2011-RSAT-MONR-1-A9-004 09/15/2010DANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DA TE: September 22, 2010
TO: Lisa Tennyson
Grants Management
FROM: Pamela G. Hanco C
At the September 15, 2010, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the Certificate of Acceptance of Subgrant Award for the
Monroe County Jail Incarceration Program, using funds granted by the Florida Department of
Law Enforcement for the Residential Substance Abuse Treatment (RSAT) program, for the
period from September 1, 2010 through August 31, 2011.
Enclosed is a duplicate original of the above -mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File ✓
FILE
Florida Department of Office of Criminal Justice Grants Charlie Crist, Governor
Law Enforcement Post Office Box 1489 Bill McCollum, Attorney General
Tallahassee, Florida 32302-1489 Alex Sink, Chief Financial Officer
Gerald M. Bailey (850) 617-1250 Charles H. Bronson, Commissioner of Agriculture
Commissioner www.fdle.state.fl.us
JUL 3 0 2010
The Honorable Sylvia Murphy
Mayor
Monroe County Board of Commissioners
102050 Overseas Highway
Key Largo, FL 33037
Re: Contract No. 2011-RSAT-MONR-1-A9-004
Dear Mayor Murphy:
The Florida Department of Law Enforcement is pleased to award a Residential
Substance Abuse Treatment for State Prisoners grant in the amount of $ 50,000.00 to
your unit of government.
A copy of the approved subgrant application with the referenced contract number is
enclosed for your file. All correspondence with the Department should always refer to
the project number and title.
Your attention is directed to the Standard Conditions of the subgrant. These conditions
should be reviewed carefully by those persons responsible for project administration to
avoid delays in project completion and costs reimbursements.
The enclosed Certification of Acceptance should be completed and returned to the
Department within 30 calendar days from the date of award. This certificate constitutes
official acceptance of the award and must be received by the Department prior to the
reimbursement of any project expenditures.
Committed to
Service • Integrity • Respect • Quality
The Honorable Sylvia Murphy
Page Two
We look forward to working with you on this project. If we can be of further assistance,
please contact Martha McWilliams at 850/617-1250.
Sincerely,
Clayton H. Wilder
Administrator
CHW/MKM/sa
Enclosures
State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
CERTIFICATION OF ACCEPTANCE OF SUBGRANT AWARD
The subgrantee, through its authorized representative, acknowledges receipt and
acceptance of subgrant award number 2011-RSAT-MONR-1-A9-004, in the amount
of $ 50,000.00, for a project entitled, MONROE COUNTY JAIL INCARCERATION
PROGRAM, for the period of 09/01/2010 through 08/31/2011, in accordance with the
statement of work contained in the subgrant application, and subject to the Florida
Department of Law Enforcement's Conditions of Agreement and any special
conditions governing this subgrant.
\44 .ca. .
Signature of Subgrantee's Authorized Official
Sylvia Murphy, Mayor
Typed Name and Title of Official
September 15, 2010
Date of Acceptance
MONROE COUNTY ATTORNEY
�+,APPRCU D%yS TO FORM:
CHRISTINE Ni. LIMBERT-BARROWS
ASSISTAN COUNTY ATTORNEY
Date 11-4-110
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State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
SUBGRANT AWARD CERTIFICATE
Subgrantee: Monroe County Board of Commissioners
Date of Award: % ` Q9' i
Grant Period: From: 09/01/201.0 TO: 08/31/2011
Project Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
Grant Number: 2011-RSAT-MONR-1-A9-004
Federal Funds: $ 50,000.00
Agency Match: $ 16,667.00
Total Project Cost: $ 66,667.00
Program Area: 0001 : Residential Substance Abuse Treatment
CFDA #: 16.593
Award is hereby made in the amount and for the period shown above of a grant
under Title IV of the Violent Crime Control and Law Enforcement Act of 1994, P.L
103-322, as amended, to the above mentioned subgrantee and subject to any
attached standards or special conditions.
This award is subject to all applicable rules, regulations, and conditions as contained
in the Financial and Administrative Guide for Grants, 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. 103-322, as amended.
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 Certification of
Acceptance/ Request for Payment is returned to the department.
— &,ML4 L tA -
Authorized Pfficial
Clayton H. Wilder
Administrator
Date
( This award is subject to special conditions (attached).
State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
SPECIAL CONDITION(S)/GENERAL COMMENT(S)
Grantee: Office of Criminal Justice Grants
Grant Number: 2011-RSAT-MONR-1-A9-004
Grant Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
In addition to the general conditions applicable to fiscal administration, the grant is
subject to the following Special Condition(s)/General Comment(s):
Ref# S15649: Prior to drawdown of federal funds for Contractual Services, a copy
of the boilerplate agreement must be submitted to the Office of Criminal Justice
Grants.
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Subgrant Recipient
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name: Sylvia Murphy
Title:
Mayor
Address:
102050 Overseas Highway
City:
Key Largo
State:
FL Zip: 33037
Phone:
305-453-8787 Ext:
Fax:
305-453-8789
Email:
murphy-sylvia@monroecounty-fl.gov
Chief Financial Officer
Name: Danny Kolhage
Title:
Clerk
Address:
500 Whitehead Street
City:
Key West
State:
FL Zip: 33040
Phone:
305-292-3550 Ext:
Fax:
305-295-3663
Email:
dkolhage@monroe-clerk.com
Application Ref # 2010-RSAT-61 Section #1 Page 1 of 2
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Implementing Agency
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name: Sylvia Murphy
Title:
Mayor
Address:
102050 Overseas Highway
City:
Key Largo
State:
FL Zip: 33037
Phone:
305-453-8787 Ext:
Fax:
305-453-8789
Email: murphy-sylvia@monroecounty-fl.gov
Project Director
Name: Lisa Tennyson
Title: Grants Administrator
Address: 1100 Simonton Street
Room 2-213
City:
Key West
State:
FL Zip: 33040
Phone:
305-292-4444 Ext:
Fax:
Email: Tennyson-Lisa@monroecounty-fl.gov
Application Ref # 2010-RSAT-61 Section #1 Page 2 of 2
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Project Information
Project Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
Subgrant Recipient: Monroe County Board of Commissioners
Implementing Agency: Monroe County Board of Commissioners
Project Start Date: 9/1/2010 End Date: 8/31/2011
Problem Identification
South Florida, inclusive of Monroe County, is a mecca for illicit drug use, and has a much higher
than national drug abuse prevalence. South Florida is a designated "high density drug trafficking
area" and a leading cocaine importation center. According to the The Florida Department of
Children and Families in 2007 there were an estimated 1,153,325 adults in the state with
substance abuse problems.
Statistics from the Monroe County Sheriffs Office indicate that for the calendar year of 2009
there were 1,232 drug and alcohol -related arrests in the Keys (almost half of these violators had
prior DUls.) The Monroe County Detention Center has reported that 80% of those arrested in this
county have substance abuse problems. The Keys are a critical area due to the high percentage
of persons with substance abuse and mental health disorders, lack of affordable housing, high
cost of living, and high homeless rates.
There is one key issue that defines the problem and need in our community. There are not
enough substance abuse treatment services in Monroe County to handle the demand. The RSAT
program at the County Jail is one of only two substance abuse treatment programs in the Keys
and the only program in the County to serve incarcerated adults. The other program, Keys To
Recovery, has only 12 treatment beds (for a total of 24 persons annually) for the general
population.
