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Item G25BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Data: November 20 2013 Division: {}MB Bulk Item: Yes No[1 Department: Grants Administration Staff Person: Laura deLoach-Hartle Ent: _44{2 AGENDA ITEM WORDING: Authorization for the Mayor to execute a Memorandum of Understanding with United States Fellowship of Florida, Inc., d/b/a Heron-Peacock Supported Living: Supportive Housing to Prevent Recidivism of Adults with Mental Illness EkSubstance Abuse Program, for the period from Oct 1 2013 through Sept 30, 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 BC>CCfor local funding of pn]grarns. PREVIOUS RELEVANT BC>CC ACTION: Approval to apply for grant funds was given at the July 2013 meeting. Certificate of Acceptance for Sub-grant Award from FOLE is also on the agenda for this meeting. CONTRACT/AGREEMENT CHANGES: None. STAFF RECOMMENDATION: Approval TOTAL COST: $18 Indirect Cost: COST TO COUNTY: $0 SOURCE OF FUNDS: F�l[E DIFFERENTIAL OF LOCAL PREFERENCE: DISPOSITION: AGENDA ITEM #: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS � Contract with: United States Fellowship Effective Date: 10/01/13 of Florida, Inc, d/b/a Heron Peacock Supported Living Expiration Date: 09/30/14 Contract Purpose/Description: Funds provided through FOL£ Agreement for the Supportive Housing to Prevent Recidivism of Adults with Mental Illness & Substance Abuse Program. Contract Manager: 4482 | (Name) (Ext.) (Department) [ for BOCC meeting on 11/20/13 encla Deadline: 1 CONTRACT COSTS Total Dollar Value of Contract: $18,780 Current Year Portion: $18,780 Budgeted? Yes X No Account Codes: 125 Grant: $18,780 County Match: $0 ADDITIONAL COSTS CONTRACT REVIEW Date Out � ~,~.=".=".z')= vi i/zznm-r*/- Date In Division Director Risk Management O.M.8./Pu-cing K County Attorney 00 Date Out � ~,~.=".=".z')= vi i/zznm-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 United States Fellowship of Florida, Inc., d /b /a Heron - Peacock Supported Living hereinafter referred to as "AGENCY." WITNESSETH WHEREAS, the Florida Department of Law Enforcement has awarded a sub -grant of Edward Byrne Memorial Justice Assistance to the COUNTY to implement the Heron - Peacock Supported Living's Recidivism Prevention for Adults with Mental Illness and Substance Abuse program; 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 $18,780. 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, ref on accomplishments, challenges, etc. is required as part of this quarterly report, The AGENCY shall render to the COUNTY, monthly itemized invoices, not later than 30 days after the end of each month, properly dated, describing the services rendered, the cost of the services, and all other information required. The original invoice shall be sent to: Grants Administrator 1100 Simonton Street Key West, FL 33040 (30) days of receipt of the correct and proper invoice submitted by the AGENCY. (b) Payment shall be made after review and approval by the COUNTY within thirty (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 A - 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 of reimbursement request cover letter is included as Attachment B. G. TERMINATION - ThisAoreernent may be terminated b party at any time, with or without cause, upon not less than thirty �/ (]O\ days written n notice delivered to the other party. The COUN[�'shall not be obligated 'pa' for any services provided by the AGENCY after the AGENCY has received notice of termination. �' 7. ACCESSTOFINANCIALRECORDS - 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 A incorporated in Section 4 of this Agreement. ~ 8. AUDDF - TheAGENCYshaUsubrnittotheCOUNTYanauditreportcovehngthe 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 Richard Casey, Jr., Executive Director 1100 Simonton Street Heron-Peacock Supported Living Key West, FL 33040 67 Coco Plum Drive Marathon, FL33O5O 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 of Law Enforcement cannot be obtained or cannot be continued at a level sufficient to allow 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 REGULATIONS- 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 automatically be terminated. ` ' 12. ASBIGNMENTSANDSUBCONTRACTING - NeitherpartytothieAoraement shall assign this Aorearnentor any interest under this Aoreennent,orsubcontract any ofits ob|igadonSunder this Agreernent,vvithoutthe vvritten - nsentof the other. 13. EMPLOYEESTATUS — TheAGENCYis an independent contractor. 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 orby the COUNTY. 14. INDEMNIFICATION - TheAGENCYagreesto hold harmless, indemnify, and defend the COUNTY, its cornrnissioners,officers, ernp|oyees,and agents against a'/ " anda|| claims, losses, damages, or lawsuits for damages, arising from, allegedly arising f'` rn or related to the provision of services hereunder by the AGENCY. ' 15. ENTIRE AGREEMENT (a) It is understood and agreed that the entire Agreement of the parties is contained herein and that this Agreement supersedes all oral agreements and negotiations between the parties relating to the subject matter hereof as well as any previous agreements presently in effect between the parties relating to the subject matter hereof. (b) Any alterations, amendments, deletions, or waivers of the provisions of this Agreement shall be valid only when expressed in writing and duly signed by the parties. IN WITNESS WHEREOF, the parties to this Agreement have caused their names to be 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) ATTEST: AMY HEAVILI0,Clerk BOARD OF COUNTY COMMISSIONERS OFMONROE COUNTY, FLORIDA By' ' By: Deputy Clerk United States Fellowship of Florida, Inc., d /b /a Heron - Peacock Supported Living Witness Witness Zz 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 montract. 