Item C22BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:-6,/11/2014 Division: Social Services
Bulk Item: Yes X No Department: Social Services
Staff Contact Person: Shervl Graham x4592
AGENDA ITEM WORDING: Approval of Florida Department of Children and Families Standard
Grant Agreement #KPZ14. Emergency Solutions Grant between Monroe County Board of County
Commissioners (Social Services) and the State of Florida, Department of Children and Families.
ITEM BACKGROUND: Approval of the 2013 Florida Department of Children and Families
Standard Grant Agreement #KPZ14, Emergency Solutions Grant (ESG) will provide funds to assist
eligible families and individuals to regain stability in permanent housing after experiencing a housing
crisis and/or homelessness. The 2013 Emergency Solutions Grant was applied for on 10/ 1/ 13.
PREVIOUS RELEVANT BOCC ACTION: Approval of Amendment #0003 to Emergency
Solutions Grant #KPZ06 on 3/19/14.
CONTRACT/AGREEMENT CHANGES: New Agreement
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $76,598.00
BUDGETED: Yes X No
COST TO COUNTY: $76,598.00 cash match (match required) SOURCE OF FUNDS: Grant
funds
REVENUE PRODUCING: Yes N/A No — AMOUNT PER: MONTH: YEAR:
APPROVED BY: County Atty.�///-' 09/purchasing Risk Management
DOCUMENTATION: Included X Not Required To Follow
DISPOSITION: AGENDA ITEM #
Revised & 06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: State of Florida, Department of Contract: KPZ 14
Children and Families
Effective Date: 7/ 112014
Expiration Date: 06/30/2015
Contract Purpose/ Description: Approval of Florida Department of Children and Families Standard Grant
Agreement #KPZ14, Emergency Shelter Grant between Monroe County Board of County Commissioners (Social
Services) and the State of Florida, Department of Children and Families.
Contract Manager: Sheryl Graham 305-292 Social Services; Stop 1
4510
(Name) (Ext.) (Department,/Stop #)
For BOCC meeting on 6/11/14 Agenda Deadline: 5/27/14
CONTRACT COSTS
Total Dollar Value of Contract: approx. $76,598.00 Current Year Portion: $_
Budgeted? Yes X No ❑ Account Codes: - -
County Match: $76,598.00 - - - -
Additional Match: - - -
Total Match $76,598.00 ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (e.g. Maintenance, utilities, janitorial, salaries, etc)
CONTRACT REVIEW
Changes
1` Date Out
Division Director
Dates In,
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Needed
Yes __ No
eviewr
A 1_
Risk Management
-
Yes =_ No '3
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O.NS.B.%Pure asing
Yes ___ No
County Attorney,
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Yes N_ _�
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Comments:
OMB Form Revised 2/27/01 MCP #2
Contract No. KPZ1d Client N Non -Client El
CFDA No. 14.231
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES STANDARD CONTRACT
THIS CONTRACT Is entered into between the Florida Department of Children and Families, hereinafter referred to as the "Department" and Monroe
County, hereinafter referred to as the "Provider'. The Department and Provider agree as follows:
1. Purpose. The Department is engaging the Provider for the purpose of providing financial assistance to persons who are homeless or about to be
homeless, as further described in Attachment I hereto. The Provider shall perform all tasks and provide units of deliverables, including reports, findings,
and drafts, as specified in this contract. These deliverables must be received and accepted by the contract manager in writing prior to payment, subject to
subsequent audit and review and to the satisfaction of the Department. Unless otherwise provided in the procurement document, if any.. or governing law,
the Department reserves the right to add services that are incidental or complimentary to the original scope of services.
2. Effective and Ending Dates. This contract shall be effective on July 1, 2014, or the last date executed by a party.. whichever is later. The
performance period under this contract shall commence on July 1, 2014. or the effective date of this contract, whichever is later, and shall end at midnight,
Eastern time, on June 30, 2015, subject to the survival of terms provisions of Section 33.j hereof.
3. Payment for Services. The Department shall pay for contracted services performed by the Provider on and after the effective date of this contract
according to the terms and conditions of this contract of an amount not to exceed $76,598.00, or the rate schedule, subject to the availability of funds and
satisfactory performance of all terms by the Provider. The State of Florida's performance and obligation to pay under this contract is contingent upon an
annual appropriation by the Legislature. Any costs or services paid for under any other contract or from any other source are not eligible for payment
under this contract.
4. Contract Document. The Provider shall provide services in accordance with the terms and conditions specified in this contract including its
attachments, I, Il, III & IV, and any exhibits referenced in said attachments, together with any documents incorporated by reference, which contain all the
terms and conditions agreed upon by the parties. The definitions found in the Standard Contract Definitions, located at
http://www,dcf.state.fl.us/admintcontractsidocs/GlossaryofContractTerms.pdf are incorporated into and made a part of this contract. The PUR 1000 Form
(10/06 version) is hereby incorporated into and made a part of this contract. Sections 1.d., 2-4, 6, 8-13, 20, 23, 27 and 31 of the FUR 1000 Form are not
applicable to this contract. In the event of any conflict between the FUR 1000 Form and any other terms or conditions of this contract, such other terms or
conditions shall take precedence over the FUR 1000 Form.
5. Compliance with Statutes, Rules and Regulations. In performing its obligations under this contract, the Provider shall without exception be aware
of and comply with all state and federal laws, rules and regulations relating to its performance under this contract as they may be enacted or amended
from time -to -time, including but not limited to those described in Section 35 of this contract.
6. Official Payee and Party Representatives
a. The Provider's name, as shown above, and mailing address of the
official payee to whom the payment shall be made are:
Name: Monroe County
Arlrlrecc• 500 Whitehead Street
City: Key West State:FL Zip Code:33040
Phone: 305-294-4641
P.xt:
b. The name of the contact person and address, telephone, and e-
mail address where financial and administrative records are
maintained are:
Name: Sheryl Graham
AririrPss 1100 Simonton Street
City: Key West State:FL Zip Code:33040
Phone: 305-292-4510
ext:
e-mail: graham -sheryl@mon roecounty-fl.gov
c. The name, address, telephone number and e-mail address of the
contract manager for the Department for this contract is:
Name: Theresa Phelan
Address: 111112 Street
City: Key West State: FL Zip Code: 33040
Phone: 305-293-6350
ext:
e-mail trixie phelan@dcf state.fl us
d. The name, address, telephone number and e-mail of the
representative of the Provider responsible for administration of the
program under this contract is:
Name: Sheryl Graham
Address: 1100 Simonton Street
City: Key West State:FL Zip Code:33040
Phone: 205-292-4510
P.xt:
e-mail:graham-Sheryl@monroecounty-fl.gov
Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the
other party and the notification attached to the originals of this contract.
7. Inspections and Corrective Action. The Provider shall permit all persons who are duly authorized by the Department to inspect and copy any
records, papers, documents, facilities, goods and services of the Provider which are relevant to this contract, and to interview any clients, employees and
subcontractor employees of the Provider to assure the Department of the satisfactory performance of the terms and conditions of this contract. Following
such review, the Department will deliver to the Provider a written report of its findings, and may direct the development, by the Provider, of a corrective
action plan where appropriate. The Provider hereby agrees to timely correct all deficiencies identified in the Department's written report. This provision
will not limit the Department's termination rights under Section 30.
8. Independent Contractor, Subcontracting and Assignments.
a. 'n performing its obligations under this contract, the Provider shall at all times be acting in the capacity of an independent contractor and not as
an officer. employee, or agent of the State of Florida. except where the Provider is a state agency. Neither the Provider nor any of its agents,
employees, subcontractors or assignees shall represent to others that it Is an agent of or has the authority to bind the Department by virtue of this
contract, unless specifically authorized in writing to do so. This contract does not create any right n any individual to state retirement, leave benefits
or any other benefits of state employees as a result of performing the duties or obligations of this contract. The parties agree that no joint
CF Standard Contract O6/2013 1 Contract KPZ14
employment is intended and that, regardless of any provision directing the manner of provision of services, the provider and its Subcontractors shall
be responsible for the supervision, control, hiring and firing, rates of pay and terms and conditions of employment of their own employees.
lb. The Provider shall take such actions as may be necessary to ensure that it and each subcontractor of the Provider will be deemed to be all
independent contractor and will not be considered or permitted to be an officer, employee, or agent of the State of Florida. The Department will not
furnish services of support (e.g., office space, office supplies, telephone service, secretarial or clerical support) to the Provider, or its subcontractor or
assignee, unless specifically agreed to by the Department in this contract. All deductions for social security, withholding taxes, income taxes,
contributions to unemployment compensation funds and all necessary insurance for the Provider, the Providers officers, employees, agents,
subcontractors, or assignees shall be the sole responsibility of the Provider.
C. The Provider shall not assign the responsibility for this contract to another Party without prior written approval of the Department. upon the
Deoartment's sole determination that such assignment will not adversely affect role public interest: however, in no event may the Provider assign or
enter into any transaction having the effect of assigning or transferring any fight to receive payment under this contract which right is not conditioned
on full and faithful performance of the Provider's duties hereunder. Any sublicense, assignment, or transfer otherwise occurring without prior approval
of the Department shall be null and void. The Provider shall not subcontract for any of the work contemplated under this contract without prior written
approval of the Department, which shall not be unreasonably withheld.
d. The State of Florida shall at all times be entitled to assign or transfer, in whole or part, its rights, duties, or obligations under this contract to
another governmental agency in the State of Florida or to a provider of the Department's selection, upon giving prior written notice to the Provider. In
the event the State of Florida approves transfer of the Provider's obligations, the Provider remains responsible for all work performed and all
expenses incurred in connection with the contract. This contract shall remain binding upon the lawful successors in interest of the Provider and the
Department.
e. To the extent permitted by Florida Law, and in compliance with Section 8.c., the Provider is responsible for all work performed and for all
commodities produced pursuant to this contract whether actually furnished by the Provider or by its subcontractors. Any subcontracts shall be
evidenced by a written document, The Provider further agrees that the Department shall not be liable to the subcontractor in any way or for any
reason relating to this contract.
f. The Provider shall include, in all subcontracts (at any tier) the substance of all clauses contained in this Standard Contract that mention or
describe subcontract compliance.
g. To the extent that a subcontract provides for payment after Provider's receipt of payment from the Department, the Provider shall make
payments to any subcontractor within seven (7) working days after receipt of full or partial payments from the Department in accordance with section
287,0585, Florida Statutes (F.S.), unless otherwise stated in the contract between the Provider and subcontractor. Failure to pay within seven (7)
working days will result in a penalty that shall be charged against the Provider and paid by the Provider to the subcontractor in the amount of one-half
of one percent (.5%) of the amount due per day from the expiration of the period allowed for payment. Such penalty shall be in addition to actual
payments owed and shall not exceed fifteen percent (115%) of the outstanding balance due.
9. Provider Indemnity. Section 19 of PUR 1000 Form shall apply per its terms, except that the phrase "arising from or relating to personal injury and
damage to real or personal tangible property" in the first paragraph is replaced with "arising out of or by reason of the execution of this contract or arising
from or relating to any alleged act or omission by the Provider, its agents, employees, partners, or subcontractors in relation to this agreement." and the
following additional terms will also apply:
a. If the Provider removes an infringing product because it is not reasonably able to modify that product or secure the Department the right to
continue to use that product, the Provider shall immediately replace that product with a non -infringing product that the Department determines to be of
equal or better functionality or be liable for the Department's cost in so doing.
b. Further, the Provider shall indemnify the Department for all costs and attorneys fees arising from or relating to Provider's claim that a record
contains trade secret information that is exempt from disclosure or the scope of the Provider's redaction of the record, as provided for under Section
26.c., including litigation initiated by the Department.
The Provider's inability to evaluate liability or its evaluation of liability shall not excuse its duty to defend and indemnify after receipt of notice. Only an
adjudication or judgment after the highest appeal is exhausted finding the Department negligent shall excuse the Provider of performance under this
provision, in which case the Department shall have no obligation to reimburse the Provider for the cost of its defense. If the Provider is an agency or
subdivision of the state, its obligation to indemnify, defend and hold harmless the Department shall be to the extent permitted by section 768.28, F.S. or
other applicable law, and without waiving the limits of sovereign immunity.
10. Insurance. The Provider shall maintain continuous adequate liability insurance coverage during the existence of this contract and any renewal(s) and
extension(s) thereof. With the exception of a state agency or subdivision as defined by subsection 768.28(2). F.S_ by execution of this contract, the
Provider accepts full responsibility for identifying and determining the type(s) and extent of liability insurance necessary to provide reasonable financial
protections for the Provider and the clients to be served under this contract. The limits of coverage under each policy maintained by the Provider do not
limit the Provider's liability and obligations under this contract. Upon the execution of this contract, the Provider shall furnish the Department written
verification supporting both the determination and existence of such insurance coverage. Such coverage may be provided by a self-insurance program
established and operating under the laws of the State of Florida. The Department reserves the right to require additional insurance as specified in this
contract.
11. Notice of Legal Actions. The Provider shall notify the Department of legal actions taken against them or potential actions such as lawsuits, related
to services provided through this contract or that may impact the Provider's ability to deliver the contractual services, or adversely impact the Department.
The Department's contract manager will be notified within 10 days of Provider becoming aware of such actions or from the day of the legal filing, whichever
comes first.
12, Client Risk Prevention. If services to clients are to be provided under this contract, the Provider and any subcontractors shall, in accordance with
the client risk prevention system, report those reportable situations listed in Department of Children and Families Operating Procedure (CFOP) 2115-6 in the
manner prescribed in CFOP 215-6. The Provider shall immediately report any knowledge or reasonable suspicion of abuse, neglect, or exploitation of a
child. aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll -free telephone number i,1-800-96ABUSE). As required by Chapters
39 and 415, F,S., this provision is binding upon both the Provider and its employees.
13. Emergency Preparedness Plan. If
f the tasks to be performed pursuant to this contract include the physical care or supervision of clients. the
Provider shall, within thirty (1330) days of the execution of this contra -It, submit to the contract manager an emergency preparedness plan which shall include
provisions for records protection. alternative accommodations for clients in substitute care, supplies, and a recovery plan that will allow the Provider to
continue functioning in compliance with the executed contract in the event of an actual emergency.
CF Standard Contract 06,2013 2 Contract KPZ14
a. For the purpose of disaster planning, the term supervision includes a child who is under the jurisdiction of a dependency court. Children may
remain in their homes, be placed in a non -licensed relativeirion-relative home, or be placed in a licensed foster care setting.
lb. No later than twelve months following the Department's original acceptance of a plan and every twelve (12) months thereafter, the Provider shall
submit a written certification that it has reviewed its plan, along with any modifications to the plan, or a statement that no modifications were found
necessary,
C. The Department agrees to respond in writing within thirty i30) days of receipt of the original or updated plan, accepting, rejecting, or requesting
modifications. In the event of an emergency. the Department may exercise oversight authority over such Provider ;in order to assure implementation
of agreed emergency relief provisions.
14, Intellectual Property. it is agreed that all intellectual property, inventions, written or electronically created materials. including manuals.
presentations, films, or other copyrightable materials, arising in relation to Providers performance under this contract, and the performance of all of ifs
officers, agents and subcontractors in relation to this contract, are works for hire for the benefit of the Department, fully compensated for by the contract
amount, and that neither the Provider nor any of its officers, agents nor subcontractors may claim any interest in any intellectual property rights accruing
under or in connection with the performance of this contract. It is specifically agreed that the Department shall have exclusive rights to all data processing
software falling within the terms of section 119.084, F.S., which arises or is developed in the course of or as a result of work or services performed under
this contract, or in any way connected herewith. Notwithstanding the foregoing provision, if the Provider is a university and a member of the State
University System of Florida. then section 1004.23, F.S., shall apply.
a. If the Provider uses or delivers to the Department for its use or the use of its employees, agents or contractors, any design, device, or materials
covered by letters, patent, or copyright, it is mutually agreed and understood that, except as to those items specifically listed in the Special Provisions
of Attachment I as having specific limitations, the compensation paid pursuant to this contract includes all royalties or costs arising from the use of
such design, device, or materials in any way involved in the work contemplated by this contract. For purposes of this provision, the term "use" shall
include use by the Provider during the term of this contract and use by the Department its employees, agents or contractors during the term of this
contract and perpetually thereafter.
la. All applicable subcontracts shall include a provision that the Federal awarding agency reserves all patent rights with respect to any discovery or
invention that arises or is developed in the course of or under the subcontract. Notwithstanding the foregoing provision, if the Provider or one of its
subcontractors is a university and a member of the State University System of Florida, then section 1004.23, F.S., shall apply, but the Department
shall retain a perpetual, fully -paid, nonexclusive license for its use and the use of its contractors of any resulting patented, copyrighted or trademarked
work products.
15. Real Property. Any state funds provided for the purchase of or improvements to real property are contingent upon the Provider granting to the state
a security interest in the property at least to the amount of the state funds provided for at least five (5) years from the date of purchase or the completion of
the improvements or as further required by law. As a condition of receipt of state funding for this purpose, the Provider agrees that, if it disposes of the
property before the Department's interest is vacated, the Provider will refund the proportionate share of the state's initial investment, as adjusted by
depreciation.
16. Publicity. Without limitation, the Provider and its employees, agents, and representatives will not, without prior Departmental written consent in each
instance, use in advertising, publicity or any other promotional endeavor any State mark, the name of the State's mark, the name of the State or any state
agency or affiliate or any officer or employee of the State, or any state program or service, or represent, directly or indirectly, that any product or service
provided by the Provider has been approved or endorsed by the State, or refer to the existence of this contract in press releases, advertising or materials
distributed to the Provider's prospective customers.
17. Sponsorship. As required by section 286.25, F.S., if the Provider is a non -governmental organization which sponsors a program financed wholly or
in part by state funds, including any funds obtained through this contract, it shall, in publicizing, advertising, or describing the sponsorship of the program
state: "Sponsored by (Provider's name) and the State of Florida, Department of Children and Families". If the sponsorship reference is in written material,
the words "State of Florida, Department of Children and Families" shall appear in at least the same size letters or type as the name of the organization.
18. Employee Gifts. The Provider agrees that it will not offer to give or give any gift to any Department employee. As part of the consideration for this
contract, the parties intend that this provision will survive the contract for a period of two years. In addition to any other remedies available to the
Department, any violation of this provision will result in referral of the Provider's name and description of the violation of this term to the Department of
Management Services for the potential inclusion of the Provider's name on the suspended vendors list for an appropriate period. The Provider will ensure
that its subcontractors, if any, comply with these provisions.
19, Invoices. The Provider shall submit bills for fees or other compensation for services or expenses in sufficient detail for proper pre -audit and
post -audit. Where itemized payment for travel expenses is permitted in this contract, the Provider shall submit bills for any travel expenses in accordance
with section 112.061, F.S., or at such lower rates as may be provided in this contract.
20. Final Invoice. The final invoice for payment shall be submitted to the Department no more than 45 days after the contract ends or is terminated. If
the Provider fails to do so, all rights to payment are forfeited and the Department will not honor any requests submitted after the aforesaid time period.
Any payment due under the terms of this contract may be withheld until all reports due from the Provider and necessary adjustments thereto, have been
approved by the Department.
21, Financial Consequences. If the Provider fails to meet the minimum level of service or performance identified in this contract, or that is customary for
the industry. the Department will apply financial consequences commensurate with the deficiency. Financial consequences may include but are not limited
to refusing payment. withholding payments until deficiency is cured, tendering only partial payments, applying liquidated damages to the extent that this
contract so provides, imposition of penalties per Section 29, termination of contract per Section 30 and requisition of services from an alternate source.
Any payment made in reliance on the Provider's evidence of performance. which evidence is subsequently determined to be erroneous, will be
immediately due as an overpayment in accordance with Section 22, to the extent of such error.
22. Overpayments. The Provider shall return to the Department any overpayments due to unearned funds or funds disallowed that were disbursed to
the Provider by the Department and any interest attributable to such funds pursuant to the terms and conditions of this contract. In the event that the
Provider or its independent auditor discovers that an overpayment has been made, the Provider shall repay said overpayment immediately without prior
notification from the Department. In the event that the Department first discovers an overpayment has been made, the contract manager, on behalf of the
Department, will notify the Provider by letter of such findings. Should repayment not be made forthwith, the Provider will be charged interest at the Iawfui
rate of interest on the outstanding balance after Department notification or Provider discovery. Payments made for services subsequently determined by
the Department to not be in full compliance with contract requirements shall be deemed overpayments. The Department shall have the right to offset or
CF Standard Contract 06/2013 3 Contract KPZ14
deduct from any amount due under this contract at any time any amount due to the Department from the Provider under this or any other contract or
agreement and payment otherwise due under this contract will I be deemed received regardless of such offset.
23. Payment on Invoices. Pursuant to section 215.422, F.S., the Department has five (5) working days to inspect and approve goods and services,
unless the bid specifications, purchase order, or this contract specify otherwise. With the exception of payments to health care providers for hospital,
medical, or other health care services, if payment is not available within forty (40) days, measured from the latter of the date a properly completed invoice
is received by the Department or the goods or services are received, inspected, and approved, a separate interest penalty set by the Chief Financial
Officer pursuant to section 55.03, F.S.. will be due and payable in addition to the invoice amount. Payments to health care providersFinafor hospital, medical,
, ncial
or other health care services, shall, be mace not more than thirty-five (135) days fromthe date eligibility for payment is determined.
penalties will
be calculated at the daily interest rate of 03333%. Invoices returned to a Provider due to preparation errors will result in a non -interest bearing payment
delay. interest penalties less than one 0 1 dollar will not be paid unless the Provider requests payment. Payment shall be made only upon written
acceptance by the Department and shall remain subject to subsequent 1uent audit or review to confirm contract compliance.
24. Vendor Cirribudsirri A Vendor Ombudsman has been established within the Department of Financial Services. The duties of this office are found
in section 215,422. F.S., which include disseminating information relative to prompt payment and assisting vendors in receiving their payments in a timely
manner from a state agency, The Vendor Ombudsman may be contacted at (850) 413-5516.
25. Records, Retention, Audits, Inspections and Investigations.
a. The Provider shall establish and maintain books, records and documents (including electronic storage media) sufficient to reflect all income and
expenditures of funds provided by the Department under this contract.
b. Retention of all client records, financial records, supporting documents, statistical records, and any other documents (including electronic
storage media) pertinent to this contract shall be maintained by the Provider during the term of this contract and retained for a period of six (6) years
after completion of the contract or longer when required by law. In the event an audit is required under this contract, records shall be retained for a
minimum period of six (6) years after the audit report is issued or until resolution of any audit findings or litigation based on the terms of this contract,
at no additional cost to the Department.
c. Upon demand, at no additional cost to the Department, the Provider will facilitate the duplication and transfer of any records or documents
during the term of this contract and the required retention period in Section 25,b.
d. These records shall be made available at all reasonable times for inspection, review, copying, or audit by Federal, State, or other personnel duly
authorized by the Department.
e. At all reasonable times for as long as records are maintained, persons duly authorized by the Department and Federal auditors, pursuant to 45
CFR, section 92.36(i)(1 0), shall be allowed full access to and the right to examine any of the Provider's contracts and related records and documents,
regardless of the form in which kept.
f. A financial and compliance audit shall be provided to the Department as specified in this contract and in Attachment It.
g, The Provider shall comply and cooperate immediately with any inspections, reviews, investigations, or audits deemed necessary by The Office
of the Inspector General (section 20.055, F.S.).
h. No record may be withheld nor may the Provider attempt to limit the scope of any of the foregoing inspections, reviews, copying, transfers or
audits based on any claim that any record is exempt from public inspection or is confidential, proprietary or trade secret in nature; provided, however,
that this provision does not limit any exemption to public inspection or copying to any such record.
26. Public Records. The Provider shall allow public access to all documents, papers, letters, or other public records as defined in subsection
119.01 1(12), F.S. as prescribed by subsection 119.07(1) F.S., made or received by the Provider in conjunction with this contract except that public records
which are made confidential by law must be protected from disclosure. It is expressly understood that the Provider's failure to comply with this provision
shall constitute an immediate breach of contract for which the Department may unilaterally terminate the contract.
a. Unless exempted by law, all public records are subject to public inspection and copying under Florida's Public Records Law, Chapter 119, F.S.
Any claim by Provider of trade secret (proprietary) confidentiality for any information contained in Provider's documents (reports, deliverables or
workpapers, etc., in paper or electronic form) submitted in connection with this contract will be waived, unless the claimed confidential information is
submitted in accordance with Section 26.b.
b, The Provider must clearly label any portion of the documents, data, or records submitted that it considers exempt from public inspection or
disclosure pursuant to Florida's Public Records Law as trade secret. The labeling will include a justification citing specific statutes and facts that
authorize exemption of the information from public disclosure. If different exemptions are claimed to be applicable to different portions of the
protected information. the Provider shall include information correlating the nature of the claims to the particular protected information.
C. The Department, when required to comply with a public records request including documents submitted by the Provider, may require the
Provider to expeditiously submit redacted copies of documents marked as trade secret in accordance with Section 26.b. Accompanying the
submission shall be an updated version of the justification under Section 26.1p, correlated specifically to redacted information, either confirming that
the statutory and factual basis originally asserted remain unchanged or indicating any changes affecting the basis for the asserted exemption from
public inspection or disclosure. The redacted copy must exclude or obliterate only those exact portions that are claimed to be trade secret. If the
Provider fails to promptly submit a redacted copy. the Department is authorized to produce the records sought without any redaction of proprietary or
trade secret information.
cl. The Provider shall be responsible for defending its claim that each and every portion of the redactions of trade secret information are exempt
from inspection and copying under Florida's Public Records Law.
27. Client Information. The Provider shall not use or disclose any information concerning a recipient of services under this contract for any purpose
prohibited by state and federal iaws, rules and regulations except with the written consent of a person legally authorized to give that consent or when
authorized by law.
28. Data Security. The Provider shall comply with the fo'Howing data security requirements:
CF Standard Contract 06/2013 4 Contract KPZ14
a. An appropriately skilled individual shall be identified by the Provider to function as its Data Security Officer. The Data Security Officer shall act
as the liaison to the Department's security staff and will maintain an appropriate level of data security for the information the Provider is collecting or
using in the performance of this contract. An appropriate level of security includes approving and tracking all Provider employees that request or
have access to any Departmental data system or information. The Data Security Officer will ensure that user access to the data system or information
has been removed from all terminated Provider employees.
b, The Provider shall provide the latest Departmental security awareness training to its staff and subcontractors who have access to departmental
information.
c. All Provider employees who have access to departmental information shall comply with, and be provided a copy of CFOP 50-2, and shall sign
the DCF Security Agreement Form CF 0114 annually. A copy of Form CF 0114 may be obtained from the contract manager,
d. The Provider shall make every effort to protect and avoid unauthorized release of any personal or confidential information by ensuring both data
and storage devices are encrypted as prescribed in CFOP 50-2. If encryption of these devices is not possible, then the Provider shall assure that
unencrypted personal and confidential departmental data will not be stored on unencrypted storage devices. The Provider shall require the same of
all subcontractors.
e. The Provider agrees to notify the contract manager as soon as possible, but no later than five (5) working days following the determination of
any breach or potential breach of personal and confidential departmental data. The Provider shall require the same notification requirements of all
subcontractors.
f. The Provider shall at its own cost provide notice to affected parties no later than forty-five (45) days following the determination of any potential
breach of personal or confidential departmental data as provided in section 817.5681, F.S. The Provider shall require the same notification
requirements of all subcontractors. The Provider shall also at its own cost implement measures deemed appropriate by the Department to avoid or
mitigate potential injury to any person due to a breach or potential breach of personal and confidential departmental data.
29. Financial Penalties for Failure to Take Corrective Action.
a. In accordance with the provisions of subsection 402.73(1), F.S., and Rule 65-29.001, Florida Administrative Code (F.A.C.), corrective action
plans may be required for noncompliance, nonperformance, or unacceptable performance under this contract. Penalties may be imposed for failures
to implement or to make acceptable progress on such corrective action plans.
b. The increments of penalty imposition that shall apply, unless the Department determines that extenuating circumstances exist, shall be based
upon the severity of the noncompliance, nonperformance, or unacceptable performance that generated the need for corrective action plan. The
penalty, if imposed, shall not exceed ten percent (10%) of the total contract payments during the period in which the corrective action plan has not
been implemented or in which acceptable progress toward implementation has not been made. Noncompliance that is determined to have a direct
effect on client health and safety shall result in the imposition of a ten percent (10%) penalty of the total contract payments during the period in which
the corrective action plan has not been implemented or in which acceptable progress toward implementation has not been made.
C. Noncompliance involving the provision of service not having a direct effect on client health and safety shall result in the imposition of a five
percent (5%) penalty. Noncompliance as a result of unacceptable performance of administrative tasks shall result in the imposition of a two percent
(2%) penalty.
d. The deadline for payment shall be as stated in the Order imposing the financial penalties. In the event of nonpayment the Department may
deduct the amount of the penalty from invoices submitted by the Provider.
30. The Following Termination Provisions Apply to this Contract:
a. In accordance with Section 22 of FUR 1000 Form, this contract may be terminated by the Department without cause upon no less than thirty
(30) calendar days notice in writing to the Provider unless a sooner time is mutually agreed upon in writing.
b. In the event funds for payment pursuant to this contract becomes unavailable, the Department may terminate this contract upon no less than
twenty-four (24) hours notice in writing to the Provider. The Department shall be the final authority as to the availability and adequacy of funds.
C. In the event the Provider fails to fully comply with the terms and conditions of this contract, the Department may terminate the contract upon no
less than twenty-four (24) hours (excluding Saturday, Sunday, and Holidays) notice in writing to the Provider after Provider's failure to fully cure such
noncompliance within the time specified in a written notice of noncompliance issued by the Department specifying the nature of the noncompliance
and the actions required to cure such noncompliance. In addition, the Department may employ the default provisions in Rule 60A-1.006(3), F.A.C.,
but is not required to do so in order to terminate the contract. The Department's failure to demand performance of any provision of this contract shall
not be deemed a waiver of such performance. The Department's waiver of any one breach of any provision of this contract shall not be deemed to be
a waiver of any other breach and neither event shall be construed to be a modification of the terms and conditions of this contract. The provisions
herein do not limit the Department's right to remedies at law or in equity.
d. Failure to have performed any contractual obligations under any other contract with the Department in a manner satisfactory to the Department
will be a sufficient cause for termination. To be terminated as a Provider under this provision, the Provider must have: (1) previously failed to
satisfactorily perform in a contract with the Department, been notified by the Department of the unsatisfactory performance, and failed to correct the
unsatisfactory performance to the satisfaction of the Department: or (2) had a contract terminated by the Department for cause. Termination shall be
upon no less than twenty-four (24) hours notice in writing to the Provider.
All notices of termination provided under this Section shall be in writing and sent by U.S. Postal Service or any other delivery service that provides
verification of delivery or by hand delivery. In the event of termination under paragraphs a. or b., the Provider will be compensated for any work
satisfactorily completed.
31. Transition Activities. Continuity of service is critical when service under this contract ends and service commences under a new contract.
Accordingly. when service will continue through another provider upon the expiration or earlier termination of this contract, the Provider shall complete all
actions necessary to smoothly transition service to the new provider. The Provider shall be required to support an orderly transition to the next provider no
later than the expiration or earlier termination of this contract and shall support the requirements for transition as specified in a Department -approved
Transition Plan. Such activities will be without additional compensation and will include consultation on the resources needed to support transition.
identifying a transition manager, the characteristics of transactions. data and file transfer.
CF Standard Contract 06 2013 5 Contract KPZ14
32. Dispute Resolution. Any dispute concerning performance of the contract or payment hereunder shall be decided by the Department's contract
manager. who shall reduce the decision to writing and provide a copy to the Provider. The decision shall be final and conclusive unless within twenty-one
(21 ) calendar days from the date of receipt of the contract managers decision, the Provider delivers to the contract manager a petition for alternative
dispute resolution. After receipt of a petition for alternative dispute resolution the Department and the Provider shall attempt to amicably resolve the
dispute through negotiations. Timely delivery of a petition for alternative dispute resolution and completion of the negotiation process shall be a condition
precedent to any legal action by the Provider concerning this contract. After timely delivery of a petition for alternative dispute resolution, the parties may
employ any dispute resolution procedures described in the Attachment 1 or other attachment. or mutually agree to an alternative binding or nonbinding
dispute resolution process, the terms of whic
h shall be reduced to writing and executed by both parties. Completion of such agreed process shall be
deemed to satisfy the requirement for completion of the negotiation process This provision shall not limit the parties' rights of termination under Section
30.
33, Other Terms
a. Except where otherwise provided in this contract, communications between the parties regarding this contract may be by any commercially
reasonable means. Where this contract calls for communication, in writing, except for notices of termination per Section 30, such communication
includes email, and attachments are deemed received when the email is received.
b. This contract is executed and entered into in the State of Florida, and shall be construed, performed and enforced in all respects in accordance
with Florida law, without regard to Florida provisions for conflict of laws. Courts of competent jurisdiction in Florida shall have exclusive jurisdiction in
any action regarding this contract and venue shall be in Leon County, Florida, Unless otherwise provided in Attachment I or in any amendment
hereto, any amendment, extension or renewal (when authorized) may be executed in counterparts as provided in Section 46 of the PUR 1000 Form.
c. Articles which are the subject of or are required to carry out this contract shall be purchased from Prison Rehabilitative Industries and Diversified
Enterprises. Inc., (PRIDE) identified under Chapter 946, F.S., in the same manner and under the procedures set forth in subsections 946.515(2) and
(4), F.S. For purposes of this contract, the Provider shall be deemed to be substituted for the Department insofar as dealings with PRIDE. This
clause is not applicable to subcontractors unless otherwise required by law. An abbreviated list of products/services available from PRIDE may be
obtained by contacting PRIDE at (800) 643-8459.
d. The Provider shall procure any recycled products or materials, which are the subject of or are required to carry out this contract, in accordance
with the provisions of section 403.7065, F.S.
e. The Department is committed to ensuring provision of the highest quality services to the persons we serve. Accordingly, the Department has
expectations that where accreditation is generally accepted nationwide as a clear indicator of quality service, the majority of the Department's
providers will either be accredited, have a plan to meet national accreditation standards, or will initiate a plan within a reasonable period of time.
f. The Department of Economic Opportunity and Workforce Florida: The Provider understands that the Department, the Department of Economic
Opportunity, and Workforce Florida, Inc., have jointly implemented an initiative to empower recipients in the Temporary Assistance to Needy Families
Program to enter and remain in gainful employment. The Department encourages Provider participation with the Department of Economic
Opportunity and Workforce Florida.
g. Transitioning Young Adults: The Provider understands the Department's interest in assisting young adults aging out of the dependency system.
The Department encourages Provider participation with the local Community -Based Care Lead Agency Independent Living Program to offer gainful
employment to youth in foster care and young adults transitioning from the foster care system.
h. There are no provisions, terms, conditions, or obligations other than those contained herein, and this contract shall supersede all previous
communications, representations, or agreements, either verbal or written between the parties.
I. If any term or provision of this contract is legally determined unlawful or unenforceable, the remainder of the contract shall remain in full force
and effect and such term or provision shall be stricken.
j. Survival of terms. The parties agree that, unless a provision of this Standard Contract, its attachments or incorporated documents expressly
states otherwise as to itself or a named provision, all provisions of this contract concerning obligations of the Provider and remedies available to the
Department are intended to survive the "ending date" or an earlier termination of this contract. The Provider's performance pursuant to such
surviving provisions shall be without further payment, as the contract payments received during the term of this contract are consideration for such
performance.
k. Most Favored Party Status: The Provider represents and warrants that the prices and terms for its services under this contract are no less
favorable to the Department than those for similar services under any existing contract with any other party. The Provider further agrees that, within
ninety (90) days of Provider entering into a contract, contract amendment or offering to any other party services similar to those under this contract
under prices or terms more favorable than those provided in this contract, the Provider will report such prices and terms to the Department, which
prices or terms shall be effective as an amendment to this contract upon the Department's written acceptance thereof. Should the Department
discover such other prices or terms, the same shall be effective as an amendment to this contract retroactively to the earlier of the effective date of
this contract (for other contracts in effect as of that date) or the date they were first contracted or offered to the other party (for subsequent contracts
amendments or offers) and any payment in excess of such pricing shall be deemed overpayments. Provider shall submit an affidavit no later than
July 31" of each year during the term of this contract attesting that the Provider is in compliance with this provision. as required by section 216.0113,
F&
L The Provider will not offer, enter into nor enforce any formal or informal agreement with any person. firm or entity under which the parties agree
to refrain from competing for any future service contract or limit in any manner the ability of either party to obtain employment by or provide services
to the Department or a provider of services to the Department.
m in the event of a conflict between the provisions of the documents, the documents shall be interpreted in the following order of Precedence:
Attachment 1 and other attachments, if any:
Any documents incorporated into any attachment by reference:
This Standard Contract:
IV, Any documents incorporated into this Standard Contract by reference.
CF Standard Contract 06;210 13 6 Contract KPZ14
34. Modifications. Modifications of provisions of this contract shall be valid only when they have been reduced to writing and duly signed by both
parties. The rate of payment and the total dollar amount may be adjusted retroactively to reflect price level increases and changes in the rate of payment
when these have been established through the appropriations process and subsequently identified in the Department's operating budget.
35. Additional Requirements of Law, Regulation and Funding Source. As provided in Section 5 of this contract, the Provider is required to comply
with the following requirements, as applicable to its performance under this -contract. Provider acknowledges that it is independently responsible for
investigating and complying with all state and federal laws, rules and regulations relating to its performance under this contract and that the below is only a
sample of the slate and federal laws, rules and regulations that may govern its performance under this contract.
a, Federal Law
i. if this contract contains federal funds, the Provider shall comply with the provisions of federal law and regulations including, but not limited
to, 45 CFR, Part 74, 45 CFR, Part 92, and other applicable regulations.
ii. If this contract contains $10,000 or more of federal funds, the Provider shall comply with Executive Order 11246. Equal Employment
Opportunity, as amended by Executive Order 11375 and others, and as supplemented in Department of Labor regulation 41 CFR, Part 60 and
45 CFR, Part 92, if applicable.
iii. If this contract contains over $100,000 of federal funds, the Provider shall comply with all applicable standards, orders, or regulations
issued under section 306 of the Clean Air Act, as amended (42 United States Code (U.S.C.) 7401 et seg.). section 508 of the Federal Water
Pollution Control Act, as amended (33 U.S.C. 1251 et seg.), Executive Order 11738. as amended and where applicable. and Environmental
Protection Agency regulations (40 CFR, Part 30). The Provider shall report any violations of the above to the Department.
iv. No federal funds received in connection with this contract may be used by the Provider, or agent acting for the Provider, or subcontractor to
influence legislation or appropriations pending before the Congress or any State legislature. If this contract contains federal funding in excess of
$100,000, the Provider must, prior to contract execution, complete the Certification Regarding Lobbying form, Attachment Ill. If a Disclosure of
Lobbying Activities form, Standard Form LLL, is required, it may be obtained from the contract manager. All disclosure forms as required by the
Certification Regarding Lobbying form must be completed and returned to the contract manager, prior to payment under this contract.
V. If this contract contains federal funds and provides services to children up to age 18, the Provider shall comply with the Pro -Children Act of
1994 (20 U.S.C. 6081). Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000
for each violation or the imposition of an administrative compliance order on the responsible entity, or both.
vi. Unauthorized aliens shall not be employed. The Department shall consider the employment of unauthorized aliens a violation of section
274A(e) of the Immigration and Nationality Act (8 U.S.C. 1324 a) and section 101 of the Immigration Reform and Control Act of 1986. Such
violation shall be cause for unilateral cancellation of this contract by the Department. The Provider and its subcontractors will enroll in and use
the e-Verify system established by the U.S. Department of Homeland Security to verify the employment eligibility of its employees and its
subcontractors' employees performing under this contract.
b. Civil Rights Requirements. In accordance with Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990, or the
Florida Civil Rights Act of 1992, as applicable the Provider shall not discriminate against any employee (or applicant for employment) in the
performance of this contract because of race, color, religion, sex, national origin, disability, age, or marital status. Further, the Provider agrees not to
discriminate against any applicant, client, or employee in service delivery or benefits in connection with any of its programs and activities in
accordance with 45 CFR Parts 80, 83, 84, 90, and 91, Title VII of the Civil Rights Act of 1964, or the Florida Civil Rights Act of 1992, as applicable
and CFOP 60-16. These requirements shall apply to all contractors, subcontractors, subgrantees or others with whom it arranges to provide services
or benefits to clients or employees in connection with its programs and activities. The Provider shall complete the Civil Rights Compliance Checklist,
CF Form 946 in accordance with 45 CFR Part 80 and CFOP 60-16 . This is required of all Providers that have fifteen (15) or more employees.
C. Use of Funds for Lobbying Prohibited. The Provider shall comply with the provisions of sections 11.062 and 216.347, F.S., which prohibit the
expenditure of contract funds for the purpose of lobbying the Legislature, judicial branch, or a state agency.
d. Public Entity Crime and Discriminatory Contractors Pursuant to sections 287.133 and 287.134, F.S_ the following restrictions are placed on
the ability of persons placed on the convicted vendor list or the discriminatory vendor list. When a person or affiliate has been placed on the
convicted vendor list following a conviction for a public entity crime, or an entity or affiliate has been placed on the discriminatory vendor list, such
person, entity or affiliate may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity: may not submit a
bid, proposal, or reply on a contract with a public entity for the construction or the repair of a public building or public work: may not submit bids,
proposals, or replies on leases of real property to a public entity: may not be awarded or perform work as a contractor, supplier, subcontractor, or
consultant under a contract with any public entity: and may not transact business with any public entity: provided, however, that the prohibition on
persons or affiliates placed on the convicted vendor shall be limited to business in excess of the threshold amount provided in section 287,017. F.S.,
for CATEGORY TWO for a period of thirty-six (36) months from the date of being placed on the convicted vendor list.
e. Health Insurance Portability and Accountability Act. The Provider shall, where applicable, comply with the Health Insurance Portability and
Accountability Act (42 U. S. C. 1320d,) as well as all regulations promulgated thereunder (45 CFR Parts 160. 162, and 164).
f. Whistle -blower's Act Requirements. In accordance with subsection 112.3187(2), F.S., the Provider and its subcontractors shall not retaliate
against an employee for reporting violations of law, rule, or regulation that creates substantial and specific danger to the public's health, safety. or
welfare to an appropriate agency. Furthermore, agencies or independent contractors shall not retaliate against any person who discloses information
to an appropriate agency alleging improper use of governmental office, gross waste of funds. or any other abuse or gross neglect of duty on the part
of an agency, public officer, or employee. The Provider and any subcontractor shall inform its employees that they and other persons may file a
complaint with the Office of Chief Inspector General, Agency Inspector General. the Florida Commission on Human Relations or the Whistle -blower's
Hotline number at 1-800-543-5353.
g, Support to the Deaf or Hard -of -Hearing
I r The Provider and its subcontractors, where direct services are provided, shall comply with section 504 of the Rehabilitation Act of 1973, 29
U.S.C. 70.4, as implemented by 45 C.F.R. Part 84 (hereinafter referred to as Section 504), the Americans with Disabilities Act of 1990. 42 J.S,C.
I
CF Standard Contract 06/2013 7 Contract KPZ14
2#3t as implemented by 2S C F R_ Part 35 (hereinafter referred to as ADA, and CFCP 60-10, Chapter 4 entitled"Auxiliary Aids and Servlces
for Customers or Companions aJh are Deaf or Hard of Hearing-"
H f the Provider or an of its subcontractors e^ip+cys f`teen (15) or more employees- the Provider shall designate a Single Point of Contact
,one per firmr'c ensure effective communication with . istorriers or comr-larrions who are deaf or Nara of raring in accordance with Section 504
of the ADA, and CFOP 60-10, Chapter 4 The Provider"s S ng,e Point Contact and that of its Subcontractors wi ; process the compliance data
into the Depar?ments HHS Compliance reporting Database at ht`ps `s16 `ormsi e ccm dcfuser."or93,secure index htr^l, by the 5working day
of the month covering the previous month s reporting and-orward confirmation of submission to the contract manager, The name and contact
information for the Provider's Single Point of Contact shall ;.e furnished to the Department's grant or contract manager within fourteen 1=
calendar caws of the effective date of this requirement
iii. The Provider shall contractually require that its subcontractors comply with Section 504- the ADA, and CFOP 60-10, Chapter 4. A Single
Point of Contact shall be required for each subcontractor that employs fifteen (15, or more employees This Single Point of Contact vAl ensure
effective communication with customers or companions who are deaf or hard of hearing in accordance with Section 504 and the ADA and
coordinate activities and reports with the Providers Single Point of Contact.
IV The Single Point of Contact shall ensure that employees are aware of the requirements- roles and responsibilities, and contact points
associated with compliance with Section 504. the ADA. and CFOP 60-10, Chapter 4. Further, employees of providers and its subcontractors
with fifteen (15) or more employees shall attest in writing that they are familiar with the requirements of Section 504. the ADA, and CFCP 60-10,
Chapter 4. This attestation shall be maintained in the employee's personnel file
v. The Provider's Single Point of Contact will ensure that conspicuous Notices which provide information about the availability of appropriate
auxiliary aids and services at no -cost to the customers or companions who are deaf or hard of hearing are posted near where people enter or
are admitted within the agent locations. Such Notices must be posted immediately by providers and subcontractors. The approved Notices can
be downloaded through the Internet at http,//www.dcf.state.fil ustadminigrcivlrights shim!
vi. The Provider and its subcontractors shall document the customers or companions preferred method of communication and any requested
auxiliary aids/services provided in the customer's record. Documentation, with supporting justification, must also be made if any request was not
honored or was denied. The Provider shall distribute the Customer Feedback form to customer or companion for completion and submission to
the Department of Children and Families Office of Civil Rights.
vii. If the customer or companion is referred to other agencies, the Provider must ensure that the receiving agency is notified of the customer's
or companion's preferred method of communication and any auxiliary aidsiservice needs.