The RSAT program provides drug treatment as well as a host of support services such as
vocational training, anger management, financial education, mentoring, counseling and parenting
classes. This past year, we were able to add an employment readiness component.
The program is valued highly by the local Drug Court Judges and the Monroe County Sheriffs
Office. This RSAT grant provides funding for 60% of the program costs. In past years, the
Sheriffs Office provided the other 40%. However, due to budget constraints, the Sheriffs Office
can no longer provide financial support to the program. The balance of the funding is mottled
together using a combination of different funding sources. The financial situation for the program
is therefore precarious. Should any additional funding come available through RSAT, we ask that
FDLE consider adding additional funds to support this valuable program.
The County's RSAT program provides services to approximately 150 offenders each year, has
developed excellent relationships with the local Drug Court, mental health providers, and social
service providers in the community, and has proven to be effective. The recidivism rate for the
general population at the Monroe County Detention Center is approximately 70% re -incarceration
within a year. The recidivism rate for RSAT program participants is 27%.
Application Ref # 2010-RSAT-61
Section #2 Page 1 of 4
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Project Summary
The Jail Incarceration Program is a substance abuse treatment program housed in the Monroe
County Detention Center. It began in 1997 and has provided substance abuse treatment for
approximately 1,300 inmates with an overall recidivism rate of twenty-seven percent compared to
seventy percent for the general population. It provides administrative and case management
services as mandated by Florida Administrative Code 10-E16.
This year the program will serve approximately 150 inmates. The inmates are housed
separately from the general population in H-Dorm, which has 54 beds. Most clients are court
ordered by the Drug Court judges in Monroe County. The rest are volunteers who meet criteria
for drug/alcohol treatment and will be in the county jail a minimum of 182 days. The program has
established a positive reputation, working closely with judges, prosecutors and lawyers. DCF
audits for the past three years of have reported that this program meets or exceeds Best Practice
standards with 100% compliance.
The CARF (Commission on Accreditation of Rehabilitative Facilities) accreditation process was
completed this past year. The process has strengthened assessment and treatment. CARF`
accredition for criminal justice programs is more rigorous than for out -patient settings. Monroe
County's RSAT program exceeded all CARF standards and recieved an Exemplary standard for
the relationships between correctional staff and treatment/clinical staff.
All participants have individualized, client -centered treatment plans that are reviewed monthly
and adjusted as needed. Continuing to prove helpful in assessment is the Prochaska and Di
Clemente stages of change, implemented last year; as well as the URICA, the Beck Depression
Scale, and the Rosenberg Self Esteem inventory; treatment plans are written accordingly.
An equity of access policy continues to make admission policies welcoming to individuals with
co-occurring disorders, learning disabilities, illiteracy, and Spanish speaking inmates. This allows
access for all who might otherwise be denied. (There are two bi-lingual counselors to serve the
Hispanic population.)
For co-occurring clients, a Mental Health Status Assessment identifies impairments in
functioning. They are referred to a mental health counselor and the Prison Health Services
Psychiatrist, and participate in WRAP Class (Wellness and Recovery Action Plan), a structured
system for monitoring and reducing distressing symptoms through planned responses.
Treatment is a minimum of six months, with the possibility of lasting one year. Aftercare is six
months and is provided throughout the Florida Keys by the Guidance Care Center. Aftercare is
given priority, and is not funded by RSAT. A support letter from the Guidance Care Center is
attached.
Random drug testing (urine analysis) is conducted weekly by the staff and positive tests result
in 30 days in lock -up and a return to court. Tests used are the MEDTOX 5 panel testing for
Amphetamine, benzos, cocaine, opiates, and THC. The program also has a relationship with the
local drug court to run tests on their machine if it is questionable.
The program staff has a strong background in substance abuse counseling and mental health
with appropriate certification. The program staff consists of 1 PT program
Application Ref # 2010-RSAT-61 Section #2 Page 2 of 4
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
director, 1 FT counselor, and a PT counselor. JoAnn Brancel, Project Director, has a BA is Social
Work/Criminology and is a Certified Mental Health Professional. The program director oversees
the counselors and ensures data collection on all inmates who have completed probation and
checks for any new arrests within the year after completion.
With the goal of having each RSAT participant attain self-sufficiency, the program includes
both substance abuse treatment and support services:
MORAL RECONATION THERAPY (MRT)- Evidence -based systematic step-by-step treatment
strategy designed to enhance self-image and promote positive productive identity.
DRUG EDUCATION - Inmates learn and explore chemical dependency and how it impacts their
lives, and the biopsychosocial nature of the disease.
CRIMINAL AND ADDICTIVE THINKING - This is a cognitive behavioral class which helps inmates
identify criminal and addictive thinking that keep them in behavior patterns that return them to jail.
RELAPSE PREVENTION - Presents identifying triggers, cravings, and high -risk situations that
can lead to relapse.
RATIONAL EMOTIVE THERAPY - Clients learn the ABC method, A being the event, B being our
beliefs about the event, and C which leads to our reaction to the event.
STEP GROUP - The core ideas of the first three steps of Alcoholics Anonymous and Narcotics
Anonymous.
COMMUNICATION SKILLS - Based on a program developed for prison populations called
Touchstones Discussion Project. Inmates discuss relevant topics that have pros and cons.
ART AND MUSIC THERAPY - Inmates use creative sources of visual art and music to enhance
cognitive functioning.
JOB SKILLS - Assessment of basic needs for education, job searches, resume writing,
addressing a felony in an interview, completing employment applications, and basic budgeting.
RELATIONSHIP GROUP SKILLS - This is a program from Hazelden Publishing, created for
inmates, that concentrates on understanding skills to maintain healthy relationships.
PARENTING - An optional class that is recognized by the Dept. of Children and Families for those
who have case plans.
UNDERSTANDING GRIEF - An optional class on understanding how unresolved grief can
manifest itself in long-term depression, addiction, post -traumatic stress disorder, and
ambivalence.
ANGER MANAGEMENT - An optional class about the responsibility for choices when angry.
myyn;cuun met * ZU1 U-RSAT-61 Section #2 Page 3 of 4
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
INDIVIDUAL COUNSELING - At intake all inmates are assigned a Primary Counselor, who
follows the inmate through the program. Counselors are responsible for progress notes and
summaries for the courts. The inmate's individual needs are assessed and monthly treatment
plans are created to accommodate them. The primary counselor makes referrals to medical,
psychiatric services, GED class, and literacy and is a liaison for release plans, including
supportive housing, clothing vouchers, food vouchers, bus tickets to return to their home towns,
referrals to mental health agencies for aftercare services, and connections to NA and AA
meetings.
COMMUNITY SERVICE - The detention center continues to operate a farm and petting zoo that
JIP clients help maintain. Another service to the community is their participation in the
Department of Juvenile Justice (DJJ) Jail Tour. JIP inmates tell their stories to juveniles recently
brought into the system in hopes of preventing these young adults from following the same path
they have.
SOCIALIZATION- A Hazelden program using Cognitive behavioral treatment to identify thought
processes that keep addicts stuck in destructive behavior.
CHARACTER CONFLICTS IN RECOVERY- Using the pamphlets from Hazelden including King
Baby and Barriers against Recovery this class explores the character conflicts that return addicts
to using.
The program's objectives and outcomes include:
The number of inmates expected to complete the program is 100.
70% of the inmates served will complete an aftercare program.
97% of the inmates served in the program will remain drug free while participating.