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 changing 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 rate, total hours worked, withholding information and paid payroll taxes, check number and check amount. If Payroll Journal is not provided, the following information must be provided' pay period check check number, d t . ' , 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 reinnbursennant The log must define the date, number of copies made, source document, purpose, and ' recipient, A reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a sample of the finished product are required. Supplies, Services, etc. For supplies or services ordered, a vendor invoice is required. 7[eUefax, 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 isneeded. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental reimbursement requires the vendor invoice. Fuel purchases should be documented with paid receipts. Taxis are not reimbursed if taken to arrive at a departure point/ for example, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Parking is considered a reimbursable travel expense at the destination. Airport parking during 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 bytraveler. 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 beatthe rate established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY ofthe Monroe County Code of Ordinances. An odometer reading must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a residence or office to a point of departure. For example, driving from one's home to the airport fora business trip is not a reimbursable expense. Meal reimbursement shall beatthe rates established by ARTICLE XXVI,TRAVEL, PER DIEM MEALS, AND MILEAGE PC>LICYofthe Monroe County Code of Ordinances. Meal guidelines ' state that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2 p.m. for lunch reimbursement, and before 6 p.m. and end after 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, depredation 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/R ending O5/14/O1 XXX.XX 105 Employee B P/Rending 05/28/01 XXX.XX (A) Total $ X,XXX.XX (B) Total prior payments $X,XXX.XX (C) Tota| requested and paid (Af B) �X,XXX.XX /[}} . ' Total contract ' �X,XXX.XX Balance of contract (D C\ � I certify that the above checks have been submitted to the vendors aenoted and that the expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source. Executive Director Attachments (supporting documentation) Sworn to and subscribed before me this 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 Ftet # 2014 -JAGC -2347 Section #1 Page 1 of 2 Contract 2014 - JAGC - MONR -3 -E5 -188 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 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 Het # 2014 -JAGC -2347 Section #1 Page 2 of 2 Contract 2014 - JAGC - MONR -3 -E5 -188 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 Het # 2014 -JAGC -2347 Section #1 Page 2 of 2 Contract 2014 - JAGC - MONR -3 -E5 -188 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: SUPPORTIVE HOUSING TO PREVENT RECIDIVISM OF ADULTS WITH MENTAL ILLNESS & SUBSTANCE ABUSE 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 The problem that we hope to help solve is that both locally and nationally, our jails /prisons are containing a significant number non - violent mentally ill men and women. Monroe County Corrections reports that currently about 20% those in the Monroe County Detention Center have some type of mental illness. Former Sheriff Bob Peryam has stated that, "we're looking at reducing the population of folks with mental health issues, drug or alcohol issues, or homeless issues. Many of these people do not need to be in jail." Guidance Care Center of the Keys reports that the majority of people with mental illness are low - level, non - violent offenders who are exhibiting in public symptoms of untreated mental illness. The Detention Center reports that 80 +% of those arrested have substance abuse problems. A report entitled "More Mentally III Persons are in Jails and Prisons than Hospitals: A Survey of the States ". The report indicates that, "For every one mentally ill person in a hospital in the U.S., there are more than three in prisons ". The report also asserts that 16% of those in prison have a serious mental illness. This compares to a 1983 finding when the percentage was 6.4 %. To compound this, the 2010 National Survey on Drug Use and Health, Mental Health Findings, reported that the use of illicit drugs in the past year was more likely among adults aged 18 or older with past year any mental illness (25.8 percent) than it was among adults who did not have mental illness in the past year (12.1 percent) This pattern was similar for most specific types of illicit drug use, including the use of marijuana, cocaine, hallucinogens, inhalants, or heroin and the nonmedical use of prescription -type psychotherapeutics. This makes it more likely that those with mental illness will often come in contact with the criminal justice