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Item C29AM County of Monroe The Florida Keys Commissioner David Rice BOCC District 4 9400 Overseas Highway, Suite 210 Marathon, FL 33050 PH: 305-289-6000 FX: 305-289-6410 BOARD OF COUNTY COMMISSIONERS Mayor Danny L. Kolhage, District Mayor Pro Tern Heather Carruthers, District 3 George Neugent, District 2 David Rice, District 4 Sylvia J. Murphy, District 5 Interoffice Memorandum Date: April 7, 2015 To: Amy Heavilin, Clerk of the Court County Clerk's Office From: Commissioner David Rice, District 4 RE: NOTICE OF VOTING CONFLICT Per Florida Statute 112.3143, I hereby disclose by written memorandum that I will abstain from the vote on certain issues that are brought before the Monroe County Board of Commissioners with entities that I am involved with. I will abstain from the vote on issues concerning the following entities: Guidance Care Center, Inc., a private, not -for -profit entity, which receives some of its operational funding from the County, as I currently sit on the Board of Directors of the Care Center. I am also a member of the Board of the Historic Florida Keys Foundation, Inc. At the April 15, 2015 BOCC meeting, I will abstain from the vote on item(s): #C29: Authorization for the Mayor to execute a Memorandum of Understanding with Guidance/Care Center for the project entitled Men's Jail Housed Drug Abuse Treatment Program, for the period from October 1, 2014 through September 30, 2015. #C30: Ratification of the Certificate of Acceptance of Sub -grant Award for the Guidance/Care Center: Men's Jail Housed Drug Abuse Treatment Program, using funds provided under the FDLE Residential Substance Abuse Treatment Grant program, for the period from October 1, 2014 through September 30, 2015. #D6: Approval of an Agreement with Historic Florida Keys Foundation, Inc. covering the Oldest House Electrical and Roof Repair project in an amount not to exceed $16,913, DAC I, FY 2015 Capital Resources. Copy of agenda listing the referenced items) is attached for documentation. BOARD OFCOUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date, April 15, 2015 Division: OMB Department: Grants Administration Staff Person: Laura deLoach-Hartle AGENDA ITEM VVQRC8N(S: Authorization for the Mayor to execute a Memorandum of Understanding with Guidance/Care Center for the project entitled Men'sJai| Housed Drug Abuse Treatment Program, for the period from October 1, 2014through September 3O,2O15. ITEM BACKGROUND: Federal funds are provided through the Florida Department of Law Enforcement. PREVIOUS RELEVANT BOCCACTION: Approval toapply for grant funds was given at the November 18, 2014 meeting. The Certificate of Acceptance for Sub -grant Award from FDLE isalso onthe agenda for this meeting. CONTRACT/AGREEMENT CHANGES: None, STAFF RECOMMENDATION: Approval TOTAL COST: $66,667 Indirect Cost: COST TDCOUNTY: $]6i667 DIFFERENTIAL OF LOCAL PREFERENCE: SOURCE C)FFUNDS: FDLE and Fine & Forfeiture Fund 101 REVENUE PRODUCING: YesEl No Z AMOUNT PER MONTH DISPOSITION: AGENDA ITEM #: CONTRACT SUMMARY IContract with: Guidance Care Center Effective Date: 1OL01114 Expiration Date: 09/30/15 Contract Purpose/Description: Funds are provided through Florida DepartmentforLaw Enforcement, Residential Substance abuse Treatment Grant for the Guidance/Care Center Men's Jail Housed Drug AbuseTreatmentProgram. Contract Manager: Laura deLoach- Hartle (Name) I for BOCC meeting on: 04/15/15 4482 OMB/Grants Admin, (Ext.) (Department) enda Deadline: 03/27/15 CONTRACT COSTS Total Dollar Value of Contract: $66,667 Current Year Portion: $66,667 Budgeted? Yes X No Account Codes: 125-06019-530490-GG1509 Grant: $50,000 County Match: $16,667 ADDITIONAL COSTS CONTRACT REVIEW Changes In__ Needed Division Director Yes❑ No"` 7- RiskManagement 1, Yes[:] NoEq 0,M.B./Purchasing Yes7 Nod County Attorney r Yes® NoEl Comments: OMB Form Revised 9/11/95 MCP #2 Date Out RESIDENTIAL SUBSTANCE ABUSE TREATMENT FUNDS AGREEMENT THIS AGREEMENT is made and entered into this 15th day of April, 2015, 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 THE Guidance/Care Center, hereinafter referred to as "AGENCY." iNul ky0fTal:' WHEREAS, the Florida Department of Law Enforcement has awarded a sub -grant of Residential Substance Abuse Treatment Funds to the COUNTY to implement a program that provides residential substance abuse treatment services to offenders held in local correctional facilities who have at least six months and no more than twelve months of their sentence left to serve; 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 Residential Substance Abuse Treatment funds to the AGENCY in accordance with the COUNTY'S application for the Residential Substance Abuse Treatment Funds. 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, 2014 through September 30, 2015, the date of the signature by the parties notwithstanding, unless earlier terminated as provided herein. 2. SERVICES - The AGENCY will provide services as outlined in the COUNTY'S. Residential Substance Abuse Treatment Sub -grant Award, attached and made a part hereof. 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 $66,667. The total sum represents federal grant/state sub -grant support in the amount of $50,000 and local matching funds in the amount of $16,667, which amount shall be provided by the county. 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. IMPLEMENTING AGENCY BOUND — The AGENCY is an implementing agency under the COUNTY'S Residential Substance Abuse Treatment Program, and shall be bound by all the provisions of the documents incorporated by reference in Section 4 of this Agreement. Additionally, the AGENCY shall be bound by all laws, rules, and regulations relating to the COUNTY'S performance under the Florida Department of Law Enforcement Residential Substance Abuse Treatment Grant Program. b. BILLING AND PAYMENT (a) The AGENCY shall comply with the program and expenditure reporting requirements for Residential Substance Abuse Treatment Grant funds. The AGENCY shall render to the COUNTY a detailed 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 1100 Simonton Street Key West, FL 33040 (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. 7. TERMINATION - This Agreement may be terminated by either party at any 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. 8. ACCESS TO FINANCIAL RECORDS - The AGENCY shall maintain appropriate 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. 9. AUDIT - The AGENCY shall submit to the COUNTY an audit report covering the 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. 10. NOTICES - Whenever either party desires to give 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 Frank Rabbito, Senior Vice President 1100 Simonton Street Guidance/Care Center Key West, FL 33040 1205 Fourth Street Key West, FL 33040 Either of the parties may change, by written notice as provided above, the addresses or persons for receipt of notices. 11. 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. 12. COMPLIANCE WITH LAWS AND REGULATIDNS-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. Ifthe 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. 13. ASSIGNMENTS AND SUBCONTRACTING - Neither party tothis 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. 14. EMPLOYEESTATUS-TheAGENCYis amindependent 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 mrother employee rights or privileges granted to the COUNTY'S officers and employees either by operation of law or by the COUNTY. is. INDEMNIFICATION -TheAGENCYagrees to 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. 18. ENTIRE AGREEMENT (a) It is understood and agreed that the entire Agreement of the parties is contained herein and that this Agreement supersedes all nnn| 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 tothe 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. ATTEST: AMYHEAVlON,Clerk am BOARD OFCOUNTY COMMISSIONERS OFMON0]E COUNTY, FLORIDA ZZ Title: Guidance/Care ATTACHMENT A Expense Reimbursement Requirements This document is intended to provide basic guidelines to Human Service and Community -Based Organizations, county travelers, and contractual parties who have reimbursable expenses associated with Monroe County business. These guidelines, as they relate to travel, are from the Monroe County Code of Ordinances and State laws and regulations. A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense request needs to also contain the following notarized certified statement: "I certify that the above checks have been submitted to the vendors as noted and that the attached expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source." Invoices should be billed to the contracting agency. Third party payments will not be considered for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement. Only current charges will be considered, no previous balances. Reimbursement requests will be monitored in accordance with the level of detail in the contract. This document should not be considered all inclusive. The Clerk's Finance Department reserves the right to review reimbursement requests on an individual basis. Any questions regarding these guidelines should be directed to 305-292-3534. Data Processing, PC Time, etc. The vendor invoice is required for reimbursement. Inter -company allocations are not considered reimbursable expenditures unless appropriate payroll journals for the charging department are attached and certified. Payroll A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total hours worked, withholding information and paid payroll taxes, check number and check amount. If a Payroll Journal is not provided, the following information must be provided: pay period, check amount, check number, date, payee, support for applicable paid payroll taxes. Postage