOR CONTRACTUAL SERVICES BET\vEEN THE
RECIPIENT AND A CONTRACTOR (WHICH INCLUDES ALL PROJECT
BUDGET CATEGORIES) SHALL BE IN WRITING FOR A PERIOD NOT TO
EXCEED SIX (6) MONTHS' AND IS SUBJECT TO THE SAME TERMS AND
CONDITIONS SET FORTH IN THE INITIAL CONTRACT. ONLY ONE
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EXTENSION OF THE CONTRACT SHALL BE ACCEPTABLE, UNLESS
FAILURE TO COMPLETE THE CONTRACT IS DUE TO EVENTS BEYOND THE
CONTROL OF THE CONTRACTOR.
12. EXCUSABLE DELAYS
EXCEPT WITH RESPECT TO DEFAULTS OF CONSULTANTS, THE
RECIPIENT SHALL NOT BE IN DEFAULT BY REASON OF ANY FAILURE
IN PERFORMANCE OF THIS AGREEMENT ACCORDING TO ITS TERMS
(INCLUDING ANY FAILURE BY THE RECIPIENT TO MAKE PROGRESS IN
THE EXECUTION OF WORK HEREUNDER WHICH ENDANGERS SUCH
PERFORMANCE) IF SUCH FAILURE ARISES OUT OF CAUSES BEYOND THE
CONTROL AND WITHOUT THE FAULT OR NEGLIGENCE OF THE
RECIPIENT. SUCH CAUSES INCLUDE BUT ARE NOT LIMITED TO ACTS .
OF GOD OR OF THE PUBLIC ENEMY, ACTS OF THE GOVERNMENT IN '~
EITHER ITS SOVEREIGN OR CONTRACTUAL CAPACITY, FIRES, FLOODS,
EPIDEMICS, QUARANTINE RESTRICTIONS, STRIKES, FREIGHT
EMBARGOES, AND UNUSUALLY SEVERE WEATHER, BUT IN EVERY CASE
THE FAILURE TO PERFORM SHALL BE BEYOND THE CONTROL AND
WITHOUT THE FAULT OR NEGLIGENCE OF THE RECIPIENT.
IF FAILURE TO PERFORM IS CAUSED BY FAILURE OF A CONSULTANT
TO PERFORM OR MAKE PROGRESS, AND IF SUCH FAILURE ARISES OUT
OF CAUSES BEYOND .THE CONTROL OF RECIPIENT AND CONSULTANT,
AND WITHOUT FAULT OR NEGLIGENCE OF EITHER OF THEM, THE
RECIPIENT SHALL NOT BE DEEMED IN DEFAULT, UNLESS:
A. SUPPLIES OR SERVICES TO BE FURNISHED BY THE CONSULTANT
WERE OBTAINABLE FROM OTHER SOURCES,
B. THE DEPARTMENT ORDERED THE RECIPIENT IN WRITING TO
PROCURE SUCH SUPPLIES OR SERVICES FROM OTHER SOURCES,
AND
C~ THE RECIPIENT FAILED TO REASONABLY COMPLY WITH SUCH
ORDER.
UPON REQUEST OF THE RECIPIENT, THE DEPARTMENT SHALL
ASCERTAIN THE FACTS AND THE EXTENT OF SUCH FAILURE, AND IF
THE DEPARTMENT DETERMINES THAT ANY FAILURE TO PERFORM WAS
OCCASIONED BY ONE OR MORE SAID CAUSES, THE DELIVERY SCHEDULE
SHALL BE REVISED ACCORDINGLY.
13. OBLIGATION OF RECIPIENT FUNDS
RECIPIENT FUNDS SHALL NOT UNDER ANY CIRCUMSTANCES BE
OBLIGATED PRIOR TO THE EFFECTIVE DATE OR SUBSEQUENT TO THE
TERMINATION DATE OF THE GRANT PERIOD. ONLY PROJECT COSTS
. INCURRED ON OR AFTER THE EFFECTIVE DATE AND ON OR PRIOR TO
THE TERMINATION DATE OF THE RECIPIENT'S PROJECT ARE ELIGIBLE
FOR REIMBURSEMENT. A COST IS INCURRED WHEN THE RECIPIENT'S
EMPLOYEE OR CONSULTANT PERFORMS REQUIRED ~ERVICES, OR WHEN
THE RECIPIENT RECEIVES GOODS, NOTWITHSTANDING THE DATE OF
ORDERfi
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14. PERFORMANCE OF AGREEMENT PROVISIONS
IN THE EVENT OF DEFAULT, NON-COMPLIANCE OR VIOLATION OF ANY
PROVISION OF THIS AGREEMENT BY THE RECIPIENT, THE
RECIPIENT'S CONSULTANTS AND SUPPLIERS, OR BOTH, THE
DEPARTMENT SHALL IMPOSE SANCTIONS IT DEEMS APPROPRIATE
INCLUDING WITHHOLDING PAYMENTS AND CANCELLATION, TERMINATION
OR SUSPENSION OF THE AGREEMENT IN WHOLE OR IN PART. IN SUCH
EVENT, THE DEPARTMENT SHALL NOTIFY THE RECIPIENT OF ITS
DECISION THIRTY (30) DAYS IN ADVANCE OF THE EFFECTIVE DATE
OF SUCH SANCTION. THE RECIPIENT SHALL BE PAID ONLY FOR
THOSE SERVICES SATISFACTORILY PERFORMED PRIOR TO THE
EFFECTIVE DATE OF SUCH SANCTION.
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15. ACCESS TO RECORDS
THE DEPARTMENT OF COMMUNITY AFFAIRS; THE U.S. DEPARTMENT OF
JUSTICE, OFFICE OF JUSTICE PROGRAMS, BUREAU OF JUSTICE
ASSISTANCE; AND, THE AUDITOR GENERAL OF THE STATE OF
FLORIDA, OR ANY OF THEIR DULY AUTHORIZED REPRESENTATIVES,
SHALL HAVE ACCESS TO BOOKS, DOCUMENTS, PAPERS AND RECORDS OF
THE RECIPIENT, IMPLEMENTING AGENCY AND CONTRACTORS FOR THE
PURPOSE OF AUDIT AND EXAMINATION ACCORDING TO OFFICE OF
JUSTICE PROGRAMS' FINANCIAL AND ADMINISTRATIVE GUIDE FOR
GRANTS (GUIDELINE MANUAL 7100.1D).
THE DEPARTMENT RESERVES THE RIGHT TO UNILATERALLY TERMINATE
THIS AGREEMENT IF THE RECIPIENT, IMPLEMENTING AGENCY OR
CONTRACTOR REFUSES TO ALLOW PUBLIC ACCESS TO ALL DOCUMENTS,
PAPERS, LETTERS, OR OTHER MATERIALS SUBJECT TO PROVISIONS OF
CHAPTER 119) FLORIDA STATUTES, AND MADE OR RECEIVED BY THE
RECIPIENT OR ITS CONTRACTOR IN CONJUNCTION WITH THIS
AGREEMENT.
16. AUDIT
A. THE RECIPIENT SHALL PROVIDE TO THE DEPARTMENT ONE COpy
OF AN ANNUAL AUDIT CONDUCTED IN COMPLIANCE WITH THE
SINGLE AUDIT ACT OF 1984, P.L. 98-502.. THE AUDIT SHALL
BE PERFORMED IN ACCORDANCE WITH OMB CIRCULAR 1-128 AND
OTHER APPLICABLE FEDERAL LAW. THE CONTRACT FOR THIS
AGREEMENT SHALL BE IDENTIFIED WITH THE SUBJECT AUDIT IN
THE SCHEDULE OF FEDERAL FINANCIAL ASSISTANCE. THE
CONTRACT SHALL BE IDENTIFIED AS FEDERAL FUNDS PASSED-
THROUGH THE FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS AND
INCLUDE THE CONTRACT NUMBER, CFDA NUMBER, AWARD AMOUNT,
CONTRACT PERIOD, FUNDS RECEIVED AND DISBURSED.
B. A COMPLETE AUDIT REPORT WHICH COVERS ANY PORTION OF THE
EFFECTIVE DATES OF THIS AGREEMENT MUST BE SUBMITTED
WITHIN 30 DAYS AFTER ITS COMPLETION, BUT NO LATER THAN
SEVEN MONTHS AFTER THE AUDIT PERIOD. IN ORDER TO BE
COMPLETE, THE SUBMITTED REPORT SHALL INCLUDE ANY
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MANAGEMENT LETTERS ISSUED SEPARATELY AND MANAGEMENT'S
WRITTEN RESPONSE TO ALL FINDINGS, BOTH AUDIT REPORT AND
MANAGEMENT LETTER FINDINGS. INCOMPLETE AUDIT REPORTS
WILL NOT BE ACCEPTED BY THE DEPARTMENT AND WILL BE
RETURNED TO THE RECIPIENT.
C. THE RECIPIENT SHALL HAVE ALL AUDITS COMPLETED BY AN
INDEPENDENT PUBLIC ACCOUNT (IPA). THE IPA SHALL BE
EITHER A CERTIFIED PUBLIC ACCOUNTANT OR A LICENSED
PUBLIC ACCOUNTANT. .
D.
THE RECIPIENT SHALL TAKE APPROPRIATE CORRECTIVE ACTION
WITHIN SIX MONTHS OF THE ISSUE DATE OF THE AUDIT REPORT
IN INSTANCES OF NONCOMPLIANCE WITH FEDERAL LAWS AND
REGULATIONS.
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E. THE RECIPIENT SHALL ENSURE THAT AUDIT WORKING PAPERS
ARE MADE AVAILABLE TO THE DEPARTMENT, OR ITS DESIGNEE,
UPON REQUEST FOR A" PERIOD OF FIVE YEARS FROM THE DATE
THE AUDIT REPORT IS ISSUED, UNLESS EXTENDED IN WRITING
BY THE DEPARTMENT.
F. IF THIS AGREEMENT IS CLOSED OUT WITHOUT AN AUDIT, THE
DEPARTMENT RESERVES THE RIGHT TO RECOVER ANY DISALLOWED
COSTS IDENTIFIED IN AN AUDIT COMPLETED AFTER SUCH
CLOSEOUT.
G. THE COMPLETED AUDIT REPORTS SHOULD BE SENT TO THE
FOLLOWING ADDRESS:
DEPARTMENT OF COMMUNITY AFFAIRS
OFFICE OF AUDIT SERVICES
2740 CENTERVIEW DRIVE
THE RHYNE BUILDING
TALLAHASSEE, FLORIDA 32399-2100
17. PROCEDURES FOR CLAIM REIMBURSEMENT
ALL CLAIMS FOR REIMBURSEMENT OF RECIPIENT COSTS SHALL BE
SUBMITTED ON DCA NA FORM 3 (A-G, REVISED 1991) PRESCRIBED
AND PROVIDED BY THE BUREAU. A RECIPIENT SHALL SUBMIT CLAIMS
MONTHLY IN ORDER TO REPORT CURRENT PROJECT COSTS.
ALL CLAIMS REQUESTING REIMBURSEMENT FOR OPERATING CAPITAL
OUTLAY (OCO) ITEMS HAVING A UNIT COST OF $5,000 OR MORE AND
A USEFUL LIFE OF ONE (1) YEAR OR MORE SHALL BE ACCOMPANIED
BY A COMPLETED NON-EXPENDABLE PROPERTY FORM SIGNED BY THE
RECIPIENT'S PROPERTY CUSTODIAN. IF LOCAL ACCOUNTING
PROCEDURES REQUIRE OCO REPORTING AT A LESSER AMOUNT THAN
$5,000, LOCAL REQUIREMENTS SHALL BE ADHERED TO.
ALL CLAIMS FOR REIMBURSEMENT SHALL BE SUBMITTED IN
SUFFICIENT DETAIL FOR. PROPER PRE-AUDIT AND POST-AUDIT.
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ALL BILLS FOR FEES OR OTHER COMPENSATION FOR SERVICES OR
EXPENSES SHALL BE SUBMITTED IN DETAIL SUFFICIENT FOR A
PROPER PRE-AUDIT AND POST-AUDIT THEREOF.
18. RETENTION OF RECORDS
THE RECIPIENT SHALL MAINTAIN ALL RECORDS AND DOCUMENTS FOR A
MINIMUM OF THREE (3) YEARS FROM THE DATE OF THE FINAL
FINANCIAL STATEMENT AND BE AVAILABLE FOR AUDIT AND PUBLIC
DISCLOSURE UPON REQUEST OF DULY AUTHORIZED PERSONS.
19. OWNERSHIP OF DATA AND CREATIVE MATERIAL
OWNERSHIP OF MATERIAL, DISCOVERIES, INVENTIONS, AND RESULTS .
DEVELOPED, PRODUCED, OR DISCOVERED SUBORDINATE TO THIS ,. ~
AGREEMENT IS GOVERNED BY THE TERMS OF THE U.S. DEPARTMENT OF
JUSTICE'S COMMON RULE FOR STATE AND LOCAL GOVERNMENTS OR
OFFICE. OF MANAGEMENT AND BUDGET'S (OMB) CIRCULAR A-lID,
ATTACHMENT N, PARAGRAPH EIGHT (8).
20. PROPERTY ACCOUNTABILITY
THE RECIPIENT AGREES TO USE ALL NON-EXPENDABLE PROPERTY FOR
CRIMINAL JUSTICE PURPOSES DURING ITS USEFUL LIFE OR REQUEST
DEPARTMENT DISPOSITION.
THE RECIPIENT SHALL ESTABLISH AND ADMINISTER A SYSTEM TO
PROTECT, PRESERVE, USE, MAINTAIN AND DISPOSE OF ANY PROPERTY
FURNISHED TO IT BY THE DEPARTMENT OR PURCHASED PURSUANT TO
THIS AGREEMENT ACCORDING TO FEDERAL PROPERTY MANAGEMENT
STANDARDS SET FORTH IN U.S. DEPARTMENT OF JUSTICE'S COMMON
RULE FOR STATE AND LOCAL GOVERNMENTS OR OMB CIRCULAR A-lIO,
ATTACHMENT N. THIS OBLIGATION. CONTINUES AS LONG AS THE
RECIPIENT RETAINS THE PROPERTY, NOTWITHSTANDING EXPIRATION
OF THIS AGREEMENT.
21. DISPUTES AND APPEALS
THE DEPARTMENT SHALL MAKE ITS DECISION IN WRITING WHEN
RESPONDING TO ANY DISPUTES, DISAGREEMENTS OR. QUESTIONS OF
FACT ARISING UNDER THIS AGREEMENT. AND SHALL DISTRIBUTE ITS
RESPONSE TO ALL CONCERNED PARTIES. THE RECIPIENT SHALL
PROCEED DILIGENTLY WITH THE PERFORMANCE OF THIS AGREEMENT
ACCORDING TO THE DEPARTMENT'S DECISION.
IF THE RECIPIENT APPEALS THE DEPARTMENT'S DECISION, IT SHALL
BE MADE IN WRITING WITHIN TWENTY-ONE (21) CALENDAR DAYS TO
THE SECRETARY OF THE DEPARTMENT, WHOSE DECISION IS FINAL.
IF THE RECIPIENT APPEALS THE DEPARTMENT'S DECISION, IT ALSO
SHALL BE MADE IN WRITING WITHIN TWENTY-ONE (21) CALENDAR
DAYS TO THE DEPARTMENT'S CLERK (AGENCY CLERK). THE
RECIPIENT'S RIGHT TO APPEAL THE DEPARTMENT'S DECISION IS
CONTAINED IN CHAPTER 120, FLORIDA STATUTES, AND IN
(
(
PROCEDURES SET FORTH IN CHAPTERS 28-5 AND 9-5, FLORIDA
ADMINISTRATIVE CODE. FAILURE TO APPEAL WITHIN THIS TIME
FRAME CONSTITUTES A WAIVER OF PROCEEDINGS UNDER CHAPTER 120,
FLORIDA STATUTES.
22. CONFERENCES AND INSPECTION OF WORK
CONFERENCES MAY BE HELD AT THE REQUEST OF ANY PARTY TO THIS
AGREEMENT. AT ANY TIME, A REPRESENTATIVE OF THE BUREAU, OF
THE U.S. DEPARTMENT OF JUSTICE'S BUREAU OF JUSTICE
ASSISTANCE OR BOTH HAVE THE PRIVILEGE OF VISITING THE
PROJECT SITE TO MONITOR, INSPECT AND ASSESS WORK PERFORMED
UNDER THIS AGREEMENT.
23. PUBLICATION OR PRINTING OF REPORTS
.
,"
A. BEFORE PUBLICATION OR PRINTING, A FINAL DRAFT OF ANY
REPORT REQUIRED UNDER OR PERTAINING TO THIS AGREEMENT
SHALL BE SENT TO THE BUREAU FOR ITS REVIEW AND COMMENT.
B. PUBLICATIONS OR PRINTED REPORTS COVERED UNDER 22.
ABOVE SHALL INCLUDE THE FOLLOWING STATEMENTS ON THE
COVER PAGE:
1. "THIS REPORT WAS PREPARED FOR THE FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS, WILLIAM E.-
SADOWSKI, SECRETARY, IN COOPERATION WITH THE
U.S. DEPARTMENT OF JUSTICE, BUREAU OF JUSTICE
ASSISTANCE." THE NEXT PRINTED LINE SHALL IDENTIFY
THE MONTH AND YEAR THE REPORT WAS PUBLISHED.
2. "CONCLUSIONS AND OPINIONS EXPRESSED IN THIS
REPORT ARE THOSE OF THE RECIPIENT AND DO NOT
NECESSARILY REPRESENT THOSE OF THE STATE OF
FLORIDA, DEPARTMENT OF COMMUNITY AFFAIRS, THE
U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE
ASSISTANCE, OR ANY OTHER AGENCY OF THE STATE OR
FEDERAL GOVERNMENT."
24. EQUAL EMPLOYMENT OPPORTUNITY (EEO)
NO PERSON, ON THE GROUNDS OF RACE, CREED, COLOR OR NATIONAL
ORIGIN SHALL BE EXCLUDED FROM PARTICIPATION IN, BE REFUSED
BENEFITS OF, OR OTHERWISE SUBJECTED TO DISCRIMINATION UNDER
GRANTS AWARDED PURSUANT TO PUBLIC LAW 89-564, NON-
DISCRIMINATION REQUIREMENTS OF THE ANTI-DRUG ABUSE ACT OF
1988; TITLE IV OF THE CIVIL RIGHTS ACT OF 1964; SECTION 504
OF THE REHABILITATION ACT OF 1973 AS AMENDED; TITLE IX OF
THE EDUCATION AMENDMENTS OF 1972; THE AGE DISCRIMINATION ACT
OF 1975; AND, DEPARTMENT OF JUSTICE NON-DISCRIMINATION
REGULATIONS 28 CFR PART 42, SUBPARTS C, D, E, AND G.
THE RECIPIENT AND A CRIMINAL JUSTICE AGENCY THAT IS THE
IMPLEMENTING AGENCY AGREE TO CERTIFY THAT THEY EITHER DO OR
(-
(
DO NOT MEET EEO PROGRAM CRITERIA.AS SET FORTH IN SECTION 501
OF THE FEDERAL OMNIBUS CRIME CONTROL AND SAFE STREETS ACT OF
1968 AS AMENDED AND THAT THEY HAVE OR HAVE NOT FORMULATED,
'IMPLEMENTED AND MAINTAINED A CURRENT EEO PROGRAM.
SUBMISSION OF THIS CERTIFICATION IS A PREREQUISITE TO
ENTERING INTO THIS AGREEMENT. THIS CERTIFICATION IS A
MATERIAL REPRESENTATION OF FACT UPON WHICH RELIANCE WAS
PLACED WHEN THIS AGREEMENT WAS MADE. IF THE RECIPIENT OR
IMPLEMENTING AGENCY MEET ACT CRITERIA BUT HAVE NOT
FORMULATED, IMPLEMENTED AND MAINTAINED- SUCH A CURRENT
WRITTEN EEO PROGRAM, THEY HAVE 120 DAYS AFTER THE DATE THIS
AGREEMENT WAS MADE TO COMPLY WITH THE ACT OR FACE LOSS OF
FEDERAL FUNDS SUBJECT TO CONDITIONS AND PENALTIES IMPOSED BY
SECTION 802, TITLE I, PUBLIC LAW 90-351 (REFERENCE 42 CFR, ,~
SECTION 3783, PAGE 902).
ANY STATE AGENCY, COUNTY OR CITY RECEIVING $500,000 OR MORE
IN FEDERAL ANTI-DRUG ABUSE ACT FUNDS SHALL SUBMIT THEIR
EQUAL.EMPLOYMENT OPPORTUNITY PLAN TO THE BUREAU.
~
25. NON-PROCUREMENT, DEBARMENT AND SUSPENSION
THE RECIPIENT AGREES TO COMPLY WITH EXECUTIVE ORDER 12549,
DEBARMENT AND SUSPENSION (34 CFR, PART 85, SECTION 85.510,
PARTICIPANT'S RESPONSIBILITIES). THESE PROCEDURES REQUIRE
THE RECIPIENT TO CERTIFY IT SHALL NOT ENTER INTO ANY-LOWER
TIERED COVERED TRANSACTION WITH A PERSON WHO IS DEBARRED,
SUSPENDED, DECLARED INELIGIBLE OR IS VOLUNTARILY EXCLUDED
FROM PARTICIPATING IN THIS COVERED TRANSACTION, UNLESS
AUTHORIZED BY THE DEPARTMENT.
26. PAYMENT CONTINGENT ON APPROPRIATION
THE STATE OF FLORIDA'S PERFORMANCE AND OBLIGATION TO PAY
UNDER THIS AGREEMENT IS CONTINGENT UPON AN ANNUAL
APPROPRIATION BY THE FLORIDA LEGISLATURE.
27. FEDERAL RESTRICTIONS ON LOBBYING
THE RECIPIENT AGREES TO COMPLY WITH SECTION.3I9 OF PUBLIC
LAW 101-121 SET FORTH IN IIGOVERNMENTWIDE GUIDANCE FOR NEW
RESTRICTIONS ON LOBBYING; INTERIM FINAL GUIDANCE", PUBLISHED
ON DECEMBER 30, 1989, FEDERAL REGISTER.
EACH PERSON SHALL FILE THE MOST CURRENT EDITION OF THIS
CERTIFICATION AND DISCLOSURE FORM, IF APPLICABLE, WITH EACH
SUBMISSION THAT INITIATES AGENCY CONSIDERATION OF SUCH
PERSON FOR AWARD OF FEDERAL CONTRACT, GRANT, OR COOPERATIVE
AGREEMENT OF $100,000 OR MORE; OR FEDERAL LOAN OF $150,000
OR MORE.
THIS CERTIFICATION IS A MATERIAL REPRESENTATION OF FACT UPON
WHICH RELIANCE WAS PLACED WHEN THIS AGREEMENT WAS MADE.
SUBMISSION OF THIS CERTIFICATION IS A PREREQUISITE TO
;-
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ENTERING INTO THIS AGREEMENT SUBJECT TO CONDITIONS AND
PENALTIES IMPOSED BY SECTION 1352, TITLE 31, UNITED STATES
CODE. ANY PERSON WHO FAILS TO FILE THE REQUIRED
CERTIFICATION IS SUBJECT TO A CIVIL PENALTY OF NOT LESS THAN
$10,000 AND NOT MORE THAN $100,000 FOR EACH FAILURE TO FILE.
THE UNDERSIGNED CERTIFIES, TO THE BEST OF HIS OR HER
KNOWLEDGE AND BELIEF, THAT:
A.
NO FEDERALLY APPROPRIATED FUNDS.. HAVE BEEN PAID OR SHALL
BE PAID TO ANY PERSON FOR INFLUENCING OR ATTEMPTING TO
INFLUENCE AN OFFICER OR EMPLOYEE OF ANY FEDERAL AGENCY,
A MEMBER OF CONGRESS, AN OFFICER OR EMPLOYEE OF
CONGRESS, OR AN EMPLOYEE OF A MEMBER OF CONGRESS IN _
CONNECTION WITH THE AWARDING OF ANY FEDERAL LOAN, THE
ENTERING INTO OF ANY RENEWAL, AMENDMENT, OR
MODIFICATION OF ANY FEDERAL CONTRACT, GRANT, LOAN OR
COOPERATIVE AGREEMENT.
...
B. IF ANY NON-FEDERAL FUNDS HAVE BEEN PAID OR SHALL BE
PAID TO ANY PERSON FOR INFLUENCING OR ATTEMPTING TO
INFLUENCE AN OFFICER OR EMPLOYEE OF CONGRESS, OR AN
EMPLOYEE OF A MEMBER OF CONGRESS IN CONNECTION WITH
THIS FEDERAL CONTRACT, GRANT LOAN, OR COOPERATIVE
AGREEMENT, THE UNDERSIGNED SHALL COMPLETE AND SUBMIT
THE STANDARD FORM, "DISCLOSURE OF LOBBYING ACTIVITIES",
-ACCORDING TO ITS INSTRUCTIONS.
C. THE UNDERSIGNED SHALL REQUIRE THAT THE LANGUAGE OF THIS
CERTIFICATION BE INCLUDED IN AWARD DOCUMENTS FOR ALL
SUBAWARDS AT ALL TIERS AND THAT ALL SUBRECIPIENTS SHALL
CERTIFY AND DISCLOSE ACCORDINGLY.
28. STATE RESTRICTIONS ON LOBBYING
IN ADDITION TO THE PROVISIONS CONTAINED IN PARAGRAPH 27 OF
SECTION H, ACCEPTANCE AND AGREEMENT, THE EXPENDITURE OF
FUNDS FOR THE PURPOSE OF LOBBYING THE LEGISLATURE OR A STATE
AGENCY IS PROHIBITED UNDER THIS CONTRACT.
29. STATEMENT OF FEDERAL FUNDING PERCENTAGE AND DOLLAR AMOUNT
WHEN ISSUING STATEMENTS, PRESS RELEASES, REQUESTS FOR
PROPOSALS, BID SOLICITATIONS, AND OTHER DOCUMENTS DESCRIBING
PROJECTS OR PROGRAMS FUNDED IN WHOLE OR IN PART WITH FEDERAL
FUNDS, ALL GRANTEES AND RECIPIENTS RECEIVING THESE FEDERAL
FUNDS, INCLUDING BUT NOT LIMITED TO STATE AND LOCAL
GOVERNMENTS, SHALL CLEARLY STATE:
,
A. THE PERCENTAGE OF THE TOTAL COST OF THE PROGRAM OR
PROJECT THAT SHALL BE FINANCED WITH FEDERAL FUNDS, AND
B. THE DOLLAR AMOUNT OF FEDERAL FUNDS TO BE EXPENDED ON
THE PROJECT OR PROGRAM.
C"
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ATTACHMENT A
PRETRIAL SERVICES
SIXTEENTH JUDICIAL CIRCUIT OF FLORIDA
323 F'LEMING STREET
2ND F'LOOR
KEy WEST, FLORIDA 33040
MONROE COUNTY PRETRIAL SERVICES SUBSTANCE ABUSF;EL~~~MM) 294-7288
Overview and Protocol
The Monroe County Pretrial Services Substance Abuse Program
has two primary goals: de.terrence and treatment. Wi th those two
goals in mind, the program is designed to facilitate the return to
the community eligible individuals who have been arrested for drug
related offenses and are currently incarcerated awai ting
disposition of the charges pending against them. Defendants at
high risk of flight from prosecution and/or who appear to pose a
physical danger to the communi ty are not eligible for program
participation . Given the nature of the charges lodged against
them, an ongoing and structured monitoring of the defendant's drug
related behavior must be one of the conditions of their release to
Pretrial Services. Without such supervision there is little if any
expectation they will refrain from continued substance abuse.
Program protocol incorporates the conditions of such supervision.
For those professionals involved. in the judicial and legal
systems, the overwhelming and debili tating impact of substance
abuse on contemporary society is immediately and continually
apparent. While -1 t is understood that addiction is a disease of
relapse, it is the intent of this program to interrupt the
substance abuse behavior of these individuals as early as possible
through the structured design of this program and to further
enhance the possibility of permanent abstinence by preparing and
presenting access to a continuum of services and support systems
within the community. It is recognized some percentage of
convicted participants may be sentenced to incarceration in the
state prison system or in the Monroe County Jail, but a significant
number will have lesser sarlctions imposed at time of sentencing.
These individuals will, in all probability, be remanded to
probation or to community control. Given that those individuals
who successfully complete the Pretrial Services Substance Abuse
Program will at that time have had sixty to ninety days of drug
free experience, it is proposed that their chances of successfully
completing other supervisory sanctions that may be imposed are
significantly improved. Currently, felony probation and community
control as well as pretrial intervention in Monroe County conduct
very active and successful substance abuse monitoring programs and
consequently have the resources to continue to moni tor these
individuals.
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AT~ACIIMENT B
,.---.
PRETRIAL SERVICES PROGRAM
PRETRIAL SERVICES SUBSTANCE ABUSE COUNSELOR
DISTINGUISHING CHARACTERISTICS OF WORK:
This is a high level position in the Pretrial Services Program.
The individual holding this position has the primary responsibility
for the coordination of pretrial services for substance abusing
defendants and performs related tasks.---------H
The Pretrial Services Substance Abuse Counselor functions at an
increased level of independence. Supervision is provided less
routinely and includes periodic review of work completed. Work
assignments are less directed and initiative consistent within the
scope of the job assignment is required.
REPORTS TO:
SUPERVISES:
Pretrial Services Director
MIA
ILLUSTRATIVE TASKS:
...........
- Develops, monitors and modifies, as necessary, the substance
abuse education and in-house urinalysis testing program for
supervised pretrial substance abusing defendants including a
written protocol.
- Requests records on eligible arrestees.
- Interviews eligible arrestees and assesses ability and
willingness to participate in substance abuse services.
- Verifies information provided by interviewees.
- Prepares criminal history report forms.
- Prepares reports on interviewees after assessment for the court
including case plan and release recommendations when applicable.
- Opens cases on released defendants completing all related paper-
work and advises defendant of release conditions.
- Supervises, conducts urinalysis, and reviews all assigned
clients' case plans and court status no less than weekly and
follows up on those not complying with release conditions.
- Provides urinalysis testing, substance abuse education and
appropriate treatment and Psycho-social" referrals to clients.
- Prepares memos and warrants (when applicable) to judiciary
~~ upon clients non-compliance within confines of protocol.
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- Closes cases on terminated clients completing all related
paperwork.
- Maintains all program and client data.
QUALIFICATIONS
Bachelor's degree in one of the behavioral sciences or related
field. One year exper lence counseling substance abusers. In
addition, the individual holding this position is expected to be
able to communicate verbally and in writing in an effective manner
wi thin very 1imi ted time frames. As well, the individual Is
expected to 'demonstrate effective working relationships with
judiciary, clients, community agencies and other staff. Bilingual
Spanish/English is highly desi.rable and may be required depending
on existing bilingual staff. .
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A. Proqram Implementation
1. Initial client contact at which time program conditions
and client responsibilities are introduced.
a. Initiate drug screening for all defendants released
to the PTS Substance Abuse Program
b. Clients are instructed to contact PTS as ordered by
court
c. Appointment scheduled for client evaluation
2. Client evaluation and assessment completed.
a. Program plan developed-----------
1. Referrals made to appropriate programs.
a. NA, AA, TASC, detoxification, Care Center
for Mental Health (Mental Health Center),
etc.
2. Establish individualized counseling program
3. Provide literature and other substance abuse
educational materials as indicated
4. Establish urinalysis schedule appropriate for
client
B. Client Responsibilities and Conditions
1. The client must abstain from the use of all illegal drugs,
and in some instances, all alcohol consumption.
2. The client must submit to random urinalysis as determined
by the courts and the Substance Abuse Counselor. All
positive results will be reported to the courts.
3. The client must report to PTS by phone or in person on all
days ordered by the courts. At such times, the client
must inform PTS staff of his/her status such as Court
date, change in phone number, address, or job, etc.)
4. If the client is unable to attend a scheduled appointment
wi th the Substance Abuse Counselor, he/she must call prior
to that ~ate to reschedule.
5. If the client is unable to adhere to the conditions of
their release, additional conditions or treatment
referrals may be recommended or the pretrial release
conditions may be modified to include additional mandatory
sanctions.
6. The client will make efforts to gain legal employment.
7. Special conditions may be ordered if indicated.
c. Violation Protocol
Positive urine results, refusal to submit to drug
screening, failure to contact PTS on scheduled dates, or
missed appointments without phone call will result in one
or more of the following sanctions being imposed.
Continued violations will result in progressively more
stringent sanctions.
1. Memorandum to presiding judge.indicating
positive urine results.
2. Increase frequency in drug testing.
3. Increase counselor's time spent with client.
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5. Client directed to attend a minimum of three
AA or NA meetings a week.
6. Client directed to complete "Crack/Cocaine-
Straight Talk" video series (8 hours).
7. Client directed to attend one AA or NA meeting
per day.
8. Referral to TASC and/or Mental Health Center for
out-patient treatment.
9. Referral to detoxification at Guidance Clinic of
the Middle Keys (MARC House).
10. Send case back to courts recommending specific number
of days of incarceration.
11. Remove from the PTS Substance Abuse Program.
This protocol will be reviewed periodically to insure that aIr
objectives and performance measurements are obtainable and may be
modified to reflect realistic goals.
This program is funded through a grant awarded by The Florida
Department of Community Affairs (Grant #92-CJ-63-11-54-01-130) with
Anti-Drug Abuse Act Funds and matched by Monroe County.
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F: : L r' [~ r j ~ ' .: ~'; " t .~ " , ~..
:LJ2, s~r -3 I) 2 :40
RESOLUTION NO. 411-1992
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A RESOLU~XON OF TH~ BOARD OF COMMISSIONERS OF
MONROE COUNTY HEREBY AUTHORIZING THE COUNTY
i.~DMINISTRATOR WITH SIGNATURE AUTHORITY ON THE
APPLICATIONS FOR THE DEPARTMENT OF COMMUNITY
AFFAIRS ANTI-DRUG ABUSE FISCAL-VEAR-u93 FUNDING
WHEREAS, the Monroe County Board of Commissioners
authorized the submission of an Anti-Drug Abuse grant
application to the Department of Community Affairs by
Resolution No. 280-1992, executed June 10, 1992; and
WHEREAS, the Department of Community Affairs has
received the application and has reviewed for compliance;
and
WHEREAS, the Department of Community Affairs has
determined that additional information must be submitted
prior to any further review; and
WHEREAS, one of the requested revisions requires that
the Board authorizes the County Administrator with signature
authority on the grant apPlications; now therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Board authorizes the County
Administrator with signature authority on the Department of
Community Affairs Anti-Drug Abus~ Grant applications.
PASSED AND AOOPTED by the Board of County Commissioners of
Monroe County, Florida, at a specl~1 meeting of said Board
held on the 27th day of August, A.D. 1992.
Mayor Harvey Yes
Mayor ProTem London Yes
Commissioner Jones Yr,~
Commissioner Cheal y~~
Commissioner Stormont Y~5
BOARD OF COUNTY' COMMISSIONERS
' OF 0 UOO'Y. ~
(Seal) D~: ~~GE, Clerk By: ._\'t'Q._~tJ~
Attest:~~: >'y~~~4LJ.,.t'!
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~.fYffi'Vt,} ".C; ,,) f~Jf.'
,(~D !~GA t. H~W II _Y ,(
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EEO CERTIFICATION LETTER - SUBGRANT RECIPIENT
Mr. John A. Lenaerts, Chief
... .BUI~eau of Public Safety Management
Division of Emergency Management
Department of Community Affairs
2740 Centerview Drive
Tallahassee, Florida 32399-2100
RE: Compliance with Equal Employment Opportunity (EEO)
Program Requirements -- Subgrant Recipient
Dear Mr. Lenaerts:
I, the undersigned authorized official, certify that
according to Section 501 of the Omnibus crime Control and Safe
streets Act of 1968 as amended, that the named (type or print)
SUBG~~T RECIPIENT:
Monroe County Board. of Commissioners
CHECK ONE:
Meets Act criteria. ~
Does not meet Act criteria. c=J
I affirm that I have read the Act criteria set forth in
subgrant instructions and understand that if the RECIPIENT meets
these criteria, it must formulate, implement and maintain a
written EEO Program relating to employment practices affecting
minority persons and women. I also affirm that the RECIPIENT:
CHECK ONE:
Has a current EEO Program Plan. GCU
Does not have a current Plan. c=J
I further affirm that if the RECIPIENT meets the Act
criteria and does not have a current written EEO Program, federal
law requires it to formulate, implement, and maintain such a
program within 120 days after a subgrant application for federal
assistance is approved or face loss of federal funds.
BY:
REQUIRES SIGt~ATURE OF AUTHORIZED OFFICIAL
\
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TITLE:
Administrator
DATE:
June 10 1992
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I. SIGNATURE PAGE
n~ .WI;.rNESS WHEREOF, THE PARTIES AFFIRM THEY EACH HAVE READ AND
AGREE TO CONDITIONS SET FORTH IN SECTION "I" OF THIS AGREEMENT,
HAVE READ AND UNDERSTAND THE AGREEMENT IN ITS ENTIRETY AND HAVE
EXECUTED THIS AGREEMENT BY THEIR DULY AUTHORIZED OFFICERS ON
THE DAY, MONTH AND YEAR SET OUT BELOW.
CORRECTIONS INCLUDING STRIKEOVERS, WHITEOUTS, ETC., ON THIS
PAGE ARE NOT ACCEPTABLE.
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
DIVISION OF EMERGENCY MANAGEMENT
BUREAU OF PUBLIC SAFETY MANAGEMENT
BY:
RC1awr . /V)-Cuv~
TITLE: Robert G. Nave, Director
DATE: 9 ")u. 92-
SUBGRANT RECIPIENT
AUTHORIZING OFFICIAL OF GOVERNMENTAL UNIT
(COMMISSION CHAIRMAN, MAYOR, OR DESIGNATED ~E. ESENTATIVE)
~ , ,
,~ V ~
omas W. Brown
BY:
TITLE:
Monroe County Administrator
~
DATE: .
IMPLEMENTING AGENCY
OFFICIAL, ADMINISTRATOR OR DESIGNATED REPRESENTATIVE
BY : -l
TITLE:
Director, Pretrial Services Pro ram
DATE:
June 8, 1992
APPROV~D AS T" rr'\~. ~
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MONROE COUNTY, FLORIDA
Request For Waiver Or Modification
of
Insurance Requirements
It is requested that the insurance requirements, as specified in
the County's Schedule of Insurance Requirements, be waived or
modified on the fOllowirg contract.
Contractor: ~~~~-;t~:i ~~ 1 ~ ~~
Address: / Cf () / F{J'~ A fk.
KJU.-j w.~X, 'r: L
Phone:
Scope of
Work
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Rea:son for
Waiver
Is Vendor
Sole
Supplier?
Yes
No
Purchasing
Agent
Approved
x
Not Approved
Risk Manager's
Signature
Date:
WAIVER
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
,AND _
/h I c-L. /tl#~ .<;: A'f-CA.J bll d
Prior to the commencement of work governed by this contract, the
Contractor shall obtain General Liability Insurance. Coverage
shall be maintained throughout the life of the contract and
include, as a minimum:
o Premises Operations
o Products and Completed Operations
o Blanket Contractual Liability
o Personal Injury Liability
o Expanded Definition of Property Damage
o Medical Payments
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
$ 5,000 Medical Payments
If split limits are prOvided, the minimum limits acceptable shall
be:
$250,000 per Person
$500,000 per Occurrence
$ 50,000 Property Damage
$ 5,000 Medical Payments
An Occurrence Form policy is preferred. If Coverage is provided
on a Claims Made policy, its prOvisions should include Coverage
for claims filed on or after the effective date of this Contract.
In addition, the period for which claims may be reported should
extend for a minimum of twelve (12) months following the
acceptance of work by the County.
Monroe County and 110nroe County's Board of County Commissioners
shall be named as Additional Insureds on all policies issued to
satisfy the above requirements.
GL2
MEDICAL PROFESSIONAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
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Recognizing that the work governed by this contract involves the
providing of professional medical treatment, the contractor shall
purchase and maintain, throughout the life of the contract,
professional liability insurance which will respond to the
rendering of, or failure to render medical professional services
under this contract.
The minimum limits of liability shall be:
$1,000,000 per Occurrence
If coverage is provided on a claims made basis, an extended
claims reporting period of four (4) years will be required.
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PROFESSIONAL
INCEMNITV
CORPORATION
ATWOOD DC, MICHAEL S.
ATWOOD CHIROPRACTIC CORPORATION
1901 FOGARTY AVE.
KEY WEST FL 33040
February 02, 93
It
Re:
Malpractice Insurance Coverage
Po 1 i cy Numbel~:
193 ATWOOD MS 2-1 33040
Policy Period:
L-;mits:
01/13/93 01/13/94 12:01 AM, E.S.T.
$250,000 Occurrence
$750,000 Aggregate
$2,500
$1,022.50 SEMI-ANNUAL
$1,995.00 ANNUALLY
Deductible:
Contribution:
Dear .Doctor( s):
Please be advised that Profess1onal' Indemnity Corporation has bound full
Malpractice L1ability coverage on the above named practioner(s) for a period
of twelve (12) months for Occurence Policy.
Cover.ag~~ is dependent upon all pr-emlums which are due the company being
prompt 1 y r em 'I ~ t eej ,l n t he ~'v'pn t sa 1 d Drern, urns have nc>t a 1 ready been pa; d . The
insured wil'l !)e notified C)f any change of status of this coverage within ten (10)
working days by ordinary mall.
Sincerel Y I !/ _ A /:
~~lLz~~~~
Jean I.J, Busch
Corporate Secretar~y
Pr-ofessional Indemnity Corporat1on
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2020 PENNSYLVANIA AVENUE N\N' SUITE 675 · VVASHINGTON, DC 20008
1-800-837-1513. FAX 1-800-837-1512
EXHIBIT B
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain Workers' Compensation Insurance with
limits sufficient to respond to the applicable state's statutes.
In addition, the Contractor shall obtain Employers' Liability
Insurance with limits of not less than:
$200,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, each employee
$500,000 Bodily Injury by Disease, policy limits
Coverage shall be maintained throughout the entire term of the
contract.
Coverage shall be provided by a company or companies authorized
to transact business in the state of Florida and the company or
companies must maintain a minimum rating of A-VI, as assigned by
the A.M. Best Company.
If the Contractor has been approved by the Florida's Department
of Labor, as an authorized self-insurer, the County shall
recognize and honor the Contractor's status. The Contractor
shall be required to sUbmit a Letter of Authorization issued by
the Department of Labor and a Certificate of Insurance, providing
details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a
Certificate of Insurance will be required. In addition, the
Contractor will be required to submit updated financial
statements from the fund upon request from the County.
WC2
EXHIBI.T C
Provider shall comply with all laws, including but not limited to:
(1) The National Environmental Policy Act of 1969 (42 U.S.C. s.
4321 et seq.) and 24 C.F.R. Part 59:
(2) Executive Order 11988, Floodplain Management;
(3) Executive Order 11990, Protection of Wetlands;
(4) The Endangered Species Act of 1973, as amended (16 U.S.C. s.
1531 et seq.);
(5) The Fish and Wildlife Coordination Act of J958, as amended, (16
U.S.C. s 661 et seq.);
(6) The Wild and Scenic Rivers Act of 1968, as amended, (16 U. S.
C. s 1271 et seq.);
(7) The Safe Drinking Water Act of 1974, as amended (42 U. S. C. s
300r et seq.);
(8) Section 401 (1) of the Lead-Based Paint Poisoning Prevention
Act, as amended (42 U.S.C. s 4831 (b) et seq.);
(9) The Clean Air Act of 1970, as amended (42 U.S.C. s. 7401 et
seq. );
(10) The Federal Water Pollution Control Act of 1072, as amended
(33 U.S.C. s 1251 et seq.);
( II) The Clean Water Act of 1977 (public Law 95-217);
(12) The Solid Waste Disposal Act, as amended by the Resource
Conservation and Recovery Act of 1975 (42 U.S.C. s. 6901 et
seq.);
(13) Noise Abatement and Control: Departmental Policy
Implementation Responsibilities, and Standards, 24 C.F.R. Part
52, Subpart B:
(14) Flood Disaster Protection Act of 1973, P.L. 93-234;
(15) Protection of Historic and Cultural Properties under HUD
Programs, 24 C.F.R Part 59;
(16) Coastal Zone Management Act of 1972, P.L. 92-583;
(17) Executive Order 11593, IIProtection and Enhancement of The
Cultural Envirornnent";
( 18) Architectural and Construction Standards;
(19) Architectural Barriers Act of 1968, 42 U.S.C. 4151;
(20) Executive Order 11296, relating to evaluation of flood hazards;
(21) Executive Order 11288, relating to the prevention, control and
abatement of water pollution:
(22) Cost-Effective Energy Conservation Standards, 24 C.F.R Part 39;
(23) Section 8 Existing Housing Quality Standards, 24 C.F.R. Part
882;
(24) Section 319 of Public Law 101-121, as provided in the
"Government wide Guidance for New Restrictions on Lobbying;
Interim Final Guidance" published in the December 20, 1989
Federal R.egister, which prohibits recipients of federal contracts
or grants from using appropriated funds for lobbying in
connection with a grant or contract, and requires that each
which requests or receives a federal contract or grant, and their
sub-recipients, disclose lobbying undertaken with non-federal
funds (See attachment D); and
(25) Executive Order No. 11246 of September.
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES. ON PUBUC ENTI1Y CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBUC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS. .
1. This sworn statement is submitted to
by fill CA iJ J .f: 1)/ tV ~p::d~e Oft) ~Ub<! :ntity]
[print individual's name and title] I
for
[print name or entity submitting sworn statement]
whose business address is
and (if applicable) its Federal Employer Identification Number (FEIN) is ~t:;q- did 7/9fp
(If the entity has no FEIN, include the "Social Security Number of the individual signing this
sworn statement:
.)
2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes. means a
violation of any state or federal law by a person with respect to and directly related to the transaction of
business with any public entity or with an agency or political subdivision of any other state or of the United
States, including, but not limited to, any bid or contract for goods or seivices to be provided to any public
entity or an agen~ or political subdivision of any other state or of the United States and involving antitrust,
fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes. means
a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any
federal or state trial court of record relating to charges brought by indictment or information after July 1,
1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes. means:
1. A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity and
who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors,
executives, partners, shareholders, employees, members, and agents who are active in the management of
an affiliate. The ownership by one person of shares constituting a controlling interest in another person,
or a pooling of equipment or income among persons when not for fair market value under an arm's length
agreement, shall be a prima facie case that one person controls another person. A person who knowingly
enters into a joint venture with a person who has been convicted of a public entity crime in Rorida during
the preceding 36 months shall be considered an affiliate.
S. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes. means any natural
person or entity organized under the laws of any state or of the United States with the legal power to enter
into a binding contract and which bids or applies to bid on contracts for the provision of goods or services
let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and
agents who are active in management of an entity.
6: Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. [indicate which statement applies.]
Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity, nor
any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989.
- The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity, or
an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989.
- The entity submitting this sworn statement, or onear more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity, or
an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the FL.ul Order entered by the Hearing Officer determined that
it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor
list. [attach a copy of the final order] _
I UNDERSTAND THAT THE SUBMISSION OF nus FORM TO THE CONTRACTING OFFICER FOR THE
PUBUC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBUC ENTITY ONLY AND,
THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED.
I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBUC ENTITY PRIOR TO ENTERING
INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECfION 2~ 17 ORID
STATUTF.~ FOR CATEGORY lWO OF ANY CHANGE IN THE INFORMATION CO D S FORM.
.:.:wom to and subscribed before me this
~~
:::> () day of
_4p
>f~~
. 19f1
Personally known
v
If~~~
OR Produced identification
- Notary Public - State of F I 0 ~ I (10........
';t8J'~, ~H3N39 "?J~l 030NOa
My COmmissi.I~I" ~X3 MerSSIltIHO:1 AW
~ . JitJ:t! ~l (~Ift1 AID/ION
(Type of identification)
(printed typed or stamped
commissioned name of notary public)
Form PUR 7068 (Rev. 06/11192)
SWORN STATEMEtrr tJNDER ORI)INANCE NO. 10--1990
MONROE COIJNiY, . FI.()R I 1)1\
ETHICS C[JAUSE
i-f[J_I~ A-~~-~';;;. .f}-T{"k 00 J _ warrants that heji t has not employed,
retained or otllerwi se llad ac t on lli s/i ts bellal f allY former COUllty officer
- -'
or employee in voliation of Section 2 of Ordinance No. 10-1990 or any
County officer or employee in violation of Section 3 of Ordinance No.
10-1990. For breacll or violation of LIlis I)rovision tIle Cotlllty may, In
its discretion, terminate tIlts COlltra(;t witll0tlt lial)ility alld may also,
l nits di screti 011, deduct from tIle COIl tract or ptll'cllaSe pl"i ce, or
otllerwise l'ecover, tIle ftlll amotlllt of any fee, cOlnmissiol1, percelltage,
gift, or consideration paid to the fonner County officer or employee.
Oat
STATE OF._E/oH~I?J'd~.
COlJNTY OF ____m.O. .11. gO.P
PERSONAI.,LY APPEARED BEFORE ME, tIle tlllders i glled atl tIlori ty,
_ ~~/ljJ..d.flJ$~ ;JrfAJO~O d who, after first bej ng sworn by
me,
affixed llis/ller sigllattlre (llanle of ill(livid\lal siglling) il1 the space.
~
.3C) . dftY of
provided al)ove 011 tllj s
Jr
, ] 9 .1-~3..
~~.~t
NC)']'l\RY PlJB[, I (~
NOTARY ~~allt STATt uF fLG~rDA
MY COMr~ISSIt}f~ EXP. !~tJG. 3.1993
BONDED T}tf~U GENERAL iN:~ UNO. ..
My commissioll expires: ,'..
Mcrff4 REV. 6/91