70% of the inmates in the aftercare program will not test positive for drugs/alcohol.
75% of the inmates will not violate probation during aftercare.
70% of the inmates served will not return to jail during the first year after release.
Application Ref # 2010-RSAT-61 Section #2 Page 4 of 4
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Performance Info:
Performance Reporting Frequency: Quarterly
Federal Purpose Area: 0001 - Residential Substance Abuse Treatment
State Purpose Area: 0001 - Residential Substance Abuse Treatment
Activity Description
Activity: Cognitive Restructuring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: 12-Step
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Aftercare Services
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Application Ref # 2010-RSAT-61 Section #3 Page 1 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Drug Testing
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Educational Programs
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Job Placement
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Application Ref # 2010-RSAT-61 Section #3 Page 2 of 10
Contract -RSAT-MONR- - -
Activity:
Target Group:
Geographic Area
Location Type:
Address(es) :
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Group Counseling
Adult Males
State of Florida
Jail
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Impulse/Anger Control
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Leadership Training
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity:
Target Group:
Geographic Area
Activity Description
Individual Counseling
Adult Males
State of Florida
Application Ref # 2010-RSAT-61 Section #3 Page 3 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Mental Health Counseling
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Mentoring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Other Drug Treatment
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Application Ref #
Contract
2010-RSAT-61
-RSAT-MONR- - -
Section #3 Page 4 of 10
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Pharmacotherapy
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity:
Target Group:
Geographic Area
Location Type:
Address(es) :
Activity Description
Parenting Training
Adult Males
State of Florida
Jail
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Work Activities
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Application Ref #
Contract
2010-RSAT-61
-RSAT-MONR- - -
Section #3 Page 5 of 10
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Activity: Therapeutic Community
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Financial Management
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: 12-Step
Target Group: Adult Females
Geographic Area: State of Florida
Location Type: Administration
Objectives and Measures
Objective: 1A - To report contractor and/or employed salary amounts prorated to include time
spent in RSAT.
Measure: Part 1
Report contractor and/or employed salary amounts prorated to include time spent in
RSAT during the grant period.
Goal: 65,590
Application Ref # 2010-RSAT-61 Section #3 Page 6 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 1 B - To report cost of additional residential material (special uniforms, classroom
aids, pharmaceuticals, etc.)
Measure: Part 1
Report the cost of additional residential material (special uniforms, classroom aids,
pharmaceuticals, etc.).
Goal: 1077
Objective: 1 C - To report number of participants enrolled in the program (including drop -outs,
terminations or removals).
Measure: Part 1
Report the number of participants enrolled in the program (including drop -outs,
terminations or removals) during the grant period.
Goal: 150
Objective: 2A - To report number of days between program entry and exit for those completing
the RSAT program during the reporting period.
Measure: Part 1
How many days will there be between program entry and exit for those completing
the RSAT program during the grant period?
Goal: A mininum of 182 days or more, up to one year.
Objective: 2B - To report number of offenders to successfully complete the residential program
during the reporting period.
Measure: Part 1
How many participants will successfully complete the residential program during the
grant period?
Goal: 97
Objective: 3A - To report number of RSAT participants at end of reporting period.
Measure: Part 1
Report the number of RSAT participants at end of each reporting period.
Goal: 50
Objective: 3B - To report number of RSAT participants at beginning of reporting period.
Measure: Part 1
To report the number of RSAT participants at beginning of each reporting period.
Goal: 50
Application Ref # 2010-RSAT-61 Section #3 Page 7 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 4A - To report number of RSAT participants who completed the program and passed
drug testing.
Measure: Part 1
Report the total number of RSAT participants who completed the program and
passed drug testing during the grant period.
Goal: Approximately 97%, or 97 program participants.
Objective: 4B - To report number of RSAT participants who completed the program and passed
drug testing during the reporting period.
Measure: Part 1
Report the number of RSAT participants who completed the program and passed
drug testing during each reporting period.
Goal: 25
Objective: 5A - To report the number of RSAT participants.
Measure: Part 1
Report the number of RSAT participants during grant period.
Goal: 100
Objective: 5B - To report the number of residential program participants.
Measure: Part 1
Report the number of residential program participants.
Goal: 100
Objective: 6A - To report the total number of RSAT beds created as a result of the current
award.
Measure: Part 1
Report the total number of RSAT beds created as a result of the current award.
Goal: 54
Objective: 6B - To report the total number of RSAT beds.
Measure: Part 1
Report the total number of RSAT beds available.
Goal: 54
Objective: 7A - To report number of beds funded with non-RSAT funds.
Measure: Part 1
Report number of beds funded with non-RSAT funds.
Application Ref # 2010-RSAT-61 Section #3 Page 8 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Goal: 0
Objective: 7B - To report total number of beds in facility.
Measure: Part 1
Report total number of beds in facility.
Goal: 500
Objective: 8A - To report total number of residential service days.
Measure: Part 1
Report the total number of residential service days.
Goal: Monday through Friday, all year long, exclusive of 9 holidays.
Objective: 8B - To report number of offenders to receive residential service (RSAT and non-
RSAT).
Measure: Part 1
Report number of individuals to receive residential service (RSAT and non-RSAT).
Goal: 100 RSAT participants; no non-RSAT participants.
Objective: 9A - To report the number of RSAT completions that remained drug -free during the
residential program.
Measure: Part 1
Report the number of RSAT completions that remained drug -free during the
residential program.
Goal: 97
Objective: 9B - To report the number of residential program completions who remained drug
free.
Measure: Part 1
Report the number of residential program completions who remained drug free.
Goal: 73
Application Ref # 2010-RSAT-61 Section #3 Page 9 of 10
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: What is the total number of beds (treatment and non -treatment) in the facility?
Answer: 554
Question: How many non RSAT-funded treatment beds are in this facility?
Answer: 0
Question: How many RSAT-funded treatment beds are in this facility?
Answer: 54
Question: How is aftercare treatment provided?
Answer: Aftercare treatment is provided by the Guidance Care Center, for those that stay in
the community.
Question: What is the anticipated number of RSAT program completions during each quarterly
reporting period?
Answer: 25
Question: What goals do you plan to accomplish during the subgrant period?
Answer: Provide drug treatment services and treatment for 100 incarcerated males with a
client -centered approach in order to reduce recividism, and improve their quality of
life, in Monroe County.
Application Ref # 2010-RSAT-61 Section #3 Page 10 of 10
Contract -RSAT-MONR- - -
►iib-0, P
A ►1
a ' Care Center
IL ■N For Mental Health
Nlay 12, 2010
RSAT
Larry Prescott,MS,CAP,LMHC
Guidance care Center Key Nest
1205 4rh Street
Key West, Florida 33040
1205 Fourth Street Key West, Florida 33040 305-292-6843 NNEINN
FAX 305-292-6723 SUNCOR 464-6843 0 ME
Re: Monroe County Jail Inpatient Program — Key West, Florida
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MAY 2 8 2010
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The Guidance Care Center continues to make aftercare substance abuse services
available and accessible to all graduates of the RSAT grant program. These services
are provided by certified substance abuse staff and supervised by a team of licensed
professionals. Inmates are assisted prior to release for enrollment into aftercare to
avoid disruption to their treatment and to help reintegrate the inmate back into the
community. Psychiatric and case management services are also provided as needed.
It continues to be our pleasure to partner in this very worthwhile community
service.
Th nk you for ur support of our community,
L.
#,ar�y'
' rescott,MS,CAP,LM C
Guidance Care Center
Key West Director
fEORIDA DEPARTMENT Of
CHILDREN
T & FAMILIES
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Financial Info:
Note: All financial remittances will be sent to the Chief Financial Officer
of the Subgrantee Organization.
Financial Reporting Frequency for this Subgrant: Quarterly
Is the subgrantee a state agency?: No
FLAIR / Vendor Number: 596000749
Budget:
Budget Category Federal Match Total
Salaries and Benefits $0.00 $0.00 $0.00
Contractual Services
$50,000.00
$16,667.00
$66,667.00
Expenses
$0.00
$0.00
$0.00
Operating Capital
$0.00
$0.00
$0.00
Outlay
Indirect Costs
$0.00
$0.00
$0.00
-- Totals --
$50,000.00
$16,667.00
$66,667.00
Percentage
74.9996
25.0003
100.0
Project Generated Income:
Will the project earn project generated income (PGI) ? No
Application Ref # 2010-RSAT-61 Section #4 Page 1 of 3
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Budget Narrative:
Total Budget: Contractual Services $66,667.00
Budget Sub -Category:
Salaries and Benefits:
Substance Abuse Counselor, approx. 1.85 FTE _ $58,152
FICA @ 7.65% _ $4,448
Health Insurance@ 249.24/month = $2,990
Sub -total Salaries and Benefits: $65,590
Budget Sub -Category:
Supplies:
Med-tox drug tests: $500
Paper, pens, other materials: $577
Sub -total Salaries: $1,077
Application Ref # 2010-RSAT-61 Section #4 Page 2 of 3
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: Identify specific sources of matching funds.
Answer: Matching funds will come from the Monroe County Fine and Forfeiture Fund.
Question: Indicate the Operating Capital Outlay (OCO) dollar threshold established by the
subgrantee.
Answer: 1000
Question: Are indirect costs included in the budget? If so, has a copy of the subgrantee's
Indirect Cost Plan approved by the cognizant federal agency, been submitted to the
OCJG?
Answer: Indirect costs are not included.
Question: If a contract for contractual services will be executed by the subgrantee, has a copy
been received by the OCJG?
Answer: Services will be provided by the Guidance Care Center pursuant to a contract with
Monroe County; a copy will be provided.
Question: If salaries and benefits are included in the budget, is there a net increase in
personnel?
Answer: No
Question: Will the project earn Program Generated Income?
Answer: No
Question: Will the applicant be requesting an advance of federal funds?
Answer: No
Application Ref # 2010-RSAT-61 Section #4 Page 3 of 3
Contract -RSAT-MONR- - -
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
I Section 5: Standard Conditions
Insert Standard Conditions Page here.
Application Ref # 2010-RSAT-61 Section #5 Page 1 of
Contract -RSAT-MONR- - -
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
Conditions of agreement requiring compliance by units of local government (subgrant recipients),
implementing agencies and state agencies upon signed acceptance of the subgrant award appear in this
section and will become binding upon approval of this subgrant. Failure to comply with provisions of this
agreement will result in required corrective action up to and including project costs being disallowed.
All persons involved in or having administrative responsibility for the subgrant must read these conditions.
This section must be returned as part of the completed application.
Definitions:
"OCJG", unless otherwise stated, refers to the Florida Department of Law Enforcement, Office of Criminal
Justice Grants.
"Recipient" refers to the governing body of a county that performs criminal justice functions as determined by
the U.S. Secretary of the Interior, and includes an "Implementing Agency" which is a subordinate agency of a
county or an agency under the direction of an elected official (for example, Sheriff).
1. Reports
A. Project Progress Reports:
Regardless of whether project activities occur or not, the recipient must submit Quarterly
Project Progress Reports to the Office of Criminal Justice Grants (OCJG) by February 1, May
1, August 1, and November 1 covering subgrant activities occurring during the previous
calendar quarter. In addition, if the subgrant award period is extended beyond the "original"
project period, additional Quarterly Project Progress Reports shall be submitted.
B. Financial Reports:
1. The recipient shall have the choice of submitting either Monthly or Quarterly
Reimbursement Requests to the OCJG. All Reimbursement Requests are due thirty-one
(31) days after the end of the reporting period. A final Reimbursement Request and a
Criminal Justice Contract (Financial) Closeout Package shall be submitted to the OCJG
within forty-five (45) days of the subgrant end date. Such Reimbursement Requests
shall be distinctly identified as "final'.
2. Regardless of whether costs are incurred or not, all claims for reimbursement of
recipient costs shall be submitted on the Reimbursement Request forms prescribed and
provided by the OCJG. A recipient shall submit either monthly or quarterly
reimbursement requests in order to report current project costs. Reports are to be
submitted even when no reimbursement is being requested.
3. Before the "final' Reimbursement Request will be processed, the recipient must submit
to the OCJG all outstanding project performance reports and must have satisfied all
special conditions. Failure to comply with the above provisions shall result in forfeiture
of reimbursement.
4. The recipient shall submit Quarterly Project Generated Income Reports to the OCJG by
February 1, May 1, August 1, and November 1, covering subgrant project generated
income and expenditures occurring during the previous quarter.
C. Other Reports:
The recipient shall submit other reports as may be reasonably required by the OCJG.
2. Fiscal Control and Fund Accounting Procedures
A. 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
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Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
funds spent on this project shall be disbursed according to provisions of the project budget as
approved by the OCJG.
B. All expenditures and cost accounting of funds shall conform to the requirements of the Office of
Justice Programs' Financial Guide, U.S. Department of Justice Common Rule for State and
Local Governments, and those specified in the federal Office of Management and Budget (OMB)
Circulars A-21, A-87, A-110 or A-102, as applicable, in their entirety.
C. All funds not spent according to this agreement shall be subject to repayment by the recipient.
3. Compliance with "Consultant's Competitive Negotiation Act"
The recipient, when applicable, agrees to satisfy all requirements provided in Section 287.055, F.S.,
known as the "Consultant's Competitive Negotiation Act".
4. Approval of Consultant Contracts
The OCJG 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 Guide and in applicable state statutes. OCJG 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
Program's Financial Guide and federal OMB's Circular No. A-87, "Cost Principles for State and Local
Governments", or OMB's Circular No. A-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. OMB's Common Rule for State and Local Governments, or OMB Circular No.
A-110 or A-102 as applicable and Florida Law to be eligible for reimbursement.
6. Delegation of Signature Authority
When a chief officer or elected official of a subgrant recipient designates some other staff person
signature authority that chief officer or elected official must submit a letter or resolution indicating the
staff person given signature authority to the OCJG. The letter indicating delegation of signature
authority must be signed by the chief officer or elected official and the person receiving signature
authority.
7. Personnel Changes
In the event of a change in Chief Executive Officers for the Subgrantee or Implementing Agency,
Project Director, or Contact Person, the OCJG must be notified in writing with documentation to
include appropriate signatures.
8. Travel and Training
A. All travel reimbursement for out-of-state or out -of -grant -specified work area shall be based upon
written approval of the OCJG prior to commencement of actual travel. Recipients shall obtain
written approval from the OCJG for reimbursement of training costs and related travel prior to
commencement of training, if the specific training was not listed in the approved budget.
B. The cost of all travel shall be reimbursed according to local regulations, but not in excess of
provisions in Section 112.061, F.S.
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C. All bills for any travel expenses shall be submitted according to provisions in Section 112.061,
F. S.
9. Written Approval of Changes in this Approved Agreement
Subgrantees must provide written requests signed by the Chief Official, of any significant changes to the
subgrant. OCGJ approval of any grant amendment request must be received prior to the incorporation of
said amendment. These include, but are not limited to: Changes in project activities, designs or research
plans set forth in the approved agreement, Budget deviations 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
does not exceed ten (10) percent of the total approved budget and the transfer is made to an approved
budget line item; or,
A. Transfers of funds above the ten (10) percent cap shall be made only if the Department
approves a revised budget.
B. Under no circumstances can transfers of funds increase the total budgeted award. Transfers do
not allow for increasing the quantitative number of items documented in any approved budget
line item. (For example, equipment items in Operating Capital Outlay or Expense categories or
staff positions in the Salaries and Benefits category.)
10. Reimbursement Subject to Available Funds
The obligation of the State of Florida to reimburse recipients for incurred costs is subject to the
availability of federal funds authorized under the Residential Substance Abuse Treatment for State
Prisoners Formula Grant Program.
11. Procedures for Reimbursement Request
All requests for reimbursement of recipient costs shall be submitted on the form prescribed and
provided by the Department. A recipient shall submit reimbursement requests on a monthly or
quarterly basis, as specified in order to report project costs incurred during the specified reporting
period. All requests for reimbursement shall be submitted in sufficient detail for proper pre -audit and
post -audit.
12. Advance Funding
Advance funding is authorized up to twenty-five (25) percent of the federal award for each project
according to Section 216.181(15)(b), F.S. and the Office of Justice Programs' Financial Guide.
Advance funding shall be provided to a recipient upon a written request to the Department justifying
the need for such funds.
13. 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 OCJG requesting approval of a new project starting date. The letter must
outline steps to initiate the project, explain reasons for delay, and specify an anticipated 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 OCJG, again explaining reasons for delay and requesting
approval of a revised project starting date.
Upon receipt of the ninety (90) day letter, the OCJG shall determine if the reason for delay is justified
or shall, at its discretion, unilaterally terminate this agreement and re -obligate subgrant funds to
other projects approved by the Department. If warranted by extenuating circumstances, the
Department may extend the starting date of the project beyond the ninety (90) day period, but only
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Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
by execution of a formal written amendment to this agreement.
14. Extension of a Contract for Contractual Services
Extension of a contract for contractual services between the subgrantee 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 extension
of the contract shall be acceptable, unless failure to complete the contract is due to events beyond
the control of the contractor.
15. 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 OCJG shall ascertain the facts and the extent of such failure, and
if the OCJG determines that any failure to perform was occasioned by one or more said causes, the
delivery schedule shall be revised accordingly.
16. 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
services, or when the recipient receives goods, notwithstanding the date of order.
17. Program Income (also known as Project Generated Income)
The term "program income" or "project generated income" means the gross income earned by the
recipient during the subgrant period, as a direct result of the subgrant award. Program income shall
be handled according to the Office of Justice Programs' Financial Guide and the U.S. Department of
Justice's Common Rule for State and Local Governments.
18. 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
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Florida Department of Law Enforcement
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paid only for those services satisfactorily performed prior to the effective date of such sanction.
19. Retention of Records
The recipient shall maintain all records and documents for a minimum of five (5) years from the date
of the project completion as provided by the Florida Department of State, General Schedule for
Local Government GS1-L, and be available for audit and public disclosure upon request of duly
authorized persons.
20. Access To Records
The Florida Department of Law Enforcement, Auditor General of the State of Florida, the U.S.
Department of Justice, the U.S. Comptroller General 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 the Office of Justice
Program's Financial Guide.
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, F.S., and made or received by the recipient
or its contractor in conjunction with this agreement.
21. Audit
A. Subgrant recipients that expend $500,000 or more in a year in Federal awards shall have a single or
program -specific audit conducted for that year. The audit shall be performed in accordance with the
federal OMB's CircularA-133 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 Law Enforcement and
include the contract number, CFDA number, award amount, contract period, funds received and
disbursed. When applicable, the subgrant recipient shall submit an annual financial audit which
meets the requirements of Chapters 11.45 and 215.97, Florida Statutes; and, Chapters 10.550 and
10.600, Rules of the Florida Auditor General.
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 nine (9) months after the audit period.
In order to be complete, the submitted report shall include any 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 subgrant
recipient.
C. The subgrant recipient shall have all audits completed by an independent public accountant (IPA).
The IPA shall be either a Certified Public Accountant or a Licensed Public Accountant. The subgrant
recipient shall take appropriate corrective action within six (6) months of the issue date of the audit
report in instances of noncompliance with federal laws and regulations.
D. The subgrant recipient shall ensure that audit working papers are made available to the Department,
or its designee, upon request for a period of three (3) years from the date the audit report is issued,
unless extended in writing by the Department.
E. Subgrant recipients that expend less than $500,000 in Federal awards during a fiscal year are exempt
from the audit requirements of OMB Circular A-133 for that fiscal year. In this case, written
notification shall be provided to the Department by the Chief Financial Officer, or designee, that the
subgrant recipient is exempt. This notice shall be provided to OCJG no later than March 1 following
the end of the fiscal year.
F. If this agreement is closed out without an audit, the Department reserves the right to recover any
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disallowed costs identified in an audit completed after such closeout.
G. The completed audit reports should be sent to the following address:
Florida Department of Law Enforcement
Office of Criminal Justice Grants
2331 Phillips Road
Tallahassee, Florida 32308
22. 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 Office of Justice Program's Financial
Guide and the federal OMB CircularA-110 orA-102, as applicable.
23. 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 the Office of Justice Programs'
Financial Guide and the federal OMB Circular A-110 or A-102, as applicable. This obligation
continues as long as the recipient retains the property, notwithstanding expiration of this
agreement.
24. 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 also shall be made in writing within twenty-one
(21) calendar days to the Department's agency clerk. The recipient's right to appeal the
Department's decision is contained in Chapter 120, F.S., and in procedures set forth in Chapters
28-5 and 9-5, F.A.C. Failure to appeal within this time frame constitutes a waiver of proceedings
under Chapter 120, F.S.
25. 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.
26. Publication or Printing of Reports
The recipient shall submit one copy of all reports and proposed publications resulting from the
agreement twenty (20) days prior to public release. Any publications (written, visual, or sound),
whether published at the recipient's or government's expense, shall contain the following statement:
(NOTE: This excludes press releases, newsletters, and issue analysis.)
"This project was supported by Grant No. 2001-RT-BX-0044 awarded by the Bureau of Justice
Assistance, Office of Justice Programs, U.S. Department of Justice. Points of view in this
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document are those of the author and do not necessarily represent the official position of policies of
the U.S. Department of Justice."
27. Equal Employment Opportunity (EEO)
A. Federal laws prohibit recipients of financial assistance from discriminating on the basis of race,
color, national origin, religion, sex, disability, or age in funded programs or activities. All subgrant
recipients and implementing agencies must comply with any applicable statutorily -imposed
nondiscrimination requirements, which may include the Omnibus Crime Control and Safe Streets
Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 U.S.C. § 10604(e)); The Juvenile
Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of
1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C. § 7 94); the Americans with
Disabilities Act of 1990 (42 U.S.C. § 12131-34); the Education Amendments of 1972 (20 U.S.C.
§§1681, 1683, 1685-86); the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); and
Department of Justice Non -Discrimination Regulations 28 CFR Part 42; see Ex. Order 13279
(equal protection of the laws for faith -based and community organizations).
B. A subgrant recipient or implementing agency must develop an EEO Plan if it has 50 or more
employees and it has received any single award of $25,000 or more from the Department of
Justice. The plan must be prepared using the on-line short form at
http://www.o*p.usdoi.gov/about/ocr/eeop comply htm, must be retained by the subgrant recipient
or implementing agency, and must be available for review or audit. The organization must also
submit an EEO Certification to FDLE.
C. If the subgrant recipient or implementing agency is required to prepare an EEO Plan and has
received any single award of $500,000 or more from the Department of Justice, it must submit its
plan to the Department of Justice for approval. A copy of the Department of Justice approval
letter must be submitted to FDLE. The approval letter expires two years from the date of the
letter.
D. A subgrant recipient or implementing agency is exempt from the EEO Plan requirement if it is has
fewer than 50 employees or if it does not receive any single award of $25,000 or more from the
Department of Justice or if it is a nonprofit organization, a medical or educational institution, or an
Indian Tribe. If an organization is exempt from the EEO Plan requirement, it must submit an EEO
Certification to FDLE.
E. The subgrant recipient and implementing agency acknowledge that failure to comply with EEO
Requirements within 60 days of the project start date may result in suspension or termination of
funding, until such time as it is in compliance.
F. In the event a Federal or State court of Federal or State administrative agency makes a finding of
discrimination after a due process hearing on the grounds of race, color, religion, national origin,
sex, or disability against a recipient of funds, the recipient will forward a copy of the finding to the
Office for Civil Rights, Office of Justice Programs.
28. 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.
29. Certifications Regarding Lobbying; Debarment, Suspension and other Responsibility Matters;
and Drug -Free Workplace Requirements
Applicants should refer to the regulations cited below to determine the certification to which they are
required to attest. Applicants should also review the instructions for certification included in the
regulations before completing this form. Signature of this form provides for compliance with certification
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requirements under 28 CFR Part 69, "New Restrictions on Lobbying" and 28 CFR Part 67, "Government -
wide Debarment and Suspension (Nonpro-curement) and Government -wide Requirements for Drug -
Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon
which reliance will be placed when the Department of Justice determines to award the covered
transaction, grant, or cooperative agreement.
A. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part
69, for persons entering into a grantor cooperative agreement over $100,000, as defined at 28 CFR
Part 69, the applicant certifies that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for in-fluencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in con-nection with the making of any Federal grant, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal grant or cooperative agreement;
2. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal grant or cooperative agreement, the undersigned
shall complete and submit Standard Form - LLL, "Disclosure of Lobbying Activities," in
accordance with its instructions;
3. The undersigned shall require that the language of this cer-tification be included in the award
documents for all subawards at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all sub -recipients shall certify and
disclose accordingly.
B. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT
RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR
Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part
67, Section 67.510
1. The applicant certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily
excluded from covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State, or
local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding
this application had one or more public transactions (Federal, State, or local) terminated
for cause or default; and
1. Where the applicant is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
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C. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 67,
Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620
1. The applicant certifies that it will or will continue to provide a drug -free workplace by:
a. Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
b. Establishing an on -going drug -free awareness program to inform employees about
1. The dangers of drug abuse in the workplace;
2. The grantee's policy of maintaining a drug -free workplace;
3. Any available drug counseling, rehabilitation, and employee assistance programs;
and
4. The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
c. Making it a requirement that each employee to be engaged in the performance of the
grant be given a copy of the statement required by paragraph (a);
d. Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will
1. Abide by the terms of the statement; and
2. Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such
conviction;
e. Notifying the agency, in writing, within 10 calendar days after receiving notice under
subparagraph (d)(2) from an employee or otherwise receiving actual notice of such
convic-tion. Employers of convicted employees must provide notice, including position
title, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 633
Indiana Avenue, N.W., Washington, D.C. 20531. Notice shall include the identification
number(s) of each affected grant;
f. Taking one of the following actions, within 30 calendar days of receiving notice under
subparagraph (d)(2), with respect to any employee who is so convicted
1. Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
2. Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local
health, law enforcement, or other appropriate agency;
g. Making a good faith effort to continue to maintain a drug -free workplace through
implementation of paragraphs (a), (b), (c), (d), (e), and (f).
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As the duly authorized representative of the applicant, I hereby certify that the applicant will comply
with the above certifications.
If a state agency, the recipient agrees to comply with Section 319 of Public Law 101-121 set forth in
"New Restrictions on Lobbying; Interim Final Rule," published in the February 26, 1990, 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 entering into this
agreement subject to conditions and penalties imposed by Section 1352, Title 31, U.S.C. 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:
D. 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.
E. 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.
F. The undersigned shall require that the language of this certification be included in award
documents for all subgrant awards at all tiers and that all recipients shall certify and disclose
accordingly.
30. State Restrictions on Lobbying
In addition to the provisions contained herein, the expenditure of funds for the purpose of lobbying
the legislature or a state agency is prohibited under this contract.
31. Project Closeout
Project funds which have been properly obligated by the end of the subgrant funding period will
have forty-five 45) days in which to be liquidated (expended). Any funds not liquidated at the end of
the 45-day period will lapse and revert to the Department. A subgrant-funded project will not be
closed out until the recipient has satisfied all closeout requirements in one final subgrant closeout
package.
All refunds or repayments to be made to the Department under this Agreement are to be made
payable to the order of "Florida Department of Law Enforcement', and mailed directly to the
Department at the following address:
Florida Department of Law
Enforcement
Office of Criminal Justice Grants
2331 Phillips Road
Tallahassee, FL 32308
Section 5 Page 10
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
32. Background Check
It is strongly recommended that all programs targeting juveniles, implemented by other than a
sworn law enforcement officer or program licensed by the Department of Children and Family
Services, conduct background checks on all personnel providing direct services.
33. Purchase of American -Made Equipment and Products
To the greatest extent practicable, all equipment and products purchased with program funds
should be American -made.
34. Eligibility for Employment in the United States
The State of Florida will not intentionally award publicly -funded contracts to any contractor who
knowingly employs unauthorized alien workers, constituting a violation of the employment
provisions contained in 8 U.S.C. Section 1324A(e) [Section 274A(e) of the Immigration and
Nationality Act ("INA")]. The Department shall consider the employment by any contractor of
unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the recipient of the
employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral
cancellation of this Agreement by the Department.
35. National Environmental Policy Act (NEPA)
A. The subgrantee agrees to assist FDLE in complying with the NEPA and other related federal
environmental impact analyses requirements in the use of subgrant funds by the subgrantee.
This applies to the following new activities whether or not they are being specifically funded with
these subgrant funds. That is, it applies as long as the activity is being conducted by the
subgrantee or any third party and the activity needs to be undertaken in order to use these
subgrant funds,
1. New construction;
2. Minor renovation or remodeling of a property either (a) listed on or eligible for listing on the
National Register of Historic Places or (b) located within a 100-year flood plain;
3. A renovation, lease, or any other proposed use of a building or facility that will either (a)
result in a change in its basic prior use or (b) significantly change its size; and,
4. Implementation of a new program involving the use of chemicals other than chemicals that
are (a) purchased as an incidental component of a funded activity and (b) traditionally used,
for example, in office, household, recreational, or educational environments.
B. For any of a subgrantee's existing programs or activities that will be funded by these subgrant,
the subgrantee, upon specific request from the Department and the Bureau of Justice
Assistance (BJA), agrees to cooperate with BJA in any preparation by BJA of a national or
program environmental assessment of that funded program or activity.
36. Assurance of Political Activities Limitations
The subgrantee assures that it will comply with provisions of Federal law which limit certain political
activities of State or local government employees whose principal employment is in connection with
an activity financed in whole or part by Federal grants (5USC 1501, et seq.)
A. Environmental Protection Agency's (EPA) list of Violating Facilities
The subgrantee assures that the facilities under its ownership, lease or supervision which shall
be utilized in the accomplishment of the Program Purpose are not listed on the EPA's list of
Violating Facilities and that it will notify the FDLE of the receipt of any communication from the
Director of the EPA Office of Federal Activities indicating that a facility to be used in the project
is under consideration for listing by the EPA.
Section 5 Page 11
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
B. Flood Disaster Protection Act
The subgrantee will comply with Section 102(a) of the Flood Disaster Protection Act of 1973, Public
Law 93-234, 87 Stat. 975, requiring that the purchase of flood insurance in communities where such
insurance is available as a condition of the receipt of any federal financial assistance for
construction or acquisition purposes for use in any area that has been identified as an area having
special flood hazards.
C. National Historic Preservation Act
The subgrantee will assist the FDLE in its compliance with Section 106 of the National Historic
Preservation Act of 1966 as amended (16 USC 470), Executive Order 11593, and the Archeological
and Historical Preservation Act of 1966 (16 USC 569a-1 et seq.) by (a) consulting with the State
Historic Preservation Officer as necessary, to identify properties listed in or eligible for inclusion in
the National Register of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8)
by the activity, and notifying the FDLE of the existence of any such properties and by (b) complying
with all requirements established by the Federal grantor agency to avoid or mitigate adverse effects upon
such properties.
37. The Coastal Barrier Resources Act
The subgrantee will comply and assure the compliance of all contractors with the provisions of the Coastal
Barrier Resources Act (P.L. 97-348) dated October 19, 1982 (16 USC 3501 et seq.) which prohibit the
expenditure of most new Federal funds within the units of the Coastal Barrier Resources System.
38. "Pay to Stay"
The subrecipient agrees that funds provided under this award may not be used to operate a "pay -to -stay"
program in any local jail. The subrecipient further agrees not to subaward funds to local jails which
operate "pay -to -stay" programs.
39. If a Governmental Entity:
it will comply with the requirements of the Uniform Relocation Assistance and Real property
Acquisitions Act of 1970 (42 U.S.C. § 4601 et seq.), which govern the treatment of persons displaced
as a result of federal and federally -assisted programs; and it will comply with requirements of 5 U.S.C.
§§ 1501-08 and §§ 7324-28, which limit certain political activities of State or local government
employees whose principal employment is in connection with an activity financed in whole or in part by
federal assistance.
40. Americans with Disabilities Act
Subgrant recipients must comply with the requirements of the Americans with Disabilities Act (ADA),
Public Law 101-336, which prohibits discrimination by public and private entities on the basis of
disability and requires certain accommodations be made with regard to employment (Title 1), state and
local government services and transportation (Title II), public accommodations (Title III), and
telecommunications (Title IV).
41. Immigration and Nationality Act
No public funds will intentionally be awarded to any contractor who knowingly employs unauthorized
alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section
1324a(e), Section 274A(e) of the Immigration and Nationality Act ("INA"). The Department shall
consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of the
INA. Such violation by the subgrant recipient of the employment provisions contained in Section
Section 5 Page 12
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
274A(e) of the INA shall be grounds for unilateral cancellation of this contract by the Department.
42. Limited English Proficiency (LEP)
In accordance with Department of Justice Guidance pertaining to Title VI of the Civil Rights Act of
1964, 42 U.S.C. § 2000d, recipients of Federal financial assistance must take reasonable steps to
provide meaningful access to their programs and activities for persons with LEP. For more
information on the civil rights responsibilities that recipients have in providing language services to
LEP individuals, please see the website at http://www.lep.gov.
43. Equal Treatment for Faith Based Organizations
The grantee agrees to comply with the applicable requirements of 28 C.F.R. Part 38, the Department
of Justice regulation governing "Equal Treatment for Faith Based Organizations" (the "Equal
Treatment Regulation"). The Equal Treatment Regulation provides in part that Department of Justice
grant awards of direct funding may not be used to fund any inherently religious activities, such as
worship, religious instruction, or proselytization. Recipients of direct grants may still engage in
inherently religious activities, but such activities must be separate in time or place from the
Department of Justice funded program, and participation in such activities by individuals receiving
services from the grantee or a sub -grantee must be voluntary. The Equal Treatment Regulation also
makes clear that organizations participating in programs directly funded by the Department of Justice
are not permitted to discriminate in the provision of services on the basis of a beneficiary's religion.
Notwithstanding any other special condition of this award, faith based organizations may, in some
circumstances, consider religion as a basis for employment. See
http://www.oip.gov/about/ocr/equal fbo.htm.
44. Certification for Employees Working Solely on a Single Federal Award
Any project staff that are fully funded by the grant must certify that they worked solely on the grant.
The certification must be prepared at least semi annually and must be signed by the employee and by
a supervisory official having first hand knowledge of the work performed by the employee.
Section 5 Page 13
Revised July 22, 2009
CERTIFICATION FORM
Recipient Name and Address: Monroe County Board of County Commissioners
Grant Title: RSAT/Jail Incarceration Program Grant Number: 2010-RSAT-61 Award Amount: 50,000
Contact Person Name and Title: Lisa Tennyson, Grants Administrator Phone Number: (305) 292-4444
Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP), its component agencies, and the
Office of Community Oriented Policing Services (COPS) to prepare, maintain on file, submit to OJP for review, and implement an Equal
Employment Opportunity Plan (EEOP) in accordance with 28 C.F.R §§ 42.301-.308. The regulations exempt some recipients from all of
the EEOP requirements. Other recipients, according to the regulations, must prepare, maintain on file and implement an EEOP, but they
do not need to submit the EEOP to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must
complete Section A below. Recipients that claim the limited exemption from the submission requirement, must complete Section B
below. A recipient should complete either Section A or Section B, not both. If a recipient receives multiple OJP or COPS grants,
please complete a form for each grant, ensuring that any EEOP recipient certifies as completed and on file (if applicable) has been
prepared within two years of the latest grant. Please send the completed form(s) to the Office for Civil Rights, Office of Justice Programs,
U.S. Department of Justice, 810 7t' Street, N.W., Washington, D.C. 20531. For assistance in completing this form, please call (202)307-
0690 or TTY (202) 307-2027.
Section A- Declaration Claiming Complete Exemption from the EEOP Requirement. Please check all the boxes that
apply.
I,
❑ Recipient has less than 50 employees, ❑ Recipient is an Indian tribe,
❑ Recipient is a non-profit organization, ❑ Recipient is an educational institution, or
❑ Recipient is a medical institution, ❑ Recipient is receiving an award less than $25,000
[responsible official], certify that
[recipient] is not required to
prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R §42.302. I further certify that
[recipient] will comply with applicable Federal civil rights
laws that prohibit discrimination in employment and in the delivery of services.
Print or type Name and Title Signature Date
Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
EEOP Is on File for Review.
