Item C37County of Monroe
The Florida Keys 40
Commissioner David Rice
9400 Overseas Highway, Ste. 210
Marathon Airport Terminal Building
Marathon, FL 33050
PH.: 305-289-6000
EM: rice-david(d,monroecounty-fl.eov
Office EM: boccdis4(a,monroecounty-fl.¢ov
BOARD OF COUNTY COMMISSIONERS
Mayor Heather Carruthers, District 3
Mayor Pro Tern George Neugent, District 2
Danny L. Kolhage, District 1
David Rice, District 4
Sylvia J. Murphy, District 5
Interoffice Memorandum
AMENDED
Date: October 19, 2016
To: Amy Heavilin, Clerk of the Court
County Clerk's Office �c}
From: Commissioner David Rice, District 4 X 70�
RE: AMENDED NOTICE OF VOTING CONFLICT
Per Florida Statute 112.3143, I hereby disclose by written memorandum that I
will abstain from the vote on certain issues that are brought before the Monroe County
Board of Commissioners with entities that I am involved with.
I will abstain from the vote on issues concerning the following entities:
Guidance Care Center, Inc., a private, not -for -profit entity, which receives some of its
operational funding from the County, as I currently sit on the Board of Directors of the
Care Center. I am also a member of the Board of the Historic Florida Keys
Foundation, Inc.
At the October 19, 2016 BOCC meeting, I will abstain from the vote on the
following item(s):
#C32, C37(n, C38, C39
Copy of agenda item(s) attached for documentation.
County of Monroe
The Florida Keys
Commissioner David Rice
9400 Overseas Highway, Ste. 210
Marathon Airport Terminal Building
Marathon, FL 33050
PH.: 305-289-6000
EM: rice-davidaa,monroecounty-fl.gov
Office EM: boccdis4(a monroecounri-flgov
BOARD OF COUNTY COMMISSIONERS
Mayor Heather Carruthers, District 3
Mayor Pro Tern George Neugent, District 2
Danny L. Kolhage, District i
David Rice, District 4
Sylvia J. Murphy, District 5
Interoffice Memorandum
Date: October 12, 2016
To: Amy Heavilin, Clerk of the Court
County Clerk's Office
From: Commissioner David Rice, District 4
RE: NOTICE OF VOTING CONFLICT
Per Florida Statute 112.3143, I hereby disclose by written memorandum that I
will abstain from the vote on certain issues that are brought before the Monroe County
Board of Commissioners with entities that I am involved with.
I will abstain from the vote on issues concerning the following entities:
Guidance Care Center, Inc., a private, not -for -profit entity, which receives some of its
operational funding from the County, as I currently sit on the Board of Directors of the
Care Center. I am also a member of the Board of the Historic Florida Keys
Foundation, Inc.
At the October 19, 2016 BOCC meeting, I will abstain from the vote on the
following item(s):
#C32, C38, C39
Copy of agenda item(s) attached for documentation.
BOARD OF COUNTY COMMISSIONERS
County of Monroe Mayor Heather Carruthers, District 3
The Florida Keys Mayor Pro Tern George Neugent, District 2
Danny L. Kolhage, District 1
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
October 19, 2016
Agenda Item Number: C.32
Agenda Item Summary #2206
BULK ITEM: Yes DEPARTMENT: Project Management / Facilities
TIME APPROXIMATE: STAFF CONTACT: Doug Sposito (305) 292-4416
None
AGENDA ITEM WORDING: Approval of the Eighth Renewal to Agreement with the
or use of the wastewater treatment plant by the Marathon Detention
Facilrnnstimated amount 10,000.
ITEM BACKGROUND: The agreement with Guidance/Care Center, Inc. for use of the
wastewater treatment plant by the Marathon Detention Facility expired on March 6, 2016. In
accordance to Article 1 of the original Agreement dated March 7, 1990, the agreement may be
renewed for ten successive three year terms, after the initial five year term. This will be the eighth
renewal option leaving two additional successive three year terms available.
PREVIOUS RELEVANT BOCC ACTION: On March 7, 1990, the BOCC approved the original
five-year Agreement with the Guidance Clinic for use of their wastewater treatment plant by the
Marathon Detention Facility. On April 19, 1995, the BOCC approved an amended Agreement for an
additional three years, with renewal options. On February 11, 1998, the BOCC approved the second
three-year term, and on February 21, 2001, the BOCC approved the third three-year term. On
August 15 2001, the BOCC approved an Amendment to Agreement increasing the reimbursement
for monthly routine maintenance charges from up to $300.00 per month to up to $500.00 per month.
On Februaryy 18, 2004, the BOCC approved the fourth three-year renewal term. On March 21, 2007,
the BOCC approved the fifth three-year renewal term. On April 18, 2007, the BOCC approved an
Amendment to Agreement increasing the reimbursement for monthly routine maintenance charges
from up to $500.00 per month to up to $580.00 per month. On March 17, 2010 the BOCC granted
approval of Consent to Assignment and Assumption and Assignment Agreement and approved the
sixth three-year renewal term. On March 20, 2013 the BOCC approved the seventh three-year
renewal term with considerations of being connected to the Marathon Central wastewater system.
CONTRACT/AGREEMENT CHANGES:
Renewal Agreement shall commence on March 7, 2016 and terminate on March 6, 2019.
STAFF RECOMMENDATION: Approval
- Packet Pg. 25 3
■ f3` BOARD OF COUNTY COMMISSIONERS
County of Monroe Mayor Heather Carruthers, District 3
The Florida Keys Mayor Pro Tern George Neugent, District 2
Danny L. Kolhage, District I
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
October 19, 2016
Agenda Item Number: C.38
Agenda Item Summary #2231
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME APPROXIMATE: STAFF CONTACT: Laura DeLoach (305)292-4482
N/A
AGENDA ITEM ORDING: _ _ - Approval of agreements with
06ee/Care Cent0for FYI er Acx_Tra crsnrtation..' 'ommunity Transportation for
the Disadvantaged, the Substance Abuse Mental Health local match funding and the Jail In -House
Program.
ITEM BACKGROUND:
The Baker Act Transportation funding is $145,000 for FY 17, the same amount as in prior year. The
Community Transportation for Disadvantaged Program has a slight increase for FYI required local
match in the amount of $47,355. The Substance Abuse Mental Health (SAMH) local matching funds
for FYI remains the same at $690,000. A copy of the agreements requiring match are attached.
The Jail In -House Program (JIP) recommended funding for FYI is $133,284, the same amount
awarded in the Drevious vear.
PREVIOUS RELEVANT BOCC ACTION:
The FYI funded amounts were included in the County budget process. Annually the County has
provided the required local matching funds for SAMH and Baker Act Transportation services as well
as discretionary funding for JIP.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
GCC_SAMH_FY17 SIGNED
GCC-Transportation FY17 SIGNED_2016-09-29
CrC;C"-JTP FYI7 STGrNF17 ?.016-09-29
FINANCIAL IMPACT:
Packet Pg. 1114
County Of MOnrOe BOARD OF COUNTY COMMISSIONERS
lr1 Mayor Heather Carruthers, District 3
The Florida Keys Mayor Pro Tem George Neugent, District 2
y Danny L. Kolhage, District I
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
October 19, 2016
Agenda Item Number: C.37
Agenda Item Summary #2227
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME PROXIMATE: STAFF CONTACT: Laura DeLoach (305)292-4482
N/A
AGENDA ITEM WORDING: HSO Agreements - Approval of Fiscal Year 2017 contracts with
non-profit organizations funded by the Board of County Commissioners through recommendations
of the Human Services Advisory Board (HSAB).
ITEM BACKGROUND:
The H an Services Advisory Board met on July 27, 2016 and made recommendations to the
BOCC.1A listing of the funding recommendations is attached. The recommendations were
approved as part of the County budget process.
PREVIOUS RELEVANT BOCC ACTION:
Annually the BOCC accepts recommendations by the Human Services Advisory Board for funding
of non -profits providing needed services to the residents of Monroe County. For FY 16 the BOCC
approved $1,927,860 in human service funding. As a part of the budget process the BOCC approved
$2,000,000 in funding for the FYI funding cycle.
/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCU ENTATION: /-- /( , ,,I e` -3- `'� '&0 e —
FYI Final HSAB Recommendations
Aids Help_FY17_SIGNED_2016-09-30
Anchors Aweigh_FY17_SIGNED_2016-09-30
Boys & Girls Club_FY17_SIGNED_2016-09-29
BurtonMemorial_FY17_SIGNED_2016-09-27
Florida Keys AHEC_FY 17_SIGNED_2016-09-27
Florida Keys Children's Shelter_FY 17_SIGNED_2016-09-27
Florida Keys Healthy Start_FY 17_SIGNED_2016-SIGNED-2016
Florida Keys Outreach Coalition_ SIGNED _2016-09-30
CT) GCC-Heron FY17 SIGNED 2016-09-29
Good Health Clinic _FY17_SIGNED _2016-09-26
Grace Jones _FY17_SIGNED _2016-09-28
Heart of the Keys_FYI7_SIGNED_2016-09-30
Hospice _FY 17_SIGNED_2016-09-27
Independence Cay_FYI7_SIGNED_2016-10-03
KAIR FY17 SIGNED 2016-10-03
Keys to be the Change_FY17_SIGNED_2016-10-03
Kids Come First_FY17_SIGNED_2016-10-03
Literacy Volunteers_FY 17_SIGNED_2016-09-29
MARC _FY 17_SIGNED_2019-09-28
Rural Health Network_FY 17_SIGNED_2016-10-02
Samuel's House_FY17_SIGNED-2016-09-28
Star of the Sea FYI7_SIGNED_2016-09-29
Voices for Florida Keys Children_FY17_SIGNED_2016-09-28
Wesley House_FY17_SIGNED_2019-09-30
Womankind FY17 SIGNED 2016-09-30
FINANCIAL IMPACT:
Effective Date: 10/01/2016
Expiration Date: 09/30/2017
Total Dollar Value of Contract: $1,970,000
Total Cost to County: $1,970,000
Current Year Portion: $1,970,000
Budgeted: Yes
Source of Funds: 001
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: No
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details:
If yes, amount:
10/19/16
001-03202 • HOSPICE OF FLORIDA KEYS
10/19/16
001-03232 • MARC $190,000.00
10/19/16
001-03235 • FL KEYS CHILDRENS SHELTE
10/19/16
001-03236 - WESLEY HOUSE
10/19/16
001-03215 • WOMANKIND $140,000.00
10/19/16
001-03241 • BOYS AND GIRLS
10/19/16
001-03214 • SAMUEL'S HOUSE
$190,000.00
$189,000.00
$169,000.00
$110,000.00
$100,000.00
10/19/16
001-03246 • STAR OF THE SEA FOUNDATI
$100,000.00
10/19/16
001-03206 - FL KEYS OUTREACH COALITI
$90,000.00
10/19/16
001-03226 • GOOD HEALTH
$90,000.00
10/19/16
001-03239 - FL KEYS AREA
$65,000.00
10/19/16
001-03240 • RURAL HEALTH
$62,000.00
10/19/16
001-03262 - KEYS TO BE THE CHANGE
$60,000.00
10/19/16
001-03224 - GRACE JONES $55,000.00
10/19/16
001-03225 - AIDS HELP $55,000.00
10/19/16
001-03259 - THE HERON $47,000.00
10/19/16
001-03205 • LITERACY VOLS OF AMERICA
$40,000.00
10/19/16
001-03242 - FL KEYS HEALTHY START
$40,000.00
10/19/1
001-03253 • HEART OF THE KEYS YTH CT
$40,000.00
10/19/1
001-03260 - KIDS COME FIRST -FL KEYS
$33,000.00
10/19/1
001-03243 - KEYS AREA INTERDENOMINAT
$30,000.00
10/19/1,
001-03247 - INDEPENDENCE CAY
$30,000.00
10/19/116
001-03255 • ANCHORS AWEIGH
$20,000.00
10/19/1
001-03261 . VOICES FOR FL KEYS CHILD
$15,000.00
10/19/1
001-03256 - BURTON MEMORIAL UMC
$10,000.00
Total:
$1,970,000.00
REVIEWED BY:
Tina Boan
Christine Limbert
Maria Slavik
Kathy Peters
Board f County Commissioners
i
Skipped
Completed
Completed
Completed
Pending
10/04/2016 4:43 PM
10/04/2016 5:26 PM
10/05/2016 7:19 AM
10/05/2016 1:45 PM
10/19/2016 9:00 AM
CA
FY17 HSAB Recommendations
NO.
APPLICANTS
FY17 AMOUNT
RECOMMENDED
1
Kids Come First in the FL Keys
33,000
2
Monroe Association for ReMARCable Citizens
190,000
3
Florida Keys Area Health Education Center
65,000
4
Star of the Sea Foundation
100,000
5
Literacy Volunteers of America
40,000
6
Grace Jones Community Day Care Center
55,000
7
Florida Keys Outreach Coalition
90,000
8
Samuel's House
100,000
9
Burton Memorial United Methodist Church
10,000
10
Womankind
140,000
11
Heart of the Keys Recreation Assoc.
40,000
12
Keys to Be the Change
60,000
13
Keys Area Interdenominational Resources
30,000
14
Independence Cay
30,000
15
AIDS Help
55,000
16
Boys & Girls Club
110,000
17
GCC - The Heron
47,000
18
Autism Society of the Keys
0
19
Southernmost Homeless Assistance League
0
20
lAnchors Aweigh Club
20,000
21
Hospice of the Florida Keys (VNA/Hospice)
190,000
22
Voices for Florida Keys Children
15,000
23
Florida Keys Children Shelter
189,000
24
Good Health Clinic
90,000
25
Wesley House
169,000
26
Domestic Abuse Shelter
30,000
27
Rural Health Network
62,000
28
A Positive Step of Monroe County
0
29
Florida Keys Healthy Start Coalition
40,000
TOTAL:
$ 2,000,000
AMOUNT AVAILABLE: $ 2,000,000
County of Monroe BOARD OF COUNTY COMMISSIONERS
i ' Mayor Heather Carruthers, District 3
� Mayor Pro Tern George Neugent, District 2
The Flonda Keys +
v Danny L. Kolhage, District 1
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
October 19, 2016
Agenda Item Number: C.39
Agenda Item Summary #2235
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME APPROXIMATE: STAFF CONTACT: Laura DeLoach (305)292-4482
N/A
AGENDA ITEM WORDING: Direct Funded Agreements - Approval of Fiscal Year 2017
contracts th Monroe Council of the Arts Corporation d/b/a Florida Keys Council of the Arts and
the eys Foundation. lnJ for Board of County Commissioners direct line -item
funding.
ITEM BACKGROUND: The Florida Keys Council of the Arts and the Historic Florida Keys
Foundation, Inc. have historically been funded directly by the BOCC. The amount of FYI funding
remains the same as funding received in the prior year.
PREVIOUS RELEVANT BOCC ACTION: As a part of the County budget process, for FY17,
the BOCC approved funding in the amount of $69,300 to Florida Keys Council of the Arts and
$32,450 to the Historic Florida Keys Foundation, Inc.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUM]�NTATION:
Florida Keys Council of the Arts _FY17_SIGNED _2016-09-30
Historic Florida Keys Fndt_FYI7_SIGNED_2016-09-27
FINANCIAL IMPACT:
Effective Date: 10/01/2016
Expiration Date: 09/30/2017
Total Dollar Value of Contract: $69,300 (Florida Keys Council of the Arts); $32,450 (Historic
Florida eys Foundation)
acke Pg. 1477
BOARD OF COUNTY COMMISSIONERS
County of Monroe A
Mayor Heather Carruthers, District 3
( The Florida Keys (, Mayor Pro Tem George Neugent, District 2
t� ) ��` ��
�' Danny L. Kolhage, District 1
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
October 19, 2016
Agenda Item Number: C.37
Agenda Item Summary #2227
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME APPROXIMATE: STAFF CONTACT: Laura DeLoach (305)292-4482
N/A
AGENDA ITEM WORDING: HSO Agreements - Approval of Fiscal Year 2017 contracts with
non-profit organizations funded by the Board of County Commissioners through recommendations
of the Human Services Advisory Board (HSAB).
ITEM BACKGROUND:
The Human Services Advisory Board met on July 27, 2016 and made recommendations to the
BOCC. A listing of the funding recommendations is attached. The recommendations were
approved as part of the County budget process.
PREVIOUS RELEVANT BOCC ACTION:
Annually the BOCC accepts recommendations by the Human Services Advisory Board for funding
of non -profits providing needed services to the residents of Monroe County. For FYI the BOCC
approved $1,927,860 in human service funding. As a part of the budget process the BOCC approved
$2,000,000 in funding for the FYI funding cycle.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
FYI Final HSAB Recommendations
Aids Help _FY17_SIGNED _2016-09-30
Anchors Aweigh_FY17_SIGNED_2016-09-30
Boys & Girls Club_FY17_SIGNED_2016-09-29
Burton Memorial FY17 SIGNED 2016-09-27
Florida Keys AHEC_FY17_SIGNED _2016-09-27
Florida Keys Children's Shelter_FY17_SIGNED_2016-09-27
Florida Keys Healthy Start_FY 17_SIGNED_2016-SIGNED-29
Florida Keys Outreach Coalition_ SIGNED _2016-09-30
GCC-Heron FY17 SIGNED 2016-09-29
Good Health Clinic FY17 SIGNED 2016-09-26
Grace Jones FY17 SIGNED 2016-09-28
Heart of the Keys_FY17_SIGNED _2016-09-30
Hospice _FY 17_SIGNED_2016-09-27
Independence Cay_FY17_SIGNED_2016-10-03
KAIR FY17 SIGNED 2016-10-03
Keys to be the Change _FY17_SIGNED _2016-10-03
Kids Come First FY17 SIGNED 2016-10-03
Literacy Volunteers_ FY17_SIGNED_2016-09-29
MARC FY17 SIGNED 2019-09-28
Rural Health Network FY17 SIGNED 2016-10-02
Samuel's House FY17 SIGNED-2016-09-28
Star of the Sea FY17 SIGNED 2016-09-29
Voices for Florida Keys Children _FY17_SIGNED_2016-09-28
Wesley House _FY17_SIGNED _2019-09-30
Womankind FY17 SIGNED 2016-09-30
FINANCIAL IMPACT:
Effective Date: 10/01/2016
Expiration Date: 09/30/2017
Total Dollar Value of Contract: $1,970,000
Total Cost to County: $1,970,000
Current Year Portion: $1,970,000
Budgeted: Yes
Source of Funds: 001
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: No
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details:
10/19/16
001-03202
10/19/16
001-03232
10/19/16
001-03235
10/19/16
001-03236
10/19/16
001-03215
10/19/16
001-03241
10/19/16
001-03214
If yes, amount:
HOSPICE OF FLORIDA KEYS
MARC $190,000.00
FL KEYS CHILDRENS SHELTE
WESLEY HOUSE
WOMANKIND $140,000.00
BOYS AND GIRLS
SAMUEL'S HOUSE
$190,000.00
$189,000.00
$169,000.00
$110,000.00
$100,000.00
10/19/16
001-03246
STAR OF THE SEA FOUNDATI
10/19/16
001-03206
FL KEYS OUTREACH COALITI
10/19/16
001-03226
GOOD HEALTH
10/19/16
001-03239
FL KEYS AREA
10/19/16
001-03240
RURAL HEALTH
10/19/16
001-03262
KEYS TO BE THE CHANGE
10/19/16
001-03224
GRACE JONES $55,000.00
10/19/16
001-03225
AIDS HELP $55,000.00
10/19/16
001-03259
-THE HERON $47,000.00
10/19/16
001-03205
LITERACY VOLS OF AMERICA
10/19/16
001-03242
FL KEYS HEALTHY START
10/19/16
001-03253
HEART OF THE KEYS YTH CT
10/19/16
001-03260
KIDS COME FIRST -FL KEYS
10/19/16
001-03243
KEYS AREA INTERDENOMINAT
10/19/16
001-03247
INDEPENDENCE CAY
10/19/16
001-03255
ANCHORS AWEIGH
10/19/16
001-03261
-VOICES FOR FL KEYS CHILD
10/19/16
001-03256
- BURTON MEMORIAL UMC
Total:
REVIEWED BY:
Tina Boan
Christine Limbert
Maria Slavik
Kathy Peters
Board of County Commissioners
Skipped
Completed
Completed
Completed
Pending
$100,000.00
$90,000.00
$90,000.00
$65,000.00
$62,000.00
$60,000.00
$40,000.00
$40,000.00
$40,000.00
$33,000.00
$30,000.00
$30,000.00
$20,000.00
$15,000.00
$10,000.00
$1,970,000.00
10/04/2016 4:43 PM
10/04/2016 5:26 PM
10/05/2016 7:19 AM
10/05/2016 1:45 PM
10/19/2016 9:00 AM
FY17 HSAB Recommendations
NO.
APPLICANTS
FY17 AMOUNT
RECOMMENDED
1
Kids Come First in the FL Keys
33,000
2
Monroe Association for ReMARCable Citizens
190,000
3
1 Florida Keys Area Health Education Center
65,000
4
Star of the Sea Foundation
100,000
5
Literacy Volunteers of America
40,000
6
Grace Jones Community Day Care Center
55,000
7
Florida Keys Outreach Coalition
90,000
8
Samuel's House
100,000
9
Burton Memorial United Methodist Church
10,000
10
Womankind
140,000
11
Heart of the Keys Recreation Assoc.
40,000
12
Keys to Be the Change
60,000
13
Keys Area Interdenominational Resources
30,000
14
Independence Cay
30,000
15
1AIDS Help
55,000
16
Boys & Girls Club
110,000
17
GCC - The Heron
47,000
18
Autism Society of the Keys
0
19
Southernmost Homeless Assistance League
0
20
Anchors Aweigh Club
20,000
21
Hospice of the Florida Keys (VNA/Hospice)
190,000
22
Voices for Florida Keys Children
15,000
23
Florida Keys Children Shelter
189,000
24
Good Health Clinic
90,000
25
Wesley House
169,000
26
Domestic Abuse Shelter
30,000
27
Rural Health Network
62,000
28
A Positive Step of Monroe County
0
29
Florida Keys Healthy Start Coalition
40,000
TOTAL:
$ 2,000,000
AMOUNT AVAILABLE: $ 2,000,000
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or `County," and A.H. of Monroe County, Inc., hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
supportive services to HIV -infected residents, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for supportive
services to HIV -Infected residents, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for supportive services to HIV -infected residents of Monroe County, Florida,
shall pay to the PROVIDER the sum of FIFTY-FIVE THOUSAND AND NO/100 DOLLARS
($55,000.00) for fiscal year 2016-2017.
Z. TERM. This Agreement shall commence on October 1, 2016 and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final Invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above. I
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract --AIDS Help -FYI 7, page Y
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
N
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;.
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract -AIDS Help-FYI7, page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical Information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, Investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER Is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -AIDS Help -FYI 7; page 3
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board Is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These Include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
Contract -AIDS Help -FYI i page 4
in all proceedings, bearings, processes, meetings, and other activities related to the substance of
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict In any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and mold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, In connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract -AIDS Help-FY17, page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement Is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not Intended to, nor shall It be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
FQr PROVIDER
Scott Pridgen, Executive Director
A.H. of Monroe County, Inc.
1434 Kennedy Drive
Key West, FL 33040
305-296-6196
305-296-6337 FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County
Florida.
Contract -AIDS Help-F'Y17" page 6
The County and PROVIDER agree that, In the event of conflicting Interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
Intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the Intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
(THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract -AIDS Help-FYI7 page 7
WHEREOF,IN WUNESS parties hereto have caused these presents to be executed
a ----
if the day and year first written above.
(SEAL)
ATTEST: A Y HEAVILIN, CLERK
of Monroe County, Inc.
(Federal �� m11 #il Pi
r
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice Is required.
Contract -AIDS Help-FYI7; page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
ram.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -AIDS Help-FYI7 page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
Amount
101
Company A
Rent
$ X,XXX.XX
102
Company B
Utilities
XXX.XX
104
Employee A
P/R ending 05/14/01
XXX.XX
105
Employee B
P/R ending 05/28/01
XXX.XX
(A) Total $ Xa XX X.XX
(B) Total prior payments $ X,XXX.XX
(C) Total requested and paid (A + B) $ X,XXX.XX
(D) Total contract amount $ X,XXX.XX
Balance of contract (D-C) $ X1XX -XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20
by who is personally known to me.
Notary Public
Contract -AIDS Help-FY17: page I
Notary Stamp
Attachment C
Services to be provided:
AHI has served the community for 30 years to address treatment needs for more than 3,600 men,
women, and children infected or affected by HIV/ AIDS; prevention services through HIV/STl/HCV
screenings, identification of HIV positive persons not in care and linkage to care to achieve viral
suppression and zero transmission of HIV as well PrEP/nPEP services for HIV negative persons to keep
the HIV negative community NEGATIVE. Housing is provided to the community as a means to transition
homeless households from shelters to permanent housing in properties owned by AHI for persons living
with HIV/AIDS, Veterans, Elderly, Low Income Families, and other disabilities. Housing is care! AHI has
always been, and will continue to be, a proactive voice for those struggling with deciding between
housing and health. This means we must address supportive/living for residents challenged with existing
independently. In 2012, AHI developed a critical partnership with FIU's Robert Stemple School of Public
Health to address the need of accurate data through research. AHI and FIU have formed an evidence -
based model through an internship program within the Biostatistics Department, Disease Prevention
and Health Promotion and the School of Nursing to address graying and aging, leading chronic illnesses
and barriers to healthcare unique to Monroe County. The AHI and FIU partnership allows a scientific
0
approach with a focus on housing as being a critical care component. Client/Tenant satisfaction
assessments provide critical data toward determining improved health outcomes when housing isn't a
barrier to care.
'
AIDS Help 2017 HSAB Contract is to continue serving 125 individuals with RN - intensive Case
I
Management— A licensed Registered Nurse that provides an assessment to all clients/tenants at no
charge within the home in order to determine a level of care. The level of care will be assigned to each
client/tenant as a way to determine the level/intensity of care in order to allocate care resources
appropriately:
h)I
•Level 1—Client/Tenant has a disabling condition and is engaged in his/her care.
I
•Level 2 — Client/Tenant has a disabling condition and is NOT engaged in his/her care due to existing
barriers such as housing, health care, mental health or substance abuse issues. The Goal is remove the
barrier(s) in order to get this group to a level 1.
-Level 3 — Client/Tenant has a disabling condition. He/she may or may not be engaged in care and would
have more than one or multiple comorbidities such as HIV/AIDS, neuropathy, cancer, liver disease, and
kidney failure. Clients/Tenants within this level require a care team consisting of RN -directed Medical
Case Management providing services within the home and linkage to care programs, and when
necessary, triage to an appropriate facility when independent living is no longer possible.
Contract — AIDS Help — FY17; page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither f'® P (Respondent's name) nor
-�
any Affiliate has been placed on the convicted vendor list within the I t 36 months.
(Signature)
Date: 6!�� z6i;
04
04
STATE OF:
COUNTY OF:
p �
Subscribed and sworn to (or a Irmed before me on -Jew �er
P
(date) by (name of affiant). HslShe is personaU
known to me or has produced (type of identification) as
identification. meµ; GMDAUOTTMMW
9MyC0MMSS10N/FF022117
EXPiRE5: August 19, 2017 -
Banded TWO Fit Puy uldowma
NOTARY PUBL,.
My Commission Expires: JI+
j
Contract -AIDS Help-FYI7,: page 13
ETHICS CLAUSE
ATTACHMENT E
SWORN STATEMENT UNDER ORDINANCE NO.010-1990
MONROE COUNTY, FLORIDA
Iva
warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(Signature)
Date: &�, z��
STATE OF: i LoLlkb
COUNTY OF:
Subscribed and sworn to (or affirmed) efore me on "i
(date) by LC
Le r
_ --- (name of affiant) He/5S personally
known to mr has produced
identification) as identification.
Contract AIDS Help-FYI7r page 14
GEs WAU0irAaROf3Li
mycalwwsstolr:r rontt7
"} =
''' , •'` IRELAWu1nB,1u0w,r1ien
NOTARY PUBLIC
My Commission Expires:
(type of
N,
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
1 e Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession; or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1),.
4. In the statement specified in subsection (1) notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.,
(Signature)
Date:
STATE OF,
COUNTY OF: r
Subscribed aT sw to or affirmed) before me on ax (date) b
(name of affiant He1She is personal) kno t a-
or has produced (type of identification) as
identification.
NOTARY PU
My Commission Expires:
Contract -AIDS Help-FYI7; page 15
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Agency Name
POP
Phone/Email
ATTACHMENT G
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance Re- successes, challencies, etch
uestions-
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY117; and/or 200%; and/or another standard used by your organization?
111111i��jqi
Contract -AIDS Help -FYI 7,- page 16
6. Were the awarded funds used as match in FYI 7? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FYI 7.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benerrts.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FYI 7?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FYI 7?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FYI as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Anchors Aweigh Club, Inc., hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
substance abuse services, and
WHEREAS, It is a legitimate public purpose to provide facilities and services for substance
abuse in Monroe County, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF 'AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for substance abuse services to persons of Monroe County, Florida, shalt
pay to the PROVIDER the sham of TWENTY THOUSAND AND NO/100 DOLLARS ($20,000.00) for
fiscal year 2016-2017.
N
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
'
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
>-
notar€zed certification stateTent. An example of a reimbursement request cover letter is included
i
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown In Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregatesum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to; apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract-Armhm Aweigh Club-FYIT page 1
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
*L914 PIN
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is �equired to provide an audit as set forth in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, In good standing with the Florida State Board of Accountancy, and maintain malpractice
Insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of AccountancyL
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Conheci-Arch= Aweigh Club-FYI7; page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(€) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j} Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall Include statistical Information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k} Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEYS FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is Initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, Investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO LICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
conhwd-Arx hors awe4h Club-Fv17 page 3
C.3Zc
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
Insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1}
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 :(PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (P"L 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
j
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
0
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Con"d-Arx hors Aweigh Club-FY17,• ~ 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each Is to perform
and receive benefits as recited in this Agreement.
2. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Hoard, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
Incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose' any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER In this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Hoard of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe'! County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, In connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
2. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract -Anchors Aweigh Club -FYI 7, page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any, obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular Individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
r�
GENERAL N
E.
32. Execution in Counterparts. This Agreement may be executed in any number ofCD
counterparts, each of whichshall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this '
Agreement by signing any such counterpart.
1
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and Monroe County Attorney
1100 Simonton Street PO Box 1026
Key West, FL 33040 Key West, FL 33041
For -PROVIDER
Stephen Isherwood, Executive Director
Anchors Aweigh Club, Inc.
404 Virginia Street
Key West, FL 33040
305-296-7888
34. GOVERNING 'LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is Instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body In Monroe County,
Florida.
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
Conbad-Anchors Aweigh Club -FYI 7,• page 6
F Packer
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terns, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract Aweigh Club-FY17, page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
Deputy Clerk
'Isla Lill] 0 1 .p a.
By
Mayor/Chairman
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Anchors Aweigh Club-FY17, page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
N
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -Anchors Aweigh Club -FYI 7 page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of — to
Check #
Payee Reason
Amount
101
Company A Rent
$ X,XXX.XX
102
Company B Utilities
XXX.XX
104
Employee A P/R ending 05/14/01
XXX.XX
105
Employee B P/R ending 05/28/01
XXX.XX
(A)
Total
X.XXX.X
(B)
Total prior payments
$ X,XXX.XX
(C)
Total requested and paid (A + B)
$ X,XXX.XX
(D)
Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
$ X.XXX.XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20
by _ who is personally known to me.
Notary Public Notary Stamp
Contract -Anchors Aweigh Club-FYIT page f f
ATTACHMENT C
Anchors Aweigh Club Inc. (AACI) was incorporated in 1983 as a place where Twelve Step
groups can meet and gather socially. Those who are seeking freedom from their addictions have
found AACI to be a safe, welcoming place to purse their recovery one day at a time. AACI is a
3, 500 square foot facility and adjacent garden that serve as various meeting and gathering
spaces, coffee bar, and refuge for members and visitors. In 2015, over 70.000 souls visited
AACI, with over half of those living in Monroe County Florida.
AACI hosts 8 to 10 recovery and/or addiction related meetings a day. three hundred and sixty-
five days a year. Every day approximately 180 people attend meetings at the Clubhouse, located
at 404 Virginia Street in Key West. The Club is open from 6:30 am to 9:30 pm every day. On E
special dates, such as Fantasy Fest and New Year's Eve, the club has a tradition of remaining
open all night to provide a safe haven and meetings for those trying to remain sober amidst the
party atmosphere of Key West. 0
U)
Our operating costs (including but not limited to utility bills, supplies of all kinds, insurance
N
costs. building maintenance) continue to increase. Our utility bills alone were over $16,000 in N
2015. In addition to this, we have had. in 2016, to tent our building and have a new roof
installed. Also with nearly 200 people coming through the facility every single day, things wear
out and need to repaired, updated, maintained etc. This year we have finished updating and
repairing our front coffee bar, as well as repair and repaint our restroom facilities, and purchase
new ceiling tiles to replace those damaged by the roof issues referred to herein. We will also C41
have to repaint our front porch and side stairs, as well as replace some of the boards making up W
z
those items. We have had and continue to have fundraisers and events to cover some of these CD
costs, but they as well as the group rents do not cover all of these required expenses. Our coffee U)l
bar does sell that beverage as well as other items, but it is designed and intended as a
convenience and gathering place for our members and visitors. Additionally. AACI owns our U-
building, and is currently paying down on a refinanced mortgage which we have reduced the
principal on by over $ 100,000; however, over $100,000 remains, with monthly payments of over
$1100.00 which must be met prior to any of the other costs described above.
As the board will see, for AACI to be able to continue to provide the consistent, nearly
constantly available services it has for over thirty years, has taken the caring and commitment of
a multitude of individual effort, and a large and increasing investment of funds to continue
operations. We sincerely thank the HSAB for the support they have provided to AACI through
the years, and hope they know that the gifts they provide are put to excellent use.
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
have read the above and state that neither (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the lasi"36 months.
Date:
STATE OF:
COUNTY OF:
Subscribed and sworn t (or affirmed) Yefore me on
(date) by - r
(name of affiant). (Hej6he is personally
known to me or has produced (type of identification) as
identification.
N
My Commision Expires:
CATHERINE FREOERICIf
MY COMMISSION 0 GO 017741
EXPIRES:AugusI $ 2020
BaidldTlru Notary PubGelkiderwrtres
Contract -Anchors Aweigh club-FYI7, page 13
ATTACHMENT E
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
u
kcLrs A-e-vc k
(Company)
"...warrants that helit has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the fo er County officer or
employee."
(Signature)
Date:
STATE OF:
P(arF-A--
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on le6
(date) by
oel g-21 (name of afFiant) OHIShe is personally
known to me or has produced (type of
identification) as identification.
NOTARY PU _ LI
My Commi ion Expires:
��'►' CATHERiNE FREDERICK
K� M'COMMt8 MI M GG 017T41
E (MES: Aoptat 2, 2020
BMW Ttra Notary p to UiW ,,tM
Conhadl Anchors Aweigh Club -FYI 7° page 14
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.
M
(Name of Business)
ATTACHMENT F
certifies that:
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
S. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement,
requirements.
STATE OF: 1
COUNTY OF:
Subscribed orid swornaffirmed) be6le me on (date) by
( ) personally k_=rxr1e
name of affiant . he is
or has f1roduced (type of Identification) as
-- - - - - - -
identification. %.
Cwfr d Al dim Aweigh CUB-FY17,• page 15
Commission Expires:
/,0-%j,'V4N
CATHERINE FREDERICK
MY COMMISSION
$; t
i GG 017741
EXPIRES: Asgut 2, 2am
BW4*dThruNot" pw.
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Agency Name
POC
Phone/Email
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance i.e.. successes challenges, etc
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1,.
3. What number and percentage of your ciientslparticipants were at or below the federal poverty level
in FY17; and/or 200%, and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -Anchors Aweigh Club-FYI7 page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15, What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services,, accounting services„ insurance expenses, office
management, auditing, and other centralized services.)
Con1mct-Anchors Aweigh Club-FY17 page 17
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter
"Board" or "County," and Boys and Girls Clubs of the Keys Area, Inc., hereinafter
"PROVIDER."
between the
referred to as
referred to as
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
activities for the wholesome development of youths' personal, social, physical, emotional and
spiritual growth, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for activities
for the wholesome development of youths' personal, social, physical, emotional and spiritual
growth, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for activities for the wholesome development of youths' personal, social,
physical, and emotional growth in Monroe County, Florida, shall pay to the PROVIDER the sum of
ONE HUNDRED TEN THOUSAND AND NO/100 DOLLARS ($110,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures For services specified herein,
this agreement may be terminated immediately at the option of the Hoard by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract -Boys and Girls Clubs - FYI7; page 9
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
CD
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract -Boys and Girls Clubs - FYI 7, page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -Boys and Girls Clubs - FYI 7, page 3
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contract -Boys and Gins Clubs - FYI 7; page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract -Boys and Girls Clubs - FYI 7, page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and Monroe County Attorney
1100 Simonton Street PO Box 1026
Key West, FL 33040 Key West, FL 33041
For PROVIDER
Daniel R. Dombroski, Executive Director
Boys and Girls Clubs of the Keys Area, Inc.
