Item G23BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: November 20, 2013
Division: {}MB
Department: Grants Administration
Staff Person: Laura deLoach-Hartle
Ext: 4482
AGENDA ITEM WORDING: Authorization for the Mayor to execute a Memorandum of
Understanding with Florida Keys Outreach Coalition Supportive Housing: Substance
Abuse Education and Relapse Prevention Program, for the period from Oct 1, 2013
through Sept 3O, 2014.
ITEM BACKGROUND: Federal funds are provided through the Florida Department of
Law Enforcement. Substance Abuse Policy Advisory Board (SAPAB) reviews
proposals and makes recommendations to BOCC for local funding of programs.
PREVIOUS RELEVANT BOCCACTION: Approval to apply for grant funds was given at
the July 2013 meeting. Certificate of Acceptance for Sub-grant Award from FDLE is
also on the agenda for this meeting.
CONTRACT/AGREEMENT CHANGES: None.
STAFF RECOMMENDATION: Approval
TOTAL COST: $7,508 Indirect Cost: BUDGETED: Yes E No F
COST TO COUNTY: $0 SOURCE OF FUNDS: FDLE
DIFFERENTIAL OF LOCAL PREFERENCE:
REVENUE PRODUCING: Yes MNo AMOUNT PER MONTH
YEAR
APPROVED BY'COUNTY AB/PURCHASING c� RISK MANAGEMENT
�A��
DOCUMENTATION: INCLUDED: ZTO FOLLOW: F1 NOT REQUIRED: Fl
DISPOSITION: - AGENDA ITEM #:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Florida Keys Outreach Effective Date: 10/01/13
Coalition, Inc.
�
Contract Purpose/Desorption: Funds provided through RJLE Agreement for the Florida Keys
�Outreach Coalition Supportive Housing: Substance Abuse Education and Relapse
Prevention Program.
Contract Manager: 4482 OMB/Grants Admin.
jor BOCC meeting on 11/20/13
encla Deadli
CONTRACT COSTS
Total Dollar Value of Contract: $7,508 Current Year Portion: $7,508
Budgeted? Yes X No Account Codes: 1 25 - 06050-530490-GG1403
County Match: $0
ADDITIONAL COSTS
CONTRACT REVIEW
Division Director
Date In
Date Out
0
'"=..�=" r/�-L/r-) r/t-r */-
EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM FUNDS
AGREEMENT
THIS AGREEMENT is made and entered into this 20th day of November, 2013, by and
between MONROE COUNTY, a political subdivision of the State of Florida, whose address is
1100 Simonton Street, Key West, FL 33040, hereinafter referred to as "COUNTY," and
Florida Keys Outreach Coalition, Inc. hereinafter referred to as "AGENCY."
W ITN ESS ETH
WHEREAS, the Florida Department of Law Enforcement has awarded a sub -grant of
Edward Byrne Memorial Justice Assistance to the COUNTY to implement a program that
provides substance abuse education and relapse prevention services; and
WHEREAS, the COUNTY is in need of an implementing agency to provide said
services under this Program; and
WHEREAS, the AGENCY is the sole provider of this program; and
WHEREAS, the COUNTY has agreed to disburse the Edward Byrne Memorial Justice
Assistance Grant funds to the AGENCY in accordance with the COUNTY'S application for the
Edward Byrne Memorial Assistance Grant.
NOW THEREFORE, in consideration of the mutual understandings and agreements set
forth herein, the COUNTY and the AGENCY agree as follows:
1. TERM - The term of this Agreement is from October 1, 2013 through
September 30, 2014, the date of the signature by the parties notwithstanding, unless earlier
terminated as provided herein.
2. SERVICES - The AGENCY will provide services, in compliance with all
provisions, as outlined in the COUNTY'S Edward Byrne Memorial Justice Assistance Sub -
grant Award, attached and made a part hereof (Attachment C).
3. FUNDS - The total project budget to be expended by the AGENCY in
performance of the services set forth in Section 2 of this agreement shall be the total sum of
$7,508. All funds shall be distributed and expended in accordance with the Project Budget
Narrative as outlined in the grant agreement.
4. INCORPORATION BY REFERENCE - The provisions of those certain documents
entitled "State of Florida Office of Criminal Justice Grants Florida Department of Law
Enforcement Sub -grant Award Certificate and Application" and all laws, rules and
regulations relating thereto are incorporated by reference (Attachment C).
5. BILLING AND PAYMENT
(a) The AGENCY shall comply with the program and expenditure reporting
requirements for Byrne Grant funds. The AGENCY shall render to the COUNTY a detailed a
quarterly performance report not later than 7 days after the end of each quarter.
The quarterly performance reports must include a response to all objectives included in your
project, as described in the Performance section in the grant agreement. A detailed
narrative, reflecting on accomplishments, challenges, etc. is required as part of this
quarterly report. The AGENCY shall render to the COUNTY, monthly itemized invoices,
not later than 30 days after the end of each month, properly dated, describing the
services rendered, the cost of the services, and all other information required. The original
invoice shall be sent to:
Grants Administrator
110O Simonton Street
Key West, FL33O4O
(b) Payment shall be made after review and approval by the COUNTY within thirty
(30) days of receipt of the correct and proper invoice submitted by the AGENCY.
(c) The County shall only reimburse subject to the funded amounts below, those
reimbursable expenses which are reviewed and approved as complying with Monroe County
Code of Ordinances, State laws and regulations and Attachment — Expense
Reimbursement Requirements. Evidence of payment by the PROVIDER shall be in the form
of letter, summarizing the expenses with supporting documentation attached. The letter
should contain a notarized certification statement. An example ofa reimbursement request
cover letter is included as Attachment B.
G. TERMINATION - ThisAgreernent may be terminated b pa�yatany
time, with or without cause, upon not less than thirty (30) days written notice delivered to
the other party. The COUNTY shall not be obligated to pay for any services provided by the
AGENCY after the AGENCY has received notice of termination.
7. ACCESSTOFINANCIALRE[DROS - TheAGENCYshaUrnaintainappnophate
financial records which shall be open to the public at reasonable times and under reasonable
conditions for inspection and examination and which comply with the Agreement
incorporated in Section 4 of this Agreement.
0. AUDTT - TheAGENCYshaUsubrnittotheCOUNTYanauditreportoovehngthe
term of this Agreement, within one-hundred twenty (120) days following the Agreement's
lapse or early termination and shall also comply with all provisions of the Agreement
incorporated in Section 4 of this Agreement.
9. NOTICES - Whenever either party desires togive notice unto the other, it
must be given by written notice, sent by registered United States mail, with return receipt
requested, and sent to:
FOR COUNTY: FOR PROVIDER:
Grants Administrator Stephen E. Braddock, President
1100 Simonton Street Florida Keys Outreach Coalition, Inc
Key West, FL 33040 2221 Patterson Avenue
Key West, FL33O4O
Either ofthe parties may change, by written notice as provided above, the addresses or
persons for receipt of notices.
10. UNAVAILABILITY OF FUNDS - If the COUNTY shall learn that funding from the
Florida Department ofLaw Enforcement cannot be obtained or cannot be continued at
level sufficient to a||ovv for the services specified herein, this Agreement may then be
terminated immediately, at the option of the COUNTY, by written notice of termination
delivered in person or by mail to the AGENCY at its address specified above. The COUNTY
shall not be obligated to pay for any services provided by the AGENCY after the AGENCY has
received notice of termination.
11. COMPLIANCE WITH LAWS AND RE(SULATIONS- In providing all services
pursuant to this Agreement, the AGENCY shall abide by all statutes, ordinances, rules, and
regulations pertaining to, or regulating the provision of, such services, including those now
in effect and hereafter adopted, and particularly Article 1, Section 3 of the Constitution of
the State of Florida and Article 1 of the United States Constitution, which provide that no
revenue of the state or any political subdivision shall be utilized, directly or indirectly, in aid
of any church, sect or religious denomination or in aid of any sectarian institution. Any
violation of said statutes, ordinances, rules, or regulations shall constitute a material breach
of this Agreement immediately upon delivery of written notice of termination to the
AGENCY. If the AGENCY receives notice of material breach, it will have thirty days in order
to cure the material breach of the contract. If, after thirty (�O) days, the breach has not
been cured, the contract will autornatica||ybeterrninated. ' '
12. ASSIGNMENTS AND SUBCONTRACTING - Neither party to this Agreement
shall assign this Agreement or any interest under this Agreement, or subcontract any of its
obligations under this Agreement, without the written consent of the other.
13. EMPLOYEESTATUS — TheAGENCYisanindependentcontractor. Persons
employed by the AGENCY in the performance of services and functions pursuant to this
Agreement shall have no claim to pension, worker's compensation, unemployment
compensation, civil service or other employee rights or privileges granted to the COUNTY'S
officers and employees either by operation of law or by the COUNTY.
14. INDEMNIFICATION - TheAGENCYagreesto hold harmless, indemnify, � and
defend the COUNTY, its commissioners, officers, employees, and agents against any and all
claims, losses, damages, or lawsuits for damages, arising from, allegedly arising from, or
related to the provision of services hereunder by the AGENCY.
15. ENTIRE AGREEMENT
(a) It is understood and agreed that the entire Aoreernent of the parties is
contained herein and that this Agreernentsupersedes all oral agreements and negotiations
between the parties relating to the subject matter hereof as well as any previous
agreements presently in effect between the parties relating to the subject matter hereof.
(b) Any alterations, amendments, deletions, or waivers of the provisions of this
Agreement shall be valid only when expressed in writing and duly signed by the parties.
IN WITNESS WHEREOF, the parties to this Agreement have caused their names to be
affixed hereto by the proper officers thereof for the purposes herein expressed at Monroe
County, Florida, on the day and year first written above.
(SEAL) ` ' BOARDOF COUNTY COMMISSIONERS
ATTEST: AMY HEAVILIN, Clerk OF MONROE COUNTY, FLORIDA
in
By:
Florida Deputy Clerk
Witness
Witness
Keys Outreach Coalition, Inc.
Title:
ATTACHMENT
Expense Reimbursement Requirements
This document is intended to provide basic guidelines to Human Service and Community-
Based Organizations, county travelers, and contractual parties who have reimbursable
expenses associated with Monroe County business. These guidelines, as they relate to
travel, are from the Monroe County Code of Ordinances and State laws and regulations.
A cover letter (see Attachment B) summarizing the major line items on the reimbursable
expense request needs to also contain the following notarized certified statement:
"I certify that the above checks have been submitted to the vendors as noted and that the
attached expenses are accurate and in agreement with the records of this organization.
Furthermore, these expenses are in compliance with this organization's contract with the
Monroe County Board of County Commissioners and will not be submitted for
reimbursement to any other funding source."
Invoices should be billed to the contracting agency. Third party payments will not be
considered for reimbursement. Remember, the expense should be paid prior to requesting a
reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the
conLract. This document should not be considered all inclusive. The Clerk's Finance
Department reserves the right to review reimbursement requests on an individual basis.
Any questions regarding these guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor invoice is required for reimbursement. Inter-company allocations are not
considered reimbursable expenditures unless appropriate payroll journals for the charging
department are attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the payroll expense is
needed. If Payroll Journal is provided, it should include: dates, employee name, salary or
hourly robe, total hours worked, withholding information and paid payroll taxes, check
number and check amount. If Payroll Journal is not provided, the following information
must be provided: pay period, check amount, check number, date, payee, support for
applicable paid payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract is required for
reimbursement. For overnight or express deliveries, the vendor invoice must be included.
Rents, Leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are
not allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement.
The log must define the date, number ofcopies made, source document, purpose, and
rec A reasonable fee for copy expenses will be allowable. For vendor services, the
vendor invoice and a sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
lFeUefa», Fax, etc~
Afax log is required. The log must define the sender, the intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone Expenses
A user log of pertinent information must be remitted including: the party called, the caller
the telephone number, the date, and the purpose of the call. '
Travel and Meal Expenses
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of
Travel Expenses. Travel reimbursement requests must be submitted and will be paid in
accordance with Monroe County Code of Ordinances and State laws and regulations. Credit
card statements are not acceptable documentation for reimbursement. If attending a
conference or meeting a copy of the agenda is needed. Airfare reimbursement requires the
original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to
facilitate the audit trail. Auto rental reimbursement requires the vendor invoice. Fuel
purchases should be documented with paid receipts. Taxis are not reimbursed if taken to
arrive at departure point: for example, taking a taxi from one's residence to the airport for
a business trip is not reimbursable. Parking is considered a reimbursable travel expense at
the destination. Airport parking during a business trip is not.