The Department requires each contract subcontract provider agency's direct service employees to complete the online trainingServing our
Customers who are Deaf or Hard of Hearing, (as requested of all Department employees) and sign the Attestation of Understanding. Direct service
employees will also print their certificate of completion, attach it to their Attestation of Understanding, and maintain them in their personnel file.
By signing this contract, the parties agree that they have read and agree to the entire contract, as described in Section 4.
IN WITNESS THEREOF, the parties hereto have caused this 48 page contract to be executed by their undersigned officials as duty authorized.
PROVIDER: MONROE COUNTY
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Signature:
Signature:
Print[Type
Name: Sylvia Murphy
Print/Type
Name:
Title: Mayor
Title:
Date:
Date:
STATE AGENCY 29 DIGIT FLAIR CODE:
Federal Tax ID # (or SSN) 59-6,300749 Provider Fiscal Year Ending Date: 06130
-Q
M� rIj
LLi
Ate,- -7 !
CF 5 3rsuard C 1 "act 0 r 2?13
Gitda P. Ferradaz
Regional Managing Director
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY
Regional Legal^Counsel Date
ontract KPZ14
Emergency Solutions Grants Program
ATTACHMENT I
A. Services to be Provided (Homeless Prevention/Rapid Re -Housing)
1. Definition of Terms
a. Grant Agreement Terms
Grant agreement terms used in this document can be found in the Florida
Department of Children and Families Glossary of Grant and/or Contract
agreement Terms, which is incorporated herein by reference and can be
obtained from the Grant Manager.
For the purposes of this agreement the term "grant" will be interchanged with the
word "contract" and "Recipient" will be interchanged with the word "Provider" and
each will be subject to the terms and conditions of the Florida Department of
Children and Families Standard Contract.
b. Program or Service Specific Terms
1) Prevention Objective: Provide rental assistance along with stabilization
services necessary to prevent an individual or family from becoming
homeless, having to move into an emergency shelter or other place not
suitable for human occupancy.
2) Rapid Re -Housing Objective: Provide rental assistance along with
stabilization services as necessary to help a homeless individual or family
move as quickly as possible into permanent housing and achieve stability
in that housing.
3) Emergency Shelter: Any facility, the primary purpose of which is to
provide temporary shelter for the homeless in general, or for a specific
homeless population.
4) Administrative Costs: Costs associated with overall program
management, coordination, monitoring, and evaluation the Emergency
Solutions Grant program. The administration costs of the grant are limited
to 4.5% of the total grant award. These costs include general
management and oversight to include salaries, wages and related costs of
staff engaged in program administration; administrative services
performed under 3 rd party contract/agreements like legal services,
accounting or audit functions; costs associated with the performance of
environmental reviews; and costs associated with attending HUD
sponsored ESG trainings. Please refer to HUD's December 5, 2011
Interim Rule for regulations regarding administrative costs.
05,'01 /2014 Grant Agreement # KPZ14
9
Emergency Solutions Grants Program
2. General Description
a. Program Requirements
1) The Emergency Solutions Grant is a federal grant program from the U. S.
Department of Housing and Urban Development, and the federal
regulations published for the grant program contained in 24 CFR Part 576,
(2011), as amended, shall govern the awards made by the Department of
Children and Families, herein after referred to as the Department.
2) In addition to the definitions contained in 24 CFR, Part 576 (2011), as
amended, the Recipient must also comply with other federal laws and
regulations, including the following:
Participate fully in the Homeless Management Information System (HMIS).
HMIS requirements are outlined in the Interim Rule published December
5, 2011 as amended. Accordingly, only recipients who commit to
participate in HMIS will eligible for the Emergency Solutions Grant funding.
Section 605 of the Violence Against Women Act of 2005 amended the
McKinney -Veto Homeless Assistance Act to prohibit victim service
providers from entering personally identifiable information into an HMIS
database. This law applies to recipients receiving Violence Against
Women Act and/or Family Violence Prevention and Service Act funding.
Domestic violence service providers are not required to participate in
HMIS, but shall provide aggregate service data on persons and outcomes
achieved. [See HUD Notice issued March 16, 2007, published in the
Federal Register]
3) Recipients shall be aware of and comply with regulations and requirements
set forth in Part 24, Code of Federal Regulations (C.F.R.) § 576.23,
Emergency Solutions Grant Program: Stewart B. McKinney Homeless
Assistance Act. Organizations that are religious or faith based are
eligible, on the same basis as any other organization, to participate in the
Emergency Solutions Grants program. Neither the Federal government
nor a state or local government receiving funds under Emergency
Solutions Grants programs shall discriminate against an organization on
the basis of the organization's religious character or affiliation. Provisions
set forth generally require that when services are funded under the ESG
program the services will be provided in a way that is free from religious
influences and in accordance with the following principles:
a) Any Recipient that participates in the Emergency Solutions Grants
program shall not, in providing assistance, discriminate against a
program beneficiary or prospective program beneficiary on the
basis of religion or religious belief.
05/0 112014 Grant Agreement 11 KPZ14
10
Emergency Solutions Grants Program
b) The Recipient will provide grant services in a way that is free from
religious influences and will not engage in inherently religious
activities, such as worship, religious services, instruction,
counseling, or proselytization as part of the programs or services
funded under the grant. If an organization conducts such activities,
the activities must be offered separately, in a time or location, from
the programs or services funded under the grant, and participation
must be voluntary for the beneficiaries of the programs or services
funded by the grant.
c) The Recipient will not discriminate against any employee or
applicant for employment on the basis of religion and will not limit
employment or give preference on the basis of religion.
d) The Recipient will not limit services provided to, or give preference
to any person seeking services based on religion.
4) There are additional federal and state assurances and certification that the
Recipient must comply with, including all ordinances, codes, and statutes
relating to building, health, fire, safety, sanitation, zoning and the
environment, as well habitability standards for all housing units occupied
by assisted participants.
5) The Emergency Solutions Grant requires matching funds. The Recipient
is required by federal regulations under HUD's December 5, 2011 Interim
Rule, as amended, and 24 CFR, Part 576 (2011), to match the Emergency
Solutions Grant with an equal amount of funds from other sources. The
Recipient may use in -kind services, or other public or private cash sources
to meet the dollar for dollar match requirement. Matching funds must be
provided after the date of the grant agreement's execution. Funds used to
match previous Emergency Solutions Grants or any other grant may not
be used to match the grant award made under this solicitation.
Recipient may use any of the following as matching funding:
a) Cash;
b) Value of fair rental value of any donated material or building;
c) Value of any lease on a building;
d) Salary paid to staff to carry out the program of the Recipient; or
e) Value of the time and services contributed by volunteers to carry
out the program of the Recipient based on the value at rates
consistent with those paid for similar work in the Recipient's
organization (24 CFR, Section 576.20(e)).
6) The Department will reimburse the Recipient for eligible expenditures,
based upon actual program expenses incurred along with supporting
documentation. There will be no advance payments under this grant
05,'01/2014 Grant Agreement # KPZ14
Emergency Solutions Grants Program
agreement. The supporting documentation must be submitted along with
copies of invoices in order for payment to be processed.
b. Authority
The authority to fund Emergency Solutions Grants can be found in 24 CFR, Part
576 (2011), of HUD's December 5, 2011 Interim Rule, as amended and in
section 420.622, Florida Statutes. For federal regulations governing the
Emergency Solutions Grant Program see the HUD web site to view or print
regulations at:
https://www.onecpd..info/resource/1927/hearth-esq- rogra m-a nd-con solid ated-
plan-conforming-amendments/
c. Scope of Service
Services shall be provided in Monroe County, Florida, in accordance with the
Recipient's response to the Department of Children and Families' Grant
Application LPZ10, and in a manner consistent with eligible activities contained in
Section B.1.a, Tasks List.
d. Program Goals
1) Homeless Prevention
The objectives of homeless prevention is to assist individuals and families
who are at imminent risk, or at risk, of homelessness, meaning those who
qualify under paragraph 2 and 3 of the homeless definition (Exhibit A) or
those who qualify as at risk of homelessness with short and medium term
rental assistance and housing relocation and stabilization services to 1)
prevent persons from becoming homeless in a shelter or an unsheltered
situation, or 2) to help such persons regain stability in their current housing
or other permanent housing. Individuals and families must have incomes
below 30% AMI.
2) Rapid Re -Housing
The objectives of rapid re -housing is to assist individuals and families who
are literally homeless, meaning those who qualify under paragraph 1 of
the definition of homeless with short and medium term rental assistance
and housing relocation and stabilization services to 1) help homeless
persons living on the streets or in an emergency shelter transition as
quickly as possible into permanent housing, and then 2) help such
persons achieve stability in that housing.
e. Grant Agreement Limits
This grant agreement is limited to no more than S76,598.00 for the grant period
and must be met with a dollar for dollar match. There is no provision for renewal
or extension of this grant agreement.
05i01i2014 Grant Agreement # KPZ14
12
Emergency Solutions Grants Program
The Recipient will be allowed to expend grant funds from the date of execution of
the grant agreement until June 30, 2015.
2. Clients to be Served
a. General Description
1) Homeless Prevention serves extremely low income individuals and
families, whose household income is below 30% AMI, at risk of becoming
homeless and moving into an emergency shelter or place not meant for
human habitation. (See Homeless Definitions, Exhibit A)
2) Rapid Re -Housing serves individuals or families who are literally
homeless, currently living in an emergency shelter or place not meant for
human habitation. (See Homeless Definitions, Exhibit A)
b. Client Eligibility
Client eligibility for services shall be determined by the Recipient in accordance
with 24 CFR Part 576 (2011), as amended in HUD December 5, 2011 Interim
Rule; the guidelines outlined in the Recipient's approved written standards and
procedures; and by the criteria for defining homeless under the Homeless
Definition established by HUD.
Grant recipients must assess a household's need for assistance at initial and re-
certification evaluations of eligibility to establish the amount and types of
assistance needed to maintain housing stability or for re -housing.
c. Client Determination
In the event of any disputes regarding the eligibility of clients, the determination
made by the Department is final and binding on all parties.
B. Manner of Service Provision
1. Service Tasks
The Recipient shall comply with the Program Narrative as described in the
Recipient's response to Grant Application LPZ10, within the limits of the approved
Budget and Budget Narrative, contained herein (Exhibit B and Exhibit 132).
a. Task List
1) Recipient must develop written standards and procedures for
providing assistance in accordance with provisions set forth in HUD's
December 5, 2011 Interim Rule. These standard policies and procedures
must be approved by the Department prior to grant execution. Standards
must meet these criteria:
05r'01 /2014 Grant Agreement # KPZ14
13
Emergency Solutions Grants Program
a) Standard policies and procedures for evaluating individuals' and
families' eligibility for assistance under the Emergency Solutions Grant:
Minimum Standards: Must be (1) consistent with the definition of
homeless and at -risk homeless set forth in 24 CFR 576.2; and (2) the
record keeping requirements set forth in 24 CFR 576,500 (b-e).
b) Standard policies and procedures for coordination among homeless
service providers, as well as mainstream service and housing
providers:
Minimum Standards: Standard shall encompass all providers and
programs listed in Sections 576.400(b) and (c) of the HUD December
5, 2011 Interim Rule.
c) Policies and procedures for determining and prioritizing which eligible
families and individuals will receive homeless prevention assistance or
rapid re -housing aid.
Department's Priority: Families with children shall be given preference
under the Department's award for both prevention and rapid re-
housing, to the maximum extent possible.
d) Standards for determining the share of rent and utility costs that each
eligible participant must pay, if any, while receiving either homeless
prevention or rapid re -housing aid.
e) Standards for determining how long a particular participant will be
provided with rental assistance, and whether and how the amount of
assistance may be adjusted over time.
f) Standards for determining the type, amount and duration of housing
stabilization and/or rapid re -housing assistance and/or relocation
services to be provided to an eligible participant, including limits, if any,
on the amount of homeless prevention or rapid re -housing assistance
that a participant may receive. The standards shall set forth the
maximum amount of assistance, the maximum months of assistance
possible, and maximum number of times a participant may receive
assistance.
2) Continuum of Care Centralized or Coordinated Assessment System:
The Department shall require all grant recipients to submit a certification
from the designed continuum of care lead agency that the Recipient is
using the assessment system. If the continuum of care has not yet
developed such a coordinated assessment system in accordance with
HUD's December 5, 2011 Interim Rules requirement, the continuum lead
05/01/2014 Grant Agreement # KPZ14
14
Emergency Solutions Grants Program
agency shall provide written documentation of this. Victim service
providers may choose not to use the continuum's coordinated assessment
system. If so, the victim service provider shall document this decision in
writing.
3) Prevention Activities: Grantee may provide any one or all of these
services to eligible program participants.
a) Rental Assistance is assistance for eligible clients where payments
are made directly to the housing provider to prevent families or
individuals from becoming homeless in a shelter or an unsheltered
situation.
(1) Short-term tenant based rental assistance: Rent assistance
provided for a period of 1 to 3 months
(2) Medium -term tenant based rental assistance: Rent assistance
provided for a period of 4 to 24 months
(3) Payment of Rental Arrears: One-time payment up to 6 months for
rent arrears including late fees on those arrears
Note: Any combination of the above assistance may be provided as long
as the total does not exceed 24 months of assistance in any 3 year period
(including any payment for last month's rent or for utility payments, this
includes 6 months of payments for arrears).
Requirement and Restrictions: Provisions of rental assistance are set forth
in Section 576.106 of the Interim Rule published on December 5, 2011.
b) Financial Assistance are those activities to help families or individuals
regain stability in their current housing or other permanent housing.
Applicants may provide any one or all of these services to eligible
program participants:
(1) Rental application fees
(2) Security deposits equal to no more than 2 months' rent
(3) Last month's rent if necessary to obtain housing for a program
participant, provided it does not exceed one month's rent
(4) Utility deposits required by the utility company for gas, electric,
water and sewage for all customers served.
(5) Utility payments for gas, electric, water and sewage bills not to
exceed 24 months of payments per participant, including up to 6
months of utility bills in arrears
(6) Moving costs, such as truck rental or hiring a moving company, and
temporary storage fees not to exceed 3 months
05101/12014 Grant Agreement # KPZ14
15
Emergency Solutions Grants Program
4)
c) Services are those activities which can aid participants with achieving
housing stability as well as dealing with previous issues related to
housing instability.
(1) Housing search and placement
(2) Housing stability case management
(3) Mediation between the program participant and landlord necessary
to prevent the participants from losing their present permanent
housing
(4) Legal services
(5) Credit counseling to assist participants with skills for household
budgeting, money management, credit report access, and credit
problems; does not include payment or modification of a debt
Rapid Re -housing Activities: Recipient may provide any one or all of
these services to eligible program participants.
a) Rental assistance is assistance for eligible clients where payments
are made directly to the housing provider to aid families or individuals
who are homeless move into permanent housing and achieve stability
in that housing.
(1) Short-term tenant based rental assistance:
Rent assistance provided for a period of 1 to 3 months
(2) Medium -term tenant based rental assistance:
Rent assistance provided for a period of 4 to 24 months
(3) Payment of Rental Arrears:
One-time payment up to 6 months for rent arrears including late
fees on those arrears
Note: Any combination of the above assistance may be provided as long
as the total does not exceed 24 months of assistance in any 3 year period
(including any payment for last month's rent).
Requirement and Restrictions: Provisions of rental assistance are set forth
in Section 576.106 of HUD's Interim Rule published on December 5, 2011.
b) Financial Assistance are those activities to help families or
individuals gain stability in permanent housing.
(1) Rental application fees
(2) Security deposits equal to no more than 2 months' rent
(3) Last month's rent if necessary to obtain housing for a program
participant, provided it does not exceed one month's rent
(4) Utility deposits required by the utility company for gas, electric,
and sewage for all customers
051'OV2014 Grant Agreement # KPZ14
16
Emergency Solutions Grants Program
(5) Utility payments for gas, electric, water and sewage bills not to
exceed 24 months of payments per participant, including up to six
months of utility bills in arrears
(6) Moving costs, such as truck rental or hiring a moving company, and
temporary storage fees not to exceed three months
b) Services are those activities which aid participants with achieving
housing stability as well as dealing with previous issues related to
housing instability.
(1) Housing search and placement
(2) Housing stability case management
(3) Mediation between the program participant and landlord necessary
to prevent the participants from losing their present permanent
housing
(4) Legal services
(5) Credit counseling to assist participants with skills for household
budgeting, money management, credit report access, and resolving
credit problems; does not include payment or modification of a debt
5) HMIS (Homeless Management Information System)
Recipients must enter data on all persons served and all activities
assisted under ESG into the applicable community —wide Continuum of
Care HMIS or comparable database. Activities funded by ESG must
comply with HUD's standards on participation, data collections and
reporting under local HMIS (See 24 CFR Part 576.107). Victim service
providers must not enter data into an HMIS but must use a comparable
database. Information in the comparable data must not be entered
directly into or provided to an HMIS.
Eligible costs include:*
a. Hardware equipment and software costs
b. Staff salaries for operating HMIS
c. Training and overhead (participation fees charged by lead agencies)
*Activities funded under this component must comply with HUD's standards on
participation, data collection and reporting under a local HMIS in HUD's December 5,
2011 Interim Rule as amended.
6) Administrative Costs
Recipients may use up to 4.5% of its Emergency Solutions Grant for costs
related to the planning and execution of ESG activities.
Eligible costs include:
a) Costs of overall program management, coordination, or oversight
(including staff salaries for program administration activities)
b) Training on ESG requirements and costs of HUD sponsored training
05110112014 Grant Agreement # KPZ14
17
Emergency Solutions Grants Program
c) Costs associated with conducting Environmental Reviews
conducted under 24 CFR Part 576.407
7) Maintain records documenting all clients served in accordance with HUD's
Interim Rule of December 5, 2011, as amended, and report all outcomes
achieved to the grant manager and the Department's Office on
Homelessness on a quarterly and annual basis. Report format will be
provided by the Department.
8) Use funds for providing eligible rental assistance and financial assistance
or services to persons who are in imminent danger of losing their homes
or those who are homeless as listed in the approved budget, Exhibit B.
9) Complete and maintain on file, an ESG Minimum Habitability Standards
Checklist, Exhibit C, for all locations in which ESG funds are used to help
participants remain in or move into housing.
10) Complete and submit all reports specified by the Department.
1) Comply with all state licensing standards, all applicable standards, criteria
and guidelines of the Department.
b. Task Limits
The Recipient is limited to providing services as indicated in 24 CFR, Part 576
(2011), as amended by HUD's December 5, 2011 Interim Rule to those
persons who qualify under this rule. The Recipient is allowed to expend grant
funds from the date of execution through June 30, 2015.
2. Staffing Requirements
a. Staffing Levels
The Recipient will maintain sufficient and appropriate staff to deliver the
proposed services reflected in the grant agreement. The Recipient shall maintain
an adequate administrative organizational structure and support staff to conduct
its contractual responsibility, including intake and evaluation of applications for
assistance and case management of client's receiving assistance.
The Recipient shall replace any employee, whose continual presence would be
detrimental to the success of the project, as may be determined by the
Department.
b. Professional Qualifications
Minimum professional qualifications for staff shall be as follows: case managers
shall hold the minimum of a Bachelor's Degree in Social Work or a related field;
data entry personnel shall have a high school diploma or equivalent. The
position descriptions as described in the Recipient's application submitted in
05,101 i2014 Grant Agreement # KPZ14
18
Emergency Solutions Grants Program
response to the grant application shall remain in place until written approval for
any changes is obtained from the Department.
c. Staffing Changes
The Grant Manager shall be notified in writing of any staff changes or vacancies
within five (5) calendar days of the change or vacancy. Any replacement
personnel shall meet the requirement of the position.
d. Subcontrators
This grant agreement allows the Recipient to subcontract for case management
services. All subcontracting is subject to the provisions of Section 8 of the
Standard Contract Agreement and must be approved prior by the Department.
The Recipient may not subcontract services not listed.
3. Service Location & Equipment
a. Service Delivery Location
Services will be provided at the following Monroe County offices:
* 1100 Simonton Street, Key West
0 390 63rd Street Ocean, Marathon
0 88770 Overseas Highway, Tavernier
b. Service Times
Services will be made available to those seeking assistance within normal
business hours, Monday -Friday, 8 am until 5 pm and those deemed necessary
by the Recipient to meet the needs of clients seeking service.
c. Changes in Location
The service delivery location shall not be changed without prior approval for the
grant manager.
d. Equipment
It is the responsibility of the Recipient to supply at its own expense, any
equipment (aside from equipment purchased with funds from this grant
agreement) necessary to provide services under this grant agreement. All
equipment acquired under this grant agreement will be inventoried annually.
4. Deliverables
a. Recipient is required to meet these deliverables as part of compliance for
funding received under the Emergency Solutions Grant:
1) Provide financial assistance to a minimum of three households per month,
as documented in the monthly HMIS activity report. Financial assistance
may include rent payments and security deposits, and utility payments and
deposits.
05;01,,2014 Grant Agreement # KPZ14
19
Emergency Solutions Grants Program
1) To the extent that information is utilized in the performance of the resulting
Grant agreement or generated as a result of it, and to the extent that
information meets the definition of "public record" as defined in subsection
119.01 1 (1), Florida Statutes, said information is hereby declared to be and
is hereby recognized by the parties to be a public record and absent a
provision of law or administrative rule or regulation requiring otherwise,
shall be made available for inspection and copying by any interested
person upon request as provided in Chapter 119, Florida Statutes, or
otherwise. It is expressly understood that the Recipient's refusal to
comply with Chapter 119, Florida Statutes, shall constitute an immediate
breach of the resulting grant agreement, which entitles the department to
unilaterally cancel the grant agreement. The Recipient is required to notify
the department in writing of any requests made for public records.
2) All documents pertaining to the program shall be retained by the Recipient
for a period of six (6) years after the termination of the grant agreement, or
longer as may be required by any renewal or extension of the grant
agreement. During the record retention period, the Recipient agrees to
provide all documents required to be retained upon demand by the
Department.
3) The Recipient agrees to maintain the confidentiality of all records required
by law or administrative rule to be protected from disclosure. The
Recipient further agrees to hold the department harmless from any claim
or damage including reasonable attorney's fees and costs of any fine or
penalty imposed as a result of improper disclosure by the Recipient of
confidential records whether public record or not and promises to defend
the Department against the same at its expense.
4) Records necessary to document data required for status reports must be
maintained in files that coincide with the report periods specified. These
records may be maintained manually or electronically.
c. Reports
The Recipient agrees to maintain and submit to the Grant Manager and the
Office on Homelessness the reports as outline below:
Report Title Reporting 1 Report Due Date Number 1 DCF Office to
Frequency i of 1 receive report(s)
Copies
Request for I Monthly 20t' of each I Grant Manager
Reimbursement I month
(Exhibit D) following
j service
05i01 /2014 Grant Agreement # KPZ14
20
Emergency Solutions Grants Progran,
Monthly and
Monthly 2U' of each
9 Grant Manager
Year to Date
month
HMIS
following
Activity Report
service
Quarterly
1 Quarterly 20( of month
9 Grant Manager
Match
I following the
Report
I end of the
1 quarter
i Quarterly
Quarterly 11 2 tn of month
Grant Manager and
CAPER
following the
I Office on
Report
end of the
I Homelessness
quarter
Annual
o,n
Annually 1 2 of month i
1 Grant Manager and
CAPER
following the j
Office on
Report
end of the
Homelessness 1 1
I
fiscal ear
HUD Ann ual
Annually 0 �of month
Grant Manager and
Performance
followinq HUD
Office on
Report (Coq)
date due
Homelessness
1) The Recipient agrees to submit to the Grant manager, with Exhibit D, a
monthly
HMIS activity report on numbers and
types of clients served for
the reporting
month and year to date (from
the date of execution).
2) The Recipient agrees to submit to the Grant Manager and the Office on
Homelessness the HMIS generated Consolidated Annual Performance
and Evaluation Report (CAPER) at the end of each quarter. Complete
and accurate reports are due in the format determined by the Office on
Homelessness or the Grant Manager.
3) The Recipient agrees to submit to the Grant Manager and the Office on
Homelessness the HUD Annual Performance Report (APR) on January
15, 2015 and June 15, 2015. Complete and accurate reports are due in
the format determined by the Office on Homelessness and the Grant
Manager. Reports are due not later than 20 days of the end of the
reporting period.
4) The Department reserves the right to request and receive from the
Recipient complete and accurate data that is required by this contract but
may not be captured in HMIS.
5) Match Report. On a quarterly basis, the Recipient will report the
matching expenditure dollars and in -kind contributions on the quarterly
performance reports submitted to the Office on Homelessness. In -kind
contributions may be evaluated and counted as all or part of the match. In
addition, the Recipient may report match on invoices submitted for
reimbursement for the corresponding month of service to the grant
0�1;0112014 21 Grant Agreement# KPZ14
Emergency Solutions Grants Program
manager for approval. The report will be due not later than twenty (20)
calendar days following the end of the quarter to the grant manager. Grant
Managers may require additional reports regarding match as deemed
necessary, and will request these from the Recipient if needed.
6) Where the grant agreement requires the delivery of reports to the
Department, mere receipt by the Department shall not be construed to
imply acceptance of those reports. It is specifically intended by the parties
that acceptance of required reports shall constitute a separate act.
7) The Department reserves the right to reject reports as incomplete,
inadequate or unacceptable according to the parameters set forth in the
grant agreement. The Department, at its option, may allow additional time
within which the Recipient may remedy the objections noted by the
Department of the Department may, after having given the Recipient a
reasonable opportunity to complete, make adequate or acceptable, and
declare this agreement to be din default.
5. Performance Specifications
a. Performance Measures
Performance measures are proposed to be used jointly by the Department
and the Continuum of Care planning lead agency to assess the performance
of the Department's funded Recipients under the 2013 Emergency Solutions
Grant. Recipients will be required to provide copies of the Department
required reports to the lead agency at the same time the report is due to the
Department.
The Recipient will not be responsible for meeting performance measure
1), but will need to track data on this measure throughout the grant
agreement term.
Performance measures are:
1) A reduction in the number of households with children who are
homeless in the Continuum of Care (CoC) area.
2) At least 35% of the participants served remain permanently
housed 6 months following the last date assistance was provided
under the grant.
b. Performance Evaluation Methodology
1) Performance measure 1) above shall be calculated as follows:
# of households with children who are homeless in the CoC as of - 07/01/2014
Number of households with children who are homeless in the CoC as of 06/30/2015
05/01,,'2014 GI -ant Agreement # KPZ14
22
Emergency Solutions Grants Program
2) Performance measure 2) above shall be calculated as follows:
of participants served remaining permanently housed 6 months following last assistance
Total number of clients served during the reporting period
c. Performance Standards Statement
By execution of this grant the Recipient hereby acknowledges and agrees that its
performance under the grant must meet the standards set forth above and will be
bound by the conditions set forth in this grant. If the Recipient fails to meet these
standards, the Department, at its exclusive option, may allow up to six (6) months
for the Recipient to achieve compliance with the standards. If performance
deficiencies are not resolved to the satisfaction of the Department within the
prescribed time, and if no extenuating circumstances can be documented by the
Recipient to the Department's satisfaction, the Department must cancel the grant
with the Recipient. The determination of the extenuating or mitigating
circumstances is the exclusive determination of the Department.
6. Recipient Responsibilities
a. The Recipient is solely and exclusively responsible for the satisfactory
performance of the tasks described in the Tasks Limits section of the Attachment
I and the approved grant application. By execution of the grant agreement, the
Recipient recognizes its exclusive responsibility for the tasks, activities, and
deliverables described herein and warrants that it has fully been informed of all
relevant factors affecting accomplishment of the tasks, activities, and
deliverables and agrees to be fully accountable for the performance thereof. The
Recipient is also responsible for demonstrating compliance with all Federal
requirements contained in the Grant Solicitation, and Federal Regulations
governing the Emergency Solution Grants Program (24 CFR, Part 576 (2011)
and HUD's December 5, 2011 Interim Rule, as amended).
b. Coordination with other Providers/Entities
1) The Recipient shall be a member of the appropriate local homeless
coalition, shall actively participate in coalition activities, and shall
coordinate its efforts with those of the homeless coalition.
2) If there is a homeless continuum of care in the geographic area within
which the Recipient resides, the Recipient shall collaborate and be a full
and active participant in this multi -agency continuum.
3) If the homeless continuum of care (CoC) has established a coordinated
assessment system, the Recipient agrees to accept referrals from
members within the system, as described in a separate written agreement
between the Recipient and the CoC. The Recipient will provide this
05i01/2014 Grant Agreement # KPZ14
23
Emergency Solutions Grants Program
agreement to the Grant Manager and the Office on Homelessness within
30 days of execution. If no such system has been set up the Recipient
agrees to participate in the system once it is developed and provide such
a written agreement when executed. The system will be established
according to the guidelines set in HUD's December 5, 2011 Interim Rule
and any further guidance from HUD pertaining to the system and its
implementation.
4) The failure of other providers, subcontractors or entities to perform tasks
related to this grant agreement, does not alleviate the Recipient from any
accountability for tasks or services that the Recipient is obligated to
perform pursuant to this grant agreement.
7. Department Responsibilities
a. Department Obligations
The Grant Manager will provide the Recipient any pertinent information received
from the Office on Homelessness, and any information regarding grant
opportunities or changes to the Emergency Solutions Grant Program by HUD or
the Department.
b. Department Determinations
The Department has reserved the exclusive right to make certain determinations
in this grant. The Department reserves the exclusive right to make any and all
determinations which it deems are necessary to protect the best interests of the
State of Florida and the health, safety, and welfare of the clients, whether those
clients are served by the Department directly or through one of its grant
agreement Recipients. The absence of the department setting forth a specific
reservation of right does not mean that all other areas of the resulting grant
agreement are subject to mutual agreement.
The Department's determination of acceptable services or reports shall be
conclusive.
c. Monitoring Requirements
The effectiveness of the Recipient's performance of services purchased under
this grant agreement will be monitored both programmatically and
administratively by representatives of the department in accordance with existing
departmental procedures (CFOP 75-8). The monitoring will be performed by
review of reports, monthly expenditure statements and may be by on -site review
of records, reports, policies, and procedures.
051;0 1/2014 Grant Agreement # KPZ14
24
Emergency Solutions Grants Program
C. Method of Payment
Cost Reimbursement: Costs associated with carrying out services under this grant
agreement will be first be paid by the Recipient. The Recipient will submit invoices
for eligible costs to the Department for reimbursement.
1. This is a cost reimbursement grant. The Department shall reimburse the
Recipient for allowable expenditures incurred pursuant to the terms of this grant
agreement for a total dollar amount not to exceed S76,598.00, subject to the
availability of funds, and the Recipient's required match of 100 percent. This
project is funded by an Emergency Solutions Grant for the homeless from the
U.S. Department of Housing and Urban Development.
2. The Recipient shall request reimbursement on a monthly basis through the
submission of a properly completed Request for Reimbursement, Exhibit D, not
later than twenty (20) days following the end of the month for which
reimbursement is being requested. Charges must have supporting
documentation attached. The invoice and the documentation must be submitted
to the Grant Manager.
3. Payment may be authorized only for allowable expenditures on the Invoice which
are in accordance with the limits specified in the approved Budget, Exhibit B,
and in accordance with the Recipient's proposal submitted to the Department of
Children and Families for the Emergency Solutions Grant Program and its
applicable program component.
4. If no services are due to be invoiced from the preceding month, the Recipient
shall submit a written document to the Department indicating this information
within thirty (30) days following the end of the month.
5. Financial Consequences
Failure of the Recipient to perform under the terms of the grant agreement and
pursuant to Chapter 201-154, Laws of Florida and section 215.971 (1)(c), Florida
Statues shall result in a financial penalty being assess on the Recipient. The
Department, after determining the absence of mitigating circumstances, shall
assess a penalty of 2% of the monthly invoice for any month of noncompliance.
The amount will be deducted from the payment for the noncompliant month. If
the failure occurs at the end of the grant agreement term, the Recipient will be
penalized 2% of the last invoice to be reimbursed or the last invoice that has
been reimbursed by the Department. The Recipient shall make payable to the
Department the amount of the penalty within 30 days after being notified in
writing by the grant manager. If the Recipient fails to reimburse the Department,
the Department has to the right to refuse to grant any new grant agreement or
contract awarded through the Department for any services, until said
reimbursement is received.
05/01/2014 Grant Agreement # KPZ14
25
Emergency Solutions Grants Program
6. Supporting Documentation Requirements
Documentation of all expenses incurred under a cost reimbursement grant must
accompany the properly completed invoice. Documentation includes but is not
limited to the following:
a. Professional Service Fees on a time/rate basis. The invoice must
include a general statement of the services being provided. The time
period covered by the invoice, as well as the hourly rate times the number
of hours worked, must be stated. Supporting documentation must be
included detailing the hours represented on the invoice. Such
documentation should include timesheets or a time log and copies of
canceled payroll checks. The State's Chief Financial Officer (CFO)
reserves the right to require further documentation on an as needed basis.
b. Postage and Reproduction Expenses. Purchases made from outside
vendors must be supported by paid invoices or receipts. Purchases for all
in-house postage (e.g., postage meter) and reproduction expenses must
be supported by usage logs or similar documents.
c. Expenses. Receipts are required for all expenses incurred (e.g., office
supplies, printing, long distance telephone calls, etc.)
d. Travel. For all travel expenses, a department travel voucher, Form DFS—
AA-15 (State of Florida Voucher for Reimbursement of Traveling
Expenses) must be submitted. Original receipts for expenses incurred
during officially authorized travel (items such as car rental and air
transportation, parking and lodging, tolls and fares) are required for
reimbursement. Subsection 287.058(1)(b), F.S., requires that bills for any
travel expense shall be submitted in accordance with s. 112.061, F.S.,
governing payments by the state for traveling expenses. CFOP 40-1
(Official Travel of DCF Employees and Non -Employees) provides further
explanation, clarification and instruction regarding the reimbursement of
traveling expenses necessarily incurred during the performance of official
state business. ESG funds may be used for travel when such travel is to
HUD sponsored training.
7. Budget Changes. The Recipient must submit to the Department a written
request for budget changes and obtain written approval before a change is
implemented. Such changes between categories may be allowed if the following
conditions are met:
a. There is no change in the scope or objectives of the grant agreement.
b. The changes do not increase or decrease the original dollar amount in
the total budget.
Grant Agreement # KPZ14
051/01/2014 26
Emergency Solutions Grants Program
c. There is another category in the budget from which funds can be
shifted.
d. The changes do not involve establishing a new category or totally
eliminating a category.
e. Budget changes which do not meet the above conditions will require a
properly executed grant agreement amendment, signed by the
recipient and the department on or before the effective date for
implementation of the specified change.
8. Service Delivery Documentation. The Recipient must maintain records
documenting the total number of clients and names (or unique identifiers) of
clients to whom services were provided and the date(s) on which services were
provided so that an audit trail documenting service provision is available. Any
payment requested under the terms of this grant agreement may be withheld
until the evaluation and reports due from the Recipient, and adjustments thereto
have been received and approved by the Department.
9. Match Requirements. Pursuant to Title 24, Part 576.51, Code of the Federal
Regulations, a match of 100% is required on the part of the recipient. The match
requirement may be satisfied by in -kind match subject to the following provisions:
a. The value of materials used to improve/remodel, the fair market rental
value of the space being utilized for the period and/or the lease expense
paid by the organization or donated to the organization at fair market
value. Volunteer services and donated professional services are to be
valued at their actual fair market value within the community. For the
purposes of the Emergency Solutions Grants Program, suitable match
may be defined as any and all current or proposed recipient expenditures
on behalf of the homeless program, so long as they are not other
b. Emergency Solutions Grant funds or funds being concurrently used as
match for other grants and projects. Eligible match includes the value of
goods and services, buildings and land, equipment, furnishings, supplies,
staff, administrative support, volunteer manpower, donations, grants, cash
contributions, and rent, utility, insurance and maintenance expenditures.
The match is to be dollar for dollar. Funds used for Emergency Shelter
Grants match may not be concurrently utilized as match for other grants or
funding sources. Recipient funds used to match previous Emergency
Shelter Grants or Emergency Solutions Grants may not be used to match
a subsequent Emergency Solutions Grant.
c. There must be specific documentation as to the amount and source of all
matching contributions.
051101,2014 Grant Agreement # KPZ14
27
Emergency Solutions Grants Program
d. Matching funds must be provided after the date of the grant agreement is
executed.
9. This grant agreement is exempt from the MyFloridaMarketPlace Transaction
Fee in accordance with Rule 60-A1.032(1)(d), F.A.G.
D. Special Provisions
1. Mandatory Reporting Requirements
The Recipient and any subcontractor must comply with and inform its employees of
the following mandatory reporting requirements. Each employee of the Recipient,
and any subcontractor, providing services in connection with this grant agreement
who has knowledge of a reportable incident shall report such incident as follows: (1)
reportable incidents that may involve an immediate or impending impact on the
health or safety of a client shall be immediately reported to the Grant Manager; and
(2) other reportable incidents shall be reported to the Department's Office of
Inspector General by completing a Notification/investigation Request (Form CF1934)
and emailing the request to the Office of the Inspector General at
ig complaints(o-)dcf.state.fl.us. The Recipient and/or subcontractor may also mail the
completed form to the Office of the Inspector General, 1317 Winewood Boulevard,
Building 5, Tallahassee, FL 32399-0700' or fax to 850-488-1428. A reportable
incident is defined in CFOP 180-4, which can be obtained from the Grant Manager.
2. Dispute Resolution
It is expected that the Recipient and the Department will agree to cooperate in
resolving any differences concerning performance or in interpreting the grant
agreement. Within five (5) working days of the execution of a grant agreement for
services, each party shall designate one person to act as its representative for
dispute resolution purposes, and shall notify the other party of the person's name,
business address and telephone number. Within five (5) working days from delivery
to the designated representative of the other party of a written request for dispute
resolutions, the representatives will conduct a face-to-face meeting to resolve the
disagreement amicably. If the representatives are unable to reach a mutually
satisfactory resolution, the representatives shall make recommendations to the
Secretary who has final authority to resolve the dispute. The parties reserve all their
rights and remedies under Florida Law.
3. Employment Eligibility Verification
a. Definitions. As used in this clause —
"Employee assigned to the grant agreement" means all persons employed during
the grant term by the Recipient to perform work pursuant to this grant agreement
within the United States and its territories, and all persons (including
subcontractors) assigned by the recipient to perform work pursuant to the grant
agreement with the department.
05'0112014 Grant Agreement # KPZ14
28
Emergency Solutions Grants Program
"Subcontract" means any contract entered into by a subcontractor to furnish
supplies or services for performance of a prime grant agreement or a
subcontract. It includes but is not limited to purchase orders, and changes and
modifications to purchase orders.
"Subcontractor" means any supplier, distributor, vendor, or firm that furnishes
supplies or services to or for a prime recipient or another subcontractor.
b. Enrollment and verification requirements.
The Recipient shall-
1) Enroll. Enroll as a recipient in the E-Verify program within 30 calendar
days of grant award.
2) Verify all new employees. Within 90 calendar days of enrollment in the
E-Verify program, begin to use E-Verify to initiate verification of
employment eligibility. All new employees assigned by the
Recipient/subcontractor to perform work pursuant to the grant agreement
with the DCF shall be verified as employment eligible within 3 business
days after the date of hire.
3) The Recipient shall comply, for the period of performance of this grant
agreement, with the requirement of the E-Verify program enrollment.
5) The Department of Homeland Security (DHS) or the Social Security
Administration (SSA) may terminate the recipient's enrollment and deny
access to the E-Verify system in accordance with the terms of the
enrollment. In such case, the recipient will be referred to a DHS or SSA
suspension or debarment official.
6) During the period between termination of the enrollment and a decision by
the suspension or debarment official whether to suspend or debar, the
Recipient is excused from its obligations under paragraph (b) of this
clause. If the suspension or debarment official determines not to suspend
or debar the recipient, then the recipient must reenroll in E-Verify.
c. Website information. Information on registration for and use of the E-Verify
program can be obtained via the Internet at the Department of Homeland
Security Web site: http://www.dhs.gov/E-Verify.
d. Individuals previously verified. The Recipient is not required by this clause
to perform additional employment verification using E-Verify for any employee
whose employment eligibility was previously verified by the Recipient through the
E-Verify program.
e. Individuals performing work prior to the E-verify requirement. Employees
assigned to and performing work pursuant to this grant agreement prior to
1 '15/01 '2014 Grant Agreement # KPZ14
0 1 29
Emergency Solutions Grants Program
February 04, 2011 do not require employment eligibility verification through E-
verify.
f. Evidence. Evidence of the use of the E-Verify system will be maintained in the
employee's personnel file.
g. Subcontracts. The Recipient shall include the requirements of this clause,
including this paragraph (g) (appropriately modified for identification of the
parties), in each subcontract."
4. Health Insurance Portability and Accountability Act
In compliance with 45 CFR s.164.504(e), the Recipient shall comply with
the provisions of Attachment IV to this grant agreement, governing the
safeguarding, use and disclosure of Protected Health Information created,
received, maintained, or transmitted by the Recipient or its subcontractors
incidental to Recipient's performance of this Contract. The provisions of
the foregoing Attachment supersede all other provisions of Attachment I
regarding HIPAA compliance.
E. List of Exhibits
1. Exhibit A, HUD Homeless Definitions, Recordkeeping Requirements
2. Exhibit B, Budget
3. Exhibit 132, Budget Narrative
4. Exhibit C, ESG Minimum Habitability Standards Checklist
5. Exhibit D, Monthly Request for Reimbursement
05r01/2,314 Grant Agreement # KDZ14
30
Emergency Solutions Grants Program
50MEM
;il individual or famili, who lacks a riteu, regutar, and adequate
mght-time resdenc.2. meaning'
Li -era 'y
1: Has 3 primary nigh -time residence that is a )Ud�IC317
Cate gory
or, ate pace not meant for human hap!taticn;
is vng in a puloici,y or privately ocerated shelter
designated -,, Provide temporari, J',unR arrangements
: inc; uding congrepte sh,.tern, transitiona; housing, and
lyotels and motels paid fcr by charitable crgarii:atons or
by federal, state and local goverrim-ent prograrrisk �rr
,iiij is exiting an institution where lsthe has resided'or 90 days
or lots and rho resided in an emergenc., shelter or place
not meant for human haorta' ion 1mr-.ed;atel,,.' befrlre
entering that institution
V)
j2: individual or family who will imminently lose -heir primary
U-1
nighttime residence, pro%ided that:
J
LIJ
innimmerit Risk of
I il% residence- 4 4 days at the date of
wd i be !as, within .
0
7
Category
Homelessness
application for homeless assistance,
,
2
1 ii'l No subs&quent residence has been identified; and
< 0
Iiiij The individual or family lacks the resources or support
networks needed to obtain ather permanent housing
EE"r
L,Lj
:3! unaccompanied youth under 25 years of age, or families vvith
children anclyouth, who do not otherwise qualifier as homeless
L)
H ome ess under
under this cle5nition, butyho:
Category
other Federal
ji; 4re defined as homeless under the other listed federal
L1..1
3
statutes
statutes:
ii'j Kaye not had a lease, ownership interest, of occupanty
agreement in permanent housing during the 60 days prior
to the homeless assistance application;
Iiiii have experienced persistent instabOty as measured by two
moves or more during in the preceding 60 days; AQJ,
Irv] Can be axpected to continue in such status for an extended
period of t' me due to special needs or barriers
�4: Any indiv-Aual or family who:
:j: is fleeing, or is attempting to fize-, domestic violence;
Reeingj
Iiij Kesz as no other rdence,
Category
A ttempnn g to
itil Lacks the resources or suppor, ne-works to obtain other
4
Flee D"y?
permanent housing
05/01!2014 Grant Agreement # KPZ14
31
Emergency Solutions Grants Program
ji" Has an annual income be ow 3213t of nned,an tam,
income for the area'.Lla
(ij) oes not have suffsc,ent rEscurCe-3 or support
n—wiork; immed:ate y 3•aai Riot= •to preyent them from
mov,r.= to an emergenc-sheter or another! ace
defined in Category I of the "home ess" de-finition,
Lia
ji', M eat 3 ore of the following cor J ition s:
(Al Has moved because of economic reasons 2 or
more times during the 60 days immediately
preoscling the application for assistance, OF
16,11, living in the home of another because of
economic hardship: C",
LLI
z
(C) Has been notified that their right to occupy their
z
L'I
Category
indvicluals and
current housing or living situation voi I be
LA
1
Families
terminatedwith-In 21 days after the date of
U-1
WJ _J
application for assistance: ')R
0 Lit!
:2
(D) Lives in a hote or motel and the cost is not paid
cj::
0
for by chartab,e organizations or by Federal, State,
0
U_ =
or local government programs for low-income
< LA_
individuals, OR
0
E�
(El Lives in an SRO or efficvercy apartment unit inLU
ttI
which there res'�de more than 2 persons or Irves in a
rr
larger housing unit in vihich there resSde more than
L)
one and a ha f persons per room-, OR
tF) is exiting a publicly funded institution or system of
care; OR
(G) Otherwise lives in housing that has characteristics
associated with insTabi ity and an increased risk of
homelessness, as Ideriffi-d in the recipient's
approved Con Plan
Unaccompanied
A child oryouth who does not qualiN as home ess under
Category
Chi dren and
the home•ess definition, but qua des as homeless under
2
Youth
another Federal statute
—
An unaccompanied youth vho does not qua ity as
Families pith
homeless under the home ess definition, but qualifies as
Category
Chi dren and
homeless under saiction 725,"21 of the McYinney-'lento
3
Youth
Homeless Assistance Act, and the parentis! or guardian's)
or that child or,,I-outh it li�.,ingg ootth, him or her.
05/01 i2014 Grant Agreement # KPZ14
32
Emergency Solutions Grants Program
,.rjtten oIbser,.3*on b, the outreach ,ti orke r or
v%-i7-en Teferab I another hoc -sing or Pra roe', ;L
7-e,v?Ica l,+on by me ndioduaj or head clf nousehold seeilng i
3ssj,, an ze satln� -not lsllh� c llg on t7le or
Sr;
For ind!vidua:s etiling an inst,tution—one of the farms of
Edlsnce above an,,,
D dochar-2 Gaper' -on( c, wr-cn!'ofa' referra', I
tten eocl D� r-,tsskc wzrller's d-,e d i-aen:=e t
ob-.ain abcve ev-dence
ind vdual that thev exlte:o nsti-,ilion
roust orcler rzsul,:-,gfrorn an evict:on action ninl--
in&vidual or fain that they Must lea
2-7
F t "Isk of i
2
For indivicljaand farndies ea�,ing a holre'or moze�—evide ace
categori
that they lack the fir ancial resources to staY; or
4 docum,e-nted and .,erified oral statement, and
Certrrication that no subsequent residence has been dentined;
n,
el�r-certficLtion other wrtten document ta-non th atthe
at en m
'
P,: n
resourcep "s" ry' -0
ndiVidual 'lack the financial resources and support necessary to
ck he financial
housing
-u" h_
obtain permanent housing
Uvl
CY,
state or local go -,riat
C rtrfc n th� f" --a'. or 1 0 '1 _rumen, -m-t
rtification by the nonproftt ar P
u P -P me, the
n . , st
the ird;,��idual or head of household seek- ng assistance met the
�ua I r h -h -n a n
" _ d or 0 a old seek
o . er
e ess o er
_:,n e under another fade statute
r
h I another 'ede.1 s. "'e, ZI
critera of hornelessness
D h. F E e - a
Certrficarzion of no PH in last 60 days,
-t
Cel-UNCaton by the indiv dual or head of household, and any
at
ava ilabl-a supporting documentation, that !sine has moved tvic, or
tJ
more times tn the past 60 days; 30.1
Documentation of specia' needs a[ 2 of more barriers
0
For Ocri'm service prv,-idt rs--
,tn oral statement by the indiwiduslor head of household
ls_ingj
g_
seAm-f assistance viruch states: t1tFy are fleeintheV have no
4
to
subsequent residence; and they !asi, resource s Statement
Must be documented by a self-cert,fication or a cerrfication by
Fie DV
the intake wo0er
For non-wiLVIr serwe orDwje-s:
o oral statement by the individual or head of household seei:;ng
assistance that they are lung. This,staternent is documented
by a seff-certlfcation or tsy the caseworker- Where the saf t
of the indvaiduaor family is not jeopardized -he oral
statement must be venfed; ja;j
cer-,if-,c3non by ".e indiVdual or heat of household that no
subsequentresidence has been idenffed; and
self-eertficanon, or other xri--n documentation that the
ind'-w-dual or fam,fy lacks the financrai resources and support
networks to obtain other permanent h nusing.
0 51,'0 120 14 Grant Agreement = KPZ14
33
•
EMERGENCY SOLUTIONS GRANT
ELIGIBLE GRANT
ACTIVITIES FUNDING
1. Rapid Re -Housing
A. Rental Assistance $28,000.00
B. Financial Assistance Costs $15,000-00
C. Services Costs $ 980.00
2. Homeless Prevention
A. Rental Assistance $22,500-00
B. Financial Assistance Costs $ 3,000.00
C. Services Costs $ 620.00
3. HMIS $ 3,200.00
4. Administration $ 3,298.00
Total Budget $76,598.00
34
KPZ14
Monroe County Board of County Commissioners/ Social Services
Budget !Narrative
This funding, in the amount of $76,598,00 will enable us to serve approximately 30 eligible households
that are in danger of losing permanent housing or assist them in securing housing.
Detailed Budget Breakdown:
1) Rapid Re -Housing
A. Rental Assistance $28,000.00
(Assist approximately 15 Households at average of $1,866.67)
B. Housing Relocation and Stabilization
Financial Assistance Costs $15,000.00
(Assist approximately 15 Households at average of $1,000.00 per Household for
security deposits)
C. Service Costs $ 980.00
(Three case managers time utilized to perform the above assistance -average time
approximately 7% of their 40 hour work week)
2) Homeless Prevention
A. Rental Assistance $22,500.00
(Assist approximately 15 Households at average of $1,500.00 per Household)
B. Housing Relocation and Stabilization
Financial Assistance Costs $ 3,000.00
(Assist approximately 15 Households at average of $200.00 per Households for
utility bills, deposits)
C. Services Costs $ 620.00
(Three case managers time utilized to perform the above assistance -average time
approximately 7% of their 40 hour work week)
3) HMIS
A. Cost of contributing data to HMIS for CoC $ 3,200.00
($2,400.00 for 2 HMIS/Client Track user fees - $1,200.00 per user per year and
$800.00 in staff salaries for the data entry)
4) Administrative Costs (cap 4.55yo)
A. Local government $ 3,298.00
(Staff time consisting of Sr. Administrator, Compliance Manager and Director -
approximately 3% of their 40 hour work week)
35
KPZ14
Exhibit C
About this Tool
The Emergency Solutions Grants (ESG) Program Interim Rule establishes different habitability standards
for emergency shelters and for permanent housing (the Rapid Re -housing and Homelessness Prevention
components).
Emergency Shelter Standards.
Emergency shelters that receive ESG funds for renovation or shelter operations must meet
the minimum standards for safety, sanitation, and privacy provided in §576.403(b).
In addition, emergency shelters that receive ESG funds for renovation (conversion, major
rehabilitation, or other renovation) also must meet state or local government safety and
sanitation standards, as applicable.
• Permanent Housing Standards. The recipient or subrecipient cannot use ESG funds to help a
program participant remain in or move into housing that does not meet the minimum
habitability standards under §576.403(c). This restriction applies to all activities under the
Homelessness Prevention and Rapid Re -housing components.
Recipients and subrecipients must document compliance with the applicable standards. Note that these
checklists do not cover the requirements to comply with the Lead -Based Paint requirements at
§576.403(a). For more discussion about how and when the standards apply, see ESG Minimum
Standards for Emergency Shelters and Permanent Housing, located at http://OneCPD.info/es.
The checklists below offer an optional format for documenting compliance with the appropriate
standards. These are intended to:
1. Provide a clear summary of the requirements and an adaptable tool so recipients and
subrecipients can formally assess their compliance with HUD requirements, identify and carry
out corrective actions, and better prepare for monitoring visits by HUD staff.
2. Provide a tool for a recipient to monitor that its subrecipient is in compliance with HUD
requirements. Where non-compliance is identified, the ESG recipient can use this information to
require or assist the subrecipient to make necessary changes.
Prior to beginning the review, the subrecipient should organize relevant files and documents to help
facilitate their review. For instance, this may include local or state inspection reports (fire -safety, food
preparation, building/occupancy, etc.), or policy and procedure documents related to emergency shelter
facility maintenance or renovations.
Carefully read each statement and indicate the shelter's or unit's status for each requirement (Approved
or Deficient). Add any comments and corrective actions needed in the appropriate box. The reviewer
should complete the information about the project, and sign and date the form. This template includes
space for an "approving official," if the recipient or subrecipient has designated another authority to
approve the review. When the assessment is complete, review it with program staff and develop an
action plan for addressing any areas requiring corrective action.
36
Exhibit[
instructions: Place a check mark in the co/re(tco|umn to indicate whether the property is approved or
deficient with respect toeach standard. The property must meet all standards inorder tobeapproved.
A copy of this checklist should be placed in the client file.
Standard
Approved Deficient
1. Structure and materials: The structure is structurally sound to protect the
residents from the elements and not pose any threat to the health and
safety of the residents.
2. Space and security: Each resident is provided adequate space and security
I for themselves and their belongings. Each resident is provided an
acceptable place to sleep.
3. Interior air quality: Each room or space has a natural or mechanical means
of ventilation. The interior air is free of pollutants at a level that might
threaten or harm the health of residents.
4. Water Supply: The water supply is free from contamination.
5. Sanitary Facilities: Residents have access to sufficient sanitary facilities
that are in proper operating condition, are private, and are adequate for
personal cleanliness and the disposal of human waste.
6. Thermal environment: The housing has any necessary heating/cooling
facilities in proper operating condition.
7. Illumination and electricity: The structure has adequate natural or artificial
illumination to permit normal indoor activities and support health and
safety. There are sufficient electrical sources to permit the safe use of
electrical appliances in the structure.
8. Food preparation: All food preparation areas contain suitable space and
equipment to store, prepare, and serve food in a safe and sanitary
9. Sanitary condition: The housing is maintained in sanitary condition.
10. Fire safety:
a. There is a second means of exiting the building in the event of fire or
other emergency.
b. The unit includes at least one batte ry-o pe rated or hard -wired smoke
detector, in proper working condition, on each occupied level of the
unit. Smoke detectors are located, to the extent practicable, in a
hallway adjacent to a bedroom.
c. If the unit is occupied by hearing -impaired persons, smoke detectors i
have an alarm system designed for hearing-im paired persons in each I
bedroom occupied by a hearing -impaired person.
h a sufficient number, but not less
d. The public areas are equipped wit
than one for each area, of batte ry-o pe rated or hard -wired smoke
detectors. Public areas include, but are not limited to, laundry rooms,
day care centers, hallways, stairwells, and other common areas.
11. Meets additional recipient/subrecipient standards (if any).
sr
KPZl4
I certify that I have evaluated the property located at the address below to the best of my ability and
find the following:
Property meets all ofthe above standards,
Property does not meet all ofthe above standards.
ESG Recipient Name:
Program Participant Name:
Street Address:
Apartment:
city: State: Zip:
Evaluator Signature:
Evaluator Name:
Approving Official Signature (if applicable):
Approving Official Name (if applicable):
38
Date ofreview:
Date:
MONTHLY REQUEST FOR REIMBURSEMENT
Provider: Monroe County Emergency Solutions Grant Contract # KPZ14
Address: 500 Whitehead Street
Key West, FL 33040
F E I D: 59-6000749
Reporting Period:
Line hems
Approved
Budget
Amount this
Invoice
' Total
( Expenditures to
Date
Budget
Remaining
Rapid Re -Housing
� Rental Assistance
$28,000.00
Financial Assistance Costs
$15,000.00
Services Costs
$ 980.00
Homeless Prevention
Rental Assistance
$22,500.00
Financial Assistance Costs
$ 3,000.00
Services Costs
$ 620.00
HMIS
$ 3,200.00
Administrative Costs
$ 3,298.00
TOTAL
$76,598.00
(
I
I hereby certify that the above report is a true, accurate and correct reflection of the activities of this period; and
that these expenditures reported are made only for items that are allowable and directly relate to the purposes of
this referenced contract.
Signature of Provider Agency Official Title of Provider Agency Official
39 KPZ14
ATTACHMENT 11
The administration of resources awarded by the Department of Children & Families to the provider may be
subject to audits as described in this attachment.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A-133 and Section 215.97,
F.S., as revised, the department may monitor or conduct oversight reviews to evaluate compliance with
contract, management and programmatic requirements. Such monitoring or other oversight procedures
may include, but not be limited to, on -site visits by department staff, limited scope audits as defined by
OMB Circular A-133, as revised, or other procedures. By entering into this agreement, the recipient agrees
to comply and cooperate with any monitoring procedures deemed appropriate by the department. In the
event the department determines that a limited scope audit of the recipient is appropriate, the recipient
agrees to comply with any additional instructions provided by the department regarding such audit. The
recipient further a-rees to comply and cooperate iv ith anv inspections. reviews, investigations, or audits
deemed necessary by the department's inspector general. the state's Chief Financial Officer or the Auditor
General.
AUDITS
PART I: FEDERAL REQUIREMENTS
This part is applicable if the recipient is a State or local government or a non-profit organization as defined
in OMB Circular A-133, as revised.
In the event the recipient expends W0,000 or more in Federal awards during its fiscal year, the recipient
must have a single or program -specific audit conducted in accordance with the provisions of OMB Circular
A-133, as revised. The recipient agrees to provide a copy of the single audit to the Department's Single
Audit Unit and its contract manager. In the event the recipient expends less than S500,000 in federal
awards during its fiscal year, the recipient agrees to provide certification to the Department's Single Audit
Unit and its contract manager that a single audit was not required. In determining the Federal awards
expended during its fiscal year, the recipient shall consider all sources of Federal awards, including Federal
resources received from the Department of Children & Families, Federal government (direct), other state
agencies, and other non -state entities. The deternmination of amounts of Federal awards expended should be
in accordance with guidelines established by OMB Circular A-133, as revised. An audit of the recipient
conducted by the Auditor General in accordance with the provisions of OMB Circular A-133, as revised,
will meet the requirements of this part. In connection with the above audit requirements, the recipient shall
fulfill the requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular A-
1 33. as revised.
The schedule of expenditures should disclose the expenditures by contract number for each contract Gvith
the department in effect during the audit period. The financial statements should disclose whether or not
the matching requirement was met for each applicable contract. All questioned costs and liabilities due the
department shall be fully disclosed in the audit report package with reference to the specific contract
number.
Single Audit Information tor- Recipients of Recovery Act Funds:
(a) To maximize the transparency and accountability of funds authorized under the American Recovery and
Reinvestment Act of 2009 (Pub. L. I I 1-5) (Recovery Act) as required by Com-n-ess and in accordance �tiith
40
KP11-4
2 CFR 2i5.21 "Uniform Administrative Requirements for Grants and Agreements" and ONIB Circular A-
102 Common Rules pro GisIoils. recipients agree to maintain records that identify adequately the source and
application of Recovery Act funds. OMB Circular A-102 is available at
littp: wlNlv.lshitehouse.�aov omb circulars'a102 aIO2.html.
(b) For recipients covered by the Sin<Je Audit Act Amendments of 1996 and OMB Circular A-13
"Audits of States, Local Governmcnts, and Non -Profit Organizations." recipients agree to separately
identify the expenditures for Federal awards under the Recover,, Act on the Schedule of Expenditures of
Federal Awards (SEFA) and the Data Collection Form (SF SAC) required by OMB Circular A-133. OMB
Circular A-133 is available at http: lvww.tvhitehouse.goy/omb circularsal33a]33.html. This shall be
accomplished by identifying expenditures for Federal awards made under the Recovery Act separately on
the SEFA, and as separate rows under item 9 of Part III on the SF` SAC by CFDA number, and inclusion of
the prefix "ARRA-" in identifying the name of the Federal program on the SEFA and
as the first characters in Item 9d of Part ill on the SF -SAC.
(c) Recipients agree to separately identify to each subrecipient, and document at the time of subaward and
at the time of disbursement of funds, the Federal award number, CFDA number. and amount of Recovery
Act funds. When a recipient awards Recovery Act funds for an existing program. the information furnished
to subrecipients shall distinguish the subawards of incremental Recovery Act funds from
regular subawards under the existing program.
(d) Recipients agree to require their subrecipients to include on their SEFA information to specifically
identify Recovery Act funding similar to the requirements for the recipient SEFA described above. This
information is needed to allow the recipient to properly monitor subrecipient expenditure of ARRA funds
as well as oversight by the Federal awarding agencies, Offices of Inspector General and the Government
Accountability Office.
PART II: STATE REQUIREMENTS
This part is applicable if the recipient is anon state entity as defined by Section 215.97(2), Florida Statutes.
In the event the recipient expends S500,000 or more in state financial assistance during its fiscal year, the
recipient must have a State single or project -specific audit conducted in accordance with Section 215.97,
Florida Statutes: applicable rules of the Department of Financial Services; and Chapters 10.550 (local
governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General. The
recipient agrees to provide a copy of the single audit to the Department's Single Audit Unit and its contract
manager, in the event the recipient expends less than S500,000 in State financial assistance during its fiscal
year, the recipient agrees to provide certification to the Departments Single Audit Unit and its contract
manager that a single audit was not required. In determining the state financial assistance expended
during its fiscal year, the recipient shall consider all sources of state financial assistance, including state
financial assistance received from the Department of Children & Families, other state agencies, and other
nonstate entities. State financial assistance does not include Federal direct or pass -through awards and
resources received by a nonstate entity for Federal program matching requirements.
in connection with the audit requirements addressed in the preceding paragraph, the recipient shall ensure
that the audit complies with the requirements of Section 215.97(8). Florida Statutes. This includes
Submission of a financial reporting package as defined by Section 215.97(2). Florida Statutes, and Chapters
10.550 or 10.650, Rules of the Auditor General.
1-he schedule of expenditures should disclose the expenditures by contract number for each contract with
the department in effect during the audit period. The financial statements should disclose whether or not
the matchin<, requirement vkas met for each applicable contract. All questioned costs and liabilities due the
department shall be full, disclosed in the audit report package vk ith reference to the specific contract
number.1'ARFi11:REPORi St:BMISSION'
41
RP714
Am reports, management letters. or other information required to be submitted to the department pursuant
to this a,reement shall be submitted vti it hill 180 days after the end of the provider's fiscal year or within 30
days of the recipient's receipt of the audit report. whichever occurs first. directly to each of the followine
unless otherwise required b\ t=lorida Statutes:
A. Contract manager for this contract ( I copy)
B. Department of Children & Families ( I electronic copy and management letter, if issued
Office of the Inspector General
Single Audit Gnit
Building 5. Room 237
131 7 Winewood Boulevard
Tallahassee. FL 32399-0700
Email address: s m_,k� m_,d t a deist ite tl.w,
C. Reporting packages for audits conducted in accordance with OMB Circular A-133, as revised. and
required by Part I of this agreement shall be submitted, when required by Section .320(d). OMB
Circular A-133. as revised, by or on behalf of the recipient directly to the Federal Audit Clearinghouse
using the Federal Audit Clearinghouses Internet Data Entry System at:
http:_hartettct censu.5 (_'o� Gc collect ddendey.htill l
and other Federal agencies and pass -through entities in accordance with Sections .320(e) and (f),
OMB Circular A-133. as revised.
D. Copies of reporting packages required by Part 11 of this agreement shall be submitted by or on behalf
of the recipient directly to the following address:
Auditor General
Local Government Auditsl342
Claude Pepper Building. Room 401
1 1 1 West Madison Street
Tallahassee, Florida 32399-1450
Email address: flaudgen local govt(cUaud.state.fl.us
Providers, when submitting audit report packages to the department for audits done in accordance with
OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit or for -profit
organizations). Rules of the Auditor General, should include. when available, correspondence from the
auditor indicating the date the audit report package was delivered to them. When such correspondence is
not available, the date that the audit report package was delivered by the auditor to the provider must be
indicated in correspondence submitted to the department in accordance with Chapter 10.558(3) or Chapter
10.657(2), Rules of the Auditor General.
PART IV: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance v4ith the terms of this agreement
for a period of sip: years from the date the audit report is issued and shall allow the department or its
desi<unee. Chief Financial Officer or Auditor General access to such records upon request. file recipient
shall ensure that audit \�orkinL, papers are made available to the department or its designee. Chief Financial
Officer or Auditor General upon request for a period of three v ears from the date the audit report is issued,
unless eytended in \rating h\ the department.
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Attachment 11 1
11530111114���
'CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND
COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or an employee
of any agency, a member of congress, an officer or employee of congress, or an employee of
a member of congress in connection with the awarding of any federal contract, the making of
any federal grant, the making of any federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a member of
congress, an officer or employee of congress, or an employee of a member of congress in
connection with this federal contract, grant, loan, or cooperative agreement, the undersigned
shall complete and submit Standard Form-LILL, "Disclosure Form to Report Lobbying," in
accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, loans and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
Signature
Roman Gastesi. County Administrator
Name of Authorized Individual
Monroe County
Name of Organization
1100 Simonton Street, Suite 190, Key West, FL 33040
Acoress of Organization
Da ke
KPZ1 Lt
Application or Contract Number
I-F 1 123 PDF 03 96 Page 4 3
ATTACHMENT IV
This Attachment contains the terms and conditions governing the Provider's access to and use
of Protected Health Information and provides the permissible uses and disclosures of protected
health information by the Provider, also called `Business Associate."
Section 1. Definitions
1.1 Catch-all definitions:
The following terms used in this Attachment shall have the same meaning as those
terms in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set,
Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy
Practices, Protected Health Information, Required by Law, Security Incident,
Subcontractor, Unsecured Protected Health Information, and Use.
1.2 Specific definitions:
1.2.1 "Business Associate" shall generally have the same meaning as the term
"business associate" at 45 CFR 160.103, and for purposes of this Attachment
shall specifically refer to the Provider.
1.2.2 "Covered Entity" shall generally have the same meaning as the term "covered
entity" at 45 CFR 160.103, and for purposes of this Attachment shall refer to
the Department.
1.2.3. "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Part 160 and Part 164.
1.2.4. "Subcontractor" shall generally have the same meaning as the term
"subcontractor" at 45 CFR § 160.103 and is defined as an individual to whom a
business associate delegates a function , activity, service , other than in the
capacity of a member of the workforce of such business associate.
Section 2. Obligations and Activities of Business Associate
2.1 Business Associate agrees to:
2.1.1 Not use or disclose protected health information other than as permitted or
required by this Attachment or as required by law;
2.1.2 Use appropriate administrative safeguards as set forth at 45 CFR § 164.308,
physical safeguards as set forth at 45 CFR § 164.310, and technical
safeguards as set forth at 45 CFR § 164.312; including, policies and
procedures regarding the protection of PHI and/or ePHI set forth at 45 CFR §
164.316 and the provisions of training on such policies and procedures to
applicable employees. independent contractors, and volunteers, that
reasonably and appropriately protect the confidentiality, integrity, and
availability of the PHI and/or ePHI that the Provider creates, receives,
maintains or transmits on behalf of the Department:
2.1.3 Acknowledge that (a) the foregoing safeguards, policies and procedures
requirements shall apply to the Business Associate in the same manner that
such requirements apply to the Department. and (b) the Business Associate's
and their Subcontractors are directly liable under the civil and criminal
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enforcement provisions set forth atSection l34O4ofthe H|TECHAct and
section 45CFR § 1645008nd 164.502(E) 8fthe Privacy Rule (42 U.S.C.
1320d-5 and 1320d-6). as amendeU, for failure to comply with the safeguards,
policies and procedures requirements and any guidance issued bythe
Secretary of Health and Human Services with respect to such requirements-,
21�4 Report tOcovered entity any use O[disclosure of protected health information
not provided for by this Attachment of which it becomes aware, including
breaches ofunsecured protected health information 8Grequired 8t45CFR
1S4.41O.and any security incident Ofwhich itbecomes aware:
2 1 5 Notifythe Department's Security Officer, Privacy Officer and the CODt[8[t
K8@ng8raSsoon 8Spossible, but nolater than five /5\business days following
the determination Ofany breach Orpotential breach Ofpersonal and confidential
departmental data-,
2 1�0 Notify the Privacy Officer and Contract Manager within (24) hours of notification
by the UGDepartment OfHealth and Human Services Ofany investigations,
compliance reviews or inquiries by the US Department of Health and Human
Services concerning violations ofH|PAA (Privacy, Security Breach).
2.1,7 Provide any additional information requested by the Department for purposes
ofinvestigating and responding tO8breach;
2.1.8 Provide at Business Associate's own cost notice tOaffected parties no later
than 45 days following the determination of any potential breach of personal or
confidential departmental data Gsprovided in section 817.5681. F.8.;
2.1.9 Implement at Business Associate's own cost measures deemed appropriate by
the Department toavoid Ormitigate potential injury t0anyperaODduetO8
breach or potential breach of personal and confidential departmental data;
2.1.10 Take immediate steps tOlimit oravoid the recurrence Cfany security breach
and take any other action pertaining to such unauthorized access or disclosure
required by applicable federal and state laws and regulations regardless of any
actions taken bythe Department ;
2.1.11 In accordance with 45CFR 104.502/e\(1)(ii)aDd 164.308(b)(2). if applicable,
ensure that any aubCoDt[a{tO[S that C[e@t8, rRcBive, rO@int8iD, or transmit
protected health information 0nbehalf Ofthe business associate agree to the
same restrictions, conditions, and requirements that apply to the business
associate with respect tOsuch information. Business Associate's must attain
satisfactory 8SgV[8nce in the form Of 3 written contract Or other written
agreement with their business associate's or subcontractor's that meets the
applicable requirements of1O45O4/e\(2) that the Business Associate O[
Subcontractor will appropriately safeguard the information. For prior contracts
or other arrangements, the provider shall provide written certification that its
implementation complies with the terms 0f45CFR 1O4532(d);
2 1.12 Make available protected health information in 8 designated [8COrd Set to
covered entity as necessary to satisfy covered entity's obligations under 45
CFR 104524;
2.1.13 Make any amendment(s) to protected health information in a designated record
set as directed Oragreed to by the covered entity pursuant tV45 CFR 164�520.
or take other measures as necessary to satisfy covered entity's obligations
under 45CFR 16452O:
2 1 14 Maintain and make available the information required to provide an accounting
of disclosures to the covered entity as necessary to satisfy covered entity's
obligations under45 CFR 184 520�
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2.1 15 TOthe extent the business associate iStocarry out one Ormore Ofcovered
entity's Ob|igEdiOO(G) under Subpart E Of 45 CFR Part 164. CODlp|y with the
requirements OfSubpart Ethat apply tOthe covered entity iOthe performance
of such Ob|igatiOn/S>: and
2.1�16 Make its internal practices,bDokS.ondrSCondS8vai|8b|Hto the Secretary Ofthe
U.G. Department Of Health and Human Services for purposes of determining
compliance with the H|PA\Rules.
Seotimn3. Permitted Uses and Disclosures bwBusiness Associate
31 The Business associate may only use or disclose protected health information covered
under this Attachment as listed below:
5.1.1 The Business Associate may use and disclose the Department's PHI and/or
8PH| received or created by Business Associate (or its agents and
subcontractors) in performing its obligations pursuant to this Attachment.
3.1 2 The Business Associate may use the Department's PHI and/or ePHI received
or created by Business Associate (or its agents and subcontractors) for archival
purposes.
3.1.3 The Business Associate may use PHI and/or ePH|created O[received iOits
capacity aomBusiness Associate ofthe Department for the proper
management and administration of the Business Associate, if such use is
necessary (a) for the proper management and administration of Business
Associate 0[/b\tOcarry out the legal responsibilities OfBusiness Associate.
3.1.4 The Business Associate may disclose PHI and/or ePHI created or received in
its capacity oeaBusiness Associate ofthe Department for the proper
management and administration of the Business Associate if (a) the disclosure
iorequired bylaw or(b)the Business Associate /1\obtains reasonable
assurances from the person to whom the PHI @nd/Or8PH| is disclosed that it
will be held confidentially and used or further disclosed only as required by law
or for the purpose for which it was disclosed to the person and (2) the person
agrees tOnotify the Business Associate Ofany instances Ofwhich itbecomes
aware in which the confidentiality and security of the PHI 8nd/OrePH| has been
breached,
3.1.5 The Business Associate may aggregate the PHI and/or ePH|created or
received pursuant this Attachment with the PHI and/or ePHI of other covered
entities that Business Associate has inits possession through its capacity as a
Business Associate of such covered entities for the purpose of providing the
Department OfChildren and Families with data analyses relating to the health
care operations Ofthe Department (as defined in45C.F�R 8184.501).
11.6 The Business Associate may de -identify any and all PHI aOd/OrBPH| received
or created pursuant to this Attachment, provided that the d8-identification
process conforms to the requirements Of45 CFR § 164 514(b)
3 1.7 Follow guidance in the H|PAA Rule regarding marketing, fundraising and
research |OC8t8d atSections 45 CFR G 164501. 45CFFl § 164.508 and 45
CFR& 164514�
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Section 4. Provisions for Covered Entity to Inform Business Associate of Privacy
Practices and Restrictions
4.1 Covered entity shall notify business associate of any limitation(s) in the notice of privacy
practices of covered entity under 45 CFR 164.520, to the extent that such limitation may
affect business associate's use or disclosure of protected health information.
4.2 Covered entity shall notify business associate of any changes in, or revocation of, the
permission by an individual to use or disclose his or her protected health information, to
the extent that such changes may affect business associate's use or disclosure of
protected health information.
4.3 Covered entity shall notify business associate of any restriction on the use or disclosure
of protected health information that covered entity has agreed to or is required to abide
by under 45 CFR 164.522, to the extent that such restriction may affect business
associate's use or disclosure of protected health information.
Section 5. Termination
5.1 Termination for Cause
5.1.1 Upon the Department's knowledge of a material breach by the Business
Associate, the Department shall either:
5.1.1.1 Provide an opportunity for the Business Associate to cure the breach
or end the violation and terminate the Agreement or discontinue
access to PHI if the Business Associate does not cure the breach or
end the violation within the time specified by the Department of
Children and Families;
5.1.1.2 Immediately terminate this Agreement or discontinue access to PHI if
the Business Associate has breached a material term of this
Attachment and does not end the violation; or
5.1.1.3 If neither termination nor cure is feasible, the Department shall report
the violation to the Secretary of the Department of Health and Human
Services.
5.2 Obligations of Business Associate Upon Termination
5.2.1 Upon termination of this Attachment for any reason, business associate, with
respect to protected health information received from covered entity, or
created, maintained, or received by business associate on behalf of covered
entity, shall:
5.2.1.1 Retain only that protected health information which is necessary for
Business Associate to continue its proper management and
administration or to carry out its legal responsibilities;
5.2.1.2 Return to covered entity, or other entity as specified by the
Department or, if permission is granted by the Department, destroy
the remaining protected health information that the Business
Associate still maintains in any form:
5.2.1.3 Continue to use appropriate safeguards and comply with Subpart C of
45 CFR Part 164 with respect to electronic protected health
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information to prevent Use Or disC|08UPe of the protected health
information, other than aSprovided for iOthis Section, for aSlong as
Business Associate retains the protected health iDfOrOadOD�
5 2 1 4 Not use or disclose the protected health information retained by
Business Associate other than for the purposes for which such
protected health information was retained and subject tothe same
conditions set out atparagraphs 3.1 3 and 3.1.4above under
"Permitted Uses and Disclosures ByBusiness Associate" which
applied prior tOterrnin8UDn�and
5.2.1.5 Return tDcovered entity, Drother entity as specified by the
Department or, if permission is granted by the Uep8rtrneDt, destroy
the protected health information retained bybusiness associate when
itiSnolonger needed bybusiness associate for its proper
management and administration OrtOcarry out its legal
responsibilities.
5.2.1.8 The obligations Cfbusiness associate under this Section shall survive
the termination of this Attachment.
Section 6. Miscellaneous
6.1 A regulatory reference in this Attachment to a section in the HIPAA Rules means the
section aaineffect oraaamended.
8.2 The Parties agree to take such action as is necessary to amend this Attachment from
time to time as is necessary for compliance with the requirements of the HIPAA Rules
and any other applicable law.
6.3 Any ambiguity in this Attachment shall be interpreted to permit compliance with the
H|PA\Ru|e8.
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