FY2014 12/11/2013AMY NEAVILIN, CPA
CLERK OF CIRCUIT COURT &
MONROE COUNTY, FLORIDA
DATE: January 9, 2013
TO: Tina Boan, Director
Office of Budget & Management
ATTN. Laura DeLoach-Hartle
FROM. Vitia Fernandez, D/
At the December 11, qO4T, Board of County Commissioner's meeting the Board granted approval and
authorized execution of the following items:
Item C19 Board granted authorization for the Mayor to execute a Memorandum of Underst ding with Be The
Change of the Florida Keys for the Monroe Youth Challenge Anti -Bullying and Violence Prevention p ject, for the period
from Oct 1, 2013 through Sept 30, 2014.
Item C21 Board granted authorization for the Mayor to execute a Memorandum of Understanding with Florida Keys
Outreach Coalition Supportive Housing: Substance Abuse Education and Relapse Prevention project, for the period from
Oct 1, 2013 through Sept 30, 2014.
Item C23 Board granted authorization for the Mayor to execute a Memorandum of Understanding with United States
Fellowship of Florida, Inc., d/b/a Heron -Peacock Supported Living: Supportive Housing to Prevent R cidivism of Adults
with Mental Illness & Substance Abuse Project, for the period from Oct 1, 2013 through Sept 30, 2014.
Item C25 Authorization for the Mayor to execute a Memorandum of Understanding with Guidance/Care Center
Women's Jail Housed Drug Abuse Treatment Program, for the period from Oct 1, 2013 through Sept 30,2014.
V/Item C27 Authorization for the Mayor to execute a Memorandum of Understanding with the Guidance/Care Center
for the project entitled Men's Jail Housed Drug Abuse Treatment Program, for the period from Oct 1, 2013 through Sept 30,
2014.
Enclosed is a duplicate original of the above -mentioned for your handling. Should you have any
contact our office.
cc: County Attorney (w/o documents)
Finance
File
500 Whitehead Street Suite 101, PO Box 1980, Key West, FL 33040 Phone: 305
3117 Overseas Highway, Marathon, FL 33050 Phone: 305
88820 Overseas Highway, Plantation Key, FL 33070 Phone:
please feel free to
Fax: 305-295-3663
Fax: 305-289-6025
Fax: 305-852-7146
RESIDENTIAL SUBSTANCE ABUSE TREATMENT FUNDS
THIS AGREEMENT is made and entered into this 11th day of December, 2
between MONROE COUNTY, a political subdivision of the State of Florida, whose
Simonton Street, Key West, FL 33040, hereinafter referred to as "COUNTY," and
Guidance/Care Center, hereinafter referred to as "AGENCY."
WITNESSETH
MENT
013, by and
address is 1100
THE
WHEREAS, the Florida Department of Law Enforcement has awarded a sub -grant of
Residential Substance Abuse Treatment Funds to the COUNTY to implement a program that
provides residential substance abuse treatment services to offenders held in local correctional
facilities who have at least six months and no more than twelve months of their sentence left to
serve; and
WHEREAS, the COUNTY is in need of an implementing agency to provide said services
under this Program; and
WHEREAS, the AGENCY is the sole provider of this program; and
WHEREAS, the COUNTY has agreed to disburse the Residential Substance Abuse
Treatment funds to the AGENCY in accordance with the COUNTY'S application fo the Residential
Substance Abuse Treatment Funds.
NOW THEREFORE, in consideration of the mutual understandings and agreements set
forth herein, the COUNTY and the AGENCY agree as follows:
1. TERM - The term of this Agreement is from October 1, 2013 throu h September
30, 2014, the date of the signature by the parties notwithstanding, unless earlier terminated as
provided herein.
2. SERVICES - The AGENCY will provide services as outlined in the C UNTY'S
Residential Substance Abuse Treatment Sub -grant Award, attached and made a part hereof.
3. FUNDS - The total project budget to be expended by the AGENCY in performance
of the services set forth in Section 2 of this agreement shall be the total sum of 66,667. The
total sum represents federal grant/state sub -grant support in the amount of $5 ,000 and local
matching funds in the amount of $16,667, which amount shall be provided by the county. All
funds shall be distributed and expended in accordance with the Project Budget Narrative as
outlined in the grant agreement.
4. INCORPORATION BY REFERENCE - The provisions of those certain documents
entitled "State of Florida Office of Criminal Justice Grants Florida Department of Law
Enforcement Sub -grant Award Certificate and Application" and all laws, rules an J regulations
relating thereto are incorporated by reference (Attachment C).
5. IMPLEMENTING AGENCY BOUND - The AGENCY is an implementing agency under
the COUNTY'S Residential Substance Abuse Treatment Program, and shall be bo ind by all the
provisions of the documents incorporated by reference in Section 4 of this Agreement.
Additionally, the AGENCY shall be bound by all laws, rules, and regulations relat ng to the
COUNTY'S performance under the Florida Department of Law Enforcement Resid antial Substance
Abuse Treatment Grant Program.
6. BILLING AND PAYMENT
(a) The AGENCY shall comply with the program and expenditure repo ing
requirements for Residential Substance Abuse Treatment Grant funds. The AGE 4CY shall render
to the COUNTY a detailed quarterly performance report not later than 7 days after the
end of each quarter. The quarterly performance reports must include a response to all
objectives included in your project, as described in the Performance section in the grant
agreement. A detailed narrative, reflecting on accomplishments, challenges, etc. is required as
part of this quarterly report. The AGENCY shall render to the COUNTY, monthly itemized
invoices, not later than 30 days after the end of each month, properly dated, describing
the services rendered, the cost of the services, and all other information required. The original
invoice shall be sent to:
Grants Administrator
1100 Simonton Street
Key West, FL 33040
(b) Payment shall be made after review and approval by the COUNTY
(30) days of receipt of the correct and proper invoice submitted by the AGENCY.
within thirty
7. TERMINATION - This Agreement may be terminated by either party at any time,
with or without cause, upon not less than thirty (30) days written notice delivered to the other
party. The COUNTY shall not be obligated to pay for any services provided by the AGENCY after
the AGENCY has received notice of termination.
8. ACCESS TO FINANCIAL RECORDS - The AGENCY shall maintain a propriate
financial records which shall be open to the public at reasonable times and under reasonable
conditions for inspection and examination and which comply with the Agreement incorporated in
Section 4 of this Agreement.
9. AUDIT - The AGENCY shall submit to the COUNTY an audit report overing the
term of this Agreement, within one -hundred twenty (120) days following the Ag eement's lapse
or early termination and shall also comply with all provisions of the Agreement i 1corporated in
Section 4 of this Agreement.
10. NOTICES - Whenever either party desires to give notice unto the
given by written notice, sent by registered United States mail, with return receil
sent to:
FOR COUNTY:
FOR PROVIDER:
Grants Administrator
Frank Rabbito, Senior Vice President
1100 Simonton Street
Guidance/Care Center
Key West, FL 33040
1205 Fourth Street
Key West, FL 33040
Either of the parties may change, by written notice as provided above, the add
for receipt of notices.
11. UNAVAILABILITY OF FUNDS - If the COUNTY shall learn that fund
Florida Department of Law Enforcement cannot be obtained or cannot be contini
sufficient to allow for the services specified herein, this Agreement may then be
immediately, at the option of the COUNTY, by written notice of termination deli
or by mail to the AGENCY at its address specified above. The COUNTY shall not
pay for any services provided by the AGENCY after the AGENCY has received no
termination.
ier, it must be
requested, and
or persons
g from the
ad at a level
erminated
red in person
e obligated to
:e of
12. COMPLIANCE WITH LAWS AND REGULATIONS - In providing all se
ices pursuant
to this Agreement, the AGENCY shall abide by all statutes, ordinances, rules, and
regulations
pertaining to, or regulating the provision of, such services, including those now in
effect and
hereafter adopted, and particularly Article 1, Section 3 of the Constitution of the
State of Florida
and Article 1 of the United States Constitution, which provide that no revenue of
the state or any
political subdivision shall be utilized, directly or indirectly, in aid of any church, sect
or religious
denomination or in aid of any sectarian institution. Any violation of said statutes,
ordinances,
rules, or regulations shall constitute a material breach of this Agreement immediately
upon
delivery of written notice of termination to the AGENCY. If the AGENCY receives
notice of
material breach, it will have thirty days in order to cure the material breach oft the
contract. If,
after thirty (30) days, the breach has not been cured, the contract will automati
ally be
terminated.
13. ASSIGNMENTS AND SUBCONTRACTING - Neither party to this Agr ement shall
assign this Agreement or any interest under this Agreement, or subcontract any f its obligations
under this Agreement, without the written consent of the other.
14. EMPLOYEE STATUS - The AGENCY is an independent contractor. ersons
employed by the AGENCY in the performance of services and functions pursuant to this
Agreement shall have no claim to pension, worker's compensation, unemployment
compensation, civil service or other employee rights or privileges granted to the OUNTY'S
officers and employees either by operation of law or by the COUNTY.