A detailed list of charges is required on the lodging invoice. Balance due must be zero
Room must be registered and paid for by traveler. The County will only reimburse the
actual room and related bed tax. Room service, movies, and personal telephone calls are
not allowable expenses.
Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER
DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An
odometer reading must be included on the state travel voucher for vicinity travel. Mileage is
not allowed from a residence or office to a point of departure. For example, driving from
one's home tothe airport for a business trip is not reimbursable expense.
Meal reimbursement shall be at the rates established by ARTICLE XXVI,TRAVEL, PER DIEM
[�EALS,AND MILEA(�EPOLICY of the [�onroeCounty Code ofOrdinances. Meal guidelines
'
state that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and
end after pm. for lunch reimbursement, and before p.m. and end after p.rn for dinner
reimbursement. '
Non-allowable Expenses
The following expenses are not allowable for reimbursement: capital outlay expenditures
(unless specifically included in the contract), contributions, depreciation expenses (unless
specifically included in the contract), entertainment expenses, fundraising non-sufficient
check charges, penalties and fines. ' '''
ATTACHMENT
ORGANIZATION
LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
The following is a summary of the expenses for (Organization name) for the time period of
to
Check#
Payee Reason
Amount
101
Company Rent
$X,XXX.XX
102
Company Utilities
XXX.XX
104
Employee P/Rending 05/14/01
XXX.XX
105
Employee p/R ending O5/28/O1
XXX.XX
(A)
` ^
Tota|
$X,XXX.XX
(B)
Total prior payments
$ X,XXX.XX
(C)
Tota| requested and paid (A+B)
$X,XXX.XX
(D)
'
Tota|contra�tarnount
$X,XXX.XX
Balance of contract (DC)
I certify that the above checks have been submitted to the vendors as noted and that the
expenses are accurate and in agreement with the records of this organization. Furtherrnore
these expenses are in cornp|ianoewith this organization's contract with the Monroe County
'
Board of County Commissioners and will not be submitted for reimbursement to any other
funding source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of 20 __
by who is personally known tome.
Notary Stamp
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
Subgrant Recipient
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name: George Neugent
Title:
Mayor
Address:
1100 Simonton Street
City:
Key West
State:
FL Zip: 33040 -3110
Phone:
305 - 289 -6039 Ext:
Fax:
305 - 872 -9195
Email: neugent - george @monroecounty -fl.gov
Chief Financial Officer
Name:
Amy Heavilin
Title:
Clerk of Court
Address:
500 Whitehead Street
City:
Key West
State: FL Zip: 33040 -3110
Phone: 305 - 295 -3130 Ext:
Fax:
Email: aheavilin @monroe - clerk.com
Attachment C
Application Ref # 2014 -JAGC -2342 Section #1 Page 1 of 2
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Implementing Agency
Organization Name: Monroe County Board of Commissioners
County: Monroe
Chief Official
Name: George Neugent
Title:
Mayor
Address:
1100 Simonton Street
City:
Key West
State:
FL Zip: 33040 -3110
Phone:
305 - 289 -6039 Ext:
Fax:
305 - 872 -9195
Email: neugent- george @monroecounty -fl.gov
Project Director
Name: Laura Deloach - Hartle
Title: Senior Administrator- Grants & Special Projects
Address: 1100 Simonton Street
Email: deloachhartle -laura @monroecounty -fl.gov
Application Ref # 2014 -JAGC -2342 Section #1 Page 2 of 2
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Room 2 -285
City:
Key West
State:
FL Zip: 33040 -3110
Phone:
305 - 292 -4482 Ext:
Fax:
Email: deloachhartle -laura @monroecounty -fl.gov
Application Ref # 2014 -JAGC -2342 Section #1 Page 2 of 2
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
-
General Project Information
Project Title: FKOC SUPPORTIVE HOUSING: SUBSTANCE ABUSE EDUCATION
& RELAPSE PREVENTION
Subgrant Recipient: Monroe County Board of Commissioners
Implementing Agency: Monroe County Board of Commissioners
Project Start Date: 10/1/2013 End Date: 9/30/2014
Problem Identification
a. Abstinence and relapse prevention is the most important part of substance abuse recovery and
the most successful relapse prevention program is one that can be reliably sustained over a long
period of time. Frequent urine testing has been shown to increase the probability of remaining
abstinent from alcohol and illegal drugs.
Alcohol and substance abuse prevention and education programs are essential components in
helping individuals heal, attain lives of sobriety, independence and self- sufficiency as contributing
members of society.
b. Last year, 59 % of adults served by the Florida Keys Outreach Coalition (FKOC) supportive
housing programs had a documented criminal history; 99% of those individuals were in recovery
from alcohol and substance abuse; 62% were repeat offenders.
c. Addiction and relapse very often precipitates offender recidivism. The greatest potential to
reduce re- incarceration and drug relapse among offenders is a continuum of treatment; one that
incorporates the need for complimentary services such as housing, peer support, life skills
education and relapse prevention.
Reporting for grant year October 1, 2012 through second quarter ending March 315 FKOC
admitted sixty -eight (68) adults with a criminal background history; 12% entered the program by
referral of the Offender Release Program and court; 29 individuals (43 %) entered the program by
referral of Monroe County Sheriffs Office CARE4U Jail Diversion Program. Under the current
grant year, FKOC administered 5,172 drug tests through May, 2013.
Two Hundred Ninety -nine (299) adults were served by FKOC in the previous year; 83%
completed the transitional housing program clean and sober and exited to permanent housing.
One hundred percent (100 %) of the grant recipients receive individualized case management and
additional services including life skills education; life enrichment programs; health
education /screenings; support with crisis intervention, advocacy and links to community and
mainstream resources. All clients served by Byrne Memorial Justice Assistance Grant will have a
documented history with the criminal justice system.
Project Summary (Scope of Work)
All clients served under the Edward Byrne Memorial Justice Assistance Grant Program will have a
documented history with the criminal justice system.
Application Ref # 2014 -JAGC -2342 Section #2 Page 1 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County-wide
FkOC's program incorporates the Twelve Steps ofAA and focuses on the fundamentals of
recovery. Clients are tested on-site frequently and randomly for drug and alcohol use and are
required to attend ANNA meetings for the first 90-days in the program and then as deemed
appropriate by their case manager, sponsor and /or professional counselor.
Drug tests detect the use ofalcohol, cocaine, THC, Amphetamines, benzodiazmpne, opiates,
synthetic cannabis and oxynndone. FKOC will purchase testing supplies and administer a
minimum of 5,800 alcohol/drug tests between October 1, 2013 and September 30,2014.
FKOC's supportive services include:
> Alcohol and drug abuse relapse prevention and education
Application Het # 2014JAGC-2342
Contract 2014-JAGC-MONR-1'E5-186
Section #2 Page 2 of 3
Rule Reference /1oe.mmooJo-0oo(rew. October z000
Question: Does the Implementing Agency receive a single grant in the amount of $500,000 or
more from the U.S. Department of Justice?
Answer: No
Question: Part 1: In your business or organization's preceding completed fiscal year, did your
business or organization (the subgrantee) receive (1) 80 percent or more of your
annual gross revenues in U.S. federal contracts, subcontracts, loans, grants,
subgrants, and /or cooperative agreements; and (2) $25,000,000 or more in annual
gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants,
and /or cooperative agreements? If yes, answer "yes" or "no" to Part 2, below.
Answer: No
Question: Part 2: Does the public have access to information about the compensation of the
executives in your business or organization (the subgrantee) through periodic reports
filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C.
78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? If answer to
Part 1, above, was "no," answer N /A.
Answer: N/A
Application Ref # 2014 -JAGC -2342
Contract 2014 - JAGC - MONR -1 -E5 -186
Section #2 Page 3 of 3
Rule Reference 11 D4006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
General Performance Info:
Performance Reporting Frequency: Quarterly
Federal Purpose Area: 003 - Prevention and Education Programs
State Purpose Area: PE - Prevention and Education: Includes activities where individuals are
served, directly or indirectly. Activities may include one -time events,
services, or events and services that occur on a continual basis.
Activity Description
Activity: Prevention and Education
Target Group: Prevention and Education
Geographic Area: Urban
Location Type: County -Wide
Objectives and Measures
Objective: PE1 - Report on JAG funding allocated for prevention and education
Measure: Part 1
How much JAG funding has been allocated for Prevention and Education? Please
report in dollars ($).
Goal: 7508.00
Objective: PE2 - Provide prevention or education programs
Measure: Part 1
How many prevention or education programs will you implement?
Goal: 1
Measure: Part 2
Of the prevention or education programs to be implemented, how many will be
substance abuse prevention or education programs?
Goal: 1
Measure: Part 3
What types of prevention or education programs will you provide? In your response,
please list all that apply from the following choices: Anti -gang, Anti -drug, Cognitive,
Crime Prevention, Drug Prevention, Educational, Employment, Gang Resistance,
GED, Housing, Job Skills, Mental Health, Mentoring, Pro - social, Substance Abuse,
Truancy, Vocational, Other. Do not select other if your item fits into any of the
categories above. If other, state 'other" and specify.
Goal: Anti -drug, Drug Prevention, Substance Abuse
Application Ref # 2014 -JAGC -2342 Section #3 Page 1 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
Measure: Part 1
Goal:
How many prevention or education programs will you implement?
Measure: Part 2
Of the prevention or education programs to be implemented, how many will be
substance abuse prevention or education programs?
Goal: 1
Measure: Part 3
What types of prevention or education programs will you provide? In your response,
please list all that apply from the following choices: Anti -gang, Anti -drug, Cognitive,
Crime Prevention, Drug Prevention, Educational, Employment, Gang Resistance,
GED, Housing, Job Skills, Mental Health, Mentoring, Pro - social, Substance Abuse,
Truancy, Vocational, Other. Do not select other if your item fits into any of the
categories above. If other, state 'other" and specify.
Goal: Anti -drug, Drug Prevention, Substance Abuse
Application Ref # 2014 -JAGC -2342
Section #3 Page 2 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
1 k
Section Questi
Question: If "other" was selected for the geographic area, please describe.
Answer: n/a
Question: If "other' was selected for location type, please describe.
Answer: n/a
Application Ref # 2014 -JAGC -2342 Section #3 Page 3 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
General Financial Info:
Note: All financial remittances will be sent to the Chief Financial Officer
of the Subgrantee Organization.
Financial Reporting Frequency for this Subgrant: Quarterly
Is the subgrantee a state agency ?: No
FLAIR / Vendor Number: 596000749
Budget:
Budget Category Federal Match Total
Salaries and Benefits $0.00 $0.00 $0.00
Contractual Services
$7,508.00
$0.00
$7,508.00
Expenses
$0.00
$0.00
$0.00
Operating Capital
$0.00
$0.00
$0.00
Outlay
Indirect Costs
$0.00
$0.00
$0.00
-- Totals --
$7,508.00
$0.00
$7,508.00
Percentage
100.0
0.0
100.0
Project Generated Income:
Will the project earn project generated income (PGI) ? No
Application Het # 2014 -JAGC -2342 Section #4 Page 1 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
Budget Narrative:
Contractual Services
Expenses:
Alcohol /Drug Test Kits $7,508
Total Expenses $7,508
A Calculated average cost per unit is 1.29 per test.
TOTALS 5,800 tests @ approx. 1.29 per unit = $7,507.50
Monroe County will execute a contract with Florida Keys Outreach Coalition, Inc. for the period of
October 1, 2013 through September 30,2014 to cover the grant period. A copy of the executed
contract will be sent to FDLE.
Application Het # 2014 -JAGC -2342
Contract 2014 - JAGC - MONR -1 -E5 -186
Section #4 Page 2 of 3
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
Section Questions:
Question: If salaries and benefits are included in the budget as actual costs for staff in the
implementing agency, is there a net personnel increase, or a continued net personnel
increase from the previous Byrne program?
Answer: N/A
Question: If benefits are to be included, are they reflected in the budget narrative?
Answer: N/A
Question: Indicate the Operating Capital Outlay threshold established by the subgrantee or
implementing agency, if it is the sheriffs office.
Answer: N/A
Question: If indirect cost is included in the budget, indicate the basis for the plan (e.g. percent of
salaries and benefits), and provide documentation of the appropriate approval of this
plan.
Answer: N/A
Question: If the budget includes services based on unit costs, provide a definition and cost for
each service as part of the budget narrative for contractual services. Include the basis
for the unit costs and how recently the basis was established or updated.
Answer: Vendor: Alere Toxicology, Inc.
MultiPanel
175
$3.40
$595.00
SynCan
150
$6.00
$900.00
Alcohol
1,525
$2.00
$3,050.00
Cocaine
1,500
$0.75
$1,125.00
THC
1,500
$0.75
$1,125.00
Oxy
200 $0.75
$150.00
Opi /Mor
250
$0.75
$187.50
Amp
250 $0.75
$187.50
Benzo
250
$0.75
$187.50
Totals 5,800 $7,507.50
Individual test screens range from $75 to $6.00 depending upon the substance type.
Approximate average cost per unit is $1.29.
Application Ref # 2014 -JAGC -2342 Section #4 Page 3 of 3
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D4006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
Insert Standard Conditions Page here.
Application Ref # 2014 -JAGC -2342
Contract 2014 - JAGC - MONR -1 -E5 -186
Section #5 Page 1 of 1
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
In witness whereof, the parties affirm they each have read and agree to the conditions set
forth in this agreement, have read and understand the agreement in its entirety and have
executed this agreement by their duty authorized officers on the date, month and year set
out below.
Signature:
Typed Name and Title:
Date:
Signature:
Typed Name and Title:
Date:
Signature:
Typed Name and Title:
Date:
Application Ref # 2014 -JAGC -2342
Contract 2014 - JAGC - MONR -1 -E5 -186
Section #6 Page 1 of 1
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
Corrections on this page, including Strikeovers,
whiteout, etc. are not acceptable.
Typed Name of Subgrant Recipient:
Typed Name of Implementing Agency:
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
!4
Insert Certifications and Authorizations here.
Application Ref # 2014 -JAGC -2342 Section #7 Page 1 of 1
Contract 2014 - JAGC - MONR -1 -E5 -186
Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005)
ATTACHMENT
PUBLIC ENTITY CRIME STATEMENT
"4 person or affiliate who has been placed on the convicted vendor list following a conviction
for public entity crime may not submit a bid on a contract to provide any goods or services
to a public entity, may not submit bid on a contract with a public entity for the
construction or repair ofa public building or public work, may not submit bids on leases of
real property to public entity, may not be awarded or perform work aaa contractor,
supplier, subcontractor, or consultant under contract with any public entity, and may not
transact business with any public entity in excess of the threshold amount provided in
Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being
placed on the convicted vendor |iat."
ATTACHMENT
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
warrants that he/it has not employed,
retained or otherwise had act on his/its behalf any former County officer or employee in
violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in
violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the
County may, in its discretion, terminate this contract without liability and may also, in its
discretion, deduct from the contract or purchase price, or otherwise recover, the full amount
of any fee, commission, percentage, gift, or consideration paid to the former County officer
or employee.
Date:
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
vvhn
his/her signature (name of individual signing) i '
day of 20
after first being sworn bv me, affixed
the space provided above on this
My commission expires:
DRUG-FREE WORKPLACE FORM
ATTACHMENT
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publishes statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
3. Gives each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as condition of
working on the commodities or contractual services that are under bid, the employee will abide by
the terms of the statement and will notify the employer of any conviction of, or plea of guilty or
nnlV cpnhendere to, any violation of Chapter 893 (Florida Statutes controlled substance
|avv of the United States or any state, fora violation occurring in t' e workplace no later than five
(5) days after such conviction.
5. Imposes sanction on, or require the satisfactory participation in drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who is So
convicted,
6. Makes a good faith effort to continue to maintain a drug-free o through implementation
of this section.
As the person authorized to sign the statement, l certify that this firm complies fully with the above
Ififfifflm
91���
(Signature of Respondent)
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, (name of individual
signing) affixed his/her signature in the apace provided above on this
day of
Notary Public My commission expires: