Item C13C oun t y of Monr
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BOARD OF COUNTY COMMISSIONERS
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Mayor David Rice, District 4
The Florida Ke s lv ',
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Mayor Pro Tern Sylvia J. Murphy, District 5
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Danny L. Kolhage, District 1
George Neugent, District 2
Heather Carruthers, District 3
County Commission Meeting
December 13, 2017
Agenda Item Number: C.13
Agenda Item Summary #3657
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510
N/A
AGENDA ITEM WORDING: Approval of Modification #1 to Low Income Home Energy
Assistance Program (LIHEAP) Subgrant Agreement # 17EA- OF- 11 -54 -01 -019 between Department
of Economic Opportunity (DEO) and Monroe County Board of County Commissioners/Monroe
County Social Services for the contract period of 04/01/2017 through 03/31/2018 to increase funding
by $22,004.00 which will increase the total contract amount from $189,988 to $211,992.
ITEM BACKGROUND: LIHEAP funding allows Monroe County Social Services to provide
assistance to eligible low- income households with meeting the costs of home cooling and heating.
This is a reoccurring cost reimbursement agreement.
PREVIOUS RELEVANT BOCC ACTION: BOCC approved on 05/17/2017 LIHEAP agreement
17EA- OF- 11 -54 -01 -019 between DEO and Monroe County BOCC.
CONTRACT /AGREEMENT CHANGES:
Increase in funding
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
LIHEAP MOD #1 11 -27 -2017
LIHEAP MOD #1 BACKUP 07 -03 -2017
FINANCIAL IMPACT:
Effective Date: 04/01/2017
Expiration Date: 03/31/2018
Total Dollar Value of Contract: $211,992.00
Total Cost to County: 10% Cash Match -from 61501
Current Year Portion:
Budgeted:
Source of Funds: Grant
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No If yes, amount:
Grant: Yes
County Match: 10% Cash Match -from 61501
Insurance Required:
Additional Details:
07/19/17 NEW COST CENTER ADDED
125- 6153517
I "IXTAl IHIlWa,
$22,004.00
Sheryl Graham
Completed
11/27/2017 3:59 PM
Pedro Mercado
Completed
11/27/2017 4:03 PM
Budget and Finance
Completed
11/27/2017 4:33 PM
Maria Slavik
Completed
11/28/2017 7:42 AM
Kathy Peters
Completed
11/28/2017 9:03 AM
Board of County Commissioners
Pending
12/13/2017 9:00 AM
C.13.a
DocuSign Envelope ID: DIACB11Q- D7E0 -4D78- 882E- 787FE99A8FA8
MODIFICATION NUMBER [1] OF AGREEMENT BETWEEN THE
FLORIDA DEPARTMENT OF ECONOMIC OPPORTUNITY
FFY 2017 LOW - INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) AND
MONROE COUNTY, FLORIDA
CFDA Number: 93.568 Agreement Number:17EA- OF- 11 -54 -01 -019
FEDERALLY FUNDED SUBGRANT AGREEMENT
THIS MODIFICATION Number [1] is entered into between the State of Florida, Department of Economic
Opportunity, with headquarters in Tallahassee, Florida, hereinafter referred to as "DEO," and Monroe County, Florida,
hereinafter referred to as "Subrecipient" (each individually a "Party" and collectively "the Parties ")
WHEREAS, Paragraph (4) of the Agreement provides that modification of the Agreement shall be in writing
executed by the Parties thereto; and
WHEREAS, DEO and Subrecipient have entered into Agreement Number 17EA- OF- 11 -54 -01 -015, in which DEO
awarded Subrecipient One Hundred Eighty -Nine Thousand Nine Hundred Eighty -Eight Dollars and Zero Cents
($189,988.00) in Low- Income Horne Energy Assistance Program (LIHEAP) funds ( "the Agreement "); and
WHEREAS, LIHEAP Federal Fiscal Year 2016 carryover funds are available to increase the amount of funding
granted to Subrecipient; and
WHEREAS, additional funds have become available to increase the amount of the funding granted to Subrecipient.
NOW, THEREFORE, in consideration of the mutual promises of the Parties contained herein, the Parties agree as
follows:
1. Subparagraph (18)(a), FUNDING /CONSIDERATION is hereby deleted in its entirety and replaced with the
following:
"(a) This is a cost- reimbursement agreement. DE0 awards 5u bred pie nt Two Hundred Eleven Thousand Nine
Hundred Ninety -Two Dollars and Zero Cents ($211,392.00), subject to the terms and conditions of this Agreement,
availability of funds and appropriate budget authority; however, Subrecipient may incur costs and submit for
reimbursement only up to the Total (Revised) Funds Released dollar amount listed in Subrecipient's most recently DEO-
issued Notice of Fund Availability (NFA). Any such NFA duly issued to Subrecipient by DEO, including, but not limited to its
special terms, conditions, and instructions, is incorporated into the Agreement by reference."
2. Attachment J, Budget Summary and Workplan, is hereby deleted in its entirety and is replaced by the revised
Attachment J, Budget Summary and Workplan, which is attached hereto and incorporated herein by reference.
3. Except as specifically modified herein, all provisions of the Agreement, including any Attachments or Exhibits
thereto, remain in full force and effect.
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C.13.a
DocuSign Envelope ID: D1AC8110 -D7EO -4075- 882E- 787FE99A8FA8
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FEDERALLY FUNDED SUBGRANT AGREEMENT
SIGNATURE PAGE
IN WITNESS WHEREOF, by signature below, the Parties agree to abide by the terms, conditions, and provisions
of the Agreement, as modified. This Modification shall be effective on the date last executed by the Parties.
SU BRECI PI ENT
Monroe County, Florida
(Legal Name of Subrecipient)
By:
(Signature)
(Print /Type Name and Title Here)
Date
59- 6000749
Federal Identification Number
073876757
DUNS Number
17 E A -a F -11- 54 -01 -019
Agreement Number
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
By:
Debbie Smiley, Bureau Chief
Bureau of Economic Self- Sufficiency
Date:
Approved as to form and legal
sufficiency, subject only to full and
proper execution by the Parties.
Office of the General Counsel
Department of Economic Opportunity
By:
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Approved Date:
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DocuSign Envelope ID: D1AGS11D- D7E0- 4D76- 882E- 787FE99ABFAB
C.13.a
FFY 2017 LIHEAP AGREEMENT
ATTACH MENT
BUDGET SUMMARY AND WORKPLAN
As Modified by Modification [1) to Agreement 17EA- 0E- 11 -54 -01 -019
SUBRECIPIENT: Monroe Countv. Fforfda
SECTION 1. BUDGET SUMMARY
A
B
C
D
LIHEAP FUNDS ONLY
Lost Approved
Adjustment to
Approved pproved Budget
TOTAL
AMENDED
Estimated Cost
Amount
(increase /Decrease)
BUDGET
Number of
Per Household
AMOUNT
Households
Households
B +C
1 LIHEAP FUNDS
$189,988.00
$22,004.00
$211,992.00
ADMINISTRATIVE EXPENSES (Cell 2D cannot exceed 8.5% of Cell 10)
Maximum Administrative Expenses: 1 $18,019.32
2 Salaries including Fringe, Utilities, Travel, other $16,148.00
$1,865.00
$18,013.00
OUTREACH EXPENSES (Cell 3D cannot exceed Celf 1D minus Ce112D times 15%)
Maximum Outreach Expenses: 1 $29,096.85
3
Salaries including fringe, Utilities, Travel, other
$26,076.00
$3,000.00
T 29,076,00
DIRECT CLIENT ASSISTANCE
4
Horne Energy Assistance (Cell 4D must be at least 25% of cell 10)
$73,500.00
$8,500.00
$82,000.00
21
Minimum Home Energy: $52,998.00
4,200.00
TOTAL
7
607
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Crisis Assistance
$70,464.00
$8,199.00 $78,663.00
$440.00 $4,240.00
5
Weather Related / Supply shortage / Disaster
$3,800.00
(Cell 6D Must be at least 2% of cell 1D)
7
Subtotal Direct Client Assistance (Line 4 + line 5 + Line 6)
$147,764.00
$17,139.00 $164,903.00
8
GRAND TOTALS (Line 2 + Line 3 + Line 7)
$189,988.00
$22,004.00 $211,992.00
AGREEMENT: 17EA- OF- 11 -54 -01 -019
SECTION 11: WORKPLAN
Total of Line 2 + Line 3 may not exceed 1 $47,116 1 1 Amount Budgeted J Line 2 + Lin 3 = I $47,089.00
"Estimated Expenditures given in the Workplan must agree with the corresponding values on Lines 4 -7
Prior written approval from DEO's Grant Manager is required for any change to any of the above line item amounts not exceeding ten 14% of the
line item amount reduced by said change. A change exceeding 10% of an above line item amount requires a formal written amendment to this
Agreement, as described in Paragraph (4) (b), MODIFICATION OF AGREEMENT. Regardless, DE will not reimburse costs of more than the total
subaward amount of this Agreement (Line 1), and in no event shall 5ubrecipient's total Administrative Expenses (Line 2) exceed 9.5% of the total
subaward of this Agreement.
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Last Approved
Amended
Type of Assistance
Estimated
Estimated
Estimated Cost
Amended
Estimated
Number of
Number of
Per Household
Households
Households
Expenditures "
Summer Home Energy
150
160
300.40
48,000.00
Winter Home Energy
95
114
300.00
34,200.00
178
200
210.55
Summer Crisis
42,11100
Winter Crisis
165
181
201.00
36,381.00
Weather Related / Supply Shortage
19
21
200.00
4,200.00
TOTAL
7
607
676
164,891.80
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han 8.5% of Line 1 is budgeted far Administrative Expenses, the maximum allowed for Outreach Expenses may be increased. The total
Administrative Expenses plus the total Outreach Expenses may not exceed the sum of the original maximum allowed for these ite
Total of Line 2 + Line 3 may not exceed 1 $47,116 1 1 Amount Budgeted J Line 2 + Lin 3 = I $47,089.00
"Estimated Expenditures given in the Workplan must agree with the corresponding values on Lines 4 -7
Prior written approval from DEO's Grant Manager is required for any change to any of the above line item amounts not exceeding ten 14% of the
line item amount reduced by said change. A change exceeding 10% of an above line item amount requires a formal written amendment to this
Agreement, as described in Paragraph (4) (b), MODIFICATION OF AGREEMENT. Regardless, DE will not reimburse costs of more than the total
subaward amount of this Agreement (Line 1), and in no event shall 5ubrecipient's total Administrative Expenses (Line 2) exceed 9.5% of the total
subaward of this Agreement.
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C.13.b
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FFY 2017 FEDERALLY FUNDED SUBGRANT AGREEMENT
LOW- INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP)
CFDA Number: 93.568 Agreement Number: 17EA- OF- 11 -54 -01 -019
THIS AGREEMENT is entered into between the State of Florida, Department of Economic Opportunity, with
headquarters in Tallahassee, Florida, hereinafter referred to as "DEO," and Monroe County, Florida, hereinafter
referred to as "Subrecipient" (each individually a "Party" and collectively "the Parties "). i z
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THIS AGREEMENT IS ENTERED INTO BASED ON THE FOLLOWING REPRESENTATIONS: N
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A. The U.S. Department of Health and Human Services (HHS) administers the LIHEAP program at the Federal level,
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and distributes LIHEAP block grant funds to the States. The State of Florida has received these grant funds from HHS.
B. DEC is the LIHEAP grantee, Recipient, pass - through entity for the State of Florida, designated by HHS to receive
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funds annually for program purposes. DEO is authorized to distribute LIHEAP funds to the Subrecipient so that a
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Subrecipient may provide home energy assistance benefits to eligible households. w
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C. Subrecipient is qualified and eligible to receive these grant funds in order to provide the services identified M
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herein. o
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THEREFORE, DEO and Subrecipient agree to the following: o
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(1) SCOPE OF WORK
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Subrecipient shall perform the work in accordance with Attachment A to this Agreement.
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(2) INCORPORATION OF LAWS RULES, REGU AND POLICIES m
Subrecipient and DEO shall be governed by all applicable State and Federal laws, rules and regulations,
Including, but not limited to, those identified in Attachment B. 0
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(3) PERIOD OF AGREEMENT a
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This Agreement period will begin an April 1, 2017, and will end on March 31, 2018, unless terminated earlier =
in accordance with the provisions of Paragraph (13) of this Agreement. J
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(4) MODIFICATION OF AGRE
(a) Either Party may request modification of the provisions of this Agreement.
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(b) Modifications to this Agreement must be in writing, on DEO- approved forms., as applicable, and duly Q
signed by the Parties.
(5) AUDITS AND RECORDS
(a) Subrecipient's performance under this Agreement is subject to the applicable requirements published
in the "Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 45 Code of
Federal Regulations (C. F.R.) Part 75, hereinafter referred to as the "Uniform Guidance." If this Agreement is made with
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C.73.b
a commercial (for- profit) organization on a cost - reimbursement basis, Subrecipient will be subject to the Federal
Acquisition Regulations System particularly 48 C.F.R. § 31.2.
(b) Subrecipient shall retain all records pertaining to this Agreement, regardless of the form of the record
(e.g., paper, film, recording, electronic), including, but not limited to, financial records, supporting documents,
statistical records, and any other documents (hereinafter referred to as "Records ") For a period of five (5) State fiscal
years after all reporting requirements are satisfied and final payments have been received, or if an audit has been
initiated and audit findings have not been resolved at the end of this five -year period, the Records must be retained
until resolution of the audit findings through litigation or otherwise. Subrecipient shall cooperate with DEO to facilitate i=
the duplication and transfer of such Records upon request of DEO. The five -year period may also be extended for the
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following reasons:
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(I) if any litigation orclaim is started before the five -yea r period expires, and extends beyond the five -
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year period, the Records must be retained until all litigation and claims involving the Records have been resolved.
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(ii) Records for the disposition of non- expendable personal property valued at five thousand dollars
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and zero cents ($5,COC -W) or more at the time it is acquired must be retained for five (5) years after final disposition.
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the transfer of title.
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(iv) Any additional Federal requirements, particularly those identified in Attachment A of this
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Agreement.
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(c) Sub recipient shall maintain ail records for all subcontractors to be paid from funds provided under this
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Agreement, including documentation of all program costs, in a form sufficient to determine compliance with the
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requirements and objectives of Attachment! to this Agreement as well as all other applicable laws and regulations.
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(d) Subrecipient shall give access to any of Subrecipient's records to representatives of DEO the Chief
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Financial Officer of the State of Florida, the Auditor General of the State of Florida, the Florida Office of Program Policy
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Analysis and Government Accountability or representatives of the Federal government and their duly authorized
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representatives for the purposes of conducting audits, examinations, investigations, or making excerpts or
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transcriptions.
(e) Subrecipient may, per Rule 18- 24.003(9 Florida Administrative Code, and 45 C.F.R. § 75.363 allow
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its public records to be stored through electronic recordkeeping systems as substitutes for the original or paper copy. Q
{f) Subreciplent shall maintain books, records, and documents in accordance with generally accepted
accounting principles and practices which sufficiently and properly reflect all expenditures of funds provided by DEO
under this Agreement.
(g) Records pertaining to this Agreement must be available at reasonable times for inspection, review, or
audit by State personnel and other persons authorized by DEO. "Reasonable" means normal business hours of 8:00
a.m. to 5.00 p.m., local time, Monday through Friday.
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C.7 3.6
(h) If Subrecipient's expenditures of State financial assistance and /or Federal awards during its applicable
fiscal year(s) require it to conduct an audit in accordance with Exhibit I to this Agreement, such audit will comply with
all applicable requirements of Exhibit I to this Agreement, section 215.97, F.S., and the Uniform Guidance as applicable,
and Subrecipient shall ensure that all related party transactions are disclosed to the auditor.
(i) Subrecipient shall include the aforementioned audit and record- keeping requirements in all
subcontracts and assignments.
(j) Subrecipient shall have each required audit completed by an independent certified public accountant
(IPA }, either a certified public accountant or a public accountant licensed under chapter 473, F.S., and ensure that all I
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related partytransactians are disclosed to the auditor. for the IPA's audit to be sufficient, it must state that Subrecipient 0
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complied with the applicable provisions noted in Exhibit 1 to this Agreement.
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(k) The reporting packages for required audits must be timely submitted in accordance with the
requirements of Exhibit 1, Audit Requirements, of this Agreement and the applicable laws, rules and regulations
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referenced therein. The requirements of 45 C.F.R. § 75.512, Report Submission, are applicable to audits of Federal
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awards conducted in accordance with Subparagraph (5)(h) above. w
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(1) if an audit, monitoring visit, or tither documentation or verifiable information shows that all or any M
portion of the funds disbursed were not spent in accordance with the conditions of this Agreement or applicable c
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regulations, Subrecipient shall be held liable far reimbursement to RED. Such reimbursement shall be sent to DEO, by r',
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Subrecipient, within thirty (30) calendar days after DEO has notified Subrecipient of such non - compliance.
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( ) sixt (50} calendar da of the close of Subreci Tent's 'fiscal ear, on an annual basis, Y
Subrecipient shall electronically submit a completed Audit Compliance Certification (a version of this certification is U
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attached hereto as Exhibit 2, Audit Compliance Certification, of this Agreement) to audit @deo.myflorida.com.
Subrecipient's timely submittal of one completed Audit Compliance Certification for each applicable fiscal year will 0
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fulfill this requirement within all agreements (e.g., contracts, grants, memorandums of understanding, memorandums M
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of agreement, economic incentive award agreements, etc.) between DEO and Subrecipient. w
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(n) Subrecipient shall
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(i) maintain ail funds provided under this Agreement in a separate bank account; or d
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Jii) Subrecipient's accounting system shall have sufficient internal controls to separately track the M
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expenditure of all funds from this Agreement. There shall be no commingling of funds provided under this Agreement, Q
with any other funds, projects, or programs; "commingling" of funds is distinguishable from "blending" of funds
specifically allowed by law. DEO may, in its sole discretion, disallow costs made with commingled funds and require
reimbursement for such costs as described h ere! r above, in subparagraph (5)(1).
(6) INFO RELEASE AND P UBLI C RECO RE , _ _ti1REMENTS
(a) In addition to Subrecipient's responsibility to directly respond to each request it receives for records
made or received by Subrecipient in conjunction with this Agreement and to provide the applicable public records in
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C.73.b
response to such request, Subrecipient shall notify DEO of the receipt and content of such request by sending an e-mail
to PRRequest@deo.myflorida.com within one (1) business day from receipt of such request.
(b) Subreciplent shall keep and maintain public records required by DEO to perform Subrecipient's
responsibilities hereunder. Subrecipient shall, upon request from DEO's custodian of public records, provide DEO with
a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that
does not exceed the cost provided by chapter 119, F.S., or as otherwise provided by law. 5ubreclpientshall allow public
access to all documents, papers, letters or other materials made or received by Subrecipient in conjunction with this
Agreement, unless the records are exemptfrom section 24(a) of Article I of the State Constitution and section 119.07 n
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F.S. For records made or received by Subrecipient In conjunction with this Agreement, Subrecipient shall respond to
requests to inspect or copy such records in accordance with chapter 119, F.S. For all such requests for records that are N
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public records, as public records are defined in section 119.011, F,S., Subrecipient shall be responsible for providing
such public records per the cost structure provided in chapter 119, F.S., and in accordance with all other requirements
of chapter 119, F.S., or as otherwise provided by law. �
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(c) This Agreement may be terminated by ❑E❑ for refusal by Subrecipient to comply with Florida's public w
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retards laws or to allow public access to any public record made or received by Subrecipient in conjunction with this �
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(d) If, for purposes of this Agreement, Subrecipient is a "contractor" as defined in section 119,0701(1)(a), Cr
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F.5. ( "Subrecipient - contractor"), Subrecipient- contractor shall transfer to DEO, at no Cost to DEO, all public records
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upon completion, including termination, of this Agreement, or Keep and maintain public records required by DEO to
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perform the service. If Subrecipient- contractor transfers all public records to the public agency upon completion of the v
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Agreement, Subrecipient - contractor shall destroy any duplicate public records that are exempt or confidential and
exempt from public records disclosure requirements. If Subrecipient - contractor keeps and maintains public records o
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upon completion of the Agreement, Subrecipient- contractor shall meet all applicable requirements for retaining public M
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records. All records stored electronically must be provided to DEO, upon request from DEO's custodian of public w
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records, in a format that is compatible with the information technology systems of DEO.
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(e) If DEO does not possess a record requested through a public records request, DEO shall notify d
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Subreciplent- contractor of the request as soon as practicable, and Subrecipient- contractor must provide the records
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to DEO or allow the records to be inspected or copied within a reasonable time, If Subrecipient - contractor does not a
comply with DEC's request for records, DEO shall enforce the provisions set forth in this Agreement. A Subretiplent-
contractor who fails to provide public records to DEO within a reasonable time may be subject to penalties under
section 119.10, F.S.
(f) Subrecipient shall notify DEO verbally within 24 chronological hours and in writing within 72
chronological hours If any data In Subrecipient's possession related to this Agreement is subpoenaed or improperly
used, copied, or removed (except in the ordinary course of business) by anyone except an authorized representative
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C.73.b
of DEO. Subrecipient shall cooperate with QED, in taking all steps as DEO deems advisable, to prevent misuse, regain
possession, or otherwise protect the State's rights and the data subject's privacy.
(g) Subrecipient acknowledges that DEO is subject to the provisions of chapter 119, F.S., relating to public
records and that reports, invoices, and other documents Subreciplent submits to ❑EO under this Agreement constitute
public records under Florida Statutes. Subrecipient shall cooperate with DEO regarding DEQ's efforts to comply with
the requirements of chapter 119, F.S.
(h) IF Subrecipient submits records to DEO that are confidential and exempt from public disclosure as trade
secrets or proprietary confidentiai business information, such records should be identified as such by Subrecipient prior
to submittal to DEO. Failure to identify the legal basis for each exemption from the requirements of chapter 119, F.S.,
prior to submittal of the record to DEO serves as Subrecipient's waiver of a claim of exemption. Subrecipient shall
ensure that public records that are exempt or confidential and exempt from public records di5ClaSUre requirements are
not disclosed except as authorized by law for the duration of the Agreement term and following completion of the
Agreement if Subrecipient does not transfer the records to DECD upon completion, including termination, of the
Agreement,
(i) IF SUBRECIPIENT- CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE SUBRECIPIENT- CONTRACTOR'S
DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS by telephone at 850 - 245 -7140, via e-mail at
PRRequ>est @deo.myflorida.com, or by mail at Department of Economic Opportunity, Public
Records Coordinator, 107 East Madison Street, Caldwell Building, Tallahassee, Florida
32399 -4128.
(j) To the extent allowable bylaw, Subrecipient shall be fully liable for the actions of its agents, employees,
partners, subreciplents, contractors, and subcontractors and shall fully indemnify, defend, and hold harmless the State
and DEO, and their officers, agents, and employees, from suits, actions, damages, and costs of every name and
description, including attorneys' fees, arising from or relating to public record requests or public record iaw violation(s),
alleged to be caused in whole or in part by Subrecipient, its agents, employees, partners, subreciplents, contractors, a
subcontractors, provided, however, that Subrecipient goes not indemnify for that portion of any costs or damages
proximately caused by the negiigerit act or omission of the State or DEO. DEO, in its sole discretion, has the right, but
not the obligation, to enforce this indemnification provision,
(k) DE does not endorse any Subrecipient, commodity, or service. No public disclosure or news release
pertaining to this Agreement shall be made without the prior written approval of DEO. Subrecipient is prohibited from
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using Agreement information, or DEO customers in sales brochures or other promotions, Including press releases,
unless prior written approval is obtained from DEO.
(7) EMPLOYMENT ELIGIBLITY VERIFICATION
(a) Executive Order 11.116, signed May 27, 2011, by the Governor of Florida, requires IIEO's subgrant
agreements in excess of nominal value, if applicable, to expressly require Subrecipient to:
(1) Utilize the U.S. Department of Homeland Security's E- Verify system to verify the employment
eligibility of all new employees hired by Subrecipient during this Agreement term; and
(ii) Include in all subcontracts under this Agreement, the requirement that subcontractors performing
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work or providing services pursuant to this Agreement utilize the E- Verify system to verify the employment eligibility
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of all new employees hired by the subcontractor during the terra of the subcontract.
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(b) E- Verify is an Internet -based system that allows an employer, using information reported on an
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employee's Form 1.9, Employment Eligibility Verification, to determine the eligibility of all new employees hired to work
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in the United $tales after the effective date of the required Memorandum of Understanding (MOU); the responsibilitles
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and elections of Federal contractors, however, may vary, as stated in Article II.D.I.c. of the MOU. There is no charge to
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employers to use E- Verify, The Department of Homeland Security's E- Verify system can be found at:
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http: / /www.dhs.gov /files/ programs /gc_l185221678150.shtm.
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(c) If Subrecipient does not have an E- Verify MQU in effect, Subrecipient shall enroll in the E- Verify system
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prior -to hiring any new employee after the effective date of this Agreement.
(8) REPORTS
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Subrecipient shall provide DEO with all required reports as set forth in Attachment C to this Agreement,
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(a) If aII required reports and copies are not sent to DEO, a ace not completed in a manner acceptable to
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DEO, DEO may withhold further payments until such reports are completed or ❑EO may take other action as stated in
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Paragraph (12) of this Agreement. "Acceptable to DEO," means that the reports were completed In accordance with
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the Attachments of this Agreement.
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(b) Subrecipient shall provide additional }grogram updates, reports, and information as may be required
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by D E0.
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(9) MONITORING
(a) Subrecipient shall monitor its performance under this Agreement, as well as that of its subcontractors
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and/or consultants who are paid from funds provided under this Agreement,
(b) In addition to reviews of audits conducted in accordance with Paragraph (S) above, monitoring
procedures may include, but are not limited to, on -site visits by DEO staff, limited scope audits, and other procedures.
(c) Subrecipient, and all subcontractors, shall comply with the most recent LIHEAP Program Monitoring
Field Manual provided by DEO and cooperate with any monitoring procedures/processes deemed appropriate by DEO.
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In the event that DEO determines that a limited scope review of 5ubrecipient is appropriate, 5ubrecipient shall comply
with any additional instructions provided by DEO regarding such review.
(d) Subrecipient shall comply and cooperate with any inspections, reviews, investigations or audits
deemed necessary by the Florida Chief Financial Officer or Auditor General.
(e) DEO will monitor the performance and financial management by Subrecipient throughout the
Agreement term to ensure timely completion of all tasks.
(10) INDEMNIFICATION - INDEPENDENT. CONTRACTOR STATUS
(a) Unless Subrecipient is a state agency or subdivision, as defined in section 758.28(2), F.S., Subrecipient
is fully liable forthe actions of its agents, employees, partners, or subcontractors and shall fully indemnify, defend, and
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hold harmless the State and DEO, and their officers, agents, and employees, from suits, actions, damages, and costs of
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every name and description, Including attorneys' fees, arising from or relating to personal injury and damage to real a
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personal tangible property alleged to be caused in whole or in part by Subrecipient, its agents, employees, partners, or
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subcontractors, provided, however, that Subrecipient has no affirmative duty to indemnify for that portion of any loss
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or damages proximately caused by the negligent act or cmission of the State or DEO,
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Any Subrecipient which is a State agency or subdivision, as defined in section 768.28(2), F.S., shall be fully
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responsible for its negligent or tortious acts or omissions which result in claims or suits against DEO, and shalt be liable
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for any damages proximately caused by its acts or omissions to the extent set forth in section 768.28, F,S. Nothing
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herein is intended to serve as a waiver of sovereign immunity by any Subrecipient to which sovereign immunity applies.
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Nothing herein may be construed as consent by a State agency or subdivision of the State of Florida to be sued by third
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parties in any matter arising out of any contract,
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(b) For purposes of this Agreement, Subrecipient is an independent contractor and is not an employee or
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agent of DEO. DEO shaft neither have nor exercise any control or direction over the methods by which Subrecipient
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shall perform its work and functions other than as provided herein. Nothing in this Agreement is intended to or may be
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deemed to constitute a partnership or joint venture between the Parties. Subrecipient shall not represent to others
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that, as Subrecipient, it has the authority to bind DEO unless specifically authorized to do so. Subrecipient shall act as
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necessary to ensure that each Subcontractor is deemed to be an independent contractor and will not be considered or
permitted to be an agent, servant, joint venturer, or partner of DED or the State of Florida. DEO shall not be responsible
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for withholding taxes with respect to Subreci pie nt's compensation hereunder. Subrecipient shall have no claim against
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DEO for vacation pay, sick leave, retirement benefits, social security, workers' compensation, health or disability
benefits, reemployment assistance benefits, or employee benefits of any kind. Subrecipient shall ensure that its
employees, subcontractors, and other agents receive benefits and necessary insurance (health, workers'
compensation, reemployment assistance benefits) from an employer other than the State of Florida. Subrecipient, at
all times during the Agreement, must comply with the reporting and reemployment assistance contribution payment
requirements of chapter 443, F_S.
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(11) DEFAULT
If any of the following events occur ( "Events of Default "), DEO shall have the right to terminate further
payment of funds under this Agreement, and DEO may exercise• any of its remedies set forth in Paragraph (37-) of this
Agreement. However, DEO may make payments or partial payments after any Events of default without waiving the
right to exercise such remedies and without becoming liable to make any further payment:
(a) if any warranty or representation made by Subrecipient in this Agreement, or any previous agreement
with DEO is, or becomes, false or misleading in any respect, or if Subrecipient fails to keep or perform any of the
obligations, terms or covenants in this Agreement or any previous agreement with DEO and has not cured them in i z
timely fashion, or is unable or unwilling to meet its obligations under this Agreement;
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(b) If material adverse changes occur in the financial condition of Subrecipient at any time during the term
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of this Agreement, and Subrecipient fails to cure this adverse change within thirty (30) calendar days from the date
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written notice is sent by DEO;
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(c) If any reports required by this Agreement have not been submitted to DEO or have been submitted
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with incorrect, incomplete, or insufficient information; or
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(d) If Subrecipient has failed to perform and complete in tiimeiy fashion any of its. obligations under this
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Agreement.
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(12) REMEDIES
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If an Event of Default occurs and DEO provides written notice to Subrecipient, DE❑ may exercise any one
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or more of the following remedies, either concurrently or con secutfvely:
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(a) 'Terminate this Agreement, if Subrecipient has not cured the default within thirty (30) calendar days of
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receipt of written notice of an Event of Default;
{b) Begin an appropriate legal or equitable action to enforce performance of this Agreement;
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�c) Withhold or suspend payment of all, or any part of, a request for payment;
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{d) Exercise any corrective or remedial actions, to include but not be limited to:
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(i) Request additional information from Subrecipient to determine the reasons for or the extent of
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non- comaliance or lack of performance,
(ii) Issue a written warning to advise that more serious measures may be taken if the situation is not
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corrected, Q
(iii) Advise Subrecipient to suspend, discontinue, or refrain from incurring costs for any activities in
question, or
(iv) Require Subrecipient to reimburse DEO for the amount of costs incurred for any items determined
to be ineligible; and
te) Exercise any other rights or remedies which may be otherwise available under law.
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Pursuing any of the above remedies will not limit any of DEO's other remedies, either in this Agreement,
or provided at law or in equity. If DEO waives any right or remedy in this Agreement, or fails to insist on strict
performance by Subrecipient, it will not affect, extend or waive any other right or remedy of DEO or affect the later
exercise of the same right or remedy by DEO for any other default by 5ubrecipient.
(13) LRMINATION
(a) DEO may terminate this Agreement for cause with three (3) calendar days written notice. Cause
includes, but is not limited to: an Event of Default as set Forth in Paragraph (11) of this Agreement, misuse of funds,
fraud, lack of compliance with applicable rules, laws and regulations, failure to perform in a timely manner, failure to n
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cure an Event of Default within thirty (30) calendar days from receipt of the notice, or refusal by Subrecipient to permit c
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public access to any document, paper, letter, or other material subject to disclosure under chapter 119, F.S., as
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amended. The rights and re medies of DE❑ in this clause are in addition to any other rights and remedies provided by
law a under this Agreement. 5ubrecipient shall not be entitled to recover any cancellation charges.
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(b) DEO may terminate this Agreement for convenience or when it determines, in its sole discretion, that
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continuing this Agreement would not produce beneficial results in line with the further expenditure of funds, by w
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providing 5ubrecipient with thirty (30) calendar days written notice. Subrecipient shall not furnish any product after it M
receives the notice of termination, except as necessary to complete the continued portion of this Agreement, if T_
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authorized In writing. Subrecipient shall not be entitled to recover any cancellation charges, ri
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(c) The Parties may terminate this Agreement for their mutual convenience through a written
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amendment. The amendment shall state the effective date of the termination and the procedures far proper closeout
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of this Agreement. U
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(d) If DEO issues a notice of Event of Default, Subrecipient shall stop incurring new obligations upon receipt
of the notice. If DELI determines that Subrecipient has cured the Event of Default within the thirty day cure period, 0
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DEC) will provide notice to Subrecipient that it may resume incurring new obligations. Costs incurred for newobligations Z
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after receipt of a notice of Event of Default and until receipt of notice that it may resume incurring new obligations will w
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be disallowed. if this Agreement is terminated by DEO because of Subrecipient's breach, such termination shall not :1
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relieve Subrecipient of liability under this Agreement. DEO may, to the extent authorized by law, withhold payments d
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to Subrecipientforthe purpose of set -off until the exact amount of damages due DEO from Subrecipient is determined.
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(14) NOTICE AND CONTACT a
(a) All notices provided by 5ubreci pie nt under or pursuant to this Agreement shall be in writing to DEO's
Grant Manager and delivered by standard mail or electronic mail using the contact information provided in
Subparagraph 14(b) below,
(b) The name and address of DEO's Grant Manager for this Agreement is:
Gerald Durbin, Grant Manager
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Department of Economic Opportunity
Division of Community Development
Bureau of Community Assistance
107 East Madison Street, MSC 400
Tallahassee, Florida 32399 -4120
Email. geraid.durbin @deo.myflorida.com
Phone. 850- 717.8458
(c) The name and address of Subrecipient's Representative responsible for the administration of this n
Agreement is stated in Attachment I of this Agreement.
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(d) If different representatives or addresses are designated by either Party after execution of this
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Agreement, notice of the name, title and address of the new representative will be provided as stated in Subparagraph
(14)(a), above.
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(15) SUBCONTRACTS
(a) Subrecipient shall not subcontract any of the worst required under this Agreement prior to receiving
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DEO's confirmation that the proposed subcontract imposes the fallowing requirements on subcontractor:
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(1) Subcontractor is bound by the terms of this Agreement, and each subcontract shall specifically
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include the requirements set forth in Paragraphs (G) and f 7) of this Agreement.
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(ii) Subcontractor is bound by all applicable State and Federal laws and regulations;
(iii) Subcontractor shall indemnify and hold DEO and 5ubrecipient harmless against all claims of
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whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed
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by law; and
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(iv) Subcontractor shall disclose to Subrecipient and DEO if it is on the Convicted Vendor List identified
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in section 287.133(2), F.S., or the Discriminatory Vendor List Identified In section 287.134(2), F.S.
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(b) Far each subcontract, Subrecipient shall provide a written statement to DEO as to whether that
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subcontractor is a certified minority business, as defined in section 287.0943, F.S.
(c) In addition, prior to entering into a contract with any subcontractor to be paid with funds under this
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Agreement, Subrecipient shall submit to DEO the completed Attachment G to this Agreement.
(16) E NTIRET Y AND INTEGRATION
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This Agreement and the Attachments and Exhibits attached hereto constitute the complete and exclusive
statement of conditions of the Agreement and supersedes and replaces any and all prior negotiations, understandings,
and agreements, whether oral or written, between the Parties with respect thereto. Except as expressly provided in
this Agreement, no term, condition, usage of trade, course of dealing or performance, understanding of agreement
purporting to modify, vary, explain or supplement the provis of this Agreement shall be effective or Minding upon
the Parties unless agreed to in writing.
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C.13.b
(17) ATTACHMENTS AND EXHIBITS
(a) All attachments and exhibits to this Agreement are incorporated as if set out fully herein.
(b) In the event of any inconsistencies or conflict between the language of this Agreement and the
attachments, the language of the attachments shall control, but only to the extent of the confl or inconsistency.
(c) This Agreement has the following attachments and exhibits:
Exhibit 1— Audit Requirements
Exhibit 1 -A— Fund €ng Sources
Exhibit 2 —Audit Compl Certification i z
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Attachment A —Scope of Work N
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Attachment B — Program Statutes and Regulations N
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Attachment C— Reports r
Attachment D -- Property Management and Procurement
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Attachment E — Statement of Assurances
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Attachment F — Warranties and Representations w
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Attachment G —Certification Regarding Debarment Z�
Attachment H —Trafficking Victims Protection Act of 2000
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Attachment € — 5ubrecip €ent Information
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Attachment J — Budget Summary and Workplan
Attachment K — Justification of Advance
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(18) E- Q 14DING'CONSIDERATION
(a) This is a cost- reimbursement agreement. DEO awards Subrecipient one hundred eighty -nine thousand
nine hundred eighty- eightdollars andzero cents [$189,988.40], subject to the terms and conditions of this Agreement,
availability of funds and appropriate budget authority; however, Subreciplent may incur costs and submit for
reimbursement in an amount not to exceed one hundred forty -eight thousand one hundred ninety dollars and
zero cents ($148,191.00), until notified in writing by DEC to Subrecipient's contact person identified in Attachment E.
Upon receipt of such notification, Subrecipient may incur costs and submit for reimbursement up to the amount set
forth in the notification, subject to the terms of this Agreement. These notices may contain more specific instructions
regarding the expenditure of funds and additional terms and cond €tions tied to the specific award.
(b) Subrecipient is subject to the following forms, as submitted to and approved by DEC: LIHEAP Program
Budget Detail and LIHEAP Multi - County Distribution. These forms must be completed prior to the execution of this
Agreement and must be in keeping with Attachment and the other provisions of this Agreement- Any changes to these
forms are only valid upon review and written approval by the DEO Grant Manager identified in Paragraph (14), and
must be approved at least thlrty (30) calendar days prior to implementation. Requested changes to these forms must
be submitted in wr iting to DEC on DEO- approved forms.
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(c) Any advance payment under this Agreement is subject to section 216.181(16), F.S. The amount which
may be advanced may not exceed the expected cash needs of 5ubreciplent within the first three (3) months of the term
of this Agreement. Any advance payment is also subject to the Uniform Guidance and the Cash Management
Improvement Act of 1990. if an advance payment is requested, the budget data on which the request is based and a
justification statement shall be included in this Agreement as Attachment K. Attachment K will specify the amount of
advance payment needed and provide an explanation of the necessity for and proposed use of these funds.
(d) Subrecipient shall expend an amount equal to or greater than the amount of the initial advance within
the first three (3) months of the term of this Agreement. If Subrecipient has not expended an amount at least equal to
the initial advance by the end of the first three (3) months of the term of this Agreement, 5ubrecipient shall submit a
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written explanation to DEO.
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(e) After any initial advance, payments will be made on a cast - reimbursement basis.
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(f) if the necessary funds are not available to fund this Agreement as a result o €action by the United States
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Congress, the Federal Office of Management and Budget, the State Chief Financiaf Officer, or under Subparagraph
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(20)(f1 of this Agreement, all obligations on the pant of DEO to make any further payment of funds shall terminate, and
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5ubrecipient shall submit its closeout report within thirty (30) calendar days of receiving notice from DEO.
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(g) 5ubrecipient and lts subcontractors may only expend funding under this Agreement for allowable costs
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resulting from obligations incurred during the Agreement period,
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(h) 5ubrecipient shall refund to DEO any balance of unobligated funds which has been advanced or paid
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to Subrecipient.
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(i) Subrecipient shall refund to DEO all funds paid in excess of the amount to which 5ubrecipient or its
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subcontractors are entitled under the terms and conditions of this Agreement.
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(19) REPAYMENTS
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(a) All refunds or repayments to be made to DEO under this Agreement are to be made payable to the
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order of "Department of Economic Opportunity" and mailed directly to DEO at the fallowing address:
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Department of Economic Opportunity
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Division of Community Development
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Bureau of Community Assistance
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107 East Madison Street, MSC 400
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Tallahassee, Florida 32399 -4120
In accordance with section 215.34(2), F.S., if a check, or other draft, is returned to DEC for collection,
5uhreciplent shall pay to DEO a service fee of fifteen dollars and zero cents ($15.00) or five percent (5%) of the face
amount of the returned check or draft, whichever is greater.
(b) If Subrecipient's non- compliance with any provision of this Agreement results in additional cost or
monetary loss to DEO or the State of Florida, DEO may recoup that cost or loss from monies awed to Subrecipient
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under this Agreement or any other Agreement between Subreciplent and any State entity. In the event that the
discovery of this cost or loss arises when no monies are available under this Agreement or any other Agreement
between Subrecipient and any State entity, Subrecipient will repay such cost or loss in full to DEO within thirty (30)
days of the date of notice of the amount owed, unless DEO agrees, in writing, to an alternative timeframe.
(20) MANDATED CONDITIONS AND OTHER LAWS
(a) The validity of this Agreement is subject to the truth and accuracy of all the information,
representations, and materials submitted, or provided, by Subrecipient in this Agreement, in any later submission or
response to a DEC request, or in any submission or response to fulfill the requirements of this Agreement. All of said n
information, representations, and materials are incorporated by reference. The inaccuracy of the submissions: or any
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material changes may, at the option of DEO, and within thirty (30) calendar days written notice to 5ubrecipient, cause
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the terminat!an of this Agreement and the re lease of DED from all its obligations under this Agreement.
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(b) This Agreement is executed and entered into in the State of Florida and shall be construed, performed,
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and enforced in all respects in accordance with the laws, rules, and regulations of the State of Florida. Each Party shall
perform its obligations herein in accordance with the terms and conditions of this Agreement. Without limiting the
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provisions of Paragraph (11), Default, the exclusive venue of any legal or equitable action that arises out of or relates
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to this Agreement shall be the appropriate State court in Leon County, Florida; in any such action, the Parties waive
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any right to jury trial.
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(c) Any power of approval or disapproval granted to DEO under the terms of this Agreement shall survive
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the term of this Agreement.
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(d) This Agreement may be executed in any number of counterparts each of which shall be an original and
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all of which shall constitute but one and the same instrument.
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(e) Subrecipient shall comply with the Americans With Disabilities Act (Public Law 101-336, 42 U.S.C. §
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12101, et seq.), and the Florida Civil Rights and Fair Housing Acts (sections 760.61 — 760.37, F.S.), which prohibit
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discrimination by pubilc and private entities on the basis of disability in employment, public accommodations,
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transportation, State and local government services, and telecommunications.
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(f) The State of Florida's performance and obligation to pay under this Agreement is contingent upon an
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annual appropriation by the Legislature and is subject to any modification in accordance with chapter 216, F.S., or the
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Florida Constitution. Q
(g) All bills for fees or other compensation for services or expenses shall be submitted in detail sufficient
for a proper pre -audit and post -audit thereof.
(h) Any bills for travel expenses shall be submitted in accordance with section 112.061, F.S.
(i) If 5ubrecipient is allowed to temporarily invest any advances of funds under this Agreement, any
interest income shall be returned to DEO.
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Uf Subrecipient is subject to Florida's Government in the Sunshine Law (section 286.411, F.S.) with respect
to the meetings of Subrecipient's governing board to discuss, receive recommendations, or take action required
pursuant to this Agreement, or the meetings of any subcommittee making recommendations to the governing board
regarding matters pursuant to this Agreement. All of these meetings shall be publicly noticed, open to the public, and
the minutes of all the meetings shall be public records, available to the public in accordance with chapter 119, F5.
(k) All unmanufactured and manufactured articles, materials, and supplies which are acquired for public
use under this Agreement must have been produced in the United States as required under 41 U.S.C, § 8302, unless it
would not be in the public interest or unreasonable in cost.
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(I) DEO shall ensure compliance with section 11.062, F.S., and section 216.347, FS. The use of funds under c°
this Agreement for the purpose of lobbying the Florida Legislature, the judicial branch, or any State agency is prohibited
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pursuant to section 216.347, F.S. Subrecipient shall not, in connection with this or any other agreement with the State, r
directly or indirectly:
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(i) offer, confer, or agree to confer any pecuniary benefit on anyone as consideration for any State
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officer or employee's decision, opinion, recommendation, vote, other exercise of discretion, or violation of a known w
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legal duty; or Z�
(ii) offer, give, or agree to give to anyone any gratuity for the benefit of, or at the direction or request
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of, any State officer or employee. For purposes of clause (ii), "gratuity" means any payment of more than nominal
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monetary value in the form of cash, travel, entertainment, gifts, meals, lodging, loans, subscriptions, advances, deposits
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of money, services, employment, or contracts of any kinds. Upon request of DEO's Inspector General, or other
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authorized State official, Subrecipient shall provide any type of information the Inspector General deems relevant to
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Subrecipient's integrity or responsibility. Such information may include, but is not limited to, Subrecipient's business
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or financial records, documents, orfiles of any type or form that refer to or relate to this Agreement. Subrecipient shall
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retain such records for the longer of
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1. five (5) years after the expiration of this Agreement; or
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2. the period required by the General Records Schedules maintained by the Florida Department
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of State available at: https: / /dlis. dos. state. fl. us/ recordsmgmt /gen_records_schedules.cfm.
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(mj Subrecipient shall reimburse the State for the reasonable costs of investigation incurred by the
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Inspector General or other authorized State official for investigations of Subrecipient's compliance with the terms of
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this or any other agreement between Subrecipient and the State which results in the suspension or debarment of
Subreciplent. Such costs shall include, but shall not be limited to: salaries of investigators, including overtime; travel
and lodging expenses; and expert witness and documentary fees. Subrecipient shall not be responsibie for any costs of
investigations that do not result in 5ubrecipient's suspension or debarment.
(n) Public Entity Crime: Pursuant to section 287.133(2)(a), FS,, a person or affillate who has been placed
on the Convlcted Vendor List following a conviction for a public entity crime may not submit a bid, proposal, or reply
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on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on a contract
with a public entity for the ccnstructlon or repair of a public building or public work; may not submit bids, proposals,
or replies on leases of real property to a 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, F.S., for Category Two for a period of thirty -six
(36) months from the date of being placed on the convicted vendor list. Subrecipient affirms that it is aware of the
provisions of section 287.133(2)(a), F.S., and that at no time has Subrecipient been convicted of a Public Entity Crime.
Subrecipient shall not violate such law and any conviction during the term of this Agreement may result in the n
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termination of this Agreement in accordance with section 287.133(4[, F.S. °
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(o) Advertising: Subject to chapter 119, F.S., Subrecipient shall not publicly disseminate any information N
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concerning this Agreement without prior written approval from DEO, including, but not limited to mentioning this
Agreement in a press release or other promotional material, identifying DEO or the State as a reference, or otherwise
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linking Subrecipienit's name and either a description of this Agreement or the name of DEO or the State in any material
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published, either in print or electronically, to any entity that is not a Party to this Agreement, except potential or actual w
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authorized distributors, dealers, resellers, or service representatives. �
(p) Sponsorship: As required by section 286.25, F.S., if Subrecipient is a nongovernmental organization
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which sponsors a program financed wholly or In part by State funds, including any funds obtained through this
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Agreement, it shall, in publicizing, advertising, or describing the sponsorship of the program, state: "Sponsored by
[Subrecipient's name) and the State of Florida, Department of Economic Opportunity." If the sponsorship reference is
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in written material, the words "State of Florida, Department of Economic Opportunity" must appear in the same size
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letters ortype as the name of the organization.
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(q) Mandatory Disclosure Requirements:
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(1) Conflict of Interest: This Agreement is subject to chapter 112, F.S., 45 C.F.R. § 75.112, and 45 C.F.R.
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§ 75.113 Subrecipient shall disclose the name of any officer, director, employee, or other agent who Is also an employee
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of the State. Subrecip ient shall also disclose the name of any State employee who owns, directly or indirectly, more
than a five percent (5%) interest in Subrecipient or its affiliates.
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(ii) Convicted Vendors: Subrecipient shall disclose to DEO if it is on the Convicted Vendor List. A person
or affiliate placed on the Convicted Vendor List following a conviction for a Public Entity Crime is prohibited from doing
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any of the activities listed in Subparagraph (20)(n) above for a period of 36 months from the date of being placed on
the Convicted Vendor List.
(iii) Vendors on Scrutinized Companies Lists: If this Agreement is in the amount of one million dollars
and zero cents ($1,DOD,000.00) or more, in executing th is Agreement, Subrecipient certifies that it is not listed on either
the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector List, created pursuant to section 215.473, F.S.
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1. Pursuant to section 287.135(5), F.S., DEO may immediately terminate this Agreement for cause
if Subrecipient is found to have submitted a false certification or if Subrecipient is placed on the Scrutinized Companies
with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List during
the term of this Agreement.
2. if DEO determines that Subrecipient has submitted a false certification, DEC shall provide
written notice to Subrecipient. Unless Subrecipient demonstrates in writing, within 90) days of receipt of the notice,
that DED's determination of false certification was made in error, DEO shall bring a civil action against Subrecipient. If
DE O's determination is upheld, the Subrecipient will be liable for a civil penalty equal to the greater of two million n
dollars and zero cents ($2,000,000.00) or twice the amount of this Agreement, and 5ubrecipient will be ineligible to hid
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on any contract with an agency or local governmental entity for three (3) years after the date of DEO's determination
of false certification by Subrecipient.
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3. In the event that Federal law ceases to authorize the states to adopt and enforce the
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contracting prohibition identified herein, this provision shall be null and void.
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(iv) Discriminatory Vendors: Subrecipient affirms that it is aware of the provisions of section
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287,134(2)(a), F.S., and that at no time has Subrecipient been placed on the Discriminatory Vendor List. Subrecipient
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shall not violate such law during the term of this Agreement. Subrecipient shall disclose to DEO if it appears on the
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D! scri m I nato ry Vendor List. An entity or affiliate placed on the Discriminatory Vendor List pursuant to section 287.134,
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F.S., may not:
1. Submit a bid on a contract to provide any goods or services to a public entity;
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2. Submit a bid on a contract with a public entity far the construction or repair of a public bulIding
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or public work;
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3. Submit bids on leases of real property to a public entity; or
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4. Be awarded or perform work as a contractor, supplier, sub - contractor, or consultant under a
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contract with any public entity; or transact +bu sin ess with any public entity.
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(r) Abuse, Neglect, and Exploitation Incident Reporting: In compliance with sections 39.201 and 415,1034,
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F.S., an employee of 5ubrecipient who knows or has reasonable cause to suspect that a child, aged person, or disabled
aduit is or has been abused, neglected, or exploited shall immediately report such knowledge or suspicion to the Florida
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Abuse Hotline by calling 1- 800- 96ABUSE, or via the web reporting option at http: //www.dcf.state.fl.us /abuse /report/,
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or via fax at 1 -800- 914-0004.
(21) FEDERA REQ UIREMENTS PERTAINING TO LO
(a) Federal grant funds provided under this Agreement may not be used by any Subrecipient or
Subcontractor to support lobbying activities to influence proposed or pending federal legislation or appropriations.
This prohibition is related to the use of Federal grant funds and not intended to affect an Individual's right or that of
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C.73.b
any organization, to petition Congress, or any other level of Government, through the use of other resources (See 45
C.F.R. Part 93).
(b) Subrecipient certifies, by the authorized representative's signature to this Agreement, that to the best
of its knowledge and belief, no Federal appropriated funds have been paid or will be paid, by or on behalf of
Subrecipient, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with
the awarding of any Federal contract, the making of any Federal grant, the malting of any Federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any °n
federal contract, grant, loan or cooperative agreement,
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(c) If any funds other than Fed eraI appropriated funds Dave been paid or will be paid to any person for
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influencing or attempting to influence an officer or employee of any Federal agency, a member of Congress, an officer
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or employee of Congress, or an employee of a member of Congress in connection with this Federa contract, grant,
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loan or cooperative agreement, Subrecipient shall complete and submit5tandard Form -LLL, "Disclosure Farm to Report
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Lobbying."
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(d) Subrecipient shall comply with the requirements of 31 U.S.C. § 1352, and require all subcontractors of
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subawards (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) to
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comply with 31 U.S.C. § 1352. In addition, Subrecipient shall ensure that all subawards contain the certification set
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forth in Subparagraph (21)(b) above and the content of Subparagraph (21)(c) above. Subrecipient shall require that all
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Subcontractors provide such certifications and, when applicable, submit the completed Disclosure Form to report
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Lobbying. This certfrf'ication is a material representation of fact upon which reliance was placed when this transaction
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was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction.
Any person who makes an expenditure prohibited by 5ubparagraph (21)(b) or fails to file or amend the declaration
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required by Subparagraph (21)(c) shall be subject to a civil penalty of not less than ten thousand dollars and zero cents
a
($10,40D.4D) and not mare than one hundred thousand dollars and zero cents ($100,ODO.00) for each such expenditure
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and such failure.
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(22) COPYR PATENTANDTRADEMARK
Any, and all, patent rights accruing under or in connection with the performance of this Agreement are
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hereby reserved to the State of Florida. Any and all copyrights accruing under or in connection with the performance
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of this Agreement are hereby transferred by Subrecipient to the State of Florida.
(a) If Subrecipient has a pre - existing patent or copyright, Subrecipient shall retain all rights and
entitlements to that pre-existing patent or copyright unless this Agreement provides otherwise.
(b} If any discovery or invention is developed in the course of or as a result of work or services performed
under this Agreement, or in any way connected with it, Subrecipient shall refer the discovery or invention to DEO for a
determination whether the State of Florida will seek patent protection in its name. Any patent rights accruing under or
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in connection with the performance of this Agreement are reserved to the State of Florida. If any books, manuals, films,
or other copyrightable material are produced, Subrecipient shall notify DEO. Any copyrights accruing under or in
connection with the performance under this Agreement are transferred by 5ubrecipient to the State of Florida.
(c) Within thirty (30) days of execution of this Agreement, Subrecipient shall disclose all intellectual
properties relating to the performance of this Agreement which he or she knows or should know could give rise to a
patent or copyright. Subrecipient shall retain all rights and entitlements to any pre - existing intellectual property which
is so disclosed. Failure to disclose will indicate that no such property exists. DEO shali then, under Paragraph (b), have
the right to all patents and copyrights which accrue during performance of this Agreement.
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(23) LEGAL AUTHORIZATION N
(a) Subrecipient certifies that it has the legal authority to receive the funds under this Agreement and that
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its governing body has authorized the execution and acceptance of this Agreement. Subrecipient aiso certifies that the
undersigned person has the authority to legally execute and bind Subrecipient to the terms of this Agreement, 0
(b) Prior to execution of this Agreement, Subrecipient shall disclose all prior or on -going civil or criminal
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litigation, investigations, arbitration or administrative proceedings (Proceedings) involving Subrecipient (and each w
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subcontractor) in a written statement to DSO's Grant Manager. Thereafter, Subrecipient has a continuing duty to
promptly disclose all Proceedings upon occurrence. This duty of disclosure applies to Subrecipient's or subcontractor's r
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officers and directors when any Proceeding relates to the officer or d €rector's business or financial activities. details of (
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settlements that are prevented frorrl disclosure by the terms of the settlement may be annotated as such.
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(24) ASSURANCES
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Subrecipient shall comply with any Statement of Assurances incorporated as Attachment E, U
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(25) EIJRCHASING m
t r ay Prison Rehabilitative Industries and Diversified Enterprises, Inc. (PRIDE); In accordance with section
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946,515 (6), F.S., if a product or service required for the performance of this Agreement is cert ified by or is available M
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from PRIDE and has been approved in accordance with section 946.515(2), F.S., the following statement applies; w
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IT IS EXPRESSLY UNDERSTOOD AND AGREED THAT ANY ARTICLES WHICH ARE THE SUBJECT OF, OR J
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REQUIRED TO CARRY OUT, THIS CONTRACT SHALL BE PURCHASED FROM THE CORPORATION n
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IDENTIFIED UNDER CHAPTER 946, F.S., IN THE SAME MANNER ANSI UNDER THE SAME PROCEDURES
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SET FORTH IN SECTION 946.515(2) AND (4), F.S.; AND FOR PURPOSES OF THIS CONTRACT THE Q
PERSON, FIRM, OR OTHER BUSINESS ENTITY CARRYING OUT THE PROVISIONS OF THIS CONTRACT
SHALL BE DEEMED TO BE SUBSTITUTED FOR THIS AGENCY INSOFAR AS DEALINGS WITH SUCH
CORPORATION ARE CONCERNED.
The above clause is not applicable to subcontractors unless otherwise required by law. Additional information about
PRIDE and the products it offers Is available at http : / /www.pride- enterprises.org.
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(b) Products Available from the Blind or Other Handicapped (RESPECT): In accordance with section
413.036(3), F.S., if a product or service required for the performance of this Agreement is on the procurement list
established pursuant to section 413.035(2), F.S., the following statement applies:
IT IS EXPRESSLY UNDERSTOOD AND AGREED THAT ANY ARTICLES THAT ARE THE SUBJECT OF, OR
REQUIRED TO CARRY OUT, THIS CONTRACTSHALL BE PURCHASED FROM A NONPROFITAGENCY FOR
THE BLIND OR FOR THE SEVERELY HANDICAPPED THAT IS QUALIFIED PURSUANT TO CHAPTER 413,
FLORIDA STATUTES, IN THE SAME MANNER AND UNDER THE SAME PROCEDURES SET FORTH IN
SECTION 413.036(1) AND (2), FLORIDA STATUTES; AND FOR PURPOSES OF THIS CONTRACT THE
PERSON, FIRM, OR OTHER BUSINESS ENTITY CARRYING OUT THE PROVISIONS OF THIS CONTRACT
SHALL BE DEEMED TO BE SUBSTITUTED FOR THE STATE AGENCY INSOFAR AS DEALINGS WITH SUCH
QUALIFIED NONPROFIT AGENCY ARE CONCERNED.
Additianal information about the designated nonprofit agency and the products it offers is available at
http://www.respectofflorida.org.
(c) Subrecipient shall procure any recycled products or materials which are the subject of or are required
to carry out this Agreement in accordance with section 403.7065, F.S.
(26) SEVERAB1Ulll
If any provision, in whole or in part, of this Agreement is held to be void or unenforceable by a court of
competent jurisdiction, that provision shall be enforced only to the extent that it is not in violation of law or is not
otherwise unenforceable, and all other provisions remain in full force and effect.
The remainder of this page is intentionally left blank.
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C.13.b
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FEDERALLY FUNDED SUWRANT AGREEMENT
SIGNATURE PAGE
IN WITNESS WHEREOF, the Parties have duly executed and delivered this Agreement as of the date set forth
below.
SLIBRECIPiENT
Monroe Cou nt k .. Florida_
(Legal Name of 5ubrecipient)
BY: _` ` CL mil — — . ..-
(Signature)
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_ �ntr Dun mini
(Print/Type Name and Title Here)
Date:
59 600 0749 _ _
Federal Identification Number
073876757
DUNS Number
17 EA- OF- 11- 54-01 -019
Agreement Number
SIGNED BY:
NAME: George Neugent
TITLE: ]MAYOR
DATE:
WALj'
A*T0,8r%"mA.Dov. ctrRK
004M Cum
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
_J
Julie Dennis, Director
Division of Community Development
Date:
Approved as to form and legal
sufficiency, subject only to full and
proper execution by the Parties.
Office of the General Counsel
Department of Economic Opportunity
By:
proved Date: f s"J! j 1
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C.13.b
FFY 2017 EIHEAP AGREEMENT
EXHIBIT 1
A01 REP UIREMENT5
The administration of resources awarded by DEO to 5ubrecipient (hereinafter on this Exhibit 1 referred to as
"Recipient') may be subject to audits and /or monitoring by DEO as described in this section.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A -133 and Section 215.97, F,5„ as revised
(see "AUDITS" below), monitoring procedures may inciude, but not be limited to, on -site visits by DEO staff, limited
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scope audits as defined by OMB Circular A -133, as revised, and /or other procedures. By entering into this agreement,
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Recipient agrees to comply and cooperate with any monitoring procedures /processes deemed appropriate by DEa. In
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the event 1) 1170 determines that a limited scope audit of Reci lent is a ro riate Recipient agrees to corn I with an
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additianaI instructions provided by DEQ staff to Recipient regarding such audit. Recipient further agrees to comply and
cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Ch €ef Financial Officer (CFO)
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or Auditor General,
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AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if Recipient is a State or Iocal government or a non- profit organization as defined in 0MR Circular
A -133, as revised.
1. In the event that Recipient expends $300,000 000,000 for fiscal years ending after December 31, 2003) or more
in Federal awards in its fiscal year, Recipient must have a single or program- specific audit conducted in accordance
with the provisions of OMB Circular A -133, as revised. EXHIBIT 1 -A to this agreement indicates Federal resources
awarded through DEO by this agreement. In determining the Federal awards expended in its fiscal year, Recipient
shall consider all sources of Federal awards, including Federal resources received from DEO. The determination of
amounts of Federal awards expended should be in accordance with the guidelines established by OMB Circular A-
133, as revised. An audit of Recipient conducted by the Auditor General in accordance with the provisions of OMB
Circular A -133, as revised, wilt meet the requirements of this part.
2. In connection with the audit requirements addressed in Part I, paragraph 1, Recipient shall fulfill the requirements
relative to auditee responsibilities as provided in Subpart C of OMB Circular.A -1,33, as revised.
3. if Recipient expends less than $300,000 ($500,000 for fiscal years ending after December 31, 2003) in Federal
awards in its fiscal year, an audit conducted 1n accordance with the provisions of 0MB Circular A -133, as revised, is
not required. In the event that Recipient expends less than $300,000 [$500,000 for fiscal years ending after
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C.13.b
December 31, 2003) in Federal awards in its fiscal year and elects to have an audit conducted In accordance with
the provisions of OMB Circular A -133, as revised, the cost of the audit must be (said from non- Federal resources
(i.e., the cost of such an audit must be paid from Recipient resources obtained from other than Federal entities).
4. Title 45 C.F.R. Part 75 supersedes and consolidates the requirements of OMB Circulars A -21, A -87, A -110, A -122, A-
89, A -102 and A- 133'and is effective for Federal awards or increments of awards issued on or after December 26,
2014. Please refer to 45 C.F.R. Part 75 for revised definitions, reporting requirements and auditing thresholds
referenced in this Attachment and Agreement accordingly.
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PART II: STATE FUNDED
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This part is applicable if Recipient is a non -state entity as defined by Section 215.97(2), F.S.
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1. In the event that Recipient expends a total amount of state financial assistance equal to or in excess of $500,000
In an fiscal ear of such reci pie for fiscal ears en 5e tember 30 2004 or the Reci lent must have
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a State single or project - specific audit for such fiscal year in accordance with Section 215.97, F.S.; applicable rules
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of the Department of F}nancial Services; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit
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and for -profit organizations), Rules of the Auditor General. EXHIBIT 1 -A to this agreement indicates state financial
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assistance awarded through DE0 by this agreement. In determining the state financial assistance expended in its
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fiscal year, Recipient shalt consider all sources of state financial assistance, Including state financial assistance
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received from DEO, other state agencies, and other non -state entitles. State financial assistance does not include
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Federal direct or pass - through awards and resources received by a non -state entity for Federal program matching
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requirements,
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2. In connection with the audit requirements addressed in Part II, paragraph 1, Recipient shall ensure that the audit
complies with the requirements of section 215.97(8), F.S. This includes submission of a financial reporting package
as deft ned by section 215.97(2), F.S., and Chapters 10.550 (local govemmentaI entities) or 11.650 (nonprofit and
for - profit organlrations), Rules of the Auditor General.
3. If Recipient expends less than $500,000 in state financial assistance in Its fiscal year (for fiscal years ending
September 30, 2004 or thereafter), an audit conducted in accordance with the provisions of section 215.97, F.S., is
not required. in the event that Recipient expends less than $500,000 in state financial assistance in its fiscal year
and elects to have an audit conducted in accordance with the provisions of section 215.97, F.S., the cost of the
audit must be paid from the non -state entity's resources (i.e., the cost of such an audit must be paid from
Recipient's resources obtained from other than State entities).
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4. Additional information regarding the Florida Single Audit Act can be found at:
http://www.myfIcrida,com/audgen /pages /flsaa.htm.
PART III: OTHER AUDIT REQUIREMENTS
N/A
PART IV: REPORT SUBMISSION
1. Copies of reporting packages for audits conducted in accordance with OMB Circular A -133, as revised, and required
by Part I of this Exhibit shall be submitted, when required by Section .324 (d1, OMB Circular A -133, as revised, by
or on behalf of Recipient directly to each of the following at the address indicated:
A. DEO at each of the following addresses:
Electronic copies (preferred): Audit @deo.myflorida.com
or
Paper (hard copy ):
Department Economic Opportunity
MSC # 130, Caldwell Building
107 East Madison Street
Tallahassee, FE 32399 - 4125
3. The Federal Audit Clearinghouse designated in OMB Circular A -1.33, as revised {the number of copies required
by Sections .320 (d)(1) and (2), OMB Circular A -133, as revised, should be submitted to the Federal Audit
Clearinghouse) at the following address:
Federal Audit Clearinghouse
Bu reau of the Census
1201 East 10 Street
Jeffersonville, IN 47132
C. Other Federal agencies and pass - through entities in accordance with Sections .320 (e) and (F), OM Circular A-
133, as revised.
2. Pursuant to Section ,320 (f), 0M6 Circular A -133, as revised, Recipient shall submit a copy of the reporting package
described in Section .320(c), 0M8 Circular A -133, as revised and any management letter issued by the auditor, to
DE at each of the following addresses:
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C.13.b
Electronic copies ( preferred): Audit @deo.myfiorida.com
or
Paper (hard copy):
Department Economic Opportunity
MSC 4 130, Caldwell Building
107 East Madison Street
Tallahassee, FL 32399-4126
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3. Copies of Financial reporting packages required by PART II of this Exhibit shall be submitted by or on behalf of
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Recipient direct ly to each of the following:
A. DEC] at each of the following addresses:
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Electronic copies (preferred): Audit @deo.myflorlda,cam
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or
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Paper (hard copy):
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Department Economic Opportunity
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MSC4 134, Caldwell Building
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107 East Madison Street
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Tallahassee, FL 32399 -4126
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B. The Auditor General's office at the following address:
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Auditor General
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Local Government Audits/342
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Claude Pepper Building, Room 401
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111 West Madison Street
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Tallahassee, FL 32399 -1450
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Email Address: flaudgen _localgovt@aud.state.fl_us
4_ Copies of reports or the management letter required by Part III of this Exhibit shall be submitted by or on behalf of
Recipient directly to:
A. DEO at each of the folfowing addresses:
N/A
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C.13.b
5. Any reports, management letter, or other information required to be submitted to DEO pursuant to this Agreement
shall be submitted timely in accordance with OMB Circular A -133, Florida Statutes, and Chapters 10.550 (local
governmental entities) or 10,650 (nonprofit and far- profit organizations), Rules of the Auditor General, as
applicable.
6. Recipients, when submitting financial reporting packages to DEO for audits done in accordance with OMB Circular
A -133 or Chapters 10.550 (local governmental entities) or 10,650 (non- profit and for - profit organizations), Rules of
the Auditor General, should indicate the date that the reporting package was delivered to Recipient in
correspondence accompanying the reporting package.
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PART V: RECORD RETENTION
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1. Reclpient shall retain suff icient records demonstrating its compliance with the terms of this Exhibit far a period of
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five (5) years frorn the date the audit report is issued, or five (5) state fiscal years after all reporting requirements
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are satisfied and final payments have been received, whichever period is longer, and shall allow DEC, or Its
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designee, CFO, or Auditor General access to such records upon request, Recipient shall ensure that audit working
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papers are made available to DEO, or its designee, CFO, or Auditor General upon request for a period of five (5)
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years from the date the audit report is issued, unless extended in writing by DEC. In addition, if any litigation,
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claim, negotiation, audit, or other action involving the records has been started prior to the expiration of the
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controlling period as identified above, the records shall be retained until completion of the action and resolution
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of all issues which arise from it, or until the end of the controlling period as identified above, whichever is longer, m
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C.13.b
FFY 2017 LIHEAP AGREEMENT
EXHIBIT 1 -A
FUNDING S
FEDERAL RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:
Recipient's DUNS Registered Name:
Recipient's DUNS Number:
Federal Award Identification Number:
Federal Award Date:
Subaward Period of Performance Start and End Date
Monroe, County of
073876757
6- 1701FLL1EA; subsequent releases —TBD
October 25, 2016; subsequent releases —TSD
April 1, 2037 through March 31, 2018
Federal award project description, as required to be Home energy assistance to low income households
responsive to the Federal Funding Accountability and
Transparency Act (FFATA):
federal Awarding Agency-
Pass-Through Entity:
Contact Information for Awarding Official of Pass -
Through Entity:
Catalog of Federal Domestic Assistance Number:
U.S. Department of Health and Human Services
Florida Department of Economic Opportunity
Contact: Julie Dennis, 850- 717 -8450
eX�"1:f:3
Catalog of Federai Domestic Assistance Title
Research and Development:
Indirect Cost Rate:
Low- Income Home Energy Assistance Program
(formula grant)
No
N/A
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS
AGREEMENT ARE AS FOLLOWS:
Federal Program:
1. Recipient shall use the LIHEAP funds to provide energy assistance benefits to eligible households
with low income. These funds will be expended in accordance with applicable law and the terms of
this Agreement, including, but not limited to attachments, applicable federal cost principles and
regulations, and the FFY 20117 LIHEAP State Plan,
2. Recipient shall comply with all applicable U.S. Department of Health and Human Services Paws,
including, but not limited to, title 42 U.S.C. chapter 106, and all applicable regulations asset forth
in title 45 C.F.R. part 75 and part 95.
S TATE RESOURCES AWARD TO THE RECIPIENT PURS UANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING
N/A
MATCHING RESOURCES FOR FEDERAL PROGRAMS:
Federal Program: N/A
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SU BJECT TO S ECTION 215.97. FLORIDA STAT UTES:
State Project: N/A
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE
AS FOLLOWS:
NIA
NOTE. Title 45 C.F.R. 75.352 and section 215,97(5), Florida Statutes, require that the information about Federal
Programs and State Projects included in Exhibit 1 be provided to the Recipient.
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C.13.b
IFFY 2017 tIHEAP AGREEMENT
EXHIBIT 2
Audit Compliance Certification
Email a copy of this farm within 50 days of the end of each fiscal year in which this grant was open to
a u dlt @ deo. m yf to rids. com.
Subrecipient:
Subrecipient's Fiscal
FEIN:. - - -- Year:
Contact's Name: Contact's Phone:
Contact's Email:
1. aid Subrecipient expend state financial assistance, during its fiscal year, that it received under any
agreement (e.g., contract, grant, memorandum of agreement, memorandum of understanding,
economic incentive award agreement, etc.) between the Subrecipient and the Department of
Economic Opportunity (DEO)? ❑ Yes ❑ No
If the above answer is yes, answer the following before proceeding to item 2.
Did Subrecipient expend $750,000 or more of state financial assistance (from DEO and all other
sources of state financial assistance combined) during its fiscal year? ❑Yes 71 No
If yes, the Subrecipient certifies that it will timely comply with alt applicable state single or
project- specific audit requirements of section 215.97, Florida Statutes, and the applicable rules of
the Department of Financial Services and the Auditor General.
2. Did the Subrecipient expend federal awards during its fiscal year that it received under any
agreement (e.g., contract, grant, memorandum of agreement, memorandum of understanding,
economic incentive award agreement, etc.) between the Subrecipient and DEO? ❑ Yes ❑ No
if the above answer is yes, also answer the following before proceeding to execution of this
certification:
Did the Subrecipient expend $750,000 or more in federal awards (from DEO and all other sources of
federal awards combined) during its fiscal year? ❑ Yes ❑ ND
If yes, the Subrecipient certifies that it will timely comply with all applicable single or program -
specific audit requirements of title Z C.F.R. part 200, subpart F, as revised.
By signing below, i certify, on behalf of the Subrecipient, that the above representations for items 1
and 2 are true and correct.
Signature of Authorized Representative Date
Printed Name of Authorized Representative Title of Authorized Representative J
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FIFY 2017 LIHEAP AGREEMENT
ATTACHMENT A
SCOPE OF WORK
Subrecipient shall comply with, and if applicable, shall ensure all subcontractors' compliance with, the following
requirements:
A. PAYMENT AND DELIVERABLES
Subrecipient shall be reimbursed monthly for expenditures reported on its Monthly Financial Status Report, as
described in Attachment C for successful completion of the Deliverable, as solely determined by DEO.
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(1) Deliverable: Direct Client Services and Hours of Operation c
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a. Subrecipient shall provide services to a minimum of one household per month in accordance with the c
LIHEAP Annual Workplan, and section D. and section E. of this Attachment A to this Agreement and shall have r
its main administrative office(s) open for business, with the entrance door open to the public, and at least one ❑
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employee on site, on Mo�cla through Friday, and from 8:00_ AM to 5:0 PM. This operating hours requirement
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does not apply to Subrecipient's outreach locations (Minimum Level of Service). Q
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b. Subrecipient shall submit a revenue and expense statement supporting costs insufficient detail to evidence M
such costs were allowable, reasonable, allocable and necessary to serve eligible clients. r`
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c. Subrecipient shall each month submit a Monthly Financial Status Report as described in Attachment C. `y
B. FINA CONSEQ UENCES
(1) Failureto successfully complete the Minimum Level of Service for the above Deliverable, as determined by DEO
in its sale discretion, will result in nonpayment. DEO shall not reimburse any expenditures associated with the
Deliverable notaccepted by DEO as successfully completed; however, this does not preclude Subrecipient from
receiving payment for such expenditures upon successful completion of the Deliverable.
(2) The Financial Consequences identified in this Agreement do not preclude Subrecipient from being subject to
"Debarment and Suspension" as prescribed by DEO. When a Subrecipient fails to comply with the termsof this
Agreement, a temporary suspension of funding for enforcement purposes may be instituted.
C. DEFINITIONS
(1) "Administrative Expense" — Those costs for general administration and coordination of the program, including
direct and indirect costs. This Includes the salaries, fringe, rent, utilities, travel, etc. associated with financial
and administrative management of the program.
(2) "Applicant" —A person or persons who has submitted or requested an application for services.
(i) "Application ❑ate" — The date the application is completed (whether by self or with assistance), signed by the
Applicant, and verified by Subrecipient's staff. This date shall not be changed.
toy "Application Receipt" --The date an Applicant first submits an application for assistance.
(5) "Client!'— An Applicant, household or customer whose application for assistance has been approved.
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C.73.b
(6) "Crisis Assistance" — Assistance provided to an Applicant with no access to, or in danger of lasing access to,
needed home eriergy. Suhreci pie nt may provide up to two (2) Crisis Assistance benefits per year.
a. A maximum of one (1) summer Crisis Assistance benefit may be applied to a Client's account during the
cooling season, April to September_
b. A maximum of one (1) winter Crisis Assistance benefit may be applied to a Client's account during the
heating season, October to March.
c. May be used to pre -pay home energy usage.
(7) 'Eligible Actions" — All applications for Crisis Assistance must be acted upon by 5ubrecipient with an Eligible
Action taken to mediate the crisis within eighteen (18) hours of Application Receipt. Eligible Actions include:
a. Approval of application;
b. Denial of application pending further information;
c. Denial of application because Applicant is deemed ineligible;
d. Contact utility vendor to halt power disconnection or interruption in services; or
e. Written referral to, along with providing Applicant assistance in contacting, another if LIHEAP funding
is not available or the Applicant is ineligible.
(8) "Horne Energy Assistance" — Assistance provided to an Applicant to reduce the Applicant's overall home
energy burden. 5ubrecipient must provide at least one (1) Home Energy Assistance benefit per caiendaryear.
a. A Client may riot receive more than one (1) Home Energy Assistance benefit per calendar year.
b. The benefit is not contingent upon current or past due amounts, and can be used as a direct credit to the
Client's account.
c. May be used to pre -pay horse energy usage up to the amount the Client is eligible to receive.
d. Must follow the current benefit payment matrix provided by D>ED.
(9) "Home Energy Crisis" — shall be defined as no access or being in immediate danger of losing access to needed
home energy because of any of the following:
a. The Applicant's home cooling or heating energy source has been cut off;
b. The Applicant has been notified that the energy source fors coaling ar heating is going to be cut off;
c. The Applicant has received a notice indicating the energy source is delinquent or past due;
d. The Applicant is unable to get delivery of fuel for heating, is out of fuel for heating, or is in danger of being
out of fuel for heating;
e. The Applicant has a bill far which the due date has lapsed; or
f. The Applicant has other problems with lack of cooling or heating in the home, such as needing to pay a
deposit, needing a repair or purchase of heating or cooling equipment, or needing interim emergency
measures to avoid further crisis.
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(to) "Outreach Expenses" —costs incurred in delivering L €HEAP services that are not purely administrative in nature.
This may include staff expenses such as salaries, fringe, rent, utilities, travel, etc. for those employees
performing outreach and intake, costs for advertising, costs for application supplies and storage of client files.
(11) "Reasonable Promptness" — Means within fifteen (15) working days of Appl €cation Receipt.
D. SCOPE OF WORK
(1) Subrecipient w €if administer the LIHEAP Program in accordance with information and directives provided in
D10- issued Information Memorandum notifications, DEO- issued policy directives (if any), and this Agreement.
iZ) Subrecipient shall conduct outreach activities designed to ensure that eligible households, especially
households with elderly or disabled individuals, young children, and those with the highest home energy
burden are made aware of the assistance available under this Agreement.
(3) Subrecipient shall assist each Applicant in securing help through other community resources when LIHEAP
funds are not available or are insufficient to meet the emergency house energy needs of an Applicant.
(4) Subrecipient shaft maintain the following written policies:
a. A written policy that outlines its procedure and requirements for conducting home visits to home -bound
Applicants, especially the elderly or disabled, for completion of the program application or eligibility
determination when other assistance is not adequate.
b. A written policy to secure Applicants' social security numbers in order to protect their identity. At a
minimum, this policy shall address the handling of both paper and electronic records and files. Subrecipient
shall, in collecting Applicants` social security numbers, use the Notice Regarding Collection of Social
Security Numbers, The Notice shad be signed by the Applicant and maintained in the Client file.
c. A written policy to assure that all energy vendors to which energy assistance payments are made comply
with the requirements of Paragraph G of this Attachment A.
d. A written policy on flow to document and verify that an Applicant meets the definition of a Home Energy
Crisis and is eligible for Crisis Assistance.
e. A written policy to ensure that LIHEAP funds are appropriately budgeted and expended to sufficiently
allow for energy assistance benefits in both the heating and cooling seasons.
f. A written policy for deterrn in! ng Applicant's eligibility for receiving benefits under the LIHEAP program.
g. A written appeals and complaint policy that provides an opportunity for a fair administrative hearing to
Applicants or Clients whose applications for assistance are denied or whose applications are not acted upon
with Reasonable Promptness. Subreciplent shall post its appeal and complaint policy in a prominent place
within Subrecipient's office viewanle by all Applicants and Clients.
(5) Subrecipient shall, within fifteen (15) working days of the Application Date, furnish a written Notice of Denial
and Appeals for each Applicant denied assistance. At a minimum, the written Notice of Denial and Appeals
Shall contain:
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a. Name of Applicant;
b. Date of Application;
c. Type of benefit sought;
d. Reason(s) for denial;
e. Statement on Subrecipient's benefit limits, if applicable;
f. Statement of appeals process;
g. Explanation of the circumstances under which the Applicant may reapply;
h. Explanation of the Info rmatlon c documentation needed for the Applicant to reapply;
€. Name, phone number, and address applicable to the appeal process; and
j. Number of days the Applicant has to file the appeal.
(6) At a minimum, Subrecipient's appeals process must provide an opportunity for an Applicant or Client to file a
written appeal or complaint with Subrecipient's Program Supervisor within ten (10) working days of receipt of
the written Notice of Denial and Appeal:
a. Upon receipt of a validly filed appeal or complaint, Subreclpient shall respond in writing within ten (10)
working days.
b. The Applicant or Client may appeal Subrecipient's first response by filing its objections to the response
with Subrecipienfs Director, Executive Director or Board Chair, as applicable, with €n five (5) working days
of receipt of the first response.
c. Upon receipt of a validly filed objection to the first response, Subrecipient shall respond in writing within
ten (14) working days, and the response must clearly state the final outcome of the appeal, that the
decision is final, and, if applicable, the circumstances under which the Applicant or Client may re -apply for
services.
(7) Sub recl pie nt shall make payments to energy vendors on behalf of eligible Applicants with the "highest home
energy needs and lowest household income," which will be determined by taking into account both the energy
burden and the unique situation of such Applicants that results from having members of vulnerable
populations, including very young children, the disabled, and frail cider individuals.
18) 5ubreoipient shall enter into a Memorandum of Understanding (MOU) with all Weatheriaation Assistance
Programs (WAP) in its service area. The MOU will detail cooperative efforts and shall describe the actions that
will be taken by both parties to assure coordination, partnership, and referrals. The 5ubreoipient shall review
and renew the MQU at least every five years. Sub recipient, in coordination with the local WAP agency, shall
develop a system by which LIHEAP Clients who have received more than three (3) LIHEAP benefits in the last
eighteen (18) months and who are homeowners, are referred to the WAP provider. Subreclpient skull maintain
records sufficient to document referrals.
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(9) Subrecipient shall enter into an MOU with service area Emergency Home Energy Assistance for the Elderly
Program ( EHEAP) providers. The MOU will ensure coordination of services, avoid duplication of assistance,
and increase the quality of services provided to elderly participants. The Subrecipient shalt review and renew
the MOU at least every five (5) years. The MOU will detail how LIHEAP and EHEAP records (for households
with elderly members) will be checked to avoid duplicate Crisis Assistance payments during the same season.
Subrecipient shalt maintain records sufficient to document coordination.
(10) Subrecipients serving multi- county areas shall provide ❑EO with a description of how direct client assistance
funds will be allocated among the counties. The allocation methodology must be based at least in part on the n
150% of poverty population within each of the counties served. This information must be reported in
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Subrecipient's Mu lti- County Fund Distribution Form.
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(11) Subrecipient shall agree to treat owners and renters equitably under the Agreement.
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(12) Subrecipient shall not charge Applicants a fee or accept donations from an Applicant to provide LIHEAP
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benefits. Subrecipient shall post the following statements in a prominent place visible to all Applicants and
Clients: "No money, cash or checks, will be requested or accepted from Applicants or Clients for I.IHE'APservices
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of any kind. If on employee asks for money, report this to the agency Executive Director or Department Head."
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(13) Subrecipient shall have a physical location and operate during hours available to Applicants and in accordance
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with the days and times as described in Attachment F, Warranties and Representations.
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(14) Subrecipient shall refund to DEC, with non - federal funds, all funds incorrectly paid on behalf of Clients that
cannot be collected from the Client.
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(15) Subrecipient shall have appropriate staff attend training sessions scheduled by DEO to cover LIHEAP policies
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and procedures.
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(15) Subrecipient shall furnlsh training for all staff members assigned responsibIlitles within the program.
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(17) Subrecipient shall be In a position to accept applications after execution of this Agreement and adequate
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funding is provided. Subrecipient shall continue taking applications until this Agreement expires or funds are
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exhausted, whichever comes first.
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(18) Subrecipient shall comply with the Federal Financial Accountability and Transparency Act (FFATA). This
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includes securing a Dun and Bradstreet Numbering; System (DUNS) number (www.dnb.com) and maintaining
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an active and current profile in the Central Contractor Registration (CCR) (www.ccr.gov).
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49) Subrecipient shall publish and publicize its local outreach office telephone number, as well as the days and
times the outreach office is open. If applicable for the area served, Subrecipient shall have a toll -free telephone
number.
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E. CLIENT SERVICES AND BENEFITS
(1) Subrecipient shall provide LIHEAP Home Energy Assistance benefits based on the state- provided LIHEAP
Payment Matrix. The benefit amount is based on the household's income level as compared to the National
Poverty Guidelines.
(2) The following maximum benefits wifl be available to eligible Applicants:
a. One (1) non - crisis Home Energy Benefit per twelve (12) month period;
b. One (1) summer energy - related Crisis Assistance benefit between April 1 and September 30 each year;
and
c, One (1) winter energy - related Crisis Assistance benefit between October 1 and March 31 each year
(3) Based on Iota need for LIHEAP services and other non- LIHEAP energy assistance resources in its service area,
Subrecipient may limit Crisis Assistance benefits to less than those stated in Paragraph E.(2) of this Attachment
A, but not less than one =1) Crisis Assistance benefit per year.
(4) Subrecipient shall determine the correct amount of each Crisis Assistance benefit based on the minimum
necessary to resolve the crisis, but not more than the maximum set by RED. The maximum crisis benefit is
$500.00 per Applicant per season.
(5) When the Applicant is in a crisis situation (life threatening or non -life threatening), Subrecipient small take one
or more Eligible Actions that will resolve the emergency situation within eighteen (18) hours of Application
Receipt far a Crisis Assistance benefit and document the Client file with which Eligible Action was used.
(5) For all approved applications, Subrecipient shall make payments to vendors on behalf of approved
Applicants no more than forty -five (45) calendar days from the Application Date.
(7) Subrecipient shall, within fifteen (15) working days of the Application bate, furnish in writing to each approved
Applicant a Notice of Approval and Appeals which includes:
a. Type and amount of assistance;
b. Name of the energy vendor to be paid on the Client's behalf;
c. The next date when the Client will be eligible to apply for further assistance; and
d. Subrecipient's Appeal policy.
(8) For Crisis Assistance Applicants, Subrecipient shall compare LIHEAP records and EHEAP records for
households with elderly members to avoid duplicate Crisis Assistance payments during the same eligibility
period, and maintain documentation sufficient to ensure compliance with this requirement,
(9) Applicant eligibility shall be based on the following factors:
a. Subrecipient may only assist Applicants who are, or were, residing in its LIHEAP service area at the time
the home energy costs were incurred.
b. The Applicant must complete an application and return all required information and verification to
Subrecipient or subcontractor.
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c. The Applicant must provide a utility, or fuel, bill verifying en obligation to pay home energy costs.
d. The Applicant must have a total gross household income of not more than 150% of the current OMB
federal poverty level for their household's size.
e. To receive a Crisis Assistance benefit, the Applicant must meet the requirements of having a verifiable
Home Energy Crisis as this term Is defined in Paragraph C.6. of this Attachment A.
f. If the Applicant lives in government subsidized housing, Subrecipient shall determine if all or part of
Applicant's utility costs are paid directly or indirectly by the government and then take the following
appropriate action:
1. Subrecipient shall not provide assistance to an Applicant if Applicant's home heating and cooling costs
are totally included in Applicant's rent and Applicant has no obligation to pay any portion ofthe costs.
2. for Cri Assistan ce.Onls: If the Applicant receives an energy subsidy through Section 8 ar a Public
Housing Authority, then Subrecipient shall subtract the amount of the subsidy available to the
Applicant during the period covered by the utility bill from the allowable LIHEAP crisis benefit
calculated for the household.
1 For Home Energy Assistance Only If utility costs are not paid directly or indirectly by a government
entity, the Applicant is eligible for a Home Energy Assistance benefit with no deductions at the same
level as other Applicants.
g. The Applicant must not reside In a group living facility or a home where the cost of residency is at least
partially paid through any foster care or residential program administered by the state.
h. The Applicant must not be a student living in a dormitory.
(10) Calculation of income eligibility:
a. Use the past 30 days earnings for all occupants of the household annualized, or the Applicant's most
current economic situation, whichever is lower.
b. Reference the current year Sources of Allowable Income to determine what Is and is not considered as
allowable income.
c. Total household income cannot exceed the 150% poverty level as set forth in the Poverty Income
Guidelines.
d. if an Applicant cannot document household income and does not receive food stamps, the Subrecipient
shall accept a signed self -- declaration of income statement that adequately explains exceptional
circumstances and gives the amount of the Applicant's income.
e. No household may be excluded solely on the basis of income if the household income is less than 110% of
the poverty level.
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F. CLIENT RECO RDS
5ubrecipient shall maintain Information in a file for each LIHEAP Client that includes at least the following
information:
(1) Client's name, address, sex, and age, and customer name on utility account (if not the Client);
(2) Names, ages, and current identification documentation (no more than one year expired) of all household
members;
(3). Social Security Numbers and documentation of such numbers for all household members or the citation to the
applicable exemption;
(4) Signed Notice Regarding Collection of Social Security Numbers;
(5) Income amount and method of verification for all household members;
(6) Income documentation to support eligibility;
(7) Signed statement of self - declaration of income, if applicable;
(8) Signed statement of how basic living expenses, such as food, shelter, and transportation are being provided if
the total household income is less than 50% of the current Federal poverty Guidelines and no one in the
household is receiving SNAP assistance;
(9) Copies of approval or denial letters, including appeal procedures, provided to the Client;
(10) Documentation of disability income or physician's statement if preference or additional benefit provided due
to a disability;
(11) Documentation of Client's obligation to pay the energy bill for the residence fn which Client resides;
(12) signed Authorization for Release of General and/or Confidential Information for LIHEAP Rata, or notation that
the Client did not sign the waiver;
(13) Utility Account Number;
(14) If LIHEAP prevented disconnection or restored an energy disruption; and
(15) A signed LIHEAP application with signatures of the Applicant, Subrecipient's representative, and
supervisory staff.
G. ENERGYVENDQRS
(1) Unless special circumstances exist titi'raO permit S brec.jpierlt ti, ,i;ake ; ;.,a} ^.c rt i:l the furill of a two -party
[Beck Blade nayable :c the Client an i the energy Cenci r 5 1.:r; recipient Shall negatiate_ and maintain wr:t'en
agreements (the "Vendor Agreement") with energy vendors which must at a minimum Include;
a. The beginning and ending date of the Vendor Agreement.
b. The name and/or title of key contact staff with both the 5ubreclpient and energy vendor who are
authorized to resolve a crisis situation and make a payment commitment on behalf of a Client.
c. A description of how Subreciplent shall make energy payments directly to the energy vendor on behalf of
LIHEAP Clients.
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C.73.b
d. Assurances from the energy vendor that no household receiving LIHEAP assistance will be treated
adversely by the energy vendor because of such assistance under applicable provisions of state law or
public regulatory requirements.
e. Assurances from the energy vendor that it will not discriminate, either in the cost of goods supplied or the
services provided, against the eligible household on whose behalf payments are made.
f. A statement that only energy related elements of a utility bill are to be paid. No water or sewage charges
may be paid except if required by the energy vendor to resolve the crisis and no other resources to pay
that portion of the bill can be secured by the Client or Subrecipient. n
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g. A statement that Subrecipient may not pay for charges that result from illegal activities such as a bad
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check or meter tampering. A statement that the energy vendor is aware that those charges are the
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responsibility of the Client.
h. A statement that the energy vendor is aware that when the benefit amount does not pay for the complete 0
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charges awed by a Client, the Client is responsible for paying the remaining amount owed.
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i. Details on how the energy vendor will assist Subrecipient in verifying the LIHEAP Client's account w
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information and, in the case of crisis assistance, make timely commitments to resolve the crisis. A process Z�
should be in place to verify the current amount owed and the amount necessary to resolve the crisis
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situation.
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j. Subrecipient's commitment to make payment to the energy vendor no more than forty -five (45) calendar
days from the Application Date.
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k. A statement that the energy vendor is aware that if LIHEAP payments made to the energy vendor cannot
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be applied to the Client's account, the funds will be returned to Subrecipient or, with Subreciplent's
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approval, applied to another eligible Client's account,
(2) If the energy vendor will participate in the Annual Performance Measure Data Collection, the Vendor
Agreement shall also contain:
a. An assurance that the Subrecipient shall collect signed Authorization for Release of General and /or
Confidential information for UHEAP Data from eligible Applicants who choose to allow their data to be
collected as part of the annual performance measures and ensure the signed releases are available for
inspection by the energy vendor.
b. An assurance that the energy vendor Is aware that as long assigned Authorizations for Release of General
and /or Confidential Information for LIHEAP Data are collected and available, the energy vendor will
provide the requested customer data to DEO.
(3) The energy vendor must be in "active" status with the State of Florida: http: / /sunbiz.org /search,html and the
energy vendor's name must be checked on SAMS at https: / /www,sam.gov. The name on the vendor
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C.73.b
Agreement must match the legal business name on the State of Florida website. Municipal providers are
excluded from this requirement.
(4) The Vendor Agreement must be reviewed by both parties at least every five (5) years.
(5) The Vendor Agreement must be signed by upper level management of both Subrecipient and the energy
vendor authorized to enter into such commitments.
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FFY 2017 LIHEAP AGREEMENT
ATTACHMENT B
PRO STATUTES. ANT- REGILI AZIONS
A. INCORPORATION OF LAWS, RULES- REGULATIONS A PO LICIES
The applicable documents governing service provision regulations are in the Low-Inca me Home Energy Assistance
Act of 1981 (Title XXVI of the Omnibus Budget Reconciliation Act of 1981, Public Law 97 -35), as amended, and the
"Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards 45 C.F.R., Part
75" (hereinafter referred to as the "Uniform Guidance "). If this Agreement is made with a commercial (far - profit)
organization on a cost- reimbursement basis, Subrecipient shall be subject to Federal Acquisition Regulations 48
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C.F.R. 31.2. Executive Order 12549, Debarment and Suspension from Eligibility for Financial Assistance (Non-
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procurement) and the following Federal Department of Health and Human Services regulations codified in Title 45
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of the Code of Federal Regulations are also applicable under this Agreement:
(1) Part 16 -- Procedures of the Departmental Grant Appeals Board;
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(2) Part 30 — Claims Collection;
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(3) Part 80 — Nondiscrimination under programs receiving Federal assistance through the Department of Health
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and Human Services, Effectuation of Title V1 of the Civit Rights Act of 1964;
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(4) Part 81— Practice and procedure for hearings under Part 80 of this Title;
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(5) Part 84 -- Nondiscrimination on the basis of handicap in program s and activities receiving Federal financial
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assistance;
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(6) Part 86 — Nondiscrimination on the basis of sex in education programs and activities receiving Federal financial
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assistance;
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(7) Part 87 — Equal Treatment for Fafth Based Organizations;
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(8) Part 91— Nondiscrimination on the Basis of Age in programs or activities receiving Federal Financial Assistance
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from H HS;
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(9) Part 93 — New restrictions on lobbying;
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(10) Part 96 — Black Grants; and
(11) Part 100— intergovernmental Review of Department of Health and Human Services Programs and activities.
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B. PROJECTS 0R PROGRAMS FUNDED IN W HOLE dR PART WITH FEDERAL MONEY
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As required by Section 548 of Public Law 103 -333, when issuing statements, press releases, requests for
proposals, bid solicitations and other documents describing projects or programs funded in whole or in part
with Federal money, all Subrecipients receiving Federal funds, including but not limited to State and local
governments and Subrecipients of Federal research grants, shall clearly state:
(1) the percentage of the total costs of the program or project which will be financed with Federal money,
(2) the dollar amount of Federal funds for the projector program, and
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C.73.b
(3) the percentage and dollar amount of the total costs of the project or program that will be financed by
nongovernmental sources.
C. INTEREST FROM CASH ADVANCES
Subrecipients shall invest cash advances in compliance with 45 C.F.R. § 75.305, Payment, paragraph (b)(8).
D. PROGRAM INCOME
Subrecipient may reapply program income for eligible program projects or objectives. The amount of program
income and its disposition must be reported to DEO at the time of submission of the final close -out report.
E_ BOND
(1) Non -Profit Ors_anizatigns: Subrecipient shall purchase a blanket fidelity bond covering all officers,
employees and agents of Subrecipient holding a position of trust and authorized to handle funds
received or disbursed under this Agreement. Individual bonds apart from the blanket bond are not
acceptable. The amount of the bond must cover each officer, employee and agent up to an amount
equal to at least one -half of the total LIHEAP agreement amount. Subrecipient shall submit
documentation prior to execution of this Agreement.
(2) Local Governments. Subrecipient shall purchase a fidelity bond in accordance with section 113.07, F.S
The fidelity bond must cover all officers, employees and agents of Subrecipient holding a position of trust
and authorized to handle funds received or disbursed under this Agreement. Subrecipient shall submit
documentation prior to execution of this Agreement.
F MONITORING
(1) DEO shall conduct a full onsite review of Subrecipient at least once during each three -year period
Subrecipient shall allow DEC) to carry out monitoring, evaluation and technical assistance, and shall
ensure the cooperation of Its employees, and of any subcontractors with whom Subrecipient contracts
to carry out program activities.
(2) DEO shall provide training and technical assistance, within the limits of staff time and budget availability,
upon request by Subrecipient or determination by DEO of Subrecipient need.
(3) DEO shall conduct follow -up reviews including prompt return visits to Subrecipients that fail to meet the
goals, standards, and requirements established by the State and federal Funding agency.
G. OTHER PROVISIONS
(1) Subrecipient shall budget a minimum of twenty -five percent (25%) of the total Agreement Funds for
Home Energy Assistance.
(2) Subrecipient shall budget a minimum of two percent (2%) of the total Agreement funds for Weather
Related/Supply Shortage emergency assistance. These funds must be held in this budget line item
category until December 15 of the program year for use in response to a possible disaster. These funds
will only be used during state or federal emergencies declared officlaIly by the President, the Governor,
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or the Executive Director of DEO. In the event of an emergency being officially declared, if Subrecipient
or DEO finds that two percent (2%) of the Weather Related /Supply Shortage emergency assistance
budget is not sufficient to meet the emergency, Subrecipient may draw from other budgeted fine items,
up to fifty percent (50%) of the total Agreement budget, without additional written authorization. When
funds are distributed for a weather- retated /supply shortage emergency, DEO will provide binding
directives as to the allowable expenditures of the funds. After December 15, if no emergency has been
declared, DEO will release the funds and Subrecipient will allocate these funds to the crisis or home
energy budget line item. Subrecipient shall comply with these directives or agree that these funds will n
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remain with DEO.
(3) In addition to the record keeping, public records, and audit requirements contained in Sections (5) and
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(5) of this Agreement, the books, records, and documents required under this Agreement must also be
available for copying and mechanical reproduction on or off the premises of Subrecipient.
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(4) If the U.S. Department of Health and Human Services Initiates a hearing regarding the expenditure of
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funds provided underthis Agreement, Subrecipient shall cooperate with, and upon DSO's written request, w
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participate with DEO in the hearing. M
(5) Subrecipient shall maintain records sufficient to allow DEO to determine compliance with the c
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requirements and objectives of Attachment A and all other applicable laves and regulations. CO
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FFY 2017 LIHEAP AGREEMENT
ATTACHMENT C
REPORTS
A, ANNUAL REPORTS
(1) Close- out_Report: Subrecipient shall submit the LIHEAP Close -Cut Report to DEO no later than forty -five (45)
calendar days after termination of the Agreement or forty -five (45) calendar days after completion of the
activities contained in the Agreement, whichever occurs first. if the forty -fifth calendar day falls on a
weekend day or holiday, the Close -out Report wi[I be due on the next business day. Subrecl pie nt shall submit
signed documents to DEO that include, at a minimurn, the Close -Out Cover Sheet, the LIHEAP Final Financial
Status Report, property inventory and accrual report, report on interest bearing accounts, a refund check for
any unspent funds, if applicable, and a refund check for any interest earned on advances, if applicable,
(2) IRS Form_990: Subrecipients that are below the $750,000 threshold for all Federal awards in its fiscal year,
are non - profit entities, and exempt from the Federal Single Audit Act requirements, shall submit with its
Agreement proposal a copy of fts most recent IRS Form 990.
B. MONTHLY REPORTS
(1) Subreciplent shall submit to DEO the LIHEAP Monthly Financial Status Report no later than the twenty -first
day of each month following the end of the reporting month in which funds were expended. Subrecipient
shall submit the report regardless of whether funds were expended, DEO will make its determination
whet her to reimburse Sub reci pie nt's costs based on Subreciplent's successful completion of deliverables, as
evidenced by information contained in and submitted with the Financial Status Report. Only with prior
approval by DEO will more than one reimbursement be processed for any calendar month. The Monthly
Financial Status Report must be submitted in DEO's current electronic financial management system and a
signed copy submitted via facsimile or electronic mail by the due date. In the event the twenty -first day of
the month falls on a weekend day or holiday, the Monthly Financial Status Report shall be due on the next
business day.
a. Each Monthly Financial Status Report sha[I contain the following information, at a minimum:
1, all expenditures that occurred during the reporting month,
2. the amount of reimbursement requested, and
3. the number of clients served.
b. An authorized signatory shall sign, date, and attest to the veracity of each Monthly Financial Status Report.
Subrecipient's submission of a signed and completed Monthly Financial Status Report is Subrecipient's
acknowledgement and certification that all expenditures listed therein: are reasonable, necessary, allowable,
and allocable; were expended in accordance with the terms and conditions of this Agreement as well as all
applicable federal, state, and local laws, regulations and written guidance; and have been reconciled with
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supporting documentation by Subrecipient, which is readily available to Recipient upon request.
c. DEC sha11 review each Monthly Financial Status Report for compliance with the requlremenIts as stated in
Attachment A of this Agreement.
(x) Subrecipient shall submit the Monthly Client Services Report via the current online client tracking and reporting
system to DEO no later than the twenty -first day of each month following the end of the reporting month in
which clients were served.
C. MONITORIN R EPORT RESP ONSES
Subrecipient shall provide a written response to DE for all monitoring report findings or concerns no later than n
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thirty -five (35) calendar days from the date of the original monitoring report, DEO shall notify Subrecipient of the
due date for any subsequent monitoring report responses as may be required. If the thirty -fifth day falls on a C;
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weekend day or holiday, the response to the original report shall be due on the next business day, Subrecipient
may request an extension in writing for DEO's review and approval.
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Per title 45 C.F.R. § 75.405, Subrecipient is required to have written financial management systems procedures far w
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determining the reasonableness, allocaUlty, and a tic wabiIlty of costs in accordance with the provisions of the cost M
principles and terms and conditions of the award, To document this, Subrecipient must submit a copy of Its written c
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Cost Allocation Plan to DEO with this Agreement. co
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E. INDIRECT COST RATE PROPOSAL
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Subrecipients of federal awards are required to have an approved, federally recognized indirect cast rate
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negotiated between such subrecipients, and the Federal Government. if no such rate exists, then Subrecipient v
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shall have either a rate negotiated with DEO (in compliance with 45 C.F.R. Part 75), or a de minimis indirect cost
rate as set forth in 45 C.F.R. §75.414(f). Subrecipient shall submit its current Indirect Cost Rate Proposal to DEO
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with this Agreement. if Subrecipient chooses to use the de minimis rate, Subrecipient shall make sure it is legally Z
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entitled to use that rate and include a statement to DFO to that effect with this executed Agreement. Subrecipient w
is not obligated to establish an indirect cost rate if Subrecipient does not charge indirect costs.
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F. OTHER REPORTS n
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Upon reasonable notice, Subrecipient shall provide such additional program updates, reports, and information as
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may be required by DEO, including supporting or source documentation for any reports identified above in this a
Attachment.
G. SUBMISSION
Subrecipient shall submit reports to the DEO Grant Manager as stated in Paragraph (14) of this Agreement.
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FFY 2017 LIHEAP AGREEMENT
ATTACHMENT D
PROPERTY MANAGEMENT AND P ROW REM ENT
Subrecipient shall comply, at a minimum, with property management standards for non - expendable property, as
provided in 45 C.F.R. 75.320, Equipment, and 45 C.F.R. 75.371, Supplies, and the following provisions;
A. Ail property purchased, in whole or in part, with funds from this Agreement must be listed on the property records
of Subrecipient. Said listing must include a description of the property, a serial number or other identification
number, the funding source of the property, who holds title, the acquisition date, cost of the property, percentage
of Federal participation in the cost of the property, the location, use, and condition of the property, and any
transfer, replacement or ultimate disposition data Including the date of disposal and sale price of the property, if
applicable.
B. Subreciplent must take a physical inventory of the property acquired, in whole or in part, with funds from this
Agreement, reconcile the results of the inventory with the property records, and submit to DEO a written
property inventory list and reconciliation report, at least once a program year. Additionally, such a list and report
must be submitted to DEO upon DEO's request.
C. Ownership of all property acquired, in whole or in part, with funds from this Agreement is vested in DEO upon
completion, including termination, of the Agreement, and as such, any title to such property must be vested in
DEO by Subrecipient upon completion, including termination, of the Agreement. If Subrecipient comingles funds
from this Agreement, all property purchased, in whole or in part, using funds from the account(s) in which any
funds from this Agreement are placed is considered "property acquired, in whale or in part, with funds from this
Agreement" as described herein.
D. Real property, equipment, and intangible property that are acquired or improved, in whole or in part, with funds
from this Agreement must be held in trust with the State of Florida as the trustee for the beneficiaries of the
LIHEAP Program, The State of Florida is entitled to record liens or other appropriate notices of record to indicate
that person or real property have been acquired or improved with Federal funds and that use and disposition
conditions apply to the property.
E. Subrecipient shall comply with Section 507 of Public Law 103 -333. As stated in this section, it is the sense of
Congress that, to the extent practicable, all equipment and products purchased with funds made available in this
Act should be American made,
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IFFY 2017 LIHEAP AGREEMENT
ATTACHMENT E
STATEMENT OF ASSURANCES
A. Inte rest of Certain Federal Offi cials
No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be
admitted to any share of part of this Agreement or to any benefit to arise from the same.
B. Interest of_Members,_Offcers. or Em[,lovees of Subreci_,ient_ Members of Local Governing Bo ❑r
Public Officials
No member, officer, or employee of Subrecipient, or its delegates or agents, no member of the governing
body of the locality in which the program is situated, and no other public official of such locality or localities
who exercises any functions or responsibilities with respect to the program during his tenure or for one (1)
year thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds
thereof, for work to be performed in, connection with the program assisted under this Agreement.
Subrecipient shall incorporate or cause to be incorporated in ail such Agreements, a provision prohibiting such
interest pursuant to the purposes of this subsection. No board member, officer or employee will be permitted
to receive any remuneration orgift in any amount. Board members may receive travel expenses in accordance
with section 112.061, F.S.
C. Nepotism
_ _
Subrecipient shall abide by the provisions of section 112.3135, F.S., pertaining to nepotism in its performance
under this Agreement
0. LIHEAP Assurances
Subrecipient hereby assures and certifies as a condition of receipt of LIHEAP funds, that it, and its
subcontractors, shall comply with the applicable requirements of Federal and State laws, rules,
regulations, and guidelines. As part of its acceptance and use of LIHEAP funds, Subrecipient assures and
certifies that:
(1y Subrecipient possesses the legal authority to administer the program as approved by Subrecipient's
governing body, including all assurances contained herein,
(2) Subrecipient possesses the sound controls and fund accounting procedures necessary to
adequately safeguard the assets of DEO check the accuracy and reliability of accounting data, promote
operating efficiency and maintain compliance with prescribed management policies of DEO.
(3) Subrecipient will permit and cooperate with Federal and State investigations designed to evaluate
compliance with the law,
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(4) Subrecipient will give DEQ, the Auditor General, or any authorized representatives, complete
access to examine all records, books, papers or documents related to all program operations of
the grant, including those of any sub - contractor.
(5) Subrecipie nt will comply with all of the provisions and practices outlined in DEO's most current
LIHEAP Program Monitoring Field Manual.
(6) Subrecipient will comply with non - discrimination provisions, in accordance with Florida
Statutes; Section 677 of P. L. 97 -3S; Titles VI and VII of the Civil Rights Act of 1964; and 45 C.F.R.
Parts 84, 86 and 90,
(7) Subrecipient will comply with section 2609 of Public Law 97 -35, as amended, which prohibits use
of LIHEAP funds for purchase or improvement of land, or the purchase, construction, or
permanent improvement of any building orother facility.
(8) The LIHEAP application and all its attachments, including budget data, are true and correct.
(9) Subrecipient will prohibit any political activities in accordance with Section 678F(b) of 42 USC
9918, as amended.
(10) Administration of this program has been approved by Subrecipient's governing body by official
action, and the officer who signs it is duly authorized to sign this Agreement.
(11) Subrecipient shall comply with Title X, Part C of Public Law 103 -227, Environmental Tobacco
Smoke, also known as the Pro - Children Act of 1994 (Act). This Act requires that smoking not be
permitted in any portion of any indoor facility owned or leased or contracted for by an entity
and used routinely or regularly for the provision of health, day care, education, or library services
to children under the age of 18, if the services are Funded by Federal programs either directly or
through States or local governments. Federal programs include grants, cooperative agreements,
loans or loan{ guarantees, and contracts, The law does not apply to children's services provided
in private residences, facilities Funded solely by Medicare or Medicaid funds, and portions of
facilities used for inpatient drug and alcohol treatment. Subrecipient shall include the above
language in any subawards which contain provisions for children's services and that all
subcontractor's shall cr,-! fy romp:iar ce ac.ordrngly failure to comply write the provisions of this
lava may result in tile ir1 p7 ,, itzo. r l a CI„il rrjgnetary Pena t 0t L! 11 10 51,0?? ITr d,1' ;.
(171 SL1Lreril:l1e11t r.ur t111�r5 that o.. v:ill or %%ill cC-r:tir u? W pt-DVIdt a :irug lrev W rKpl,�[L as set forth by
the regulations implementing the Drug -Free Workplace Act of 1988; 45 CY R, part 76, subpart F,
Sections 76.630(c) and ( d) (2).
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F-FY 2017 LIHEAP AGREEMENT
ATTACHMENT F
WARRAN AN REPRESENTATIONS
A. FINAN CIAL MA NAGEME NT
Subrecipient warrants that its financial management system shall provide the following:
(1) Accurate, current, and complete disclosure of the financial results of this project or program
(2)' Records that identify the source and use of funds for all activities. These records shall contain iz
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information pertaining to grant awards, authorizations, obligations, un- obligated balances, assets, 0
outlays, income, and interest.
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(3 )1 Effective control over and accountability for all Funds, property, and other assets. Subrecipient shall r
safeguard all assets and assure that they are used solely for authorized purposes.
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(4) Comparison of expenditures with budget amounts for each Request for Payment. Whenever
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appropriate, financial information shall be related to performance and unit cost data. LU
(5) Written procedures for determining whether costs are allowed and reasonable under 45 C.F.R. Part M
75, and the terms and conditions of this Agreement. c
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(6) Cost accounting records that are supported by backup documentation. co
B. COMPE TITION
Subrecipient warra nts the following:
(1) All procurement transactions shall be done in a manner to provide open and free competition.
(2) Subrecipient shall be alert to conflicts of interest as well as noncompetitive practices among
contractors that may restrict or eliminate competition or otherwise restrain trade. In orderto ensure
excellent contractor performance and eliminate unfair competitive advantage, contractors that
develop or draft specifications, requirements, statements of work, invitations for bids and/or
requests for proposals shall be excluded from competing for such procurements.
(3) Awards shall be made to the bidder, or offeror, whose bid, or offer, is responsive to the solicitation
and is most advantageous to Subrecipient, considering the price, quality, and other factors.
(4) Solicitations shall clearly set forth all requirements that the bidder, or offeror, must fulfill in order
for the bid, or offer, to be evaluated by Subrecipient. Any and all bids or offers may be rejected
when it is in Subrecipient's interest to do so.
C. CODES DF CUNDUCT
Subrecipient warrants the following:
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(1) Subrecipient shall maintain written standards of conduct governing the performance of its employees
engaged in the award and administration of contracts.
(2) No employee, officer, or agent shall participate in the selection, award, or administration of a contract
supported by public grant €ands if a real or apparent conflict of Interest would be involved. Such a
conflict would arise when the employee, officer, or agent, any member of his or her immediate
family, his or her partner, or an organization which employs or is about to employ any of the parties
indicated, has a financial or other interest in the firm selected for an award.
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(3) The officers, employees, and agents of Subrecipient shall neither solicit nor accept gratuities, favors,
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or anything of monetary value from contractors, or parties to subcontracts. r
(4) The standards of conduct shall provide for disciplinary actions to be applied for violations of the
standards by officers, employees, or agents of Subreciplent. 0
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5ubreciplent warrants that it shall have its main administrative office(s) open for business, with the
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entrance door open to the public, and at least one employee on site, on Mo_ nday through Fri.__ day, and r.-
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from B'00 AM to 5:04 PM . This provision is not applicable to Subretiplent's outreach locations. Cy
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E. LICENSING A ND PERMIT71NG o
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Subrecipient warrants that all subcontractors or employees hired by Subrecipient shall have all current °
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licenses and permits required for all of the particular work for which they are hired by Sub reci pie nt. Y
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FFY 2017 UHEAP AGREEMENT
ATTACHMENT G
CERTIFICATION REGARDING DEBARMENT SUS>?ENS N, INELIGIBILITY
AND VOLUNT E XCLUSION
NOTE: Prior to issuing subawards or subcontracts under this Agreement, 5ubrecipient shall consult the
System for Award Management (SAM) to ensure that organizations under funding consideration are not
ineligible. The list is available on the Web at https:/ /www.sarn.gov.
A. If 5u bred pie nt wilf not issue any subawards or subcontracts under this Agreement, 5ubreci pie nt shall
mark here that this Attachment G is Not Applicable: _ _ WA
B. If Subrecipient will issue subawards orsubcontracts under this Agreement, Subrecipient shall complete
the fofiowing information for each subcontractor_
(1) The prospective subcontractor of Subrecipient, certifies, by
submission of this document, that neither It nor its principals is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency.
(2) Where 5ubrecipienes subcontractor is unable to certify to the above statement, the prospective
subcontractor shall attach an explanation to this form.
SUBCONTRACTOR:
Monroe Count. Florida
(Type Subcontractor Name) Subrecipient Name
:-I
(Signature)
Name & Title
Street Address
City, State, Zip
Date
17EA- OF- 11- 54 -01 -019
DEO Agreement Number
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FFY2027ILIHEAP AGREEMENT
ATTACHMENT H
Trafficking Victims Protection Ac:tfUOO, as amended {22 U.S.0 J7104f1)
(Taken from 2 C.F.R. 4 175.15)
I. Trafficking in persons.
a. The following provisions are applicable to a subreciplent that is a private entity:
1, You as Subrecipient, your employees, contractors under this subaward, and contractors'
employees may not- -
L Engage in severe forms of trafficking in persons during the period of time that the award is
in effect;
ii. Procure a commercial sex act during the period of time that the award is in effect; or
iii. Use forced labor in the performance of the subaward.
2. We as the Federal pass- through entity may unilaterally terminate this subaward, without penalty,
if you or a contractor that is a private entity --
i. Is determined to have violated a prohibition in paragraph a.1 of this award term; or
fl. Has an employee who is determined by the Dl O official authorized to terminate the award
to have violated a prohibition in paragraph a.1 of this award term through conduct that is
either,
A. Associated with performance under this award; or
B. imputed to you or the contractor using the standards and due process for imputing the
conduct of an individual to an organization that are provided in 2 C.F.R. part 180, "OMB
Guidelines to Agencies on Government -wide Debarment and Suspension
(N on procurement)," as implemented by our agency at 2 C.F.R. part 90 1.
b. The Following provisions are applicable to a subrecipient that is not a private entity:
We, as the Federal pass - through entity, may unilaterally terminate this subaward, without penalty, if
a contractor that is a private entity --
1, Is determined to have violated an applicable prohibition in paragraph a.1. of this subaward term;
or
2. Has an employee who is determined by DEO official authorized to terminate the subaward to
have violated an applicable prohibition in paragraph a.1. of this award term through conduct
that is either:
i. Associated with performance under this subaward; or
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ii_ imputed to the contractor using the standards and due process for imputing the conduct of
an individual to an organization that are provided in 2 C.F.R. part 180, 0 0MB Guidelines to
Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as
implemented by our agency at 2 C. F, R. part 901.
c. The following provisions are applicable to all subrecipients:
1. You must inform us immediately of any information you receive from any source alleging a
violation of a prohibition in paragraph a.1 of this award term.
2. Our right to terminate unilaterally that is described in paragraph a.2 orb of this section:
i. Implements section 106(g) of the Trafficking Victims Protection Act of 2000 (TVPA), as
amended (22 U.S.C. 7104(g)), and
ii. Is in addition to all other remedies for noncompliance that are available to us under this
subaward.
3. You must include the requirements of paragraph a.1 of this award term in any subaward you
make to or any contract with a private entity.
d. Definitions. For purposes of this subaward term:
1. "Employee" means either:
i. An individual employed by you or a contractor who is engaged in the performance of the
project or program under this subaward; or
ii. Another person engaged in the performance of the project or program under this subaward
and not compensated by you including, but not limited to, a volunteer or individual whose
services are contributed by a third party as an in -kind contribution toward cost sharing or
matching requirements.
2. "Forced labor" means labor obtained by any of the following methods: the recruitment,
harhoring, transportation, provision, or obtaining of a person for labor c services, through the
use of force, fraud, or coercion for the purpose of subjectlon to involuntary servitude, peonage,
debt bondage, or slavery.
3. "Private entity ":
i. Means any entity otherthan a State, local government, Indian tribe, or foreign public entity,
as those terms are defined in 2 C.F.R. § 175.25.
ii. Includes:
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A. A nonprofit organization, including any nonprofit institution of higher education,
hospital, or tribal organization other than one included In the definition of Indian tribe
at 2 C.F.R. § 175.25(b).
S. A for- profit organization.
4, "Severe forms of trafficking in persons," "commercial sex act," and "coercion" have the meanings given
at section 103 of the TVPA, as amended (22 U.S.C. 7102).
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IFFY 2017 LIHEAP AGREEMENT
ATTACHMENT I
SUBRECIPIENT INFORMATION
FEDERAL FISCAL YEAR; 2017 AGREEMENT PERIOD: April 1 2017 th rough March 31, 2018
instructions: Complete the blanks lines below, For item II, put an "X" in the box thatapplles to your agency.
I. SUBRECIPIENT: Monroe County, Florida AGREEMENT #: 17EA- DF- 11 -54 -01 -019
ii. SUBRECIPIENT CATEGORY. ❑ Non -Profit ED Local Government F-1 State Agency y-
III, COUNTY(IES) TO BE SERVED WITH THESE FUNDS: MONROE
IV. GENERAL ADMINISTRATIVE INFORMATION
a. Subrecipient County Location: MONROE
b. Executive Director a Chief Administrator:
Address: 1100 SIM0NTON ST 2 -257 µ
Telephone: (30'5) 292 -4510 ____
Cell: ..�. _. .._
SHERYL GRAHAM
Mailing address if different from above
City: KEY WEST ,FL Zip: 33040
Fax: (3051295 -4359
Email: - raham- sh e_rviL rrno.nr oecount , ..- fl;,ov
Mailing Address: _
City:
FL Zip:
C. Chief Elected Official for Local Governments or President /Chair of the Board for Nonprofits:
Name: GEOR NEUGENT
_
Title:
_ MAYOR
Address*: 25 SHIPS WAY
City:
BIG PINE KEY ,FL zip: 33043
Telephone: (305) 872.1678 Fax:
Email: boccdis2monroecounty- -fl -gov
"Enter home or business address, telephone numbers and
email other than the Recipient's
d. Official to Receive State Warrant:
Name: _K EVIN MODOK
Title:
CLERK OF TH E CO
Address: 50011 HJTEHEAD STREET
City:
KEY WEST ,FL Zip: 33040
e. Subreciplent Contacts
1. Program: Name: SHERYL GRAHAM
Title:
SR. DIRECTOR, SOCIAL SERVICES
Address: 1100 SIMONTON ST.
City:
KEY WEST FL Ilp: 33040
Telephone: (30 5) 292.4510
Fax:
_ (305) 295 -4359
Cell:
Erna
gr a ha m - sheryl @mo -fl .go
2 • Fiscal: Name: KIM WILKES WEAN
Title:
COMPLIANCE MANAGER
Address: 1100 SIMONTON ST.
City:
KEY WEST FL Zip: 33040
Telephone: (305) 292 -4588
Fax:
Cell:
Email:
wilkes- kim PMonroerounty fi.Pov
f. Person(s) authorized to sign reports:
Name: SHERYL GRAHAM
Ttle:
SR. DIRECTOR, SOCIAL SERVICES
Name: KIM WILKES WEAN
Title:
COMPLIANCE MANAGER
Name:
'"rtle:
S. Agency's FEiD Number: 59- 6000749
h,
Agency DUNS Number: 073876757
V. SLIBRECIPIEIIIT FISCAL YEAR: OCTOBER 1
thru
SEPTE MBER 30
Ex: October 1
Ex. September 30
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FFY 2017 LIHEAP AGREEMEN7
ATTACHMENT J
BUDGET SUMMARY AND WORKPLAN
5ubrecipient: Monroe County, Florida Agreement #: 17EA- OF- 11- 54 -01 -019
instructions: Enter the appropriate figures in the bold boxes be law- Use only vnhole dollar amounts; no cents.
SECTION I. Budget Summary
LIHEAP FUNDS ONLY BUDGETEDAMOUNT
1 LIHEAP FUNDS $189,988.0[3
ADMI NISTRATIVE E XPENSES -
Salaries including Fringe, Rent, Utilities, Travel, Other (Total cannot exceed 8.5% of Line 1;
2 round d if needed.) * $16,148.00
M aximum Administrative Expense: $16,14
OUTREACH D(PENSES --
Salaries including Fringe, Rent, utilities, Travel, Other (Total cannot exceed 15% of the
3 d ifference between Une 1 & Line 2 (Line 1 minus Line 2 times .15 _round down if needed) $26,476.40
Maximum Outreach Expense: ' $26,076.00
I DIR CLIENT A5 51STANCIi
4 H ome Energy Assistance (Must be at le 25% of Line 1; round up if needed
$73500.00
25% Minimum Calc ulation: ! $47,497.0p '
5 Crisis Assistance -- - $ 74,464.00
6 Weather Related /Supply Shortage /D (Must be at least 2% of line 1; round up If needed.)
2% Min Calcuia $3,799.76 $3,800.00
7 TOTAL pIRECT CLIENT ASSISTANCE (L ines 4 + 5 + 6) $147,764.00
8 GRAND TOTAL ALL E XPENSES (Lines Z + 3 + 7) $ 189,988. 00
SECTIO 11: Workplon _
Estimated # of Estimated
Type of Assistance Benefits to be Estimated Cast Per Expenditures"
Provided Benefit
( Est # x Est $
Summer Horne Ener __ . - -• -- _. _ . 150 $300.00 1 $45,000.00
Winter Home Energy - 95 _ $300.00 ; $28,5 00.40
Summer Crisis 178 $210,00 $37 0 380 .00
W inte r Crisis 165 $201.00 1 $3 3,165.00
We ather Related/Supp Shortage 19 $2010 $3,800.00
TOTAL j 607 - — _ $147,845.00
( * if Tess than 8.5% of Line i is budgeted for Administrative Expenses, the Recipient may increase the Outreach Expenses. The total
Administrative Expenses plus the total Outreach Expenses may not exceed the sum of the original maximum allowed for each of
these line items. _
i Total of Line 2 plus Line 3 may not exceed: $42, 224.98 Line 2 + Line 3 = W $42,224 OD
** Estim ated Expe given i the A Plan must agree wit th e correspon values on Line 4 -7.
Prior wrttten approval from DEO's Grant Manager Is required far any change to any of the above line item amounts not exceeding ten 10% of
the line item amount reduced by said change. A change exceeding ID% of an above line item amount requires a Formal written amendment to
this Agreement, as described In Paragraph (4}(b), MODIFICATION OF AGREEMENT, Regardless, DEO will not reimburse costs of more than the
total subaward amount of thls Agreement (Line 1), and In no event shall Subreclpient'a total Administrative Expenses (Line 2) exceed 8.5% of the
total subaward of this Agreement.
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FFY 2017 UHEAP AGREEMENT
ATTACHMENT K
JUSTIFICATION OF ADVANCE PAYMENT
Subrecipient; Monroe County, Florida Agreement #. 17EA- DF- 11 -54 - -019
Any advance payment under this Agreement is subject to s. 216.181 (16)(a)(b), Florida Statutes and
Paragraph (18) of this Agreement. The Subrecipient shall invest cash advances in compliance with section
75.305(b)(8) of the OMB Uniform Administrative Requirements, Cost Principles, and Audit Requirements
for Federal Awards, and Attachment B, Section E of this Agreement. Check the applicable box below
(check only one).
NO ADVANCE REQUESTED F-1 ADVANCE REQUESTED
No advance payment is being
requested. Payment will be made
solely on a reimbursement basis.
No additional information is
I required.
A R EQUEST WOR KSHEET
DESCRIPTION
1 TDTAL SUBG RANT ALLOCATION
(Includes any base increases and
carryforward dollars)
2 FIRST TWO MONTHS OF GRANT
EXPENDITURES'
Advance payment of is requested.
Balance of payments will be made on a reimbursement basis.
These funds are needed to pay staff, award benefits to clients,
duplicate forms and purchase start-up supplies and equipment.
We would not be able to operate the program without this
advance.
If an advance is requested, complete the following worksheet by
filling in the Highlighted cells below.
FY2014 FY2015 FY2016 Total
AVERAGE- PERCENT EXPENDED IN
3 FIRST TWO MONTHS (Divide line
2 by lin 1)
' The expenses for the first two months in which exl:: end itures w ere rel orted need to be provided for
the years you received a LlHEAP Agreement. If you do not have this information, call your DEO
grant manager and they will assist you.
The 5ubrecipient may request an amount up to the historical percent of expenditures for the first 2
months of the agreement in which expenditures were reported OR 17% of the award, whichever is less.
HISTORICAL PERCENT FOR FIRST 2
MONTHS x
Cell D3 LIHEAP Award
Flistorlcal
Advance
17 % CALCULATION: x 0.17 -
UHEAP Award Percent of
Maximum
Award
Advance
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