If a recipient agency has 50 or more employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000,
then the recipient agency does not have to submit an EEOP to OJP for review as long as it certifies the following (42 C.F.R. § 42.305):
1, Roman Gastesi, Jr. County Administrator [responsible official], certify that
the Monroe County Board of County Commissioners Irecipient],which has 50 or more
employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000, has formulated an
EEOP in accordance with 28 CFR §42.301, et seq., subpart E. I further certify that the EEOP has been formulated and
signed into effect within the past two years by the proper authority and that it is available for review. The EEOP is on file in
the office of, Calvin Allen, EEO Officer, Monroe County BOCC [organization],
at 1100 Simonton Street, Key West, Florida 33040 [address],for review by the public and
employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
Justice Programs, U. S. Department of Justice, as required by nt s a ulations.
Roman Gastesi, Jr., County Administrator
Print or type Name and Title Signat re Date
,e
OMB Approval No. 1121-0140 Expiration Date: 01/31/06
CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITIY
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
Residendial Substance Abuse Treatment Program
Form Provided by the U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS,
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67, "Government -wide Debarment and Suspension (Non -procurement) and
Government -wide Requirements for Drug -Free Workplace (Grants)". The certifications shall be treated as a material
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
(b) Have not within a three-year period preceding this application
1. LOBBYING
been convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28
obtaining, attempting to obtain, or performing a public (Federal, State,
CFR Part 69, for persons entering into a grant or cooperative agreement over
or local) transaction or contract under a public transaction; violation of
$100,000, as defined at 28 CFR Part 69, the applicant certifies that:
Federal or State antitrust statutes or commission of embezzlement,
theft forgery, bribery, falsification or destruction of records, making
(a) No federal appropriated funds have been paid or will be paid, by or on behalf
false statements, or receiving stolen property;
of the undersigned, to any person for influencing or attempting to influence an
officer or employee of any agency, a member of Congress, an officer or employee
(c) Are not presently indicted for or otherwise criminally or civilly
of Congress, or an employee of a Member of Congress in connection with the
charged by a governmental entity (Federal, State, or local) with
making of any federal grant, the entering into of any cooperative agreement, and
commission of any of the offenses enumerated in paragraph (1) (b) of
the extension, continuation, renewal, amendment, or modification of any federal
this certification; and
grant or cooperative agreement;
(d) Have not within a three-year period preceding this application
(b) If any funds other than federal appropriated funds have been paid or will be
had one or more public transactions (Federal, State, or local)
paid to any person influencing or attempting to influence an officer or employee of
terminated for cause or default; and
any agency, a member of Congress, an officer or an employee of Congress, or an
employee of a member of Congress in connection with this federal grant or
B. Where the applicant is unable to certify to any of the statements in
cooperative agreement, the undersigned shall complete and submit Standard
this certification, he or she shall attach an explanation to this
Form - LLL, "Disclosure of Lobbying Activities", in accordance with its instructions;
application.
(c) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers (including subgrants,
3. DRUG -FREE WORKPLACE
contracts under grants and cooperative agreements, and subcontracts) and that all
(GRANTEES OTHER THAN INDIVIDUALS)
subrecipients shall certify and disclose accordingly.
As required by the Drug -Free Workplace Act of 1988, and
2. DEBARMENT, SUSPENSION, AND OTHER
implemented at 28 CFR Part 67, Subpart F, for grantees, as defined
at 28 CFR Part 67 Sections 67.615 and 67.620-
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
A. The applicant certifies that it will or will continue to provide a drug -
free workplace by:
As required by Executive Order 12549, Debarment and Suspension, and
implemented at 28 CFR Part 67, for prospective participants in primary covered
(a) Publishing a statement notifying employees that the unlawful
transactions, as defined at 28 CFR Part 67, Section 67.510 -
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the grantee's workplace and
A. The applicant certifies that it and its principals:
specifying the actions that will be taken against employees for
violation of such prohibition;
(a) Are not presently debarred, suspended, proposed for debarment, declared
ineligible, sentenced to a denial of federal benefits by a State or Federal court, or
(b) Establishing an on -going drug -free awareness program to inform
voluntarily excluded from covered transactions by any federal department or
employees about -
agency;
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug -free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug
abuse violations occurring in the workplace;
FDLE RSA Grant Application Package Lobbying, Debar nen4 Suspension and Drug -Free Workplace Certification
Page 1
_ CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITIY
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
Residendial Substance Abuse Treatment Program
(c) Making it a requirement that each employee to be engaged in the performance
of the grant be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a
condition of employment under the grant, the employee will-
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a
criminal drug statute occurring in the workplace no later than five calendar days
after the conviction;
(a) Notifying the agency, in writing, within 10 calendar days after receiving notice
under subparagraph (d) (2) from an employee or otherwise receiving actual notice
of such conviction. Employers of convicted employees must provide notice
including position title, to: Department of Justice, Office of Justice Programs,
ATTN: Control Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531. Notice
shall include the identification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar days of receiving notice
under subparagraph (d) (2), with respect to any employee who is so convicted-
(1) Taking appropriate personnel action against such an employee, up to and
including termination, consistent with the requirements of the Rehabilitation Act of
1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a Federal,
State, or local health, law enforcement, or other appropriate agency;
Check here _ If there are workplaces on file that are not identified
here.
Section 67.630 of the regulations provides that a grantee that is a
State may elect to make one certification in each Federal fiscal year.
A copy of which should be included with each application for
Department of Justice funding. States and State agencies may elect
to use OJP Form 4061/7.
Check here _ If the State has elected to complete OJP Form
4061 /7.
DRUG -FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as defined
at 28 CFR Part 67: Sections 67.615 and 67.620-
A. As a condition of the grant, I certify that I will not engage in the
(g) Making a good faith effort to continue to maintain a drug -free workplace
unlawful manufacture, distribution, dispensing, possession, or use of
through implementation of paragraphs (a), (b), (c), (d), (a), and (f).
a controlled substance in conducting any activity with the grant; and
S. The grantee may insert in the space provided below the site(s) for the
B. If convicted of a criminal drug offense resulting from a violation
performance of work done in connection with the specific grant:
occurring during the conduct of any grant activity, I will report the
conviction, in writing, within 10 calendar days of the conviction, to:
Place of Performance (Street address, city, county, state, zip code)
Department of Justice, Office of Justice Programs, ATTN: Control
Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above
certifications.
1. Grantee Name and Address: Monroe County BOCC, 1100 Simonton Street, Key West, Fl 33040
2. Project Name: RSAT— Jail Incarceration Program
3. Typed Name and Title of AuthorizedJRepresentative: Sylvia M
4. Signatu
FDLE RSAT Grant A
r
Date: June 16, 2010
r
Lobbying, Debarmen4 Suspension, and Drug- me Workplace Certification
Page 2
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
In witness whereof, the parties affirm they each have read and agree to the conditions set
forth in this agreement, have read and understand the agreement in its entirety and have
executed this agreement by their duty authorized officers on the date, month and year set
out below.
Corrections on this page, including Strikeovers
whiteout, etc. are not acceptable.
Signature: ( PA&I 4y, 9,
Typed Name and Title:
Date: .%- CZj- /0
Typed Name of
Signature:
Date: June 16, 2010
Typed NN
Signature:
Typed I d
Date:
June 16, 2010
Application Ref # 2010-RSAT-61
Contract -RSAT-MONR- - -
Section #6 Page 1 of 1