15. INDEMNIFICATION - The AGENCY agrees to hold harmless, indemnify,, and defend
the COUNTY, its commissioners, officers, employees, and agents against any anc all claims,
losses, damages, or lawsuits for damages, arising from, allegedly arising from, or related to the
provision of services hereunder by the AGENCY.
16. ENTIRE AGREEMENT
(a) It is understood and agreed that the entire Agreement of the parti 2s is contained
herein and that this Agreement supersedes all oral agreements and negotiations between the
parties relating to the subject matter hereof as well as any previous agreements presently in
effect between the parties relating to the subject matter hereof.
(b) Any alterations, amendments, deletions, or waivers of the provisions of this
Agreement shall be valid only when expressed in writing and duly signed by the parties.
IN WITNESS WHEREOF, the parties to this Agreement have caused their names to be
hereto by the proper officers thereof for the purposes herein expressed a Monroe
Florida, on the day and year first written above.
BOARD OF COUNTY COMMISSIONERS
HEAVILIN, CI
OF MONR COUN ORID
U(LUBy:
Deputy Clerk ayor/C airman
V./Y IN TO
uidance are Center
B
Witness
c
--
aimTitle:
r - Witness
m
t
MONROE COUNTY ATTORNEY
- _
APPROVED AS TO FORM:
�o
CHRISTINE M. LIMBERT-BARF
OWS
ASSISTANT COUNTY ATTORNEY
Date
ATTACHMENT A
Expense Reimbursement Requirements
This document is intended to provide basic guidelines to Human Service and Co munity-Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable
expense request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted arid that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursernent to any
other funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting
reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding
these guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate,
total hours worked, withholding information and paid payroll taxes, check number and check
amount. If a Payroll Journal is not provided, the following information must beprovided: pay
period, check amount, check number, date, payee, support for applicable paid p yroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required fo
reimbursement. For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance paym nits are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and
a sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Telefax, Fax, etc.
A fax log is required. The log must define the sender,
number called, and the reason for sending the fax.
the intended recipient, the date, the
Telephone Expenses
A user log of pertinent information must be remitted including: the party called the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance
with Monroe County Code of Ordinances and State laws and regulations. Credit card statements
are not acceptable documentation for reimbursement. If attending a conference or meeting a
copy of the agenda is needed. Airfare reimbursement requires the original passenger receipt
portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto
rental reimbursement requires the vendor invoice. Fuel purchases should be documented with
paid receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example,
taking a taxi from one's residence to the airport for a business trip is not reimbu sable. Parking
is considered a reimbursable travel expense at the destination. Airport parking uring a
business trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable
expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner
reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay exp
(unless specifically included in the contract), contributions, depreciation expense
specifically included in the contract), entertainment expenses, fundraising, non -
charges, penalties and fines.
!nditures
s (unless
ufficient check
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the tim
to
Check # Payee Reason Amount
101 Company A Rent $ X,XXX.
102 Company B Utilities XXX.
104 Employee A P/R ending 05/14/01 XXX.
105 Employee B P/R ending 05/28/01 XXX.
(A) Total $ X,Xx
(B) Total prior payments $ X,XX
(C) Total requested and paid (A + B) $ X,XY
(D) Total contract amount $ X,X)
Balance of contract (D C) $ X,X)
I certify that the above checks have been submitted to the vendors as noted and
expenses are accurate and in agreement with the records of this organization. F
these expenses are in compliance with this organization's contract with the Monr
Board of County Commissioners and will not be submitted for reimbursement to
funding source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20_
by who is personally known to me.
Notary Public Notary Stamp
period of
.XX
XX
{.XX
K. XX
K.XX
that the
►rthermore,
►e County
my other
FDLE
Florida Department of
Business Support
Law Enforcement
Office of Criminal Justice Grants
Post Office Box 1489
Gerald M. Bailey
Tallahassee, FL 32302-1489
Commissioner
(850) 617-1250
www.fdle.state.11.us
NOV 2 22013
The Honorable George Neugent
Mayor
Monroe County Board of Commissioners
1100 Simonton Street
Key West, FL 33040-3110
Re: Contract No. 2014-RSAT-MONR-i-A7-001
Dear Mayor Neugent:
ATTACHE ENT C
Rick Scott, vein
Pam Bondl, Attomey eneral
Jeff Atwater, Chief Fins nci 001cer
Adam Putnam, Commissioner ofA ulture
The Florida Department of Law Enforcement Is pleased to award a Residential Substance Abuse Treatment R
Prisoners grant to your unit of government In the amount of $ 60,000.00 for the project entitled, MEN'S JAIL H
DRUG ABUSE TREATMENT PROGRAM. These funds shall be utilized for the purpose of providing substanc
abuse treatment to at risk prisoners. A copy of the approved subgrant application with the referenced contract
is enclosed for your file. All correspondence with the Department should always refer to the project number ar
As you may be aware, Information from subgrants and performance reports are currently provided to the Depa
of Justice under the Performance Measurement Tool (PMT) and Federal Funding Accountability and Transpar
Act (FFATA) to meet current federal transparency requirements. However, the State of Florida recently passe
legislation requiring all contracts, Including grants for state or federal financial assistance, be provided to the
Department of Financial Services via the Florida Accountability Contract Tracking System (FACTS). This gran
contract and all subsequent correlating Information Including performance reports, expenditure reports, grant
amendments, etc. are provided to FACTS to meet requirements under Chapter 2013-54 and 2013-154 Laws o
Florida for transparency in government spending. If this grant agreement contains confidential or exempt infon
not subject to disclosure under the public records law, Chapter 119, F.S., (such as the names of personnel anc
disclosure of equipment for certain undercover operations, etc, that may result in officer names or other sensiti,
information on grant documents and expenditure reports) please contact the Office of Criminal Justice Grants f
information on requesting exemption -from public records disclosure.
Due to recent shifts In federal reporting requirements performance reporting has changed. Subsequently,
changes will pass down to each grantee and grant adjustment requests will be required of each award rec
notice providing instructions will be released to each grantee in the near future.
Please complete and return the enclosed Certification of Acceptance to the Office of Criminal Justice Grants w
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. We look forward to workii
you on this project. Please contact Planning Manager Martha McWilliams at (850) 617-1250 if you have any
questions or we can be of further assistance.
Ski
V' flewr',
Petrina Tuttle Herring
Administrator
PTH/as
Enclosures
Service - Integrity - Respect - Quality
State
title.
30
with
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 2014-RSAT-MONR-I-A7-001, in the amount of $ 50,000.00, for a project entitled, MEN'S JAIL HOUSED
DRUG ABUSE TREATMENT PROGRAM, for the period of 10/01/2013 through 09/30/2014, 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.
Signature of Subgrantee's Authorized Official
Typed Name and Title of Official
Date of Acceptance
MONROE COUNTY ATTORNEY
APPROVED AS TO FORM:
CHRISTINE M. LIMBERT-BARROWS
ASSISTANT COUNTY ATTORNEY
Date IIT/aa-11-:16
OCJG-012 (rev. October 2005)
SUBGRANT AWARD CERTIFICATE
Subgrantee: Monroe County Board of commissioners
Date of Award: 61 I22 2CA3
Grant Period: From: 10/01/2013 TO: 09/30/2014
Project Title: MEN'S JAIL HOUSED DRUG ABUSE TREATMENT PROGRAM
Grant Number: 2014-RSAT-MONR-I-A7-001
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.
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 departm nt.
r
J
Authorized Official
Petrina Tuttle Herring
Administrator
Date
( ) This award is subject to special conditions (attached).
`k
Ap rl ation for Funding Assistanule
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Subgrant Recipient
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name:
George Neugent
9
����9��
Title:
Mayor
Address:
1100 Simonton Street
SEP 3 2013
City:
Key West
State:
FL Zip: 33040-3110
OFFICE OF
Phone:
305-289-6039 Ext:
CRIMIM JUSTICE R
Fax:
305-872-9195
Email:
neugent-george@monroecounty-fl.gov
Chief Financial Officer
Name:
Amy Heavilin
Title:
Clerk of Court
Address:
500 Whitehead Street
City:
Key West
State: FL Zip: 33040-3110
Phone: 305-295-3130 Ext:
Fax:
Email: aheavilin@monroe-clerk.com
Application Ref # 2014-RSAT-83 Section #1 Page of 3
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
Appr,�ation for Funding Assistairi �e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
implementing Agency
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name:
George Neugent
Title:
Mayor
Address:
1100 Simonton Street
City:
Key West
State:
FL Zip: 33040-3110
Phone:
305-289-6039 Ext:
Fax:
305-872-9195
Email:
neugent-george@monroecounty-fl.gov
Project Director
Name: Laura Deloach-Hartle
Title:
Senior Administrator- Grants & Special Projects
Address:
1100 Simonton Street
Room 2-285
City:
Key West
State:
FL Zip: 33040-3110
Phone:
305-292-4482 Ext:
Fax:
Email: deloachhartle-laura@monroecounty-fl.gov
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
SEP 3 2013
ORICE OF
CRINNAUUMCE
Section #1 Page � of
OCJG-005 (rev. April 2005)
APN (..�ation for Funding Assistarve
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: What is the DUNS number for the subgrantee?
Answer: 73876757
on Ref # 2014-RSAT-83
Contract -RSAT-MOLAR- - -
5ecnon * i
13of3
OCJG-005 (rev. April 2005)
App..�ation for Funding AssistaIh 'e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Project Information
Project Title: MEN'S JAIL HOUSED DRUG ABUSE TREATMENT
Subgrant Recipient:
Implementing Agency:
Project Start Date:
Monroe County Board of Commissioners
Monroe County Board of Commissioners
10/1/2013 End Date: 9/30/2014
Problem Identification
South Florida, including Monroe County and the Florida Keys, continues to have the unfortunate
distinction of being designated as a high -intensity drug trafficking area and, as such, is a leading
Illicit drug importation area. This, of course, has increased the availability of illicit drugs in Monroe
County resulting in drug abuse rat s higher than both the state and national averages. Spe ificall)
in regards to the male population of Monroe County which is the population of focus for this grant
request, the latest Behavioral Risk Factor Surveillance Survey compiled by the Florida
Department of Health reports rates of drug involvement as over twice that of the state average
and four times that of the much larger Miami -Dade County to the north. The Agency for
Healthcare Administration in its Emergency Department and Inpatient Hospitalization Data of
2011 publication indicates that male residents of our county had over twice the state rate f ler
100,000 population for emergency room treatment for acute drug intoxication. In addition, onroe
has over twice the state average for DUI arrests and,consequently, almost three times the state
average for vehicular deaths involving drug use. For drug Involved parents, statistics from the
Florida Department of Children and Families indicate that 57% of Monroe County foster cc re
placements between April 2011 and March 2012 were as a result of parental substance abuse.
For many drug involved men, the obsession surrounding use and attainment of illicit and I gal
drugs of abuse often lead to legal involvement, criminal conduct, neglect of family and self and
ultimately incarceration. In addition; the destruction of parent -child relationships, increase
domestic violence, increased crime, child abuse and neglect, foster care placement, divorce,
stress on the legal and medical systems of a county with very limited resources, and global
negative effects on our communities and quality of life are also directly affected. Recogniz ng the
significant need for appropriate treatment among greater numbers of incarcerated men w ose
level of drug involvement is such that they would not benefit from available outpatient trea ment
and who are often the primary caretakers of children, the Guidance Care Center along wit 1 the
Monroe County Sheriffs Office created the Jail Housed Drug Treatment Program located ithin
the Monroe County Detention Center in 1992. It remains today as one of the few such pro rams
operated within a county jail in Florida and the only opportunity for men to receive intensiv drug
abuse treatment within Monroe County. Moreover, these men are able to get treatment qu ckly
instead of being one of the 66% of substance abusing Florida residents who desire help b it are
unable to access treatment due to Florida's lengthy waiting list for substance abuse servi s as
reported by the Florida Department of Children and Families. This program has been able to
attain and maintain a very low recidivism rate (under 25%) for participants in the last 5 years with
the addition of evidenced -based practices and special attention to the unique needs of substance
abusingmen. The program has a very close relationship with countyjudges, attorneys, and the
administration and staff of the Monroe County Detention Center as well as city and county
authorities. Men who complete treatment are often granted early release from incarceratio to
return to their families and begin rebuilding their lives and the
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #2 Page
of 4
OCJG-005 (rev. April 2005)
App,. ation for Funding Assistari„e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
lives of their loved ones thereby saving the county the expense of their continued
Skills attained within the context of treatment increases the chances of sustained
healthier family and other personal relationships, healthier children, and safer con
Project Summary (Scope of Work)
In 1992, The Jail Incarceration Program (JIP) was developed in the Monroe County Date tion
Center and began providing substance abuse treatment services to county inmates to lay the
foundation for sustained recovery. The majority of clients are court ordered by the Drug Court,
Circuit Court and County Court Judges in Monroe County. The rest enter the program as
volunteers who have met the criteria for drug/alcohol treatment and will be in the county jail a
minimum of 182 days. The program has established a positive reputation county wide, wo king
closely with judges, prosecutors and defense attorneys throughout the county. DCF audits for the
past three years reported that this program meets or exceeds Best Practice standards with 100%
compliance. This year's funding will allow services begun with last year's grant to continue for this
population in the detention center.
In July 2013, the Commission on Accreditation of Rehabilitative Facilities (GARF) evaluat d the
JIP program for accreditation. The process of accreditation has strengthened
assessment and treatment. The Jail In -House Program met the highest GARF standards and
received recognition for its positive relationships between correctional staff and treatment dinical
staff. The agency has submitted Annual Conformance to Quality Reports to GARF and continue.,
to meet the highest accreditation standards.
Client -centered individualized treatment plans tailored to the needs of men are a cornerst ne of
gender -responsive treatment. After developing these plans in partnership with the program
participant, treatment plan reviews, case management services to provide community linkages
and monthly self -reports of progress continue to refine the plan. On -going program review occurs
through monthly focus groups with administrative staff and participants. The Global Assessment
of Individual Needs (GAIN) instrument provides a comprehensive assessment of client neads and
assists in developing a person -centered Wellness Plan that is updated with the participant every
30 days. Admission policies are welcoming to individuals with co-occurring disorders, learning
disabilities, illiteracy and other special individualized needs. This allows access for all who
probably otherwise would not receive services.
For men with a mental illness as well as drug addiction, a Mental Health Status Assessme t
identifies impairments in functioning. Once identified, the client receives a referral to a mei ital
health counselor and the Prison Health Services psychiatrist as well as participating in ser tices to
address the substance use disorder and criminal thinking and behavior. Treatment of men al
illness is monitored by program staff as a vital part of recovery from substance abuse. Par icipant�
are given appointments with the Guidance Care Center psychiatrist upon completion of th
program and release from incarceration and assigned a case worker to help them with
appointments, treatment adherence, accessing of community services and medication assistance,
Psychotropic medications are provided free of charge to participants who cannot afford their
medications or who do not have insurance coverage.
Treatment in the program is a minimum of six months and a maximum of one year.
services are encouraged as a part of re-entry planning and last up to six
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #2 Page $ of 4
OCJG-005 (rev. April 2005)
Appll. )ation for Funding Assistah"I
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
months once the participant is released. The Guidance/Care Center provides aftercare th ughout
the Florida Keys in community -based facilities. Aftercare is given priority and participants are
enrolled before they are released. These services are not funded by the grant and are available to
all participants regardless of ability to pay.
Corrections staff conduct random drug testing with positive tests resulting in 30 days in lock- up ,-
and a return to court for judicial review of the case. Tests used are the Reditest 10 panel(lip sticks
testing for amphetamine, benzodiazepines, cocaine, opiates, synthetic opiates, THC, PCP,
barbiturates, MOMA and methadone. The program also has a relationship with the local d ug
court to run tests on their spectrometry machine if test results are questionable which heir s to
identify those who may have attempted to be dishonest by trying to mask the results.
Program services will be delivered using an evidence based practice Cognitive Behaviora
Therapy (CBT) curriculum entitled "Substance Abuse and Criminal Conduct: Strategies fo Self
Improvement and Change, Pathways to Responsible Living" authored by Harvey Milkman and
Kenneth Wanberg. Throughout the treatment episode participants use a client workbook hat
belongs to them. The cost of that workbook is $22.00 per copy. Use of this workbook is SL bject to
change as more advanced evidenced -based treatment resources become available but will not
exceed the $22.00 cost. Treatment in the correctional setting will incorporate trauma-infoi med
and gender -responsive treatment through the use of the evidenced -based "Seeking Safet "
treatment model to promote the healing and edification of the human spirit. Seeking Safe offers
25 treatment topics, each with a clinician guide and client handouts. The seven interpers nal
topics are Asking for Help, Honesty, Setting Boundaries In Relationships, Healthy Relatio ships,
Community Resources, Healing from Anger, and Getting Others to Support Your Recovery. The
seven behavioral topics are Detaching from Emotional Pain: Grounding, Taking Good Cale of
Yourself, Red and Green Flags, Commitment, Coping with Triggers, Respecting Your Time, and
Self -Nurturing. The seven cognitive topics are PTSD: Taking Back Your Power, Compassion ,
When Substances Control You, Recovery Thinking, Integrating the Split Self, Creating ME aning,
and Discovery. In addition, four combination topics are Introduction to Treatment I Case
Management, Safety, The Life Choices Game (Review), and Termination. These relational
models support the development of healthy relationships with self, significant others, and the
community at large in order to reduce the risk of relapse and recidivism. Staff will use individual
and group formats to deliver core services. An evidenced based relapse prevention curric lum will
be introduced this year.
Specific treatment services will include:
Education about addiction to include relapse prevention and the consequences of cdmirn
behavior
Anger and emotional control
Trauma -informed care and treatment to include sexual abuse and domestic violence
A range of informational, emotional, and behavioral options to strengthen self and family
Improving abilities to cope with their children and the world around them.
Emphasis on physical and emotional wellness
Parenting education and practice
Learning, developing, and practicing positive coping skills
Developing and beginning to Implement a realistic and hopeful life plan
Continuum of care supports participants by connecting and coordinating aftercare in the
community and though 12-step/support group involvement
Discharge and aftercare planning
Application Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #2 Pac163 of
OCJG-005 (rev. April 2005)
App.atiation for Funding Assistariu
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: Does the subgrantee receive a single grant in the amount of $500,000 or
the U.S. Department of Justice?
Answer: No
Question: Does the implementing agency receive a single grant in the amount of $°
more from the U.S. Department of Justice?
Answer: No
Question: Part 1: In your business or organization's preceding completed fiscal year, dii
business or organization (the subgrantee) receive (1) 80 percent or more of }
annual gross revenues In U.S. federal contracts, subcontracts, loans, grants,
subgrants, and/or cooperative agreements; and (2) $25,000,000 or more in a
gross revenues from U.S. federal contracts, subcontracts, loans, grants, sub!
and/or cooperative agreements? If yes, answer "yes" or "no" to Part 2, below
Answer: No
Question: Part 2: Does the public have access to information about the compensation c
executives in your business or organization (the subgrantee) through period!
filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15
78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? if an
Part 1, above, was "no," answer N/A.
Answer: N/A
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #2
from
or
your
f the
:reports
U.S.C.
;wer to
4 of 4
OCJG-005 (rev. April 2005)
Appi, cation for Funding Assistan.,
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: Drug Testing
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Application Ref #
Contract
2014-RSAT-83
-RSAT-MONR- - -
Activity Description
Section #3 Page 1
of
OCJG-005 (rev. April 2005)
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: 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: Group 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: 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
Application Ref # 2014-RSAT-83 Section #3
Contract -RSAT-MONR- - -
f OCJG-005 (rev. April 2005)
2of13
Appi cation for Funding Assistan e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Activity: Individual 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: 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: Parenting 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 Description
Activity: Therapeutic Community
Target Group: Adult Males
Geographic Area: State of Florida
Application Ref # 2014-RSAT-83 Section #3 Page
Contract -RSAT-MOLAR- - -
OCJG-005 (rev. April 2005)
3 of
Application for Funding Assistati ce
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Location Type: Jail
Addresses) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Objectives and Measures
I
Objective: 2012-01A - To report whether or not grant activity occurred during each reporting
period. Grant activity is defined as any proposed activity in the OCJG approved grant
application that is implemented or executed with RSAT funds. (Yes or No.)
Measure: 2012-01 A
Is grant activity expected to occur during EVERY reporting period? Grant activity is
defined as any proposed activity in the OCJG approved grant application that is
implemented or executed with RSAT funds. (Yes or No.)
Goal: Yes
Objective: 2012-02A - To report the number of RSAT participants added during each reporting
period.
Measure: 2012-02A
How many RSAT participants will be added to the program during the GRANT
period?
Goal: 70
Objective: 2012-03A - To report whether or not your RSAT program used evidence-ba ed
treatment services during each reporting period(those demonstrated by the research
literature to be effective at reducing substance abuse among court -involved
Individuals (see link at http://www.samhsa.gov/ebpwebguide/))
Measure: 2012-03A
Will your RSAT program use evidence -based treatment services such as those
demonstrated by the research literature to be effective at reducing substance abuse
among court -involved individuals (see link at hftp://www.samhsa.gov/ebpwEbguide/)
Goal: Yes
Objective: 2012-04A - To report the type of services provided to RSAT participants during each
reporting period.
Measure: 2012-04A
What type of services will be provided to RSAT participants throughout the grant
period?
Application Ref # 2014-RSAT-83 Section #3
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
4 of
Appyr�ation for Funding Assistarwe
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Goal: Education -addiction, relapse prevention, consequences of criminal
behavior;Anger/emotional control;Trauma-informed care/treatment including sexual
abuse,domenstic violence;Informational/emotional/behavioral options to str ngthen
self & family;Emphasis on physical/emotional wellness;Parenting
education/practice;Learning/developing/practicing positive coping skills;
Developing/implementing a realistic, hopeful life plan;Continuum of
care;Discharge/aftercare planning
Objective: 2012-05A - To report the number of custody & treatment staff who worked d rectly
with RSAT participants in the RSAT program during each reporting period. Staff
would be all custody and treatment employees including but not limited to program
managers, administrators, case managers, correctional officers and clinicia s. Do
NOT include mentors, volunteers or interns.
Measure: 2012-05A
How many custody & treatment staff (who will work directly with RSAT participants in
the RSAT program)are expected to be used? Staff would be all custody and
treatment employees including but not limited to program managers, administrators,
case managers, correctional officers and clinicians. Do NOT include mentors,
volunteers or interns.
Goal: 7
Objective: 2012-06A - To report the number of custody and treatment staff who are cro s-
trained in the RSAT program. (This should be based on the number of uniformed
officers who received training in the implementation of assessment instrume its,
motivational interviewing (MI) techniques, accountability training, or addictio -related
trainings, as well as the number of treatment staff who will receive officer tra ning and
other security training sessions.
Measure: 2012-06A
How many custody and treatment staff are to be cross -trained in the RSAT rograi
This should be based on the number of uniformed officers who received training in
the implementation of assessment instruments, motivational interviewing (IV 1)
techniques, accountability training, or addiction -related trainings, as well as the
number of treatment staff who received officer training and other security tr ining
sessions for the RSAT program.
Goal: 15
Objective: 2012-07A - To report the number of RSAT participants who will be administ red a
risk and need assessment during the program period. (This refers to an ins rument
used to identify factors that may lead a participant to re -offend; pinpointing r eeded
services to minimize those risks).
Measure: 2012-07A
How many RSAT participants will be administered a risk and need assess ent? This
refers to an instrument used to identify factors that may
# 2014-RSAT-83 Section #3 Page I5 of
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
Appircation for Funding Assistarwe
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
lead a participant to re -offend; pinpointing needed services to minimize those risks.
Goal: 70
Objective: 2012-07B - To report number of RSAT participants listed in 7A who were ide tified
during the reporting period as high criminogenic risks, such as high substance abuse
treatment needs.
Measure: 2012-07B
From the number in question 7A, how many RSAT participants are expected to be
Identified as high criminogenic risk, such as high substance abuse treatment needs.
Goal: 60
Objective: 2012-08A - To report the number of RSAT participants with an individualized
treatment plan. This number should be equal to or less than the number of
participants currently enrolled and should be based on an unduplicated count of
participants with treatment plans. Participants with updated treatment plans should
be counted only once.
Measure: 2012-8A
How many RSAT participants will have an individualized treatment plan durir g the
program? This number should be equal to or less than the number of particir ants
enrolled and should be based on an unduplicated count of participants with t eatm
plans. Participants with updated treatment plans should be counted only one 3.
Goal: 100
Objective: 2012-09A - To report whether or not your RSAT program participated in a
correctional institution/community based partnership (during the reporting pe iod) to
ensure that therapeutic services administered to participants are maintained fter
their release into the community.
Measure: 2012-09A
Will your RSAT program participate in a correctional institution/community I
partnership to ensure that therapeutic services administered to participants
maintained after their release into the community?
Goal: Yes
Objective: 2012-10A - To report the number of RSAT participants in the program during each
reporting period (including the number of RSAT participants carried over from the
previous reporting period and NOT new admissions during the reporting period.
Measure: 2012-10A
Approximately how many RSAT participants are expected to be in the
during the grant period?
Goal: 100
2014-RSAT-83
Contract -RSAT-MONR- - -
Section #3 Page 0 of
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Application for Funding Assista,e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 2012-11 A - To report the number of new admissions during the reporting
Measure: 2012-11 A
How many NEW admissions are anticipated to participate in the RSAT program
during the grant period? This does not include any carry-overs from a previous grant
period.
Goal: 70
Objective: 2012-12A - To report RSAT participants receiving RSAT funded treatment
the following components: COGNITIVE SERVICES BEHAVIORAL
SERVICES
EMPLOYMENT SERVICES
HOUSING SERVICES EDUCATION SERVICES MENTAL HEP
SERVICES
MEDICAUDENTAL SERVICES
SUBSTANCE ABUSE SERVICES
OTHER SERVICES
EXPLAIN OTHER SERVICES
Measure: 2012-12A
Goal
From the following components, which will be used in your RSAT program?
COGNITIVE SERVICES, BEHAVIORAL SERVICES, EMPLOYMENT SERVICES,
HOUSING SERVICES, EDUCATION SERVICES,MENTAL HEALTH SERVICES,
MEDICAL/DENTAL SERVICES,SUBSTANCE ABUSE SERVICES, OTHER
SERVICES (EXPLAIN OTHER SERVICES).
Cognitive services, behavioral services, educational services, mental health services,
substance abuse services
Objective: 2012-13A - To report the number of RSAT participants who SUCCESSFUL Y
completed all requirements set forth in your RSAT grant application during the
reporting period.
Measure: 2012-13A
How many RSAT participants are anticipated to SUCCESSFULLY complete all
requirements set forth in your RSAT grant application during the grant period ?
Goal: 75
Objective: 2012-13B - To report those listed in 13A who were released into the
during the reporting period.
Measure: 2012-13B
Of those listed in 13A, how many participants are expected to be released i ito the
community after treatment completion?
Goal: 70
Objective: 2012-13C - To report the number of RSAT participants listed in 13B with a
of care arrangement with aftercare providers. This
2014-RSAT-83
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OCJG-005 (rev. April 2005)
Section 03
7 of
App cation for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
number should be based on those with active treatment plans that continue
community and who receive referrals for services after their release into the
community.
Measure: 2012-13C
Of the number in 1313, how many RSAT participants are expected to be rek
a continuity of care arrangement with aftercare providers? This number sho
based on those with active treatment plans that continue in the community
receive referrals for services after their release into the community.
Goal: 65
the
d with
be
who
Objective: 2012-14A -To report number of RSAT participants removed from the progra during
the reporting period due to termination for a new charge.
Measure: 2012-14A
How many RSAT participants are expected to be removed from the prograrr during
the grant period due to termination for a new charge?
Goal: 5
Objective: 2012-14B - To report number of RSAT participants removed from the program during
the reporting period due to release or transfer to another correctional facility.
Measure: 2012-14B
How many RSAT participants are expected to be removed from the progra during
the grant period due to release or transfer to another correctional facility?
Goal: 5
Objective: 2012-14C - To report number of RSAT participants removed from the program during
the reporting period due to death or serious illness.
Measure: 2012-14C
Approximately how many RSAT participants are expected to be removed from the
program during the grant period due to death or serious illness?
Goal: 00
Objective: 2012-14D - To report number of RSAT participants removed from the progr m during
the reporting period due to a lack of engagement (non -responsiveness).
Measure: 2012-14D
Approximately how many RSAT participants are expected to be removed fr m the
program due to a lack of engagement or non -responsiveness?
Goal: 5
Application Ref # 2014-RSAT-83 Section #3
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
8of13
App,,�ation for Funding Assistcm,e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 2012-14E - To report number of RSAT participants removed from the program during
the reporting period due to failure to meet program requirements.
Measure: 2012-14E
Approximately how many RSAT participants are expected to be removed fr m the
program due to failure to meet program requirements?
Goal: 10
Objective: 2012-14F - To report number of RSAT participants removed from the program during
the reporting period due to other reasons (please list other reasons.)
Measure: 2012-14F
Approximately how many RSAT participants are expected to be removed fr m the
program due to other reasons (please list other reasons)?
Goal: 0
Objective: 2012-15A - To report the number of SUCCESSFUL completions in the program
within the following time frames (the sum of this answer should equal the number in
13A): 7-9 months
10-12 months
Measurer 2012-15A
Approximately how many SUCCESSFUL completions in the program within the
following time frames (the sum of this answer should equal the number in 1 A): 7-9
months 10-12 months
Goal: 7-9 months: 50
10-12 months: 25
Objective: 2012-15B - To report the number of UNSUCCESSFUL completions or ter
who were in the program within the following time frames (the sum of this
should equal the total number in 14A-14F): 7-9 months
10-12 months
Measure: 2012-15B
Approximately how many UNSUCCESSFUL RSAT completions or terminations are
anticipanted to be in the program within the following time frames (the sum of this
answer should equal the total number in 14A-14F): 7-9 months 10 12
months ?
Goal: 7-9 months: 18
10-12 months: 7
Objective: 2012-16A - To report the number of participants who were given a drug test Defore
admission into the RSAT program during this reporting period. (Subgrantees must
implement urinalysis or other proven reliable forms of testing including both random
and periodic testing (1) of a participant before they enter the program and dl. ring the
period in which they receivd treatment; and (2) of a participant released frorr an
2014-RSAT-83
Contract -RSAT-MONR- - -
Section #3 Page 0 of 13
OCJG-005 (rev. April 2005)
A.
Appul�ation for Funding Assistan ue
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
RSAT program if they remain in the custody of the State.)
Measure: 2012-16A
Approximately how many participants are expected to be given a drug test b fore
admission into the RSAT program? Subgrantees must implement urinalysis or other
proven reliable forms of testing including both random and periodic testing ( ) of a
participant before they enter the program and during the period in which they receivd
treatment; and (2) of a participant released from an RSAT program if they remain in
the custody of the State.)
Goal: 70
Objective: 2012-16B - To report the number of participants who were given a drug test fter
successfully completing the RSAT program during the reporting period.
(Subgrantees must implement urinalysis or other proven reliable forms of testing
including both random and periodic testing (1) of a participant before they enter the
program and during the period in which they receivd treatment; and (2) of a
participant released from an RSAT program if they remain in the custody of he
State.)
Measure: 2012-16B
Approximately how many participants are expected to be given a drug testafter
successfully completing the RSAT program? Subgrantees must implement rinalysi;
or other proven reliable forms of testing including both random and periodic esting
(1) of a participant before they enter the program and during the period in which they
receivd treatment; and (2) of a participant released from an RSAT program i they
remain in the custody of the State.
Goal: 10
Objective: 2012-16C - To report the total number of RSAT participants who were drug sted
DURING the RSAT program during the reporting period. The number enter d
should be an unduplicated count only of participants tested for alcohol or ille al
substances and should be equal to or greater than the number of positive tests given
during the reporting period.
Measure: 2012-16C
Approximately how many RSAT participants are expected to be drug tested DURING
the RSAT program? The number entered should be an unduplicated count only of
participants tested for alcohol or illegal substances and should be equal to or greater
than the number of positive tests given during the entire grant period.
Goal: 70
Objective: 2012-16D - To report the number of participants tested DURING the RSAT prograrr
during the reporting period with a POSITIVE result. Include only an unduplic ted
count only of participants (completions, non completions and current participants)
who tested positive for alcohol or illgal substances and should equal or be less than
the total.
2014-RSAT-83
Contract -RSAT-MONR- - -
Section #3 Page 10 of 13
OCJG-005 (rev. April 2005)
Application �%ation for Funding Assistarice
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Measure: 2012-16D
Approximately how many participants are expected to be tested DURING the RSAT
program with a POSITIVE result? Include only an unduplicated count only o
participants (completions, non completions and current participants) who tes ed
positive for alcohol or iligal substances and should equal or be less than the total.
Goal:
Objective: 2012-17C - To report in narrative form any problems or barriers encountered which
prevented goals and/or accomplishments from being reached during the reporting
period.
Measure: 2012-17C
Do you anticipate any problems or barriers encountered which would F
and/or accomplishments from being reached? If so, please elaborate.
Goal: No
Objective: 2012-17D - To report any assistance that OCJG can provide to address any
problems or barriers identified in 17C.
Measure: 2012-17D
Do you anticipate seeking assistance that OCJG can provide to address any
problems or barriers identified in 17C?
Goal: No
goals
Objective: 2012-17E - To report in narrative form whether or not the RSAT program is on track
to fiscally and programmatically complete as outlined in the RSAT grant application.
Measure: 2012-17E
Do you expect your RSAT program to stay on track to fiscally and
complete as outlined in the RSAT grant application?
Goal: Yes
Objective: 2012-17F - To report major activities for the upcoming six months.
Measure: 2012-17F
Will you report major activities for the upcoming six months in each perform nce
report?
Goal: Yes
Objective: 2012-17G - To report any innovative programs/accomplishments that you w�uld like
to share with OCJG (based on your knowledge of the criminal justice field.)
Measure: 2012-17G
Could you report any innovative programs/accomplishments that you would like to
share with OCJG (based on your knowledge of the criminal justice
2014-RSAT-83
Contract -RSAT-MONR- - -
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OCJG-005 (rev. April 2005)
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Florida Department of Law Enforcement
Residential Substance Abuse Treatment
field)?
Goal: Yes
Application Ref # 2014-RSAT-83 Section #3 Page 14 of 13
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
App itcation for Funding Assistarllce
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 faci ity?
Please give the number for each facility if there are multiple facilites.
Answer: 596
Question: How many non RSAT-funded treatment beds are in this facility? Please give he
number for each facility if there are multiple facilites.
Answer: 526
Question: How many RSAT-funded treatment beds are in this facility? Please give the r umber
for each facility if there are multiple facilites.
Answer: 70
Question: How is aftercare provided?
Answer: Aftercare services are encouraged as a part of re-entry planning and last upto six
months once the participant is released. The Guidance/Care Center provide
aftercare throughout the Florida Keys in community -based facilities. Aftercare is given
priority and participants are enrolled before they are released.
Question: What is the anticipated number of RSAT program completions during each qLiarterly
reporting period?
Answer: 18
Question: What goals do you plan to accomplish during the subgrant period?
Answer: An evidenced based relapse prevention curriculum will be introduced this year.
Question: Please provide the physical address for the facility or facilities in which your SAT -
funded program operates.
Answer: Monroe County Detention Center
5525 College Road
Key West, FL 33040
Question: If "other" was selected for the geographic area, please describe.
Answer: N/A
Question: If "other" was selected for location type, please describe.
Answer: N/A
Application Ref # 2014-RSAT-83 Section #3 Page 3 of 13
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
I
Application for Funding Assistairde
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Financial Info:
Note: All financial remittances will be sent to the Chief Financial C
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 Dotal
Salaries and Benefits
$0.00
$0.00
$0.00
Contractual Services
$50,000.00
$16,667.00
$6
,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
$6
,667.00
Percentage
74.9996
25.0003
100.0
Project Generated Income:
Will the project earn project generated income (PGI) ? No
Application Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
Section #4 Page
1 of
Appircation for Funding Assistail,e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Budget Narrative:
Total budget $66,667
Contractual Services:
Salaries and Benefits:
Substance Abuse Counselor 27,853 (.87 FT)
Lead Counselor 24,790 (.65 FTE)
Counselor/Case Manager 6,964 (.22 FTE)
FICA 4,560 (1.74 FTE)
Total Salaries and Benefits 64,167
Expenses:
70 workbooks@$22.00 each 1,540
Supplies 340
Drug tests 140 @ $4.43 each 620
Total Expenses 2,500
Total Contractual Services: $66,667
Unit Cost= 18.42
Approximate Units = 3,619.27
The Substance Abuse Counselor at .87 FTE will provide group and individual therapy, co duct
assessments, make appropriate referrals as needed, provide information on client particip tion
and progress to judges and detention staff, and develop and monitor treatment plans. Thi will be
a Bachelor's level position.
The Lead Counselor at .65 FTE's will provide the same services as above with the additio i of
clinical oversight duties of the Program. This will be a Masters level position.
The Counselor/Case Manager will provide case management support to participants as w Il as
conduct groups and intakes as needed. This will be a Bachelors level position
Therapy workbooks will be provided to each participant in the program.
Supplies will include paper, pens, folders, copier toner, and other basic office supplies to t a used
by staff and participants.
Drug testing will be administered upon entry into the Program and at least once while receiving
treatment within the Program.
Monroe County will provide the 25% match required. The Guidance Care Center will Cover all
costs in excess of the allocated grant amount.
Monroe County will execute an agreement with the Guidance Care Center for the grant period. A
copy of the agreement will be provided to FDLE.
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #4 Page � of 4
OCJG-005 (rev. April 2005)
App,,�ation for Funding Assistaile
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: What is the subgrantee's Operating Capital dollar threshold?
Answer: 1000
Question: Is there a sole source purchase involved with this subgrant?
Answer: No
Question: Is there a contract executed for activities in this subgrant? If so, has a copy t
received by the OCJG?
Answer: There will be an executed contract for activities and a copy will be provided t
FDLE/OCJG.
Question: Are indirect costs included in the budget? If so, has a copy of the subgrante
Indirect Cost Plan (approved by the cognizant federal agency) been submitte
OCJG?
Answer: No
Question: If salaries and benefits are included in the budget, is there a net increase in I
number of personnel?
Answer: No
Question: If benefits are to be included, are they reflected in the budget narrative?
Answer: No
Question: Will the applicant be requesting an advance of federal funds?
Answer: No
Question: Will the project earn Program Generated Income (PGI)?
Answer: No
to the
Question: Does the budget include services based on unit costs? if so, provide a defin tion and
cost for each service as part of the budget narrative for contractual services. Include
the basis for the unit costs and how recently the basis was established or up ated.
Answer: Yes.
Total budget
Contractual Services:
Salaries and Benefits:
$66,667
Substance Abuse Counselor217,853(787 FT)
Lead Counselor214,790(M FTE)
Counselor/Case Manager61964(322 FTE)
FICA4>,560(l.74 FTE)
Total Salaries and Benefits:614,167
Expenses:
70 workbooks@$22.00 eachn540
SuppliesS40
Drug Testing 620
Application Ref # 2014-RSAT-83 Section #4 Page 3 of
Contract -RSAT-MONR- - -
OCJG-005 (rev. April 2005)
A ic1'ation for Funding Assistance
pP 9
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Total Expenses:Z500
Total Contractual Services: $66,667
Unit Cost= 18.42
Total grant units = 3,619.27
The Substance Abuse Counselor at .87 FTE will provide group and individual
therapy, conduct assessments, make appropriate referrals as needed, provid
information on client participation and progress to judges and detention staff,
develop and monitor treatment plans. This will be a Bachelor's level position.
The Lead Counselor at .65 FTE's will provide the same services as above wit the
addition of clinical oversight duties of the Program. This will be a Masters lev I
position.
The Counselor/Case Manager will provide case management support to p,
as well as conduct groups and intakes as needed. This will be a Bachelors
position
Therapy workbooks will be provided to each participant in the program.
Supplies will include paper, pens, folders, copier toner, and other basic
to be used by staff and participants.
Unit Cost data provided August 16, 2013 by Guidance Care Center.
2014-RSAT-83
Contract -RSAT-MONR- - -
Section #4
supplies
of
OCJG-005 (rev. April 2005)
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
Conditions of agreement requiring compliance by units of local government (subgrant reci ients),
implementing agencies and state agencies upon signed acceptance of the subgrant away I appear in this
section and will become binding upon approval of this subgrant. Failure to comply with p ovisions of this
agreement will result in required corrective action up to and including project costs being i lisallowed.
All persons involved in or having administrative responsibility for the subgrant must read tese 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, ffice 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 submil 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 th previous
calendar quarter. In addition, if the subgrant award period is extended beyond th '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 du 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 th OCJG by
February 1, May 1, August 1, and November 1, covering subgrant project enerated
income and expenditures occurring during the previous quarter.
C. Other Reports:
The recipient shall submit other reports as may be reasonably required by the
2. Fiscal Control and Fund Accounting Procedures
A. The recipient shall establish fiscal control and fund accounting procedures that ass ire proper
disbursement and accounting of subgrant funds and required non-federal expend tures. All
Section 5 Page 1
Revised Ju y 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
C. All bills for any travel expenses shall be submitted according to provisions in
F.S.
9. Written Approval of Changes in this Approved Agreement
112.061,
Subgrantees must provide written requests signed by the Chief Official, of any significant char ges to the
subgrant. OCGJ approval of any grant amendment request must be received prior to the incor oration 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 followini I 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. Tr nsfers 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 specifiec reporting
period. All requests for reimbursement shall be submitted in sufficient detail for proper pr -audit and
post -audit.
12. Advance Funding
Advance funding is authorized up to twenty-five (25) percent of the federal award for a ch 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, th 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 equesting
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
Section 5 Page 3
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
paid only for those services satisfactorily performed prior to the effective date of such
19. Retention of Records
The recipient shall maintain all records and documents for a minimum of five (5) years fro the date
of the project completion as provided by the Florida Department of State, General Sc ledule for
Local Government GS1-L, and be available for audit and public disclosure upon requo ist 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 th 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 accordan a with the
federal OMB's CircularA-133 and other applicable federal law. The contract for this agref iment shall
be identified with the subject audit in The Schedule of Federal Financial Assistance. Tt e contract
shall be identified as federal funds passed -through the Florida Department of Law Enforc ment 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 40.550and
10.600, Rules of the Florida Auditor General.
B. A complete audit report which covers any portion of the effective dates of this agreeme t must be
submitted within 30 days after its completion, but no laterthan nine (9) months afterthe a idit period.
In order to be complete, the submitted report shall include any management letters issuec separately
and management's written response to all findings, both audit report and management let er findings.
Incomplete audit reports will not be accepted by the Department and will be returned to tt a subgrant
recipient.
C. The subgrant recipient shall have all audits completed by an independent public accou tant (IPA).
The IPA shall be either a Certified Public Accountant or a Licensed Public Accountant. T e 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 repo 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 re 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
Section 5 Page 5
Revised Ju y 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
document are those of the author and do not necessarily represent the official position of
the U.S. Department of Justice."
27. Equal Employment Opportunity (EEO)
Of
A. Federal laws prohibit recipients of financial assistance from discriminating on the basis c f 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-impo ad
nondiscrimination requirements, which may include the Omnibus Crime Control and Saf 3 Streets
Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 U.S.C. § 10604(e)); The uvenile
Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights ct 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); ar d
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
httr)://www.o6t).usdoo.goy/abouttocr/eeop comr)lv.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 f rom 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, natio ai origin,
sex, or disability against a recipient of funds, the recipient will forward a copy of the find ng 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 wh h 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
Section 5 Page 7
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
C. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part
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
a. Publishing a statement notifying employees that the unlawful manufacture, distri ution,
dispensing, possession, or use of a controlled substance is prohibited in the gra tee'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
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 violati ns
occurring in the workplace;
c. Making it a requirement that each employee to be engaged in the performance f 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 cri anal 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 ur ider
subparagraph (d)(2) from an employee or otherwise receiving actual notice of such
convic-tion. Employers of convicted employees must provide notice, including p sitioi
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 identif catioi
number(s) of each affected grant;
f. Taking one of the following actions, within 30 calendar days of receiving notice nder
subparagraph (d)(2), with respect to any employee who is so convicted
1. Taking appropriate personnel action against such an employee, up to and includir
termination, consistent with. the requirements of the Rehabilitation Act of 1 73, as
amended; or
2. Requiring such employee to participate satisfactorily in a drug abuse assis ance 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 th
implementation of paragraphs (a), (b), (c), (d), (e), and (f).
Section 5 Page 9
Revised Ju y 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 ott er than a
sworn law enforcement officer or program licensed by the Department of Children aid 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 progam 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 contr ctor 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 s bgrantee.
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 cert in political
activities of State or local government employees whose principal employment is in conn ction 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 w ich shall
be utilized in the accomplishment of the Program Purpose are not listed on the EPA's ist of
Violating Facilities and that it will notify the FDLE of the receipt of any communication rom the
Director of the EPA Office of Federal Activities indicating that a facility to be used in th e project
Is under consideration for listing by the EPA.
Section 5 Page 11
Revised Ju y 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
42. Limited English Proficiency (LEP)
In accordance with Department of Justice Guidance pertaining to Title VI of the Civil Rights
1964, 42 U.S.C. § 2000d, recipients of Federal financial assistance must take reasonable s
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 ser%
LEP individuals, please see the website at http://www.lep.aov.
43. Equal Treatment for Faith Based Organizations
The grantee agrees to comply with the applicable requirements of 28 C.F.R. Part 38, the De
of Justice regulation governing "Equal Treatment for Faith Based Organizations" (the "Equal
Treatment Regulation"). The Equal Treatment Regulation provides in part that Department
grant awards of direct funding may not be used to fund any inherently religious activities, su(
worship, religious instruction, or proselytization. Recipients of direct grants may still engage
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 rec
services from the grantee or a sub -grantee must be voluntary. The Equal Treatment Regul,
makes clear that organizations participating in programs directly funded by the Department i
are not permitted to discriminate in the provision of services on the basis of a beneficiarys r
Notwithstanding any other special condition of this award, faith based organizations may, in
circumstances, consider religion as a basis for employment. See
httQ://www.oit).ciov/about/ocr/egual 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 tl
The certification must be prepared at least semi annually and must be signed by the empl,
a supervisory official having first hand knowledge of the work performed by the employee.
Ict of
Ips to
;es to
)artment
)f Justice
h as
in
nvmg
tion also
if Justice
,ligion.
tome
grant.
ee and by
Section 5 Page 13
Revised J ly 22, 2009
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully the Instructions (see below) and then complete Section A or Section B or Section C, not all
Recipient's Name: Monroe County
DUN$ Number: 07
876757
Address:
Grant Title: Residential S, lbstance Ab, 1se Trmnt I Grant Number: 2014-RSAT-83 Award AM02nLM,0,000
Name and Title of Contact Person: Laura deLoach-Hartle; Grants Administrator
Tele hone Number: 3 5 292-4482 E-Mail Address:
Section: A-Declaration?Claiming CompleteExemption from the EEOP Requirement
Please check all the following boxes that apply:
o Recipient has less than fifty employees; o Recipient is an Indian tribe. - : ❑ Recipient is a medical institution.
o Recipient is a nonprofit organization. ❑ Recipienf is an educational institution. ❑ Reapient isxeceiving an award less
than $25,000.
[responsible
qfflcial],
[.recipient] is.
certify that
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 fifty or more employees and is receiving a single award or subaward of $25, 000 or more, but less than $
00, 000, then the
recipient agency does not have to submit an EEOP to the OCR for review. as long as it certifies the following (42 C.F.R. § 42.305).
I, Roman Gastesi, County Administrator [responsible
official],
[recipient],
certify that Monroe County
which has fifty or more employees and is receiving a single award or subaward for $25,000 or mor
, but less than
$500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. I further certify that
within the last
twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as require
J by applicable
federal law, it is available for review by the public, employees, the appropriate state planning agency, an
i the Office for
Civil Rights, Office of Justice Programs, U.S. Department of Justice. The EEOP is on file at the following
office:
Calvin Allen. EEO Officer, Monroe County
organization],
[address].
R oman Gastesi,unt dministrato d8 z�
Print or Type Name and Title Signature Date
Section C Declaration Stating that an EEOP Utilization Report'Has Been Submitted to the
Office for
Civil Rights for Review_
If a recipient agency has ft, Jty or more employees and is receiving a single award or subaward of $500, 000 or more, then the recipient
send an EEOP Utilization Report to the OCR for review.'
agency must
I, [responsible
official],
[recipient],
certify that.
which has fifty. or more: employees and is. receiving a`. single award of $500,000 or more, has formulated
an EEOP in
accordatice:with 28 CFR pt. 42, subpt.:E, and sent it for review on '
[date] to the
Office for:Civil Rights, Office of Justice Programs; U.S. Department of Justice: .
Print or Type Name and Title Signature Date
OMB Approval No. 1121-0340 Expiration Date: 05/31/14
CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
iendial Substance Abuse Treatment Proi
Form Provided by the U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROG
MS,
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESP
NSIBILITY
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, "Govemment-wide Debarment and Suspension (Non -procurement
I 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 tonne
on with
As required by Section 1352, Tltle 31 of the U.S. Code, and Implemented at 28
obtaining, attempting to obtain, or performing a pubs
(Federal, State,
CFR Part 69, for persons entering Into a grant or cooperative agreement over
or local) transaction or contract under a public trans
coon; violation of
$100,000, as defined at 28 CFR Part 69, the applicant certifies that:
Federal or State antitrust statutes or commission of
Dmbazzlement,
theft forgery, bribery, falsification or destruction of re
cords, 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 crimir
ally or civilly
of Congress, or an employee of a Member of Congress in connection with the
charged by a governmental entity (Federal, State, oi
local) with
making of any federal grant, the entering Into of any cooperative agreement, and
commission of any of the offenses enumerated In ps
ragraph (1) (b) of
the extension, continuation, renewal, amendment, or modification of any federal
this certification; and
grant or cooperative agreement:
(d) Have not within athree-year period preceding It
Is 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 explanatic
n to this
Form - LLL, "Disclosure of Lobbying Activltles", 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 INDIVIDUAL
)
subrecipients shall certify and disclose accordingly.
As required by the Drug -Free Workplace Act of 1988,
and
Implemented at 28 CFR Part 67, Subpart F, for gran
ees, as defined
2. DEBARMENT, SUSPENSION, AND OTHER
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 I
o provide a drug -
free workplace by:
As required by Executive Order 12649, 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,
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
orkplace;
(3) Any available drug counseling, rehabilitation, an
I employee
assistance programs; and
(4) The penalties that maybe imposed upon emplo
leas for drug
abuse violations occurring in the workplace;
and
iARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHI
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
iandial Substance Abuse Treatment Prol
it a that each performance
ee to be paarraag
ensrement
of)the grant be giva copy of the statement required by ph (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
Check here _ If there are workplaces on file that
ire not Identified
criminal drug statute occurring in the workplace no later than five calendar days
here.
after the conviction;
Section 67.630 of the regulations provides that a gre
itee that Is a
(e) Notifying the agency, in writing, within 10 calendar days after receiving notice
State may elect to make one certification in each Fei
A copy of which should be included with each applic
Aral fiscal year.
ition for
under subparagraph (d) (2) from an employee or otherwise receiving actual notice
of such conviction. Employers of convicted employees must provide notice
Department of Justice funding. States and State age
ncies may elect
including position title, to: Department of Justice, Office of Justice Programs,
to use OJP Forth 406117.
ATTN: Control Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531. Notice
shall Include the Identification number(s) of each affected grant;
Check here _ If the State has elected to comple
a OJP Form
4061/7.
(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
DRUG -FREE WORKPLACE
(GRANTEES WHO ARE INDMDUALS)
1973, as amended; or
As required by the Drug -Free Workplace Act of 198
,and
(2) Requiring such employee to participate satisfactorily In a drug abuse
implemented at 28 CFR Part 67, Subpart F, for gran
sea, as defined
assistance or rehabilitation program approved for such purposes by a Federal,
at 28 CFR Part 67; Sections 67.615 and 67.620-
State, or local health, law enforcement, or other appropriate agency;
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
through Implementation of paragraphs (a), (b), (c), (d), (a), and (f).
unlawful manufacture, distribution, dispensing, possession,
a controlled substance In conducting any activity with
or use of
the grant; and
B. The grantee may Insert in the space provided below the site(s) for the
performance of work done in connection with the specific grant:
B. If convicted of a criminal drug offense resulting from
occurring during the conduct of any grant activity, I will
a violation
report the
conviction, in writing, within 10 calendar days of the
wriviction, to:
Place of Performance (Street address, city, county, state, zip code)
Department of Justice, Office of Justice Programs,
TTN: Control
Desk, 633Ind iana 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, 1100 Simonton Street Key West, FL 33040
2. Project Name: Residential Substance Abuse Treatment - Men's Jail Housed Drug Abuse Treatment
Program
3. Typed Name and Title of Authorized Representative: Roman Gastesi County Administrator
4. Signature: 5. Date:
CERTIFICATION. FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully the Instructions (see below) and then complete SectionA or Section B or Section C, not all
Recipient's Name: Monroe Counly
DUNS Number: 07
876757
Address:.
Grant Title: anceGrant Number: 2014-RSAT-83 Award Amount: 5
000
Name and Title of Contact Person: Laura deLoach-Hartle, Grants Administrator
Tele hone Number: 305 292-4482 E-Mail Address:dalnac
Section A Declaration Claiming.Complete Exemption from the EEOP Requirement ,.
Please check all the following boxes that apply.-
o Recipient has less.than fifty employees.. ❑ Recipient is an Indian tribe. a Recipient is a medical institution.
d Recipient is a nonprofit organization. ❑ Recipient.is an educational institution. ❑ Recipient is receiving an award le
s than $25,000.
I, [responsible
of cian,
[recipient] is
certify that
not required to preparean 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 jaws 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 fify or more employees and is receiving a single award or subaward of $25,000 or more, but less than $S
0, 000, then the
recipient agency does not have to submit an ESOP to the OCR for review as long as it certifies the following (42 C.F.R. § 42.305):
I, Roman Gastesi, County Administrator [respo
ible official],
certify that Monroe County
[recipient],
which has fifty 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 pt. 42, subpt. E. I further certify that
within the last
twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as required
by applicable
federal law, it is available for review by the public, employees, the appropriate state planning agency, and
the Office for
Civil Rights, Office of Justice Programs, U.S. Department of Justice. The EEOP is on file at the followingoffice:
Calvin Allen EEO Officer Monroe County
organization],
[address].
Roman Gastesl. County Administrator
Print or Type Name and Title Signature V Date
Section C Declaration Stating that an EEOP Utilization Report Has Been Submitted to the
Office for
Civil Rights for Review.
If a recipient agency has fif y or more employees and is receiving a single award or subaward of $500, 000 or more, then the recipient
agency must
send an EEOP Utilization Report to the OCR for review:
h[responsible
official],
[recipient],
certify that
which has fifty or more employees and is receiving a single award of $500,000 or more, has formulated.
an EEOP in
accordance with 28 CFR pt. 42 subpt.:E, and sent it for review on _
[date] to the
Office for Civil Rights; Office of Justice Programs, U.S. Department of Justice.
Print or Type Name and Title Signature Date
OMB Approval No. 1121-0340 Expiration Date: 05/31/14
1}
1
AKUINU LUDDinw, vF-_W 1-- - I
--- - -
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
Form Provided by the U.S. DEPARTMENT
E THOF JUSTICE, E COMPTROLLER OFFICE OF JUSTICE PROGF
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPOP
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 i
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)
Government -wide Lo Requirements for Drug -Free Workplace (Grants)". The certifications shall be treated as a materi
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
rnvpmd transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28
CFR part 69, for persons $100 000 eentering
as defined at 28 CFR Part 69, the a plicant certifies gthat
ment over
(a) No federal appropriated funds have been paid or will be paid, by or on behalf
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
of Congress, or an employee of a Member of Congress In connection with the
making of into of
the extension, (ederal continuation, renewal. arant the mendment. or odification of erative ny federal
grant or cooperative agreement;
(b) If any funds other than federal appropriated funds have been paid or will be
paid to any person Influencing or attempting to influence an officer or employee of
any agency, a member of Congress, an officer or an employee of Congress, or an
connection with this federal grantor
employee of a member of Congress in
cooperative agreement, the undersigned shall complete and submit Standard
Form - LLL, "Disclosure of Lobbying Activities', In accordance with Its instructions;
(c) The undersigned shall require that the language of this certification be
Included in the award documents for all subawaris at all tiers (including subgrants,
contracts under grams and cooperative agreements, and subcontracts) and that all
subreciplents shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and
implemented
as defined att8 CFR
2rprosPedtIvs participants part 67. ection 67.610 In primary covered
transactions.
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared
ineligible,
ntarily excluded from covered transactions by a y a State or Federal court, w
federal department or
voluntarily
agency;
(b) Have not within a three-year period preceding th
been convicted of or had a civil judgement rendered
commission of fraud or a criminal offense in connect
obtaining, attempting to obtain, or performing a publ
or local) transaction or contract under a public trans
Federal or State antitrust statutes or commission of
theft forgery, bribery, falsification or destruction of r
false statements, or receiving stolen property;
(c) Are not presently Indicted for or otherwise crimi
charged by a governmental entity (Federal. Slate, c
commission of any of the offenses enumerated In p
this certification; and
application
gainst them for
n with
(Federal, State,
lion; violation of
nbezzlement,
Drds, making
illy or civilly
local) with
'agraph (1) (b) of
(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
BWhere the this certification, hecant is unae to certify to any or she shalllllatlach an xplan ct the
hto this
in
application.
3. 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-
A. The applicant certifies that it will or will continue to provide a drug -
free workplace by:
(a) Publishing a statement notifying employees th 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 err ployees 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 fr 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;
ARDING LOBBYING; DEI3AKIYItIIv t, F%Ivw -----
MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
(e) Making it a requirement that each employee to be engages in unr penorman
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,
shall Includerol Desk 633 the deMificatindiana Avenue, INW., i numbers) of each aafffecctted grant;D.C. 20531. Notice
(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), (a), and (i).
B. The grantee may insert In the space provided below the site(s) for the
performance of work done in connection with the specific grant:
Place of Performance (Street address, city, county, stale, zip code)
As the duly authorized representative of the applicant, I ne
certifications.
1. Grantee Name and Address: Monroe County, 1100
2. Project
3. Typed Name and Title of Authorized
Check here _ If there are workplaces on file that sire not Identified
here.
Section 67.630 of the regulations provides that a grantee that is a
State may elect to make one cerfificat on 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 complet OJP Form
406117.
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 cart that I will not ngage In the
unlawful manufacture, distribution, dispensing, posal salon, or use of
a controlled substance in conducting any activity wxI i the grant; and
B. If convicted of a criminal drug offense resulting from a violation
occurring during the conduct of any grant activity, I v ill report the
conviction, in writing, within 10 calendar days of the nviction, to:
Department of Justice, office of Justice Programs, TTN: Control
Desk, 633Indiana Avenue, N.W., Washington, D.C. 20531.
the
4. Signature:
5.
FL
2
Applic,-Jon 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
forth in this agreement, have read and understand the agreement in its entirety and ha
executed this agreement by their duty authorized officers on the date, month and year
out below.
Corrections on this page, including Strikeovers,
whiteout, etc. are not acceptable.
Signature:
Typed Name and Title:
Date: t l
Typed Name of Sub?n
Signature:
Typed Name and Title:
Date: 0
n
Petrina T.
Typed Name of Implery � A
Fcy-
Signature:5�
Typed Name and Title:
Date:
on Ref # 2014-RSAT-83
Contract -RSAT-MONR- - -
Section #6 Page 1 1
OCJG-005 (rev. April 2005)
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for
public entity crime may not submit a bid on a contract to provide any goods or services to a
public entity, may not submit a bid on a contract with a public entity for the construction or
repair of a public building or public work, may not submit bids on leases of real property to
public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or
consultant under a contract with any public entity, and may not transact business with any
public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO
for a period of 36 months from the date of being placed on the convicted vendor list."
ATTACHMENT E
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
warrants that he/it has not em
loyed, retained
or otherwise had act on his/its behalf any former County officer or employee in
violation 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 breach or violation of this provision the County
may, in its
discretion, terminate this contract without liability and may also, in its discretion,
deduct from
the contract or purchase price, or otherwise recover, the full amount of any fee,
commission,
percentage, gift, or consideration paid to the former County officer or employee.
Date:
STATE OF A'/'- a4
COUNTY OF MO"' ,O L
(signature
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JA"les La>-,. ���sc�f t who, after first being sworn by me,
signature (name &individual signing) in the space provided above on this 26
o v e w, b e.,. , 20 13 .
NOTARY PUBLIC
My commission expires:
OMB - MCP FORM #4
EWIF
PAMELA 0 HANO=MMIMY COSSION ► EE 14me
EXPIRES: February 7,2016
Bonded TAru Notary PubicUndemb,
xed his/her
_ day of
ACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions
that will be taken against employees for violations of such prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse violations
3. Gives each employee engaged in providing the commodities or contractual s rvices that are under
bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as a condition of working
on the commodities or contractual services that are under bid, the employee will abide by the terms of
the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to,
any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States
or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who is so
convicted.
6. Makes a good faith effort to continue to maintain a drug -free workplace through implementation of
this section.
As the person authorized to sign the statement, I certify that this firm complies f ally with the above
requirements.
STATE OF
COUNTY OF M°— e-
na
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JeA"° e ! La"'' y p"�s� ° who, after first being sworn
signing) affixed his/her signature in the space provided above on this
Z6f�+ day Nof o�3.ew" v 1201
01
C frll_*"�AL__� My commission expires:
Notary Public
PAMELA G. HANCOgC
MY COMMISSION i EE 144130
EXPIRES: Februaty 7. 2016
Bonded Ttwu Notary pubk Un ami n
by me, (name of individual