1400 United St., Suite 108
Key West, FL 33040
305-296-2258
305-296-8475 FAX
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
Contract -Boys and Girls Clubs - FYI7; page 6
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term, ,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
r�
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.CD
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract -Boys and Girls Clubs - FYI7, page 7
T
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
By
Deputy Clerk
Witness
Witness
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By.
Mayor/Chairman
Boys and Girls Clubs of the Keys Area, Inc.
(Fe
By
Contract -Boys and Girls Clubs - FYi7, page 8
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Boys and Girls Clubs - FY?T page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -Boys and Girls Clubs - FYI7, page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
Amount
101
Company A
Rent
$ X,XXX.XX
102
Company B
Utilities
XXX.XX
104
Employee A
P/R ending 05/14/01
XXX.XX
105
Employee B
P/R ending 05/28/01
XXX.XX
(A) Total XXKJxx
(B) Total prior payments $ X,XXX.XX
(C) Total requested and paid (A + B) $ X,XXX.XX
(D) Total contract amount $ X,XXX.XX
Balance of contract (D-C) $ X,Xxx.Xx
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20T by
who is personally known to me.
Notary Public
Notary Stamp
Contract -Boys and Girls Clubs - FYI 7; page 11
ATTACHMENT C
Services to be provided:
(Insert a description of your organization including a list of the services that will be provided by
your organization under this contract.)
47
04
04
Contract -Boys and Girls Clubs - FYI7, page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither .i (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within -the la�m ths.
(Signature)
Date:
f
STATE OF: fj-
M j v.L
COUNTY OF: M CO -.--
Subscribed and sworn to or affirmed) before me on
(date) by il���I ��. I _ (name of affiant). He1She is personally
known to me or has produced
identification.
Sylt s
U NY er %
(type of identification) as
NOTARY PUBLIC ll
My Commission Expires: �12 !-
Contract -Boys and Girls Clubs - FY17; page 13
ETHICS CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO.010-1990
MONROE COUNTY, FLORIDA
d—
(Company)
ATTACHMENT E
l
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former ,
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to County officer or
employee."
N
N
Date:
STATE OF: -,FI [: - d o—
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on
(date) byQM6 LnIML (name of affiant). He/She is personally
known to me or has produced L D1' ,iefS_ �) Q (type of
identification) as identification.
NOT —/Nib
ARY PUBLIC
v My Commission Expires: f
Contract -Boys and Girls Clubs - FYi7, page 14
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or polo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this m comp 'es fully with the above
requirements.
Date: VF22/
STATE OF:��—
COUNTY OF: l 9 ►[�
Subscribed and sworn to (or affirmed) before me on ✓�Cf �( (date) by
Doft1 e.� �)`__ ____ (name of affiant). He/She is personally known to me
or has produced
identification.
(type of identification) as
NOTARY PUBLIC I 2j,�)v-l
My Commission Expires: �J
Contract -Boys and Girls Clubs - FYI 7, page 15
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges, etc):
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -Boys and Girls Clubs - FY17; page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -Boys and Girls Clubs - FY17; page 17
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AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Burton Memorial United Methodist Church, hereinafter referred to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of a
food pantry for disadvantaged persons, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for the
provision of a food pantry and meals for disadvantaged persons of Monroe County, now,
therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for provision of a food pantry for disadvantaged persons of Monroe County,
Florida, shall pay to the PROVIDER the sum of TEN THOUSAND AND NO/100 DOLLARS
($10,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract -Burton Memorial-FY17; page 1
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6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract -Burton Memorial=FY17, page 2
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* T i' •It i' 1 i • • T
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -Burton Memorial -FYI 7; page 3
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COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contract -Burton Memorial-FY17; page 4
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this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract -Burton Memorial-FY17; page 5
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County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Kerry Foote
Burton Memorial United Methodist Church
93001 Overseas Hwy.
Tavernier, FL 33070
305-852-2581
305-852-4917 FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
Contract -Burton Memorial -FYI 7,• page 6
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The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract -Burton Memorial-FYI7; page 7
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IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
Al TEST: AMY HEAVILIN, CLERK
---------------------------
Deputy Clerk
O&ASA �Witn�ess��
--7ff �V--
Church
Leei M1014401119 Im 0
By
Mayor/Chairman
Burton Memorial United Methodist
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ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed.to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Burton Memorial -FYI 7,• page 9
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Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel: Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Conlracl-Burton Memorial-FY17; page 10
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ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check #
Payee Reason
Amount
101
Company A Rent
$ X,XXX.XX
102
Company B Utilities
XXX.XX
104
Employee A P/R ending 05/14/01
XXX.XX
105
Employee B P/R ending 05/28/01
XXX.XX
(A)
Total
X,X.X
(B)
Total prior payments
$ X,XXX.XX
(C)
Total requested and paid (A + B)
$ X,XXX.XX
(D)
Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
J._.X�Xmxx
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of
by who is personally known to me.
Notary Public Notary Stamp
Contract -Burton Memorial -FYI 7,• page 11
20
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ATTACHMENT C
Services to be provided:
(Insert a description of your organization including a list of the services that will be provided by
your organization under this contract.)
Burton Memorial United Methodist Church (BMUMC) provides two types of food services for
the needy -a Food Pantry that serves the upper keys and a free prepared community dinner on
Thursday nights. We also have a child development center; we host space for many
organizations such as Boy Scout troop 912; we have a designated community peace park; and we
sponsor youth activities in the Keys, such as sponsoring a baseball team coached by Pastor Kerry
Foote and other volunteers. We also provide space for monthly meetings for the Fire Fighter's
Union. We are a Methodist Church, so we provide worship services and we also offer worship
space to The Coptic Church, which is not affiliated with the United Methodist organization. This
is a partial list of services we provide to our community. As our mission statements begin "We
are an uncommon church for common people offering a love of neighbor without boundaries"
We live strive to live those words by meeting the needs of our community.
The services to be funded by this agreement are the supply of hot meals and groceries to people
in need in the upper keys community. This year, we will solicit, collect, organize, store, and
distribute approximately 110,000 pounds of groceries and personal hygiene items and prepare
and serve about 3,200 meals from our Church in Tavernier Florida. The funds provided under
this agreement will purchase food and packaging materials for the Daily Bread Food Pantry and
God's Kitchen. Additionally, funds will contribute to direct compensation of Daily Bread Food
Pantry Coordinator.
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ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
302T0/Vl EYwO2 TA L UIU= tp ry� ETrIO�T
I have read the above and state that neither I-r-Yzr2 `/ Faci E (Respondent's name) nor ei t4
any Affiliate has been placed on the convicted vendor list within the.last 36 months,
�n
d
STATE OF: a
6-1Z
ACOUNTY OF: 1
Subscribed and sworn to (or affirmed) before me on
(date) by
known to me or has -produced
( ign tore) 4,
Date: W -7
(name of affiant). He/She is personally
(type of identification) as
identification.
NOTARY PUBLIC
My Commission Expires: /
Contract -Burton Memorial -FYI 7,page 13
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ETHICS CLAUSE
ATTACHMENT E
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
(Company) C (+U 2C +t
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its, discretion, deduct from the Agreement or purchase price, or otherwise recove e full amount of
any fee, commission, percentage, gift, or consideration paid to the for r Cpunty officer or
employee."
T tE A WOLVERiMWADE
Notary Public, State of Florida
>' �- Signare)
Commission.9x0r s FF 411 t
iy My Comm expires Julyly 4, 2017
®._ Date.
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on/
(date) by (name of affiant). He/She is personally
known to me or has produced .," (type of
identification) as identification.
4�.
NOTARY PUBLIC
My Commission Expires:
Contract -Burton Memorial-FY17,• page 14
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ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement,
requirements..
TAME A. WOLVERTON-WAN 6
Wilary PIJNV Sate of Florida
0,,,0mm[q,s,k)n � FF 33411
My comet, expires July 4, 2017
STATE OF: rc�
I certify that this firm complies with the above
ignatUre)
Date: -A
COUNTY OF:
Subscribed and worn to (or affirmed) before me on e- (date) by
J°w (name of affiant). He/She is personally known to me
or has pluced- (type of identification) as
identification.
NOTARY PUBLIC
My Commission Expires: t /
Contract -Burton Memorial-FY17; page 15
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•1 in1 i • • ,
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Agency Name
POC
Phone/Email
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FYI Performance i.e. successes challen es, etc
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -Button Memorial-FY17; page 16
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6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract-Burlon Memorial-FY17; page 17
AGREEMENT
This Agreement is made and entered into this 19th day ofOctober, 2016, between the
BOARD QFCOUNTY COMMISSIONERS OFMONROECOUNTY, FLORIDA, hereinafter referred toas
"Board" or "County," and Florida Keys Area Health Education Center, Inc., hereinafter referred to
as "PROVIDER."
WHEREAS, the PROVIDER is a nmt'fnrproftcorporatinn established for the provision of
health -related services for children and health education, and
WHEREAS, it is a legitimate public purpose to provide facilities and services related to
health -related services for children and health education, now, therefore,
IN CONSIDERATION 0fthe mutual promises and covenants contained herein, it is agreed
as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for health -related services for children and health education for persons
living in Monroe County, Florida, shall pay to the PROVIDER the sum of SIXTY-FIVE THOUSAND
AND ND/100 DOLLARS ($G5,08O.00)for fiscal year ZO15-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and bsnmKnaha September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of na|nnbunsenneot request cover letter is included
as Attachment B. The onganization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board sbeU reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term ofthis agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement ofexpenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered tothe PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
5. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek,' and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
ounmao*FLxeys A*eC-Fv7;page I
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently app|ied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years hz||ovv|ng the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant tuthis Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS/ running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the -~
audit shall be prepared by an independent certified public accountant (CPA) with a current U)
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice X..
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the [PA must also be a member of the American Institute of N
Certified Public Accountant (AICA4). The County shall be considered an "intended recipient" of ~~
said audit. �~
S. PUBLIC ACCESS' The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119' Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-3 must be provided prior to the payment of any invoices):
(a) IRS Letter ofDetermination and {5UIDESTAR printout indicating current 501bi(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least S and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,080 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100'000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, |ngood standing with the Florida
State Board of Accountancy�
b. The CPA must be a member of the American Institute of Certified Public
Accountant(AICPA);
c. The [PA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "Intended recipient" of said audit."
(y) Copy of a f||mU IRS Form 990 from most recent fiscal year with all attached schedules;
(g) (]rgan|zatiom'sCorpnrate Bylaws, which must include the urgan|zat|on's mission, board and
membership composition, and process for election of officers;
Contract -FL Keys A*EC-Fv7, page
(h) 0rgen|ostion's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(|) Specific description or list of services to be provided under this contract with this grant
(see Attachment C\|
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(h) Cooperation with County monitoring visits that the County may request during the contract
year;amd
([) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
-`
10. SCOPE OF SERVICES' The PROVIDER, for the consideration named, covenants and
-�
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment Ctn residents of Monroe County, Florida.
N
E��
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney'sfees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include atturney'sfees, courts costs, investigative, and
out-of-pocket expenses in appellate prnceed|ngo. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13' CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, |nrespect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage/ gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15- INDEPENDENT CONTRACTOR, At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
CuotracwFLmns A*EC-Fv7;page a
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW' In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER,
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate |nraK, state
and/or federal certification and/or ||censune of the PROVIDER'S program and staff.
18- NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
0
court of competent jurisdiction that discrimination has occurred, this Agreement automatically<
terminates without any further action on the part of any party, effective the date of the court
U)
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
X..
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
04
04
race, color or national origin; J) Title IX of the Education Amendment of 1972/ as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4)The Age Discrimination Act of1Q75, as amended (42
*�
U8[ ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL9Z-ZS5), as amended, relating to nondiscrimination on the basis
N|
of drug abuse; b) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse oralcoholism; 7\ The Public Health Service Act of 1912, ss. 523 and 527 (42 U5C
ss. 690dd-3 and 290eo-3), as amended, relating to confidentiality of alcohol and drug abuse
�~|
patient records; 8}Title \/III ofthe Civil Rights Act of 1968 (42 USCs. etseq.), as annended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
U_|
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
�
Agreement.�At
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement orby Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related tnthe substance of
Contract -FL Keys AxEo-Fv7;page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party tothis Agreement shall be required tnenter into any arbitration
proceedings related tnthis Agreement.
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest which would conflict in any manner
or degree with its performance under this Agreement, and that only interest nfeach is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or r�
�
event bedeemed to impose any obligation upon the Board in addition tnthe total agreed upon
reimbursement amount for the services ofthe PROVIDER. Uh
..
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the ��
acquisition of any cornrnenjei liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver ofimmunity tothe
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver. *�
25. ATTESTATION& PROVIDER agrees to execute such documents aathe County may
reasonably require, to include Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, aarequired by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attnrney'sfees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All ofthe privileges and immunities from liability,
exemptions from |ovvn, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29' NO PERSONAL LIABILITY. No covenant oragreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent oremployee of Monroe
Contract -FL Keys A/EC-FY17;page o
County shall be ||ob|e personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by |avv except to
the extent ofactual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No parson orentity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer' or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity nrentities, have entitlements or benefits under
this Agreement separate and apart, inferior to, orsuperior tn the community in general or for the
purposes contemplated in this Agreement.
32- Execution in Counterparts. This Agreement may be executed in any number of
counterparts each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement bysigning any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified rna||, return receipt requested, to the
other party es fV||nvvs:
For Board:
Grants Administrator and
11OUSimonton Street
Key West, FL33U40
For PROVIDER
Michael L. Cunningham, Chief Executive Officer
Florida Keys Area Health Education Center, Inc.
58O0Overseas Highway, Sukte38
Marathon, FL 33050
305-743-7111
305-743-7709FAX
Monroe County Attorney
PO Box 1026
Key West, FL33O41
34- GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable tocontracts made and tnbeperformed entirely inthe State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
||e in the appropriate court or before the appropriate administrative body in Monroe County,
Contract -FL Keys 4+Ec+v7;page n
The County and PROVIDER agree that in the event of conflicting interpretations of the
terms or o term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NAny waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either ofthe same conditions orcovenants urotherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance orperson) shall be declared invalid or unenforceable
to any extent by a court nfcompetent jurisdiction, the ncrna|n[ng terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and pnJv|5iOO nfthis Agreement shall be valid and shall be enforceable to the
fullest extent permitted by |avv unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original 0
intent ofthis Agreement. The County and PROVIDER agree to reform the Agreement to replace <
any stricken provision with a valid provision that comes as close as possible to the intent of the 0
stricken provision.
..
37' ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the N
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect tosuch subject matter between the PROVIDER and the Board. I~
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TDFOLLOW]
Contract -FL Keys Am5C-FY7;page r
IN WITNESS WHEREOF, the part 7es hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
a
Witness
Witness
1
Lip] 0 Q R ILI I 2jPq I Pg I
gy
Mayor/Chairman
Florida Keys Area Health Education
Center, Inc.
(Federal ID No.
0
ATTACHMENT C
Services tnbe provided:
The funds received will be used to support the Monroe County School Health In|dat|wa. This
program is for the delivery of School Based Primary [are Medical Services provided in school
based clinics within Monroe County.
Contract -FL Keys A*cC-Fv 7;page /u
Attachment C
The mission of the Florida Keys AHEC is to effectively promote health and wellness through education,
health assessments, and professional development using partnerships and other contract -funded
services, resulting 'in a healthier, better educated community. Appnompd7/07
Keys AHEC is a Monroe County based non-profit corporation that has been in existence since 1990. As
an affiliate of the University of Miami School of Medicine, the Keys AHEC has established itself asleader
in improving access to healthcare for the underserved in our county. As a safety net provider the Keys
AHEC has been able to present and provide culturally and linguistically appropriate health services that
are critical for the communities and populations that we serve. Keys AHEC main purpose is to provide
community based health programming based on community, public health and emerging healthcare
needs for undersen/edpopulations
Since 1990, Keys AHEC, has played m critical role in increasing access to healthcare services for the most
vulnerable, marginalized residents and providing innovative preventive health programs for children and
co
adults inthe community. The organization has accomplished this mission buworking with multiple
community and statewide partners to develop a system of health care delivery and outreach services,
school health education and service programs, continuing education programs for practicing health
professionals, and other connnnuni�+basedpnjecta. Current Center activities indudesoppaMLto
��
primary care clinics and school health initiatives, adult and youth education programs in schools, and
direct medical/counseling service Toworksitesand community centers.04
Keys 4HECprovides programming that include the following asanagency:
�
04|
Examples nfprograms include:
I. G"No Cost" School Health Primary Care Clinics
0
2. Direct Medical Exams/Chiydmen'sPhysico| Exams
3. UM Health Fair (All ofMonroe Ununty'4Sites)
�|
a. Full Health Services including Pap smears, prostrate exams, blood draws etc
4. CHAMP-Chi|dren's Health Assessment and Medical Program
U_|
a. [onupreh�n�ive Physical Examinations
5.Patient Navigator Services -Affordable Care Act -Counselor Designated Organization (Noo-
Compansated) `
~�
G. Tobacco Cessation and Training
a. NoCost NRT
b. No Cost Classes and Counseling
7. Direct Medical Services
�
a. Skin Cancer Assessments
l_
b. Oral Health Exams
c. Cardiovascular Disease Assessments
d. Osteoporosis
e. Splmomne1n+Lung[apacity
f. Diagnostic Vision and Hearing
g. Breast Cancer Assessments
8.Chi|dhood Obesity Prevention -Nutrition Progrnmnnino/Po|icyand Systems Change.
q. Community Based programming
a. CPR/First Aid Training
b. Health and Wellness programming -diabetes support etc.
10, School Based Health Services
a. Health Education Curricula
b. Staff Health Assessments
c. Career Development
Attachment C
d. In Classroom Health Classes
11. Healthy Aging and Fitness Classes
a. Older Adult Health Programs
12. Accredited Professional Training (C&AE/CE)
a. Only provider ofContinuing Education for Physicians
b. Medical Reserve Corp recruitment, training and management
13. Other
HSAB Funding will allow Keys AHEC to provide the following services through its schoolbased health
�
�
Medical Services Include: School Health Physicals&Health Assessments, Sick /& Well Child Visits, Chronic
Disease Management (Asthma and Diabetes), Prescriptions, Treatment of Minor Injuries, Strep, Urine
Dipstick & Glucose Testing, Vision/Hearing Tests, Pregnancy Testing, Referral for Full Labs, Specialty �
Services, Oral Health & Immunizations, Nutrition & Weight Management Counseling,Gonsultatkon& <
Collaboration with School Health 8cPsychology Services. co
..
Noother agency orprogram |nMonroe County offers this array ofservices tochildren 7nthe school based 04
04
setting prelsewhere. E�
The School based clinic model now serves as the medical home for students as well as a walk in clinic for
non -emergency services. With a joint agency and team approach, Keys AHEC is working with the
Monroe County School District, it's schools and the school health nurses to deploy a medical team
consisting of three Physician Assistant's/ ARNPs, one Medical Director and a Registered Nurse -program
assistant %ooffer full time primary care medical services in6school based clinics. Providing school
based health services in an easily accessible location and manner has created new access points for
children and their families so that they have a medical home and can avoid the ER or other costly
alternatives. The School based clinics have also assisted local providers address health care needs of
the uninsured and Medicaid patients in an area where there are limited Medicaid and low cost
providers.
Prior to the Keys AHEC school based medical clinic there were no primary care programs in the schools
for students or their siblings/families, In fact many school health services were limited to just screenings
and sending children home that were sick with no referral for medical care.
Keys AHEC continues to follow the national trend by providing primary care services in the school
setting. This program over the past 18 months has been successfully implemented and evaluated within
Monroe County to address the unmet health care needs of Students that are uninsured, underinsured,
Medicaid and a1risk populations. This project bridges asignificant gap inservice and access tocare for
the medically underserved.
Funding received from the HSABwill beutilized inthe following categories tosupport the school based
primary care program. Major expense categories were for primary care medical staff, electronic health
record system and medical supplies inthe treatment ofchildren. Nofunding for FY26/17will beutilized
for Administrative orOverhead expenses. Expenses include: ($65,0OOAward)
1. Medical Support Staff-80%
I OfficeGwpp[iesI%
B. Electronic Health Reoord-9%
4. Medical Supplies and Materials-lO%
ATTACH M ENT D
"4person uraffiliate who has been placed omthe convicted vendor list following 8conviction for public
entity crime may not submit o bid ono contract to provide any goods orservices b]B public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity' may not be awarded Or
perform work as CONTRACTOR, supp|iBr, subcontractor, or CONTRACTOR under contract with
any public enUiv, and may not (nsmognt business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed onthe convicted vendor Nst.^
| have read the above and state that neither (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the Ipst 36 months.
(Signature) V
Date: q (;u / 16
STATE OF: ):-� 0 a- t b 6
COUNTY OF: n,"', 0 a V r5 F:-�
Subscribed and sworn to (or affirmed) before me on 5 f- V, T c- /r, L? r- P- ��- , ? 0 / 6-
C-�-67�w`nto me or has produced
(tvoe of identification) as
NOTARY PUBLIC
My Commission : LIZ 0
Contract -FL Keys x/Ec-Fr7,page m
SWORN STATEMENT UNDER ORDINANCE NO. O10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
ATTACHMENT E
"...warrants that ha/it has not employed, retained or other -wise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1890. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase prioe, or otherwise recover, the full amount of
any fee, nVmmiosinn, percentage, gift, or consideration paid to the former County officer Or
employee."
Date: el LZ6 11K7
STATE OF: —/
Subscribed and sworn to (or affirmed) before me on
(date) bv (name nfoffianM. He/8heia (�eCnsona—lly-)
('known0b me or has produced (type of
identification) 8sidentification.
My Commission Expires:
Contract -FL Keys xHEo-FY7; pagew
ATTACHMENT
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
[- (,our -,A K*Eys A UEL.
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufootUr8, distribution,
dksp8nSing, poaseaeion, or use of controlled substance is prohibited in the xvorko|8c8 and
specifying the actions that will be taken against employees for violations of such prohibition.
2� Inform employees about the dangers of drug abuse in the vvnrkp|eoe, the business' policy of
maintaining a drug -free workplace, any available drug ooumse|ing, nahebi|itation, and employee
ase|otonog programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities orcontractual services that are
under bid ecopy ofthe statement specified insubsection /1\.
4� In the statement specified in subsection /1\, notify the employees that. as e condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer nfany conviction of, or plea of guilty
or no|o contandema to, any violation of Chapter 893 (Florida Statutes) or of any oontnO||8d
substance law of the United States or any 3t8te, for o violation occurring in the workplace no
later than five (5)days after such conviction.
5. Impose a sanction on, orrequire the satisfactory participation in 8drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
iusoconvicted.
O. Make a good faith effort to continue to maintain e drug -free workplace through implementation
of this section.
As the person authorized to ^`sign the statement,
STATE OF: R0 zl (L,
COUNTY OF:
certify that this firm,com lies fully with the above
— I-,"
Date: CN
Subscribed and sworn to
��
. . by
y/ar,ve on mummxq. He/She me
or has produced (type of identification) as
identification.
NOTA�RYPUBL|C
MvCommission Expires:
Contract -FL Keys 4*eu-FY7;page 1n
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges, etc):
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -FL Keys AHEC-FY17; page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -FL Keys AHEC-FY17; page 17
AGREEMENT
This Agreement Is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and The Florida Keys Children's Shelter, hereinafter referred to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
shelter and counseling to youth and families, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for shelter and
counseling to youth and families, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for shelter and counseling to youth and families living in Monroe County,
Florida, shall pay to the PROVIDER the sum of ONE HUNDRED EIGHTY-NINE THOUSAND AND
NO/100 DOLLARS ($189,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. ' The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice o
termination, unless otherwise required by law.
5. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and Is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contact -FL Keys Children's Shelter-FY17, page °?
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-3 must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract FL Keys Children's Sheffer-FY17, page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions; .
(I) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
U) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(l) Other reasonable reports and Information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDiENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -FL Keys Children s Shelter-FY17; page 3
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. AD]UDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is institute
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
In all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contrad-Fl. Keys children's Shelter-FYI7; page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action., as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract -FL keys Children's Shelter-FY? 7; page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular Individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shali
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Bill Mann, Chief Executive Officer
The Florida Keys Children's Shelter
73 High Point Road
Tavernier, FL 33070
305-852-4246
305-852-6902 FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
Ile in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
Confrecf-FL Keys Children's Shelter-FY17; page 6
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract -FL Keys Children's Shelter-FY17,page 7
I
IN WITNESS WHEREOF, the partles hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
By.
Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
y
Mayor/Chairman
The Florida Keys Children's Shelter
(Federal ID NoIY- c76053i5G
.1 By
of Executive Officer
tt7t-- —P — Xje�- 01
Conftd-FL Keys ChNftn's Vwftr-FV17,, page 8
ATTACHMENT
EXPENSE REIMBURSEMENT REQUIREMENTS
This document Is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line Items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -FL Keys Chlldren's Sheffer-FY97; page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to b a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before fi p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -Ft Keys Children's Sheffer-FY17; page 10
1_Iii:1u140iia:3
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
101
Company A
Rent
$ X,XXX.XX
102
Company B
Utilities
XXX.XX
104
Employee A
P/R ending 05/14/01
XXX.XX
105
Employee B
P/R ending 05/28/01
XXX.XX
(A) Total $ X.XXX.XX
(B) Total prior payments $ X,XXX.XX
(C) Total requested and paid (A + B) $ X,XXX.XX
(D) Total contract amount $ X,XXX.XX
Balance of contract (D-C) $ X.XXX.XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and In agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of
who is personally known to me.
Notary Public Notary Stamp
20_ by,
Contract -FL Keys Children's Sheifer-FYI7,page 11
Services to be Provided. ATTACMENT C
(Insert a description of your organization including a list of services that will be provided by your
organization under this contract.)
THE FLORIDA KEYS CHILDREN'S SHELTER, INC.
The Florida Keys Children's Shelter, Inc., a nationally accredited social service agency, has been
serving at -risk children and their families in Monroe County since 1989.
FKCS operates the only licensed emergency shelters for children in the Florida Keys.
The agency's 19-bed shelter in Tavernier, FL serves young people ages 10 through 17 who have
been abused, abandoned, neglected, have run away or are considered ungovernable by their
parents. The shelter provides a safe environment for these young people to rebuild their lives and
an opportunity for crisis intervention and counseling.
Our 7-bed emergency home in Key West is for younger children, infants through age 10.
All of these children have been removed from their families due to allegations of abuse or
neglect. Our 7-bed group home in Key West is for children and young adults who have been
unable to find appropriate placements in the foster care system. Between 150 and 200 youth per
year spend time in these residential programs, interacting with our professional and caring staff.
FKCS also serves between 150 and 200 youth each year through its community -based
Counseling (non-residential) program. Master's level counselors, with offices at the Keys' three
high schools, provide crisis intervention, individual, group and family counseling. Each client is
allowed a maximum of 12 counseling sessions. In order to facilitate access to the program,
counseling may be conducted in the home of the youth. This may be individual counseling with
the youth or family counseling. Services are paid for by the Department of Juvenile Justice
contract and there is no expense to the families.
FKCS operates a street outreach program for runaway and homeless street youth in Key West.
This program operates out of a store front just off of Duval Street and works with youth who are
currently living on the streets. The mission of this program is to make youth aware of the
dangers and risks of street life, to help them reconnect to a family member or other safe adult, or
to become a productive citizen in the community.
List the services your agency provides:
Emergency Shelter (10-17yrs old), Emergency Shelter (infant — 10yrs old), Group Home (11-17 yrs
old), Community Based Counseling (children and their families), Street Outreach Program
(Runaway and Homeless Street Youth)
Specific services to be funded by this request:
Monroe County fiscal support is the single most important and consistent community match for
continuation of current contract dollars and services to local children, youth and families and
provides general operating dollars that ensures access to a safe and nurturing residential
environment. The money will serve as the community contribution required by the various
contracts the agency receives and will be used for general agency operations. Contracts from state
agencies are given out based on the allocations of funding made available to each state agency as
opposed to actual costs per service. The local community is therefore expected to fund the
difference via community contribution.
Contract -FL Keys Children's Shefter-FY17; page 12
t
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
4 B
I have read the above and state that neither m (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the last 36 months.
(Signature)
r
Date: i 1�
STATE OF: �11 of ( 6C(. ,•
COUNTY OF: Y1. Wf
Subscribed and sworn to (or affirmed) before me on
(date) by i (name of affiant). He/She i Zpersonally
known to me or has produced (type of identification as
identification.
Notary Public Stab of Florida
• Patricia x Murra
My COMMkbim FF 142333
�i• 18
My Commission
Contract -Ft Keys Children's Shelter-FY17, page 13
i • • 1 ' 1 i * - * • T
ETHICS CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO.010-1990
MONROE COUNTY, FLORIDA
(Company)
ATTACHMENT E
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
T1.
(Signature)
Date:
STATE OF: Lla et dc--� I IT
COUNTY OF: 021n ejj- e-
Subscribed and sworn to (or affirmed) before me on 0/6
(date) by `—tF�r I I OGt,QR. (name of aff3ant). He/She i personal
known to me or has produced I (type of
identification) as identification.
NOTARY
My Commissigih Expires:
Contract -FL Keys Children's Shelter-FY17; page 14
ATTACHMENT IF
�oresRAL11,111 511 .1114W , r
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
Florida Keys Children's Shelter, Inc.
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
STATE OF: f"1 [p e l cA
COUNTY OF: Qjcrf
Sub r!bed and sworn to (or affirmed) before
c I I jrYlrx
or has produced
identification.
5NOtMV Pubk Stall of Florida
Patricia K Muffay
My commission FF 142333
EX" oaroanota
Contract -FL Keys Children's Sheller-M7; page 1
(Signature)
Date: te
me
on (date) by
of affian ). He1She ' personally k wn to me
( e o identification) as
�G
NOTARY PUB
My Commis ' n Expires:
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
enc Name
POC
Phone/Email
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FYI Performance (i.e. successes, challenges, etc):
Questions.•
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; andlor 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -FL Keys Children's Shelter-FY17; page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed y volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kin (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract FL Keys Children's Shelter-FYI7; page 17
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Florida keys Healthy Start Coalition, Inc., hereinafter referred to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
financial assistance with pre -natal care for uninsured and under -insured pregnant women in
Monroe County, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for financial
assistance with pre -natal care for uninsured and under -insured pregnant women in Monroe
County, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
mumpi-PIX
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services for financial assistance with pre -natal care for uninsured and under -insured
pregnant women living in Monroe County, Florida, shall pay to the PROVIDER the sum of FORTY
THOUSAND AND NO/100 DOLLARS ($40,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract -FL Keys Healthy Start-FY17; page I
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
7. RECORDS. PROVIDER shah maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in CD
grant funding from the County, the CPA must also be a member of the American Institute of
CD
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
N
i
S. IPUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and PROVIDER in conjunction with this Agreement; and the County shall have the i
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organizations Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annuai election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization`s Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract-rL Keys Healthy Start-FY17; page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
Other reasonable reports and information related to compliance with applicable laws, contract
provisions and the scope of services that the County may request during the contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
r,
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
CD
04
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
—
usual and customary procedures required by the circuit court of Monroe County.
U)I
12, BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -FL Keys Healthy Start-FYI7; page 3
16. COMPLIANCE WITH LAMA. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contract -FL Keys Healthy Start-FY17; page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisiors herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorneys fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
29. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract-F' Keys Healthy Start-FY17; page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitut onal or statutory duties of the County, except to the extent permitted by the Florida
constitut on, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and Monroe County Attorney
1100 Simonton Street PO Box 1026
Key Wes:, FL 33040 Key West, FL 33041
For PROVIDER
Arianna Nesbitt, Chief Executive Officer
Florida Keys Healthy Start Coalition, Inc.
1100 Simonton Street, Room #1
P.O. Box 6166
Key Wes-, FL 33041
305-293-8424
305-293-8542 FAX
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
Contract-F- Keys Healthy Start-FYI7; page 6
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediatio-1 prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERARIL.ITY. If any term, covenant, condition or provision of this Agreement (or a
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the r�
stricken Drovision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the CD
parties hereto with respect to the subject matter hereof and supersedes any and all prior
CD
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW] 04
Contract-F' Keys Healthy Start-FY17; page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST,. AMY HEAVILIN, CLERK
By_
DeputyClerk
Witness
Witness —
Contract -PI Keys Healthy Start-rYj 7; page 8
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
Mayor/Chairman
Florida Keys Healthy Start Coalition, Inc,
(Federal ID No.
A,
By,
Chief Executive Officer
(P'e"'Ic"ate-
IDI
Lilt i Iy[Ohl[u ;*Zyrcl
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement
For overnight or express deliveries, the vendor invoice must be included.
Rents, .eases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required,
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract-F? Keys Healthy Start-FY17; page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
CD
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
0'
must be registered and paid for by traveler. The County will only reimburse the actual room and
'
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
N
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Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
—
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m, for dinner reimbursement.
Non -allowable Expenses
The follo-nring expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract-Fi. Keys Healthy Start-FYI7; page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
Amount
101 Company A Rent
$ X,XXX.XX
102 Company B Utilities
XXX.XX
104 Employee A P/R ending 05/14/01
XXX.XX
105 Employee B P/R ending 05/28/01
XXX.XX
(A) Tota 1
X XXX _XX
(B) Total prior payments
$ X,XXX.XX
(C) Total requested and paid (A + B)
$ X,XXX.XX
(D) Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
$ X,XXX.XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization.
Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Hoard
of County Commissioners and will not be submitted for reimbursement to any
other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20 by.
who is personally known to me.
Notary Public
Notary Stamp
Contract -FL Keys Healthy Start-FY17; page 11
Florida Keys Healthy Start Coalition
Organization Description:
Attachment C
Fission: The Florida Keys Healthy Start Coalition unites people and resources to improve the
health and well-being of pregnant women, children, and their families in Monroe County.
Vision: A community working together to provide access to quality care for all pregnant women
and infants in the Florida Keys.
Services to be Provided:
Human Services Advisory Board funding facilitates the Florida Keys Healthy Start Coalition's
Healthy Babies Program which qualifies and provides a financial subsidy to ensure underinsured
and uninsured pregnant women have access to prenatal care, as well as defraying approved
administrative costs. This program assists women who would likely delay or forgo their prenatal
care if this assistance was not provided. Both the care to be provided and client financial
arrangements are established in Vendor Agreement protocols in place with participating
providers.
ATTACHMENT D
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any pub] c entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the last 36 months.
ram.
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(Signature)04
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CD
Date:
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04
i
STATE OF: ..:w,.,ig ,,
COUNTY OF:,.
Subscribed and sworn to (or affirmed) before me on v,iFww i
(date) by L_r `ilrlk = �' {name of afFiant). He/She is perspnally
know,nx to me or has produced (type of identification) as
identification.
q��vonu�i LEAF1 sTOCKTON
my COMMISSION # EE 863215
EXPIAES•. February 2, 2R17
OF F. 89tnded ThrV Budget Notary sue&
:a
NOTARY PUBLIC
My Commission Expires:
Contract-F'_ Keys Healthy Start -FYI 7; page 13
ATTACHMENT E
ETHICS CLAUSE
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(Signature)
Date.
E
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on
date by (name of affiani)_ He/She is ersonall
known to me or has produced
identification) as identification.
�Y PULEAHMMON
MY COMMISS" # EE 8015
EXPIRES: February 2, 29t7
`"lsf f� ��•°� eoc��a rnN s �or�r sus
ROTARY PUBLIC
My Commission Expires:
(type of
Contract -FL Keys Healthy Start-FY17; page 14
ATTACHMENT F
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement,
requirements.
STATE OF:
I certify that this firm complies fully with the above
{Signature)
Date:
COUNTY OF: `� � _� ` '
4 ;4
Subscribed and sworn tc (or affirmed) before me on '` '` (date) by
A' tea. r (name of affiant). He/She is personally known..to me
or has produced (type 1111-1of idenfil`llcation) as
identification.
� LW STOWON V N TARS' PUBLIC
° MY COMMISSI®M 0 EE $63215
EKpiRE$: FebraarY 2, 2617 My Commission Expires:
���rPoc FLe�`o� sixIded Thra 3udge4 RIAM SW
Contract -Ft Keys Healthy Start-FY17; page 15
ATTACHMENT G
FY17 Annual Performance report
(For year October 1, 2016 — September 30, 2017)
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
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2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4, Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -FL Keys Healthy Start-FY17; page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Farm 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -FL Keys Healthy Start-FY17; page 17
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Florida Keys Outreach Coalition, Inc., hereinafter referred to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
services such as shelter, transitional housing, case management and referrals for homeless
persons in Monroe County to homeless individuals and families, and
WHEREAS, it is a legitimate public purpose to provide facilities and services such as
shelter, transitional housing, case management and referrals for homeless persons in Monroe
County, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, In consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services such as shelter, transitional housing, case management and referrals for
homeless individuals and families for persons living in Monroe County, Florida, shall pay to the
PROVIDER the sum of NINETY THOUSAND AND NO/100 DOLLARS ($90,000.00) for fiscal year
2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
5. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
Contract -FL Keys Outreach Coalition -FYI 7,page 1
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
rd
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
Insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of '
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit. C4
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials In its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any Invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
Contract -FL Keys Outreach Coalition -FYI 7; page 2
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
(h) Organization's Policies and Procedures Manual which must Include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
,
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
N
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
,
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding Is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated In Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
Contract -FL Keys Outreach Coalition-FYI7; page 3
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER`S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
Contract -Ft. Keys Outreach Coalition-FYI7; page 4
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any Interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only Interest of each is to perform
and receive benefits as recited in this Agreement.
L
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
Incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.CD
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER In this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorneys fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
Contract-Fl. Keys Outreach Coalition-FYI7; page 5
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, In which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community In general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Rev. Stephen E. Braddock, Chief Executive Officer
Florida Keys Outreach Coalition, Inc.
3154 Northside Drive, Suite 201
P.O. Box 4767
Key West, FL 33041
305-293-8189
305-293-8276 FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding Is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
Contract -FL Heys Outreach Coalition-FYI7: page 6
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
(THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract-f[. Keys outreach CoaBLon-FYI7; page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year First written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
�y
Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
Mayor/Chairman
Florida Keys Outreach Coalition, Inc.
P���Chlef
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is Intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are In compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an Individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract-F!. Keys Outreach Coalition-FYI7; page 9
Telefax, Fax, etc.
A fax log Is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip Is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -FL Keys Outreach Coalition-FYI7,° page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FI_ 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
Amount
101
Company A Rent
$ X,XXX.XX
102
Company B Utilities
XXX.XX
104
Employee A P/R ending 05/14/01
XXX.XX
105
Employee B P/R ending 05/28/01
XXX.XX
(A)
Total
X.XXX.XX
(B)
Total prior payments
$ X,XXX.XX
(C)
Total requested and paid (A + B)
$ X,XXX.XX
(D)
Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
s X.XXX.XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organizations contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of
who Is personally known to me.
Notary Public Notary Stamp
Contract -FL Keys Outreach Coalition-FYI7, page 11
20 by,
Florida Keys Outreach Coalition, Inc. ATTACHMENT C
FKOC began as a grass roots effort in 1986 as a response to the growing homeless issues
in Key West, Florida. In 1992 they incorporated as the Florida Keys Outreach Coalition;
several years later established our county's first shelter, a 16-bed facility for homeless
men in recovery from alcohol and substance abuse. Today, FKOC operates seven
facilities with 162-beds and provides emergency shelter, transitional and permanent
housing for individuals and families while they heal from the underlying causes of
homelessness. As of April 11% 2014 FKOC assumed sponsorship of Peacock Apartments
from U.S. Fellowship of Florida. The program provides permanent housing and supportive
services for 38-homeless and formerly homeless adults with serious mental illness.
FKOC additionally operates the Loaves & Fish Food Pantry in the New Town area of Key
West; recently a second smaller Loaves & Fish Food Pantry was established in
partnership with St. Peter's Episcopal Church to offer food outreach to those in the Old
Town area of Key West. FKOC also provides outreach services through our Outreach
Offices and toll free telephone number. In 2015, FKOC opened an Outreach office in
Tavernier to meet the needs of individuals and families on the verge of homelessness in '
the Upper Keys. FKOC began offering homelessness prevention services to all the Florida '
Keys in 2016, encompassing a wide variety of assistance including rental and utility
assistance.
FKOC has a long history of leadership in the development of a community response to
homelessness. FKOC was the lead agency in establishing the Monroe County Homeless
Services Continuum -of -Care, the development and implementation of the Coordinated
Entry, the Homeless Management Information System, and the annual Point -In -Time
Count among many other projects.
List the services your agency provides under HSAB.
Case management and essential services will be funded to support 162-residential clients
in seven (7) facilities for individuals and families recovering from homelessness. Also part
time case management for homeless prevention services in the Upper Keys.
One hundred percent (100%) of residential clients served by HSAB Funding will receive
individualized case management and additional services including life skills education, life
enrichment programs, health education/screenings, support with crisis intervention,
transportation assistance, advocacy, and links to community and mainstream resources.
Contract -FL Keys Outreach Coalition FY17; Page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
have read the above and state that neither t - (Respondent's name) nor
any Affiliate has been placed on the convicted vendo, list within the last 36 months.
IN -
(Signature)
Date: "
STATE OF: _C1&
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on
(date) by (name of He/She is pe}f
kwm to me or has produced
identification.
Sum= M. Hot
NOTARY PUBLIC
STATE OF FLORIDA
Conn# FFI?Un
EVW" I1120J2018
Contract -Ft Keys Outreach Coalition -FYI 7, page 13
(type of identification) as
0'r4i'OTARY PUBLIC
My Commission Expires:
ETHICS CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
(Company)
ATTACHMENT E
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(Signature)
Date:
S.
STATE OF: O
COUNTY OF: yv\ not —
Subscribed and sworn to (or affirmed) before me on _
(date) by _� , _ ; (name of affiant). He/She is personally
known to me or has produced (type of
identification) as identification.
Susanne M. Halt
4PNOTARY PUBLIC
STATE OF FLORIDA
Cam FF476M
EVk" 1112 =I8
Contract -FL Keys Outreach Coalition -FYI 7, page 14
OTARY PUBLIC
IF
My Commission Expires:
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, ,
dispensing„ possession, or use of a controlled substance is prohibited in the workplace, and
specifying the actions that will be taken against employees for violations of such prohibition. E
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation )I
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
ignature)
Date:
STATE OF: 1
COUNTY OF:
Subscribed and sworn to (or affirmed) before me
_,- - (name
or has produced
identification.
NOTARY PUBLIC
Sun me M. Hott
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF178429
AW EqIres 11/20/2018
Contract -FL Keys Outreach Coalition-FYI7„ page 15
�n -V(date) by
of affiant). He/She is ersonally known me
(type of i en l nation) as
My Commission Expires: 11 g��___-
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Agency Name
POC
Phone/Email
Grant Amount
ATTACHMENT G
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance i.e. successes challenges, etc
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
Contract -Ft_ Keys Outreach Ccatidon-M7, page 16
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
contract-Fl. Keys Outreach coalition-FY17; page 17
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Guidance Care Center, hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation which has now taken over
operating the Heron, established for the provision of assisted living facilities and services such as
mental health support, transportation, and supervision for disadvantaged, mentally ill persons,
and
WHEREAS, it is a legitimate public purpose to provide facilities and services for assisted
living facilities and services such as mental health support, transportation, and supervision for the
disadvantaged, mentally ill community in Monroe County, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER substantially
and satisfactorily performing and carrying out the duties of the Board as to providing assisted
living facilities and services such as mental health support, transportation and supervision in
Monroe County, Florida, shall pay to the PROVIDER the sum of FORTY - SEVEN THOUSAND AND
NO/100 DOLLARS ($47,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly, as
hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract-GCC-Heron-FY17; page 1
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract-GCC-Heron-FY17; page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
U) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
--
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract-GCC-Heron-FY17; page 3
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contract-GCC-Heron-FY17, page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract-GCC-Heron-FY17, page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Frank Rabbito, Senior Vice President
Guidance Care Center
67 Coco Plum Drive
Marathon, FL 33050
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
Con tract-GCC-Heron -FY1 7; page 6
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract-GCC-Heron-FY17; page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
By,
Deputy Clerk
1 1.
Witn
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By-
Mayor/Chairman
Guidance Care Center
Executive Director
Contract-GCC-Heron-FY17; page 8
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract-GCC-Heron-fY17, page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
N
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract-GCC-Heron-FY17; page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee
Reason
Amount
101
Company A Rent
$ X,XXX.XX
102
Company B Utilities
XXX.XX
104
Employee A P/R ending 05/14/01
XXX.XX
105
Employee B P/R ending 05/28/01
XXX.XX
(A)
Total
$ X,XXX.XX
(B)
Total prior payments
$ X,XXX.XX
(C)
Total requested and paid (A + B)
$ X,XXX.XX
(D)
Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
_ X
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this
who is personally known to me.
Notary Public
day of
Notary Stamp
Contract-GCC-Heron-FY17; page 11
ATTACHMENT C
Services to be provided:
(Insert a description of your organization including a list of the services that will be provided by
your organization under this contract.)
To provide Assisted Living to those with Mental Illness in Monroe County.
Contract-GCC-Heron-FY17; page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither, (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the la t 36 months.
Vv-��LNh--�
(Si na (- re) -( Date: - 2)-rl Ll
STATE OF:
COUNTY OF: M..
Subscribed and sworn to (or affirmed) before me on'`. jI
(date) by Maffirw (name of affiant). H the is personally
known to me or has produced (type of identification) as
identification.
OTARY PUBLIC
My Commission Expires:
Syi54i ld,pt
•,$"'" °_��f=� CAROL A. DOCHOW
' ' = Notary Public - State of Florida
My Comm. Expires Jun 7, 2018
Commission N FF 104268
Contract-GCC-Heron-FV17; page 13
ETHICS CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
(Company)
ATTACHMENT E
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(Signature)
Date;
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on •2 400
(date) by MWA ne M (name of affiant). He& is personalI
known to me or has produced
identification) as identification.
aw)
NOTARY PUBLIC
My Commission Expires:
} 4l YXrd"a
CAROL A. DOCHOW
g- Notary Public - State of Florida
My Comm. Expires Jun 7, 2018
M Commission N FF 104268
(type of
Contract-GCC-Heron-FY17; page 14
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
C* I DAr\JcC Z CA-Pk__1;;7, �►�L
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements. �^
T Y 1
(Signature) e)
Date: 1 , - / L
STATE OF
COUNTY OF:
Subscribed and swor to (or affirmed) before me on _� (date) by
NOwl-4W V e °P-A(name of affiant). t leiqtype'of
is personally kn n to m
or has produced identification) as
identification.
N1
CAROL A. DOCHOW
Notary Pudic - State of Florida
My Comm. Expires Jun 7, 2018
Commission # FF 104260
NOTARY PUBLIC
My Commission Expires:
rrr�r,�r
FY17 Annual Performance Report
(For year October 1, 2016 - September 30, 2017)
Agency Name
POC
ATTACHMENT G
Phone/Email
- —__ _.__..._._.. _.__ .-_ .__.v. _ .... .................. --
Grant Amount E
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FYI Performance i.e. successes challen es etc
N
N
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
Contract-GCC-Heron-FY17, page 16
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract-GCC-Heron-FY17; page 17
FA-ci .14 4 WT 14
This Agreement is made and entered into this 19th day of October, 2016, between thz
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
'ABoard" or "County," and The Good Health Clinic, hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision —of
health care services to disadvantaged residents in the Upper Keys area, and
WHEREAS, it is a legitimate public purpose to provide facilities and services related to
health care for the disadvantaged residents in the Upper Keys area, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
[A :taroh IN] N
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pert,inent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractic-
a a the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a M.ernber of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "Intended recipient" of
said audit.
N Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year;and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
2nd receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed it
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and thf;
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
zxtent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATION& PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the o
executin,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
1eemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personally on this Agreement or be subject to any personal liability or
2ccountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. RON-RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
32. Execution in Counterparts. This Agreement may be executed in any number —of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to thz
ither party as follows:
For Board:
Grants Administrator and Monroe County Attorney
1100 Simonton Street PO Box 1026
Key West, FL 33040 Key West, FL 33041
For PRO11DER.
Kath
The Good Health Clinic
91555 Overseas Highway
Tavernier, FL 33070
305-853-1788
305-853-1789 FAY
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
-1 �k �L* 0,11111 i I ; ra I a im lei ou"I to] wfig-1c]
Contract -Good Health Clinic-FY1 7, page 7
IN WrrNESS WHEREOF, the
parties .; have caused these presents to be executed as
of the day and year first writtenabove.
(SEAL)
ATTEST.- AMY , CLERK
(Federal! �0
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
;!uidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considerell
reimbursable expenditures unless appropriate payroll journals for the charging department are
2ttached and ce.,tifled.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the followlnw information must be y'rovide"i
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are no-i
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and 2
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Good Health Clinic -FYI 7,"page 10
F-A Iliffi] 0 ILTAI 4011 dil
r 10,
11111111150401 11-37PS
Monroe County Board of County Commissione
Finance Department
500 Whitehead Street
Key West, FIL 33040 1
AM
The following is a summary of the expenses for (Organization name) for the time period
of to
Check # Payee Reason
Amount
101 Company A Rent
$ X'XXX.XX
102 Company B Utilities
XXX.XX
104 Employee A P/R ending 05/14/01
XXX.XX
105 Employee B P/R ending 05/28/01
XXX.XX
(A) Total
$ XIXXX,XX
(B) Total prior payments
$ X'XXX.XX
(C) Total requested and paid (A + B)
$ X'XXX.XX
(D) Total contract amount
$ X'XXX.XX
Balance of contract (D-C)
$ XIXXX,XX
I certify that the above checks have been submitted to the vendors as noted and that the
expEnses are accurate and in agreement with the records of this organization.
Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any
other funding
source.
F-TItT-R IM
Sworn to and subscribed before me this - day of 20 by
who'S personally known to me.
Notary Public Notary Stamp
Contract -Good Health Clinic-FY1 7, page 11
F-AwfiTAW. TUTT471FKO-
amm# =��
The Good Health Clinic is a free primary health care clinic serving low-income, uninsured
residents of the Florida Keys. The Good Health Clinic handles a variety of health care nee
including but not limited to: non -emergency healthcare, chronic disease treatment and
management, and preventative wellness. I
Contract -Good Health Clinic-FY17,• page 12
Igoe a 0
or Pfulicirorl IIUMII UKIS a `111raorueoa
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRAC R u der a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither _44, I if, VN Aip =i
2ny Affiliate has been placed on the convicted vendor list QhinIUTM M.W.MM,
(Signature)
Date: f
STATE OF: it
150 ,MP-7 M01
SEEov
I N-J
141iffil W.11VU4
1 1111111111111111111111111111 W1; I0Iil 41 97 A 0 0 1 . . I
iZN0R01Z
Le• r.�
ATTACHMENT E
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
. -- ft�?1-
(Sigda-ture)
or 4/
STATE OF: jj Date: I —
known to me or has produced
re
III
Contract -Good Health Clinic -FYI 7; page 14
I
ammmurgymaja nwrvr��rmrili�� ; 0 - -Tll!
(Name of Business)
ATTACHMENT IF
1 . Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaininR. drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
(Signature)
STATE OF: J L
I'Wnt rb-t
n o/(date) by
of affiant)" He/She is personally known to me
1K & 0 (type of identification) as
NOTARY PUBLIC
My Commission Expires: 9 C)Z CD-6
contract- Good Health Clinic-FY1 7, page 15
1: Md• . , - a 0 1
7MMW44H-1M=-- M-51--714W I
Name
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges. etc):
Questions:
1. Please list services and client information to for the program/activities funded by the Monroe
County award.
An, 'All lriii 91MEM111115- MT—T-171"PUM
I
I•M=-111111
9. Volunteers: hours of program service were contributed by _ volunteers in FY1 7.
10. ThInat was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
is FIEW
you have the final numbers.
0
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Grace Jones Community Center, Inc. hereinafter referred to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established to provide educational
and nutritional services to disadvantaged children in Monroe County, and
WHEREAS, it is a legitimate public purpose to provide facilities and services related to the
provision of educational and nutritional services to disadvantaged children, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT, The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services related to provision of educational and nutritional services to disadvantaged
children in Monroe County, Florida, shall pay to the PROVIDER the sum of FIFTY - FIVE
THOUSAND AND NO/100 DOLLARS ($55,000.00) for fiscal year 2016-2017.
04
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
00
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
I CD
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
04 I
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
—
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
I
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract — Grace Jones Community Day Care Center -FYI 7; page I
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
a)
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
04
said audit. 04
8. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit,"
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract - Grace Jones Community Day Care Center -FYI 7; page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year; and
(1) Other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and provide the services outlined
in Attachment C to residents of Monroe County, Florida.
11. ATTORNEY'S FEES AND COSTS. The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure or
use of certain information.
14. NO SOLICITATION/PAYMENT. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract — Grace Jones Community Day Care Center -FYI 7; page 3
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDER,
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or licensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by a
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et sec.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
Contract — Grace Jones Community Day Care Center-FYI7; page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
Contract — Grace Jones Community Day Care Center -FYI 7; page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
For Board:
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Iris C. Coe, Executive Director
Grace Jones Community Day Care Center
230 41't Street
Marathon, FL 33050
305-743-6064
305-289-7251 FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
Contract — Grace Jones Community Day Care Center-FYI7; page 6
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement. The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board. 04
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract — Grace Jones Community Day Care Center-FY17; page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILI
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Grace ]ones Community Day
Care Center
(Federal ID No.—:3 1-2�+�o2276 )
By
Executive Director
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENT
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, as they relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract,
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract —Grace Jones Community Day Care Center-FY17; page 9
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
04
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
E�~
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract — Grace Jones Community Day Care Center -FYI 7; page 10
ATTACHMENT B
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
Date
The following is a summary of the expenses for (Organization name) for the time period
of _ to
Check # Payee
Reason
Amount
101 Company A Rent
$ X,XXX.XX
102 Company B Utilities
XXX.XX
104 Employee A P/R ending 05/14/01
XXX.XX
105 Employee B P/R ending 05/28/01
XXX.XX
(A) Total
$ X,XXX XX
(B) Total prior payments
$ X,XXX,XX
(C) Total requested and paid (A + B)
$ X,XXX.XX
(D) Total contract amount
$ X,XXX.XX
Balance of contract (D-C)
X,XXX.XX
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization,
Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any
other funding
source
Executive -•Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20_ by
who is personally known to me.
Notary Public Notary Stamp
Contract — Grace Jones Community Day Care Center -FYI 7; page 11
ATTACHMENT C
Services to be provided:
(Insert a description of your organization including a list of the services that will be provided by
your organization under this contract.)
For more than fifty years, Grace Jones has been providing exemplary early learning and afterschool
care to children of working parents in Monroe County. Our commitment to providing only the very
best, State certified, Gold Seal certified and award -winning service is unwavering. The financial
support of the Monroe County Board of County Commissioners and the Human Services Advisory
Board makes it all possible. We cannot thank you enough on behalf of Grace Jones, our students,
clients and their families for your continued support.
Expenditures to be provided under this contract include:
• Teacher salaries
• Back Pack program food and supplies
• Childcare items such as linens and school supplies
• Facility Utilities
Contract - Grace Jones Community Day Care Center-FY17; page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not submit a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor list."
I have read the above and state that neither --Z /y S` C (Respondent's name) nor
any Affiliate has been placed on the convicted vendor list within the last 36 months.
(Signature)
Date:
{5,
f
STATE OF:
COUNTY OF: .
Subscribed and sworn to (or affirmed) before me on Z `4
date b�-�.
(date) y (name of affiant). He/She is personally
kRQwra.-.t0,-me.. or has produced
identification.
BAN
My Comm. Expires`;
May 3, 2018
No. FF 938249
10
y OF FvgA.",a�
(type of identification) as
£I.. ;
NOTARY PUBLIC
My Commission Expires: g; xr J'k�
Contract — Grace Jones Community Day Care Center -FYI 7; page 13
ATTACHMENT E
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
11 - cm X/ 6':, -24 r
C�-iryece jcr-12rd C
(Company)
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(Signature) j
r
Date:`
/
t
STATE OF: :i '% ..
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on
(date) by(name of affiant). He/She is personally
known to me or has produced
identification) as identification.
My Comm. Expires'.
May 3, 2018
No. FF 938249
cSgj° . LucOF FV
P
Contract — Grace Jones Community Day Care Center -FYI 7; page 14
(type of
NOTARY PUBLIC
My Commission Expires:
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement,
requirements.
STATE OF:
COUNTY OF:
certify that this firm complies fully with the above
f?
(Signature) /
Date:
Subscribed and sworn to (or affirmed) before me on j. k ,� w ;. (date)
or has produced
identification..... .....
f!
0 P' A A,�l�il�
My Comm. Expires
May 3, 2018
No. FF 938249
uc..
OF\F1-O�`�o�
Contract —Grac Jbir in
(name of affiant). He/She is personally known to
(type of identification)
Day Care Center-FY17; page 15
_J U
NOTARY PUBLIC
My Commission Expires:
by
me
as
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges, etc):
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
Contract— Grace Jones Community Day Care Center -FYI 7; page 16
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract— Grace Jones Community Day Care Center-FY17; page 17
AGREEMENT
This Agreement is made and, entered, into. thls 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS' OF MONROE COUNTY,, FLORIDA,, hereinafter referred to as
"Board" or "County,." and Heart of the Keys Recreation Association, Inc., hereinafter referred to as
„PROVIDER."
WHEREAS, the • PROVIDER is a not -for -profit corporation. established• for the provision of
activities for the wholesome development of youths' personal, social, physical, and emotional
growth, and
WHEREAS., it is a'le.gitimate public purpose to provide facilities and services for activities
for the wholesome development of youths' personal, social, physical., and emotional growth., now,
therefore,
IN CONSIDERATION of the .Mutual ;promises and icovenants contained herein, it is agreed
as follows:
FUNDING
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out duties of the Board as to providing
facilities and services for activities for the wholesome development of youths' personal,. social,
physical, and emotional growth in Monroe County, Florida, shall pay to the PROVIDER the sum of
FORTY THOUSAND AND NO/100 DOLLARS ($40,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017,, unless earlier terminated. pursuant to other,provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly, as
hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The 'County shall only reimburse, subject to the :funded amounts :below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements, Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter shouldcontain a
notarized certification statement. An example of"a reimbursement request cover letter is included,
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate surd shall not :exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated -immediately at -the option of the Board by ;written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required bylaw.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved. by each party prior to submission.
Contract -Heart of the Keys Recreation-FY17; page 1
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
RECORDKEEPING
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
8. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to the
County the following (items A-J must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract -Heart of the Keys Recreation-FY17; page 2
(h) Organization's Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(i) Specific description or list of services to be- provided under this contract with this grant
(see Attachment C);
(j) Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within. 30 days after the contract end date.) The
performance, report shall include statistical- information, regarding. the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(.k) Cooperation with County monitoring visits that the County may request during .the contract
year; and
(l) -Other reasonable reports and lriformation related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year.
RESPONSIBILITIES
10. SCOPE OF SERVICES;. The PROVIDER, for the consideration named, covenants and
rd
04
04
agrees with the Board'to- substantially and- satisfactorily perform and provide the services outlihed
in Attachment C"to residents of Monroe County,, Florida.
11. ATTORNEY'S FEES AND COSTS- The County and PROVIDER agree that in, the event
any cause of actiart or administrative proceeding is initiated or defended. by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the :non -prevail in.g-party, and shall ,include attorney's-fees, courts costs, .investigative, and
out -of -.pocket expenses "in a.p.poilate proceedings. 'Mediation proceedings '€n'itiated and conducted
pursuant to this Agreement shall 'be 'in accordance with the 'Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and empr6yees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorizedcompensation;,
misuse of public position, conflicti-ng employment ar contractual reiatlonsh[p; and disclosure or
use of certain information.
14. NO.SOLICIT.ATION/PAYMENT, The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or ,person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and -that it has not paid or
agreed to pay -any person, company, corporation, individual, or firm, other than a 'bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon Dr resulting from the award or making of this ,4gr-eement. For the breach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15. INDEPENDENT CONTRACTOR. At all, times and, for all purposes hereunder,..the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -Heart of the Keys Recreation -FYI 7; page 3
COMPLIANCE ISSUES
16. COMPLIANCIE WITK LAW. In provi:dings' all; services° p.ursaant to this- agreement, the
PROVIDER shallabide by. al'l statutes, ordinances,, rules and regulations pertaining to or regulating
the provision of such services, Including. those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall, constitute a material breach of
this agreement and shalt entitle. the, Board, to terminate. this contract immediately upon delivery of
written_ notice of.termination. to the PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state
and/or federal certification and/or iicensure of the PROVI-DER'S .program and staff.
L
18. ,NON-DISCRIMI'NATIONi, County and PROVIDER agree that there will be no
discrimination ,against ,airy person,, and .it.is .expressly understood that upon a determination by a
court of competent jurisdiction'that .discrimination has .occurred, this Agreement automatically
..
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
N
ordinances, as applicable, relating to nondiscrimination. These; include but are not limited to;. 1)
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2); Title IX of the Education Amendment of 1972, as amended` (20
USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation. Act of 1973, as amended (20 USC s. 794)„ which.. prohibits,
discrimination on the basis of .handicaps.; 4) The Age Discrimination Act of 1975, as. amended (42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis
C6
,of:drug abuse; 6) Tlwe -Comprehensive :Al-cohol Abuse.and.Alcoholism Prevention, Treatment and
'
Rehabilitation Act of 1970 (PL 91-616), as amended, relating -to nondiscrimination on the basis of
alcohol abuse or a'lcohollsm; 7) The "Public .Health Service' Act of 19,12, ss. 523 and 527 {42 'USC
i
ss. )690dd-3 and 290ee-3), as amended, -,relating to confidentiality of alcohol and drug abuse
patient records,; 8) Title VIII of the -Civil .Rights Act -of 1968 (42 USC .s. et seq.), as amended,
:relating -.to nondiscrimination .in the sale,, rental or financing of .housing;; .9) The Americans with
—
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
j
Federal or state statutes which may apply to the: parties to, or the, subject matter of, this
i
Agreement.
AMENDMENTS, CHANGES, AND DISPUTES
19. MODIFICATIONS AND AMENDMENTS, Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first .meet ,and confer session, the issue or .issues shall be discussed at a
public meeting ..of the Boa rd,of -County'Cornmissloners..1f the issue or :issues are ,stidl not :resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
21. COOPERATION. In the event any ad'ministrati've or Fegal` proceed-i'ng is instituted"
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related. to, the. substance of
Contract -Heart of the Keys Recreation -FYI 7; page 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
ASSURANCES'
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has, any interest" and sha.il not. acgtalre any interest.. whieh••woul.d- confi•ict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. `NO ASSIGNMENT. The PROVIDER shall -not assign this agreement except.in writing
and with the .prior written .approval of the 'Board., which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
-incorporated .by reference .into ,any ,assignrnent sand :any assignee .shall comply with all of the
provisions '.herei-n. -finless -expressly. provided :for -therein, :such :approval shall ,in no man, ner or
event be deemed to impose any obligation upon the Board in addition to the total agreed upon
reimbursement amount for the services of the PROVIDER.
24. NON -WAIVER OF IM'MU'NITY. Notwithstanding the provisions of Sec. 768.28,.
Florida Statutes, the participation of the County and" the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool. coverage shall not be deemed a, waiver of immunity to the
extent of Rabi,lity coverage, nor shalF any contract entered, into by the County. be requiredto
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees to execute such documents as the County may
-reasonably require, to include a 'Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. .Each party .represents and warrants .to .the other that .the execution,
delivery :and performance of -this :Agreement have =been duly .authprized 'by .all necessary `County
and corporate action, as required by law.
INDEMNITY ISSUES
27. INDEMNIFICATION AND HOLD HARMLESS: The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (Including death.), personal. injury, and, property damage (including
property. owned.` by Monroe County) and any other losses., damages., andi expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28. PRIVILEGES AND IMMUNITIES. All of the .privileges and immunities from .liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other ,benefits which apply .to ttheactivity -of officers, agents, or employees of
.any public .agents -or e.moloyees of'the -County, .when :performing their respective'functions under
this .Agreement within the territorial limits of the. County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial [ImIts of the County.
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in, his or her individual. capacity, and no . member, officer, agent or employee of Monroe
Contract -Heart of the Keys Recreation-FY17; page 5
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30.. LEGAL OBLIGATIONS AND RESPONSIBILITIES. Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended'to, nor shalt' it be construed as, relieving any
participating entity from any obtigation or responsibility imposed upon the entity by raw except to
the extent of actual and timely performance thereof by any participating entity, in which. case, the
performance may, be offered In satisfaction. of the. obligation or.. responsibility. Further, this.
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the. County, except to the extent permitted by the Florida
constitution, state statute, and case. law.
31. NON-RiEiLIANCE BY NON-PARTIES. 'No person or entity shall 'be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or .benefit of .any service or program contemplated hereunder, and the County and
the PROV1,[7ER :agree that neither the 'County nor the PROVIDER eor :any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
GENERAL
32. Execution in Cbunterparts. This. Agreement may be, executed in any number of
counterparts, each "of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows.
For Board:
Grants Administrator and
1100 Simonton Street
Key. West, FL 33040
For PROVIDER
Anthony Culver, Executive Director
Reart.of the keys Recreation. Associations Inc.
810 33rd Street
P.O. Box 500836
Marathon, Florida 33050
305-743-4164
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
,applicable to contraitts.made and to-be� performed entirely i.n the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in. Monroe County,
Florida.
Contract -Heart of the Keys Recreation -FY1 7; page 6
The County and PROVIDER agree that, in the event of conflicting interpretations of the
terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER,, Any waiver of any breach of covenants herein contained. to be kept
and performed by the PROVIDED shalt not be deemed or considered as a continuing waiver and'
shall not operate. to bar or prevent. the. Board from declaring, a, forfeiture. for any succeeding
breach; either of the same conditions. or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions 0
and .provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this,Agreement shall be valid and shall be enforceable to the
fullest extent permitted by 'law unless the . enforcement of the 'remaining terms, .covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of tlis Agreement. The -County �and PROVIDER ,agree to •reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the r�
stricken provision.
37.. ENTIRE AGREEMENT. This agreement constitutes the, entire agreement of the
parties. hereto with respect to. the subject matter hereof ands supersedes any and all' prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Contract -Heart of the Keys Recreation-M7; page 7
E(s ue eea : LZZZ) C L u ' 'ne I C- - L L Lle s�(e e a :pee : ue u3e
'
M
C)
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
ATTEST: AMY HEAVIf; R, CLERK
By
Deputy Clerk
Con&act-Heart of the Keys Recreadon-M7, page 8
BOARD OF CO[tMY COMMISSIOWERS
OF MONROtE COUNTY, FLORIDA
BY.-
Mayor/Chairman
I leart of the Keys Recreation
Association, Inc.
(Federal ID No._�ri// )
sy
ecutive Director
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREKENTS
This document is Intended: to provide basic guidelines to Duman Service and Communrty-Eased;
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe, County business. These guidelines, as they relate to travel, are from the
Monroe County Code. of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
"I certify that the above c`hecks'have'been subrriitted'tothe vendors as noted and that the
a'ttadhed,expenses are.accurate and'in agreement with the records of :this organizatl.an,
furthermore, these expenses are 'in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will ,not .be submitted .for reimbursement to any other
funding source:"
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no: previous balances..
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The. Clerk's Finance Department reserves
the r'ght to review reimbursement requests; on an indi'vidual basis. Any questions regarding, these
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invflice-is'required for reimbursement. Inter -company allocations are not considered
:reirribur..sa'bie expenditures unless ,appropriate ,payro':ll journals for :the charging de, pai'tmerit are
attached and cerbfied.
'Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided,, the following. information must be provided: pay, period,. check
amount,. check number, date, payee., and support . for applicaVe paid payroll'. taxes..
Postage, Overnight Deliveries, Courier,. etc,
A log of all postage expenses, as they relate to the County contract i's, required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement'is required. Deposits and: advance ;payments are not
.alf.owz l.e expenses.
Reproductions, Coplies,,.etc.
A tog of copy expenses, -as they relate'to"the -County contract'is required for reimbur.-sement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services,etc.-
For supplies or services ordered, a vendor invoice is required.
Contract -Heart oFthe Keys Recreation-FY17; page 9,
Telefax, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the destination. Airport parking during a business
trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading
'
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airport
for a business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
j
Non -allowable Expenses
i
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -Heart of the Keys Recreation-FY17; page 10
ATTACHMENT B
ORGANIZATION.
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
5€30. Whitehead, Street
Key West, FL 33040
Date
Tbe,:foYiawing is a °summary ,of the expenses for (grganization name) for the time ..period
Of to
cheek # 'Payee
'Reasoln
Amount
1.01
Company A
Rent
$ X,XXX.XX
102
Company B
Utilities
XXX.XX
104
Employee A
P/R ending 05/14/01
XXX.XX
IOS.
Employee 5) ,
P/R ending 05/28/01
XXX.XX
(A) Total
(B)Tbtab' is ilor payments $; XAXXX.XX
(C) Total requested and paid (A + B) $ X,XXX.XX
(D) Total contract amount $ X,XXX.XX
Balance of contract (D-C) $ X,XXX.XX
.i -�cerbfytttat t'he ;a'bove dfiedkshave been sdbrnitted to ,the vend -ors as rated -and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of-CourityCoin missioners and will not'be.submitted-fonreinibwrsement-to any other fund ing
source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of
who is personally known to me.
Notary -Public Notary Stamp
Contract -Heart of the Keys Recreation -FYI 7; page II
20_ by,
ATTACHMENT C
Services to be provided:
elnsert~ aF description of your orgarozation including a fist of the, services that wilt be provided by
your organization under this contract. j
Services to be provided:
Organization's Name.- Heart of ,the Xeys ;Recreation Association, Inc. aka ,
'Marathon Recreation Center
Executive Director; Anthony Culver
,L*catiiam 810.3314 Street aGuif.Maratbon, FL 33050
(305) 743-4164 marathonreccenter@comcast.net
Ages of children served. & yrs. To 18 yrs. oi`d'
Days of Operations. 3pm - G. pm, or 11:30, am - S pm (Early Release Days)
8.arn..- 5 ;pm & 7-10°pm svm.mer!program Jhours 04
04
Various times far ,ofher.prog�ra,ms ,& a. bWties
The Marathon Recreation Center is a 501c ( 3 ) non-profit organization that provides a safe and
drug free environment for the youth of the Middle Keys. The services, provided, under this contract
are listed below: In
2
Afterschooa pvograms
Homework Assistance & Academic Improvement Programs
Basketball games.&Win_§trvcflon
Volleyball games & instruction
Flag .Football games .& instruction
Kickball ;games :&,inst�ru�cti�on
Dodgeball games & instruction
Book Club & Spelling Bees
Board Gaines & Other Recreationak Activities
Billiards/Pool
Table Hockey
Ping Hong
Shuffleboard.
Horseshoe Gaines
Playstation Video Games
Arts-n-Crafts
fashion & Design Club
Movies
Cheer & 3Dance ". Rerfortrn a;nce '.Team
Theme Dances for Teems
Fun Nigbt Ev nts ,For Elernentary Ages
.Educational R-RecreaVonal ,geld T;Vs
Talent Show
Fashion Show
Dance Fitness Class
Adult Aerobics
Community Meetings & Events ke; Karathon Youth 0ulb Functions, Red( Cross, K.HS Cvubs &
Fundralsing Events
Volun,teer,Wg,•forF Com,m,unity Rrajects,& Everifis ie; Rellayv For Life, etc.
Contract -Heart of the Keys Recreation -FYI 7; page 12
ATTACHMENT D
PUBLIC ENTITY CRIME STATEMENT
"A person; or affiliate who has been placed on the convicted vendor list fallowing; a, conviction for public
entity crime may not submit a bid' orr a contract to provide any goods or services to a public entity;
may not submit a bidon a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public: entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a• contract wiM
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided .in Section 287.017, .for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor.list." //��
A ahave read 'the above -and state 'that neither orA J �/ 2espondent's name} nor
any Affiliate has been placed on the convicted vendor list within t a last 36 months.
/ I ///, 15,1e
( ' ature}
Date: �Vz /
STATE OF: rL-
COUNTY OF: , I r C�(,e.,---
Subscribed and Sw rn to (o-affirmed) fare me on
(date) ;by 1i (.( V :(name of affaan#). He he is ers
known or has produced (type of identification) as
identification.
NOTARY PUBLIC
My Comm ssibrr Expires:
" ZORAIDAC.BAN
MY COMMISSION # FF 955314
EXPIRES: May 6, 2020
Bonded 7hm Notary Public Underwriters
Contract -Heart of the Keys-4Recreation--FYi•7; page 13
ETHICS, CLAUSE
ATTACHMENT E
SWORN aTATIEWilff UNDER ORDINANCE NO. 010-1,990
MONROE° COUNTY, FLGMGA. .
(Company)
"...warrants :that helif.'ias .not employed, -retained of otberwiSe rbad -act ors his1her behaif any -former
-Comity dfficer ,or employee Jn violation -of SeG ion, 2 .or any Cow4 officer
or employee in Violation of Sedflon 3 of Ordinance 'No. 010-1990. For breach or violation of this
provision the County may, :in its'discreflon,"terminate`this Agreement without°iis�bility and may also, in
its discretic;~r�, dedt t._Y,rom:Ibe Air�eernent ar purchase VAce, or -otherwise m=ver,,the,Mi amunt of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
(S' nature)
Date:
STATE OF: F11
OOU-M Y OF: _)'Y)� rn:r: .,.,_
Subscribed,and.sworn to �or.af#irmed) b f r r ae<on
(date) by `k'y Qy1 v (name of affiant)oShe ispersonaV
known e-or as produced (type of
identificationX as i&nfiffcation,
NOTARY PUBLIC
lily 'Garninlission-'Expires:
ZORAIDA C. BAN
.:
MY COMMISSION # FF 955314
i y ?off'
%;off Ft�; •• Bonded
EXPIRES: May 6, 242t)
Thru Notary Public Underwriters
Contract -Heart of the Keys Recrea tion -FY1 7; page 14
ATTACHMENT F
DRUG -FREE WORKPLACE FORM
The undersigned: vendor in accordance with, Florida Stafote W-W -hereby ceffifes that
(Name of Busines*
1.
publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions .that wail be taken ;against employees .for violations of such prohibition.
'lnfarm
2.
employees a'bo.ut 1be dangers of drug ,ab.use'in the..workp'lace, -the ;business' .po9icy of
m.aintaWnga-dwg:framewDrkplace,:;any.avallEi le.or'tgcounseYing,,,reTvd Pita , andemployee
tm
assistance programs, and the penalties' that may be imposed upon employees for drug abuse
violations.
Z.
Give each envioyee engaged '�a vmvWkig . the tamnx>d or contractuai services that .afe
under bid a copy of the statement specified in subsection (1).
4.
In the statement specified in subsection (1), notify the employees that, as a condition of
Cq
working on the commodities or contractual services that are under bid, the em. - ployee, wilt abide
by the, terms of' the..stato,ment and, wilt, notify -the empl6yer ofany conviction of., or plea of -guilty
or noln, conten dore.- to, any molefffrrno of Chzpter. 893 (FIbrida. Statutes) or of any, contmiled-
g
substance law of the United States or any state, for a violation occurring in the workplace no
Fa telr thsn five (5days: after such convictiovv. .
S.
Impose a sanction~ on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6.
Make a :good faith effort to.continue to maintain a dnlg-free workplace through implementation
of:1hls secrtonl.
As the ;person :autharized io sign the -,statement, J zerfify that is firm complies fully with the above
.,'requirements.
(S' nature
Dafe: C7 Z, 7 e
STATE -OR �L
COUNTY OF:
Sub -scribed and sworn to .(,or .affirmed) -before me on -- "�v � {date) by
Game of a#fraa#). ,ale/ he .Js .ycracvr:--nee
r "has , o uced ( dedfficabon) .as
'identification. _.
ZOFtAIDA C. BAN K _
MY COMMISSION # FF 955314
EXPIRES: May6, 020 x C[)Ck�CT}ission Expires:
Bonded ?hru Notary Public Underwdters
Contract -Heart of We Keys Recreation -FYI 7, page 15
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges, etc):
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
Contract -Heart of the Keys Recreation-FY17; page 16
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -Heart of the Keys Recreation-FY17; page 17
AGREEMENT
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Hospice of Florida Keys, Inc, hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
home health and hospice care services, and
WHEREAS, it is a legitimate public purpose to provide facilities and services related to
home health and hospice care, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER substantially
and satisfactorily performing and carrying out the duties of the Board as to providing facilities and
services for home health and hospice care for disadvantaged and medically -needy persons living
in Monroe County, Florida, shall pay to the PROVIDER the ourn of ONE HUNDRED NINETY
THOUSAND AND NO/108 DOLLARS ($190,000.00) for fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein,
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly, as
hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements, Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement,
4~ AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement ofexpenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
5' CLAIMS FOR FEDERAL OR STATE AID' PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose ofthis Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract -Hospice mwA-Fv 7; page ,
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements,
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreennant. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant tothis Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.83, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board ofAccountancy, and maintain malpractice
~�
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American Institute of
Certified Public Accountant (AlCR4). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters orother materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish tothe
County the following (items A-] must be provided prior to the payment of any invoices):
(a) IRS Letter ofDetermination and GUIDESTAR printout indicating current501(u)f3) status;
(b) Proof of registration with the Florida Department of Agriculture an required
'` by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof ofexemption from registration as per Florida Stature 496.406.
(c) List of the DrQanization!s Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150,000 a year or more; if qualified, include a statement of
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA):
a. The CPA must have acurrent license, in good standing with the
`Florida
State Board mfAccountancy;
b. The CPA must be a member of the American Institute of Certified Public
Accountant(AICPA);
o. The CPA must maintain malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" ofsaid audit,"
(f) Copy of filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Orgoo|zation's Corporate Bylaws, which must include the organization's mission, board and
membership composition, and process for election of officers;
Contract -Hospice vmmfr�page o
(M) Organization"s Policies and Procedures Manual which must include hiring policies for all
staff, drug and alcohol free workplace provisions, and equal employment opportunity
provisions;
(j) Specific description or list of services to be provided under this contract with this grant
(see Attachment [);
A\ Annual Performance Report describing services rendered during the most recently
completed grant period (to be furnished within 30 days after the contract end date.) The
performance report shall include statistical information regarding the types and
frequencies of services provided, a profile of clients (including residency) and numbers
served, and outcomes achieved (see Attachment G);
(k) Cooperation with County monitoring visits that the County may request during the contract
year|and
(|) other reasonable reports and information related to compliance with applicable laws,
contract provisions and the scope of services that the County may request during the
contract year,
RESPONSIBILITIES
10. SCOPE OF SERVICES. The PROVIDER, for the consideration named, covenants and
agrees with the Board tosubstantially and satisfactorily perform and provide the services outlined
in Attachment Cto residents of Monroe County, Florida.
11' ATT0RNEY'S FEES AND COSTS- The County and PROVIDER agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasoneb|eattorney's fees, court costs, investigative, and out-of-pocket expenses, as an award
against the non -prevailing party, and shall include attnrney\sfees, courts costs, investigative, and
out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
12. BINDING EFFECT. The terms, covenants, conditions, and provisions of this
Agreement shall bind and |muns to the benefit of the County and PROVIDER and their respective
legal representatives, successors, and assigns.
13. CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards ofconduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse ofpublic position, conflicting employment or contractual relationship; and disclosure or
use mfcertain information.
14. NO SOLICITA]][ON/PAYMEyA7. The County and PROVIDER warrant that, in respect
to itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gift, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the broach or
violation of the provision, the PROVIDER agrees that the County shall have the right to terminate
this Agreement without liability and/ at its discretion, to offset from nnVoieo owed, or otherwise
recover, the full amount of such fee, commission, percentage, gift, or consideration.
15' INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
PROVIDER is an independent contractor and not an employee of the Board. No statement
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board.
Contract -Hospice umA-Fr/7;page o
COMPLIANCE ISSUES
16. COMPLIANCE WITH LAW. In providing all services pursuant tnthis agreement, the
PROVIDER shall abide by all statutes, ordinances rules and regulations pertaining tnVrregulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ordinances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice oftermination tVthe PROVIDER.
17. PROFESSIONAL RESPONSIBILITY AND LICENSING. The PROVIDER shall assure
that all professionals have current and appropriate professional licenses and professional liability
insurance covrnsge. Funding by the Board iscontingent upon retention of appropriate local, state
and/or federal certification and/or |irensure of the PROVIDER'S program and staff.
18. NON-DISCRIMINATION. County and PROVIDER agree that there will be no
discrimination against any person, and it is expressly understood that upon a determination by
court of competent jurisdiction that discrimination has occurred, this Agreement automatically
terminates without any further action on the part of any party, effective the date of the court
order. County or PROVIDER agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiacrirnination. These include but are not limited to: 1}
Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of
race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20
USC sa. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794)/ which prohibits
discrimination on the basis of handicaps; 4)The Age Discrimination Act of 1975, as amended (42
UBC se. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL92-255), as amended, relating to nondiscrimination on the b/'-in
of drug abuse; G) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment -d
Rehabilitation Act of 1970 (PLg1-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7\ The Public Health Service Act of 1912, oa. 523 and 527 {42 U-xC
ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; B) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended,
�,
relating to nondiscrimination in the sale, rental or financing of housing; g) The Americans with
�
Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to
nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any
Federal or state statutes which may apply to the parties to/ or the subject matter of, this
Agreement.
19. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must he
approved in vvr|t|mg by the County.
20. AD3U0ICATION OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement orbyFlorida law.
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related tmthe substance of
Contract-Hospicevnm-Fr 7;pmoe 4
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party tothis Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
22. COVENANT OF NO INTEREST' County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement.
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition tothe total agreed upon
reimbursement amount for the services of the PROVIDER,
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and the
acquisition of any commercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver ofimmunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATIONS. PROVIDER agrees toexecute such documents anthe County may
reasonably require, to include Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement,
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
INDEMNITY ISSUES
27- INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board ofCounty Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expanses (including
attnrney'o fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negligence, errors/ or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers.
28, PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits Vfthe County,
29. NO PERSONAL LIABILITY. No covenant oragreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent oremployee of Monroe
Contract -Hospice Nvn-FY�page o
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30' LEGAL OBLIGATIONS AND RESPOKNS1132LITIES: Non -Delegation nfConstitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which cane the
performance may be offered in satisfaction of the obligation or respVns|bi|ity. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31. NON -RELIANCE BY NON-PARTIES. No person orentity shall be entitled to re'
�
upon the terms of this Agreement ho �n5urce ur attempt to enforce any third -party c|a|nn o
entitlement to orbenefit nfany service orprogram contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee ufeither shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
R F-�� F..��
32. Execution in Counterparts. This
counterparts, each of which shall be regarded
constitute one and the same instrument and
Agreement bysigning any such counterpart.
Agreement may be executed in any number of
s an original, all of which taken together shall
any of the parties hereto may execute this
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered ormailed, postage pre -paid, by certified mail, return receipt requested, tothe
other party osfollows:
For Board:
Grants Administrator and
11OOSimonton Street
Key West, FL33O4O
For PROVIDER
Gayle Mattson, President
Hospice ofthe Florida Keys, Inc.
1319 VViQiarn St.
Key West, FL 33040
305-294'8812
305-294-9348FAX
Monroe County Attorney
PO Box 1026
Key West, FL 33041
34. GOVERNING LAW, VENUE/ INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the |ovvs of the State of Florida
applicable tocontracts made and tobeperformed entirely inthe State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Contract -Hospice wwofY/7;page m
The County and PROVIDER agree that, in the event of conflicting interpretations of the
tanne or e term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver ofany breach of covenants herein contained to be kept
and performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either ofthe same conditions Vrcovenants orotherwise.
36. SEVERABILITY. If any hamn, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court nfcompetent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement Sho|| be valid and shall be enforceable to the
fullest extent permitted by |avv unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original
intent of this Agreement, The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision.
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
[THIS SPACE INTENTIONALLY UEFTBLANK WITH SIGNATORY PAGE 7DFOLLOW]
Contract-Hospicemww�I 7,'page r
IN WUNESS WHEREOF, the parties hereto have caused these presents to be executed as
of - day and year first written above.
By
Deputy Clerk
Witness
.wn
Witne55
Ra.
Mayor/Chairman
jt)
Fit Al ITT01 N
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expenses
associated with Monroe County business. These guidelines, asthey relate to travel, are from the
Monroe County Code of Ordinances and State laws and regulations.
Acover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the following notarized certified statement:
°I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization,
Furthermore, these expenses are in compliance with this organ|zation'scontract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
Invoices nhum|d be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should badirected to3O5-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If
a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount,
If Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement
For overnight Vrexpress deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the dote, number ofcopies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be aUovvab|e. For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Hospice mv^-Fw7,page 9
Te|efam, Fax, etc.
A fax log is required. The log must define the sender/ the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including- the Party called, the caller, the
telephone number, the date, and the purpose ofthe call.
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must besubmitted and will be paid in accordance with
Monroe County Code of Ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. Ifattending a conference ormeeting, acopy
of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of
the a|r||netickct. Atrave| itinerary in appreciated to facilitate the audit trail, Auto rental
reimbursement requires the vendor invoice. Fuel purchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
tax! from one's residence to the airport for a business trip is not reimbursable. Parking is
considered a reimbursable travel expense at the dasdnodon. Airport parking during a business
~�
trip is not.
U)
X
A detailed list of charges is required on the lodging invoice, Balance due must be zero. Room
must be registered and paid for by traveler. The County will only reimburse the actual room and
N
related bed tax. Room service, movies, and personal telephone calls are not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI TRAVEL PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances, An odometer reading
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to o point of departure. For example, driving from one's home to the airport
for business trip is not a reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XX0, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY ofthe Monroe County Code ofOrdinances, Meal guidelines state
that travel must begin prior to O a.m. for breakfast reimbursement, before noon and end after 2
p.m. for lunch reimbursement, and before 6 p.m. and end after p.m. for dinner reimbursement,
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included |nthe contrac±),contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
ContractHospicemvA-FY 7;nuge 10
ATTACHMENT C
Services to be provided:
(Insert a description of your organization including a list of the services that will be provided by
your organization under this contract.)
1. Description of your organization: The mission of Visiting Nurse Association and Hospice of the Florida Keys
(VNA/Hospice) is Honoring life by providing comfort, care and compassion to those we serve. VNA/Hospice
provides home health and hospice care to all residents in Monroe County who need our services, including those
who are unable to pay all or some of the charges for that care. For 32 years, VNA/Hospice has continued its
mission of providing a full range of nursing and health care services to patients and families who are recovering at
home from serious illness or injury struggling to remain in their homes as their physical capacities diminish, those
who are dealing with a chronic, life -altering disease, or those who are in the final stages of a life limiting illness.
List the services your agency provides:
This organization provides a comprehensive range of home health and hospice services including: skilled/
intermittent nursing care, wound care, palliative care, physical /occupational/speech therapies, dietary
consultation, case management, routine home care, continuous home care, inpatient general hospice care,
inpatient respite hospice care, bereavement services, physician consultation and management in hospice and
palliative care programs, social work/counseling services, spiritual care services, volunteer services, medical
response system rentals, community -based programs such as influenza vaccination, support groups, health
education and monitoring.
3. What specific services will. be funded by this request?
The funding amount requested represents approximately a combined 10 percent of the wage expense for nursing,
physical and occupational therapy and social work staff who provide direct care to patients. It also includes 10
percent of our professionally contracted medical director and physicians. All services to be funded are those
related directly to patient care such as home health, palliative, and hospice services provided to medically needy
patients requiring professional nursing, rehabilitation, psychosocial and spiritual care. It would also include
medical equipment and supplies, unreimbursed pharmacy expenses, ambulatory expenses, and non -reimbursable
community educational programs such as our bereavement and cancer support groups and our unfunded annual
memorial ceremonies held throughout Monroe County.
Contract -Hospice VNA-FY17,,page 12
ATTACHMENT
"4person oraffiliate who has been placed nnthe convicted vendor list following aconviction for public
entity odn0e may not submit e bid on a contract to provide any goods nrservices @m a public entitv,
may not submit a bid on a contract with a public entity for the construction or repair of public building
nrpublic work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, suboontnentVr, or CONTRACTOR under e contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed Vnthe convicted vendor |iet."
| have read the above and state that neither nUamte nenneA nor
any Affiliate has been placed on the convicted vendor�sk within the last �-6- onths.
STATE OF: rlcf) da
COUNTY OF:
Subscribed and sworn,to (or affirmed) b O(Cefore me on
Q(name of affiant), He/She is ulouliclity
rknown to me or has produced (type of identifica ion as
identification,
Q11,
*0-TARY PUBLIC
13-
Contmct-Haspice VNA-FY17,, page
0-1991
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
ATTACHMENT E
"...warrants Ulathe/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990, For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its dinnretinn, deduct from the Agreement or purchase prioa, or otherwise nanowar, the full amount of
any fae, nommission, perconhaga, gift, or consideration paid to the former CnoDtv officer or
employee,"
STATE OF:-.,
COUNTY OF.
Subscribed and sworn to (or affirmed) before me on
(date) by (name of affiant), He/She(rs-`personally
(��wno me or has produced (type of
kdentifioatorAa9identification.
Bcf*d TWM* NO" Wary Assn,
of
j MY Comm. Expires Oct 26, 2018
, Lfe, erw
Contract -Hospice wNAf,7; page 14
NOR
MyCommission Expires: �
ATTACHMENT
The undersigned vendor iDaccordance with Florida Statute 287.087hereby certifies that:
(Name of Business)
1. Publish 8 statement notifying employees that the unlawful 0BnVfantune. UistribuUoR,
dispeQoiOQ, possession, or use ofocontrolled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
Z Inform employees about the dangers of drug abuse in the vvorkp|aoe, the business' policy of
maintaining drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
1 Give each employee engaged in providing the commodities or contractual services that are
under bid ocopy ofthe statement specified insubsection /1\
4. In the statement specified in subsection (1)` notify the employees that, as 8 condition Of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or no|o oonteodeRa to. any violation of Chapter 893 (Florida Statutes) or of any controlled
substance |avv of the United States or any state, for a violation occurring in the workplace no
later than five (5)days after such conviction.
5 |rnpuae a sanction on, Vrrequire the satisfactory participation in o drug abuse assistance or
rehabilitation program if such is available in the employee's omrn0unity, or any employee who
iSsoconvicted.
0. Make good faith effort to continue tomaintain adrug-free workplace through implementation
of this section.
As the person authorized to sign the statement, | certify that this firm complies fully with the above
STATE OF: _EaLh
COUNTY OF:
to (o affirmed) before me on d010 (d2te) by
Sub ribe,',, and, r-TorN
or h— ,r------ \ty��\ o/ /uenumoamory asidentification.
Ole
MY CommExpires Oct 26, 2018
W Publi c . State "' FIOJA
ary Public - State al Florida
Comract-mospmemNA~FYI 7; page 15
NOTARY PUBLIC
~
My Commission Expires:Ja-Ade-
ATTACHMENT G
FY17 Annual Performance Report
(For year October 1, 2016 — September 30, 2017)
Per Section 9 of your contract, it is required that you fill out the entire form and answer every
question.
Narrative on the FY17 Performance (i.e. successes, challenges, etc):
Questions:
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY17; and/or 200%; and/or another standard used by your organization?
4. Were all the awarded funds used in FY17? If not, please explain.
Contract -Hospice VNA-FY17; page 16
5. What is the number of FTEs working on the program(s) funded by the award in FY17?
6. Were the awarded funds used as match in FY17? If so, please list matching sources.
7. What area of Monroe County did you serve in FY17?
8. How many total FTEs in your organization?
9. Volunteers: hours of program service were contributed by volunteers in FY17.
10. What was the CEO/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
11. What is your organization's fiscal year?
For the following questions, please use the number as reported on your FY17 IRS Form 990. If
your FY17 IRS Form 990 is not yet prepared, please estimate for now, and re -submit revised when
you have the final numbers.
12. What were your organization's total expenses in FY17?
13. What was your organization's total revenue in FY17?
14. What was the organization's total in grants and contracts for FY17?
15. What was the organization's total donations and in -kind (fundraising) in FY17?
16. What percentage of your expenses are program service expenses versus management and general
expenses in FY17 as reported on your IRS Form 990?
(Program service expenses are defined as expenses needed to run your programs. Management and
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -Hospice VNA-FY17; page 17
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Independence Cay, Inc., hereinafter referred to as "PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of a
community soup kitchen, transitional housing program and referrals to support services in Monroe
County, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for a
community soup kitchen, transitional housing program and referrals to support services, now,
therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER
substantially and satisfactorily performing and carrying out the duties of the Board as to providing
facilities and services related to provision of a community soup kitchen, transitional housing
program and referrals to support services for homeless persons in Monroe County, Florida, shall
pay to the PROVIDER the sum of THIRTY THOUSAND AND NO/100 DOLLARS ($30,000.00) for
fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be made periodically, but no more frequently than monthly,
as hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
teriiiiiisatio,ii date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbu�rsement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expense
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER, The Board shall not be obligated to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
5. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further
Contract -Independence Cay-FYI 7; page I
purpose of this Agreement, provided that all applications, requests, grant proposals, and funding
sol�icitations shall be approved by each party prior to submission.
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall bro
accounted for pursuant to statutory requirements.
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
W
termination of this Agreement, If an auditor employed by the County or Clerk determines that E
a)
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by (Y
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 5�5.03, FS, running from the date the monies were paid to PROVIDER. 0
U)
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
I -
audit shall be prepared by an independent certified: public accountant (CPA) with a current N
04
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. if the PROVIDER receives $100,000 or more in
grant funding from the County, the CPA must also be a member of the American: Institute of 9
ti
CD
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
said audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement u!pon violation of this provision by PROVIDER.
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florida
Statute 496.405 and the Florida Department of State as require by Florida Statute
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for each
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for all
organizations that expend $150i,000 a year or more; if qualified, include a statement ol'
deficiencies with corrective actions reco rn mend ed/ta ken;
1. If the PROVIDER receives $100,000 or more in grant funding from the County
an audit shall be prepared by an independent certified public accountant (CPA)*
a. The CPA must have a current license, in good standing with the Florida
State Board of Accountancy;
b. The CPA must be a member of the American Institute of Certified Publiq
Accountant (AICPA);
c. The CPA must mainta,in malpractice insurance covering the audit services
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules'.
Contract-Independeme Cay-FYI 7,* page 2
'S
4EGOIX4K
contained in this agreement shall be construed so as to find the PROVIDER or any of its
employees, contractors, servants or agents to be employees of the Board,
16. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
PROVIDER shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision of such services, including those now in effect and hereinafter adopted. Any
violation of said statutes, ord�inances, rules and regulations shall constitute a material breach of
this agreement and shall entitle the Board to terminate this contract immediately upon delivery of
written notice of termination to the PROVIDE*It.
i U i
19. iTiODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be accomplished by an amendment, which must be
approved in writing by the County.
20. ADJUDICATION! OF DISPUTES OR DISAGREEMENTS. County and PROVIDER
agree that all disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If no resolution can be agreed upon
within 30 days after the first meet and confer session, the issue or issues shall be discussed at a
public meeting of the Board of County Commissioners. If the issue or issues are still not resolved
to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law.
Contract -Independence Cay-FY17, page 4
21. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and PROVIDER agree to participate, to the extent required by the other party,
in all proceedings, hearings, processes, meetings, and other activities related to the substance of
this Agreement or provision of the services under this Agreement. County and PROVIDER
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
22. COVENANT OF NO INTEREST. County and PROVIDER covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any manner
or degree with its performance under this Agreement, and that only interest of each is to perform
and receive benefits as recited in this Agreement,
E
23. NO ASSIGNMENT. The PROVIDER shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such <
conditions and provisions as the Board may deem necessary, This agreement shall be 0
U)
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein, Unless expressly provided for therein, such approval sha!ll in no manner or
I
event be deemed to impose any obligation upon the Board in addition to the total agreed upon N
N
reimbursement amount for the services of the PROVIDER. Ll�
24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the PROVIDER in this Agreement and thie
acquisition of' any commercial liability insurance coverage, self-insurance coverage, or local
government liaibility 'insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
25. ATTESTATION& PROVIDER agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace Statement.
26. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
27. INDEMNIFICATION AND HOLD HARMLESS. The PROVIDER covenants and agrees
to indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
PROVIDER occasioned by the negiligence, errors, or other wrongful act or omission of the
PROVIDER'S employees, agents, or volunteers,
28. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
any public agents or employees of the County, when performi�ng their respective functions under
this Agreement within the territorial limits of the County shall apply to the same degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
Contract -Independence Cay-FY17, page 5
29. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personal�ly on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
30. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional
or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility Imposed upon the entity by law except to
the extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
31:. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely
upon the terms of this Agreement to enforce or attempt to enforce any third -party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and
the PROVIDER agree that neither the County nor the PROVIDER or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise Indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated In this Agreement.
Rl�-' IMIT,
32. Execution in Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this
Agreement by signing any such counterpart.
33. NOTICE. Any notice required or permitted under this agreement shall be in writing
and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the
other party as follows:
Fqr Board.
Grants Administrator and
1100 Simonton Street
Key West, FL 33040
For PROVIDER
Marjorie Roberts, Executive Director
Independence Cay, Inc.
1:669 Overseas Highway
PO BOX 500286
Marathon, FL 33050
305-393-6621 PHONE
305-743-6523 FAX
P . 0 - Box 10267
Key West, FL 33041
34. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES. This
Agreement shall be governed by and construed in accordance with the laws of the State of Florida
appilicable to contracts made and to be performed entirely in the State,
In th e event that any cause of action or administrative proceeding is instituted for thg-
,nnforcement or interpretation of this Agreement, the County and PROVIDER agree that venue will
Contract -independence Cay-FY1 7: page 6
lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
The County and PROVIDER agree that, in the event of conflicting interpretations of th,-.
terms or a term of this Agreement by or between any of them the issue shall be submitted t*
mediation prior to the institution of any other administrative or legal proceeding.
35. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept
Rnd performed by the PROVIDER shall not be deemed or considered as a continuing waiver and
,,lhall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding
breach, either of the same conditions or covenants or otherwise.
36. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or
the application thereof to any circumstance or person) shall be declared invalid or unenforceable
to any extent by a court of competent jurisdiction, the remaining terms, coveriants, conditions E
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the
fullest extent permitted by law unless the enforcement of the remaining terms, covenants, 0
conditions and provisions of this Agreement would prevent the accomplishment of' the original U)
intent of this Agreement, The County and PROVIDER agree to reform the Agreement to replace
any stricken provision with a valid provision that comes as close as possible to the intent of the N
N
stricken provision. N
37. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
agreements with respect to such subject matter between the PROVIDER and the Board.
Contract -independence Cay-FYI 7,, page 7
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
Z-B
-7XZZ5"
Witness
IS230=
(Federal ID
sy
Y I Executive Director
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service and Community -Based
Organizations, county travelers, and contractual parties who have reimbursable expense,%
associated with Monroe County business. These guidelines, as they relate to travel, are from th;
Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense
request needs to also contain the foto notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the; records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the Monroe
County Board of County Commissioners and will not be submitted for reimbursement to any other
funding source."
invoices should be billed to the contracting agency, Third party payments will not be considere
for reimbursement. Remember, the expense should be paid prior to requesting a reirribursernel
Reimbursement requests will be monitored in accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any q�uestions regarding thec4
guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter -company allocations are not considered
reimbursable expenditures unless appropriate payroll journals for the charging department are
att�.�cied and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is needed. if
a Payroll Journal is provided, it shou:ld i'nclude; dates, employee name, salary or hourly rate, total
hours worked, withholding information and paid payroll taxes, check number and check amount.
If a Payroll Journal is not provided, the following information must be provided: pay period, check
amount, check number, date, payee, and support for applicable paid payroll taxes.
Postage, overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for reimbursement.
For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are not
allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement. The
log must define the date, number of copies made, source document, purpose, and recipient. A
reasonable fee for copy expenses will be allowable, For vendor services, the vendor invoice and a
sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Contract -Independence Cay-FYI 7; page 9
'ref, Fax, etc.
A fax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller, the
telephone number, the date, and the purpose of the call.
Travel and Meat Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses. Travel reimbursement requests must be su;bmitted and will be paid in accordance with
Monroe County Code of ordinances and State laws and regulations. Credit card statements are
not acceptable documentation for reimbursement. If attending a conference or meeting, a copy
of the agenda is needed. Airfare reimbursement requires the originial passenger receipt portion of
W
the airline ticket. A travel itinerary is aippreciated to facilitate the audit trail. Auto rental E
W
reimbursement requires the vendor invoice. Fuel pu:rchases should be documented with paid
receipts. Taxis are not reimbursed if taken to arrive at a departure poiint: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable. Parking is 0
considered a reimbursable travel expense at the destination. Airport parking during a business U)
trip is not.
N
N
A detailed list of charges is required on the lodging invoice, Balance due must be zero. Room N
must be registered and paid for by traveler. The County will only reimburse the actual room and M
related bed tax, Room service, movies, and personal telephone calls are not allowable expenses. 9
CD
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer readin
must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a
residence or office to a point of departure. For example, driving from one's home to the airpo
for a business trip is not a reimbursable expense. I
Meat reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM,
MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state
that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2
p.m;. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures (unless
specifically included in the contract), contributions, depreciation expenses (unless specifically
included in the contract), entertainment expenses, fundraising, non -sufficient check charges,
penalties and fines.
Contract -independence Cay-FYI 7, page 10
r-kVI*ITQ-fq-TI 1111111'1111W�
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
f 4
The following is a summary of the expenses for (Organization name) for the time period
of to
Check #
Payee
Reason
Amount
101
Company A
Rent
$ X'XXXm
102
Company B
Utilities
XXX.XX
104
Employee A
P/R ending 05/14/01
XXX.XX
105
Employee B
P/R ending 05/28/01
XXX.XX
(A)
Total
$ XIXXXM
(13) Total prior payments $ X'XXX.XX
(C) Total requested and paid (A + B) $ X'XXX.XX
(D) Total contract amount $ X'XXX.XX
Balance of contract (D-C) IAAM
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furthermore,
these expenses are in compliance with this organization's contract with the Monroe County Board
of County Commissioners and will not be submitted for reimbursement to any other funding
source.
Sworn to and subscribed before me this
who is personally known to me.
day of 20 by
IZHrj6-=
Contract -Independence Gay -FYI 7; page 11
List the services your agency provides.
FTITM
SOUP KITCHEN - A nutritious meal for 40-50 people per day, seven days per week. This midday
meal consists of a hot entree, fruit, vegetable, dessert and a drink.
LAUNDRY - Laundry facilities and soap are available daily. Laundry services are utilized by 8-12
homeless people per day and are also available to the men living in transitional housing.
SHOWERS - Shower facilities are available daily along with hygiene items. Showers are utilized
by 10-14 people per day.
DAY CENTER - Case management needs are identified at transitional housing or the soup
kitchen and then addressed through KAIR/Independence Cay volunteers and staff.
INCELEMENT WEATHER SHELTER - Night time shelter is available to all who request during
severe weather.
COMMUNITY GARDEN - The homeless who come to Independence Cay are encouraged to work
in the garden which encourages ownership and a sense of accomplishment and the satisfaction
of contributing to the soup kitchen.
Contract Independence Cay-PY'16; page 12
"A person or affiliate who has been placed on the convicted vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity,
may not subm,it a bid on a contract with a public entity for the construction or repair of a public building
or public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with
any public entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of
being placed on the convicted vendor liisit."
name) noi
I have read the above and state that neither (Respond
2ny Affiliate has been pilaced on the convicted ve6 dor)list within the last 36 months.
/--7
17V
141
(Signaitur',e)
Date:
STATE OF:
COUNTY OF: D"I
Subscribed and sworn to (or affirmed) before me on --
L
(date) by
known to me or has produced
identification.
REBECCA - KING
Notary Public - State
of Florida
ida
Commission #FF955530
MY Commission Expires
January 20, 2020
of affiant). He/She is personally
(type of identification) as
NOTARYT' EILIC
11-1 1
zpzgm��=
Contract -independence Cay-FYI 7, page 13
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
W
2=0
r_11V1ff—KXq-1TF4-TW
il
. ..warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former
County officer or: employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee In violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County officer or
employee."
/� Al
v/� '4101
(Sign qfu re.
Date:
----- ---- -- T—
STATE OF: F�-
COUNTY OF: �/61 61�'l "--e-
Subscribed and swornaffi to (or rmed) before me on c-to -, Q ,, 3 o L . .. ..... . ... ..
(date) by L f-__f S (name of affiant). He/She is personally
known tome or has produced (type of
identification) as identification.
AYP�REBECCA J. KING
A Notary
otary Pubft - State of Flori�a
Commission #FF955530
-
my Commission Expires
f January 28,2020
-
Contract-independence Cay-FY1 7; page 14
r 4,, i .9jillp, 22, 7 'at re v ce
111, M. go, W-0 a .3 =
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
(Signature)
Date:
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me on (date) by
or has roduced
-z (name of affiant). He/She is personally known to me
ftype of identification) as
17)
identification. 17
REBECCA J. KING
NOT
:it:. Notary Public - State of Florida PUBLI I
Commission #FF955530
My Commission Expires
My Commission Expires:
January 28, 2020
Contract -Independence Cay-FYI 7; page 15
ATTACHMENT G
Grant Amount
Per Section 9 of your contract, it is required that you fill out the entire for and answer every
question.
Narrative on the FY1 7 Performance (i.e .._successes. challenges, etch:
C Lyestions.
-
1. Please list services and client information below for the program/activities funded by the Monroe
County award.
M ti%in ra" �mjtj ��
-N,
'ioki
now
g "7 ON 77"'777
2. What were the measurable outcomes (including numbers) accomplished in FY17? Please base
these outcomes on the services you identified in Question #1.
3. What number and percentage of your clients/participants were at or below the federal poverty level
in FY1 7; and/or 200%; and/or another standard used by your organization?
1-- Were all the awarded funds used in FY! 7? If not, please explain.
Contrad-Indapendence Gay -FYI 7; page 16
� PRIOR III1II11IIIIII IIIIIIIIIIIIIII III III 111�1111 11111111111111 Pill ''I IIIIIIIiIIII
May. M C 1, i
11111111111 1111 Pill! !! '' 1 =
111111111III, IIIIIi! 111ft 4 '1 M1111=
111111111 1
A 't IS Iii
10. What was the CE;O/Executive Director (or highest paid title) compensation in FY17? (Please
breakdown between salary and benefits.)
your F 11 f I&S 1-orm Val is not yet prepareo, pI 55-EIMMEe Tor FFFTT, 4115, FURS1,01HIL iv�: lbeIr-,
you have the final numbers.
SORT MEN nOM "goom-
-1.1.11MOT11 not! 11
I
16. What percentage of your expenses are program service expenses versus management and genera'
expenses in FY17 as reported on your IRS Form 99iO?
(erogram service expenses are aerinea as expenses neecet to T7,71-TV-117-
general expenses encompass expenses such as fundraising, human resources, salaries of those not
working directly with programs, legal services, accounting services, insurance expenses, office
management, auditing, and other centralized services.)
Contract -Independence Cay-FY17, page 17
This Agreement is made and entered into this 19th day of October, 2016, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as
"Board" or "County," and Keys Area Interdenominational Resources, hereinafter referred: to as
"PROVIDER."
WHEREAS, the PROVIDER is a not -for -profit corporation established for the provision of
-supportive services for disadvantaged residents, and
WHEREAS, it is a legitimate public purpose to provide facilities and services for supportive
services for disadvantaged residents in Monroe County, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the PROVIDER substantially
and satisfactorily performing and carrying out the duties of the Board as to providing facilities and
services for supportive services for disadvantaged persons living in Monroe County, Florida, shall
pay to the PROVIDER the sum of THIRTY THOUSAND AND NO/100 DOLLARS ($30,000,00) for
fiscal year 2016-2017.
2. TERM. This Agreement shall commence on October 1, 2016, and terminate September
30, 2017, unless earlier terminated pursuant to other provisions herein.
3�. PAYMENT. Payment will be made periodically, but no more frequently than monthly, as
hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's
Finance Office. The County shall only reimburse, subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County Code
of Ordinances, State laws and regulations and Attachment A - Expense ReimbursemenL
Requirements. Evidence of payment by the PROVIDER shall be in the form of a letter,
summarizing the expenses, with supporting documentation attached. The letter should contain a
notarized certification statement. An example of a reimbursement request cover letter is included
as Attachment B. The organization's final invoice must be received within thirty days after the
termination date of this contract shown in Article 2 above.
After the Clerk of the Board examines and approves the request for reimbursement, the
Board shall reimburse the PROVIDER. However, the total of said reimbursement expens;
payments in the aggregate sum shall not exceed the total amount shown in Article 1, above,
during the term of this agreement.
4. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a
level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the PROVIDER. The Board shall not be obligated: to pay for any services
or goods provided by the PROVIDER after the PROVIDER has received written notice of
termination, unless otherwise required by law.
S. CLAIMS FOR FEDERAL OR STATE AID. PROVIDER and County agree that each shall
be, and is, empowered to apply for, seek, and obtain federal and state funds to further thi;
purpose of this Agreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
Contract- KAIR-FYI 7,- page I
6. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall L2"-#
accounted for pursuant to statutory requirements.
7. RECORDS. PROVIDER shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized representatives
shall have reasonable and timely access to such records of each other party to this Agreement for
public records purposes during the term of the Agreement and for four years following the
termination of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to PROVIDER pursuant to this Agreement were spent for purposes not authorized by
this Agreement, the PROVIDER shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to PROVIDER.
In addition, if PROVIDER is required to provide an audit as set forth in in Section 9(e) below, the
audit shall be prepared by an independent certified public accountant (CPA) with a current
license, in good standing with the Florida State Board of Accountancy, and maintain malpractice
insurance covering the audit services provided. If the PROVIDER receives $100,000 or more
grant funding from the County, the CPA must also be a member of the American institute of
Certified Public Accountant (AICPA). The County shall be considered an "intended recipient" of
d audit.
S. PUBLIC ACCESS. The County and PROVIDER shall allow and permit reasonable
access to, and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received
by the County and PROVIDER in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by PROVIDER.
9. COMPLIANCE WITH COUNTY GUIDELINES. The PROVIDER must furnish to th'.
County the following (items A-] must be provided prior to the payment of any invoices):
(a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status;
(b) Proof of registration with the Florida Department of Agriculture as required by Florid
Statute 496.405 and the Florida Department of State as require by Florida Statut
617.01201 or proof of exemption from registration as per Florida Stature 496.406.
(c) List of the Organization's Board of Directors of which there must be at least 5 and for eac
board member please indicate when elected to serve and the length of term of service;
(d) Evidence of annual election of Officers and Directors;
(e) Unqualified audited financial statement from the most recent fiscal year for Z
organizations that expend $150,000 a year or more; if qualified, include a statement
deficiencies with corrective actions recommended/taken;
1. If the PROVIDER receives $100,000 or more in grant funding from the Couni
an audit shall be prepared by an independent certified public accountant (CPA)
a. The CPA must have a current license, in good standing with the Floric
State Board of Accountancyi
b. The CPA must be a member of the American Institute of Certified Pubi
Accountant (AICPA);
c. The CPA must maintain malpractice insurance covering the audit servic(
provided and
d. The County shall be considered an "intended recipient" of said audit."
(f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules;
(g) Organization's Corporate Bylaws, which must include the organization's mission, board ar
membership composition, and process for election of officers;
Contract- KA IR-FYI 6; page 2
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