system. Problem Significance Heron - Peacock Supported Living provides stable, affordable supportive housing, in the "Housing First' model, whereby housing is the critically required component in order to make recovery successful. It has been shown that once people have housing they are more receptive to participating in other programs to deal with mental health and substance abuse issues. In addition, the supportive services we address mental health issues, improve life skills and develop a treatment program that enables clients to remain clean and sober, and become a productive member of our community. Information provided by the Monroe County Sheriffs Office indicates that it costs approximately $80.00 /day to maintain a prisoner in the County Jail. In addition, the daily cost of a stay at FL Northeast State Psychiatric Hospital is approximately $233.00. By contrast the average cost per day for our programs is $46.52. Needs Assessment The problem of incarceration of adults with mental illness and substance abuse, especially those who are not major offenders, is very serious and is growing. Almost all jail inmates with co- occurring mental illness and substance use disorders will leave Hppucauon Ket ;F 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #2 Page 1 of 4 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 correctional settings and return to the community. In addition, Monroe County has only one Assisted Living Facility with a Mental Health License serving a total of 16 low- income clients (the Heron) and only one housing facility with a total of 31 beds willing to take individuals with serious mental illnesses and substance abuse (Peacock Apartments). Outreach, intake, and assessment are core elements of our supported services. In fact, the problems of inappropriate incarceration and its link to homelessness have become so epidemic that the federal Substance Abuse and Mental Health Services Administration (SAMHSA) has identified major initiatives ?to divert individuals with mental illness from the criminal justice system to mental health treatment and appropriate supported services ?. Heron - Peacock Supported Living is the only supported living program of its kind in the County serving this population, providing housing with support services to adults who are persistently and chronically mentally ill. By directing these type clients to Heron - Peacock Supported Living and similar programs, whether through diversion upon entry to the criminal justice system or at reentry, we can provide a cost effective, stable housing and the supportive services necessary for successful community integration, therefore, decreasing the likelihood of recidivism. Heron - Peacock not only offers a more effective recovery environment than alternatives such as homelessness, correctional institutions, and State psychiatric hospitals, they are considerably more cost effective. In fact, this past three years sixteen formerly incarcerated clients were among those that moved from our program to independence in the community and within that timeframe have not again entered the criminal justice system. Project Summary (Scope of Work) The proposed project, Supportive Housing to Prevent Recidivism of Adults with Mental Illness & Substance Abuse will address the program area of, Prevention and Education. It will accomplish this goal by providing housing and supportive services to men and women who are mentally ill, with a history of both incarceration and substance abuse. We will educate and actively monitor all program clients to promote successful mental health treatment, recovery from drug /alcohol abuse, with the outcome being, a reduction in future incarcerations among program participants. Services to clients include securing psychiatric services, case management, securing disability or other financial benefits. This may include life skill planning, supported employment, referral to day treatment programs, medication supervision, substance abuse counseling and /or treatment. These services are provided by direct services staff; Site Managers; and, full /part-time Mental Health Support Workers. These are the staff engaged daily with our clients in providing support, referral and life skills. Historically and the anticipated result of continued funding for this activity is to reduce or eliminate the reoccurrence of incarceration. This is achieved by initially placing the client in the appropriate housing, either the Heron (Marathon) or Peacock Apartments (Key West). This decision is based on client history, mental illness diagnosis and client needs. Once the target population has secured housing, which is the first and most significant barrier wellness and self - improvement, we work with each client to develop an individualized personal growth plan and provide the supportive services and referrals needed for the client to implement that plan. The goal of this support is to stabilize and work to improve each client's "wellness" in light of their particular mental illness and /or substance abuse issues. The expectation is that this client, while having prior contact with the criminal justice system, will not return to incarceration or make a successful transition from incarceration. This program does not require the purchase of significant equipment. Application Ret # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #2 Page 2 of 4 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 Application Ref # 2014-JAGC-2347 Section #2 Page 3 of 4 Contract 2014-JAGC-MONR-3-E5-188 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: Does the Subgrantee receive a single grant in the amount of $500,000 or more from the U.S. Department of Justice? Answer: No 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 -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #2 Page 4 of 4 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 Performance Info: Performance Reporting Frequency: Quarterly Federal Purpose Area: 005 - Drug Treatment Programs State Purpose Area: A - Accomplishments: Includes any accomplishments during the reporting period. Activity Description Activity: Assessment Target Group: Adults - Male or female* Geographic Area: Rural Location Type: Community -based organization Activity Description Activity: Case Management Target Group: Adults - Male or female* Geographic Area: Rural Location Type: Community -based organization Activity Description Activity: Counseling Target Group: Adults - Male or female* Geographic Area: Rural Location Type: Community -based organization Activity Description Activity: Drug Testing Target Group: Adults - Male or female* Geographic Area: Rural Location Type: Community -based organization Address(es) : Heron & Peacock 1320 Coco Plum Drive Marathon , FL 33050 Activity Description Activity: Mental Health Services Application Ket # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #3 Page 1 of 6 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 Target Group: Adults - Male or female* Geographic Area: Rural Location Type: Community -based organization Address(es) : Heron & Peacock 1320 Coco Plum Drive Marathon , FL 33050 Activity Description Activity: Substance Abuse Treatment Target Group: Adults - Male or female" Geographic Area: Rural Location Type: Community -based organization Objectives and Measures Objective: Al - Report on program accomplishments Measure: Part 1 Please briefly describe what your program's accomplishments will be. Please include any benefits or changes to be observed as a result of JAG - funded activities, such as program completion, or changes in attitudes, skills, knowledge, or conditions. [500- character limit] Goal: Our goal will be that all eligible clients (history of incarceration and history of substance abuse), will not be arrested or return to be jailed /imprisoned while in our program. It is our goal that at least 25% of eligible clients, (history of incarceration and history of substance abuse), will move on to permanent housing during the term of this program. Objective: A2 - Report on usage of crimesolutions.gov Website Measure: Part 1 Will you be using the crimesolutions.gov website? Goal: No Objective: A3 - Report on subgrants from grantees other than FDLE Measure: Part 2 If yes, enter grantee organization or agency name. Goal: N/A Measure: Part 1 Application Ref # 2014 -JAGC -2347 Section #3 Page 2 of 6 Contract 2014 - JAGC - MONR -3 -E5 -188 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 Are you a subrecipient of a JAG award from another JAG grantee (other than FDLE)? An agency can be a primary recipient of a JAG award from BJA and a subrecipient of a JAG award from another JAG award primary recipient. Do not consider awards that you receive directly from USDOJ. Goal: No State Purpose Area: DT - Drug Treatment: clinical assessment; residential; day /night treatment with community; outpatient group, individual, intensive, or detoxification; addiction receiving facility; substance abuse detox. (residential); in -home counseling; and aftercare. Activity Description Activity: Drug Treatment Target Group: Drug Treatment Geographic Area: Rural Location Type: Community -based organization Address(es) : Heron & Peacock 1320 Coco Plum Drive Marathon , FL 33050 Objectives and Measures Objective: DT1 - Report on JAG funding allocated for providing drug treatment Measure: Part 1 How much JAG funding has been allocated for providing drug treatment? Please report in dollars ($). Goal: $18,780.00 Objective: DT2 - Provide a drug treatment program Measure: Part 1 Will your program admit any participants to drug treatment programs? Goal: Yes Measure: Part 2 How many participants will be enrolled in the drug treatment programs? Goal: 20 Measure: Part 3 Of those, how many will be NEW participants? Application Ref # 2014 -JAGC -2347 Section #3 Page 3 of 6 Contract 2014 - JAGC - MONR -3 -E5 -188 Rule Reference 11 D4006 OCJG -005 (rev. October 2005) Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant - County -wide Goal: 10 Objective: DT5 - Provide outpatient services Measure: Part 1 Will JAG funds be used to provide outpatient services? Services received should be based on actual attendance of participants in mandated activities. Goal: Yes Measure: Part 2 If yes, please enter the number of sessions for outpatient services drug treatment participants will receive. To calculate this number, determine the number of outpatient service sessions that each participant will receive. Then add the number of sessions for each participant together to determine the total number of sessions to be delivered. Include any participant who will receive outpatient services, regardless of whether that person will complete the program, exitwithout completion, or remain enrolled. Goal: 7300 Objective: DT6 - Test participants for alcohol or illegal substances Measure: Part 1 Of those to be enrolled in drug treatment programs for at least 90 days, please enter the number of participants who will be tested for the presence of alcohol or illegal substances. Goal: 20 Measure: Part 2 Of those to be enrolled in drug treatment programs for at least 90 days, please enter the number of participants who will test positive for the presence of alcohol or illegal substances. Goal: 6 Objective: DT7 - Report the number of drug treatment participants who successfully completed the program Measure: Part 1 How many drug treatment program participants will successfully complete all program requirements? The number entered should represent only those participants who will successfully complete all the requirements of the program. Goal: 15 Measure: Part 2 How many drug treatment program participants will unsuccessfully complete the program? The number entered should represent only those who will fail to successfully complete the program for voluntary reasons (e.g., arrests, Application Ref # 2014 -JAGC -2347 Section #3 Page 4 of 6 Contract 2014 - JAGC - MONR -3 -E5 -188 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 , t ; program violation, etc.). Goal: 5 Application Ref # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #3 Page 5 of 6 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 "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 -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #3 Page 6 of 6 Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005) Budget Category Federal Match T otal Salaries and Benefits $0.00 $0.00 $0.00 Contractual Services $18,780.00 $0.00 $18,780.00 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 -- $18,780.00 $0.00 $18,780.00 Percentage 100.0 0.0 100.0 Project Generated Income: Will the project earn project generated income (PGQ ? No Application Ref # 2014 -JAGC -2347 Section #4 Page 1 of 3 Contract 2014 - JAGC - MONR -3 -E5 -188 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 Services will be provided by Site Managers, and Mental Health Workers. Unit: 1 Service Hour Unit Cost: $12.57 Units to be provided: 1,494.04 Unit Cost Budget: 1,494.04 units x $12.57 = $18,780 Budget: $18,780 CONTRACT: Monroe County will execute a contract with US Fellowship DBA Heron - Peacock Supported Living 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 Ref # 2014 -JAGC -2347 Section #4 Page 2 of Contract 2014 - JAGC - MONR -3 -E5 -188 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 7 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: Unit Cost Budget Basis: Salaries and Benefits: Site Manager, Salary & Benefits = $5,000 Site Manager, Salary & Benefits = $5,000 F/T Mental Health Worker = $5,000 P/T Mental Health Workers = $3,180 Supplies: Drug Test Kits = $600 Total Budget: $18,780 Total Units: 1,494.04 (approx.) Total Cost Per Unit: $12.57 (rounded) Unit Cost was established by the contracted service provider. Application Ref # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #4 Page 3 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 OMISSION Insert Standard Conditions Page here. Application Ref # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 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 x s 77 . ,. 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. Corrections on this page, including Strikeovers, whiteout, etc. are not acceptable. Signature: Typed Name and Title: Date: Signature: Typed Name and Title: Date: Signature: Typed Name and Title: Date: Application Het # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #6 Page 1 of 1 Rule Reference 11 D -9.006 OCJG -005 (rev. October 2005) Typed Name of Subgrant Recipient: Typed Name of Implementing Agency: Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant - County -wide 7--7 Insert Certifications and Authorizations here. Application Ref # 2014 -JAGC -2347 Contract 2014 - JAGC - MONR -3 -E5 -188 Section #7 Page 1 of 1 Rule Reference 11 D4006 OCJG -005 (rev. October 2005) ATTACHMENT PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity ohrne may not submit a bid on a contract to provide any goods orservices to a public entity, may not submit a 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 beawarded or perform work aSa 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 I87.017, for CATEGORY TWO for a period of 36 months from the data of being placed on the convicted vendor |ist," 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, who, after first being sworn by me, affixed his/her signature (name orindividual signing) in the space provided above on this day of ,2O____. --- My commission expires: ATTACHMENT The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of 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 a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer ofany conviction of, or plea of guilty or no|o cuntendera to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, fora violation occurring in the workplace no later than five (5) days after such conviction. 5. Imposes asanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Makes a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I oedbfv that this firm complies fully with the above (Signature of Respondent) Date PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, (name of individual s.y/u//g) m//xeu his/her signature in the space provided above on this reTFROM My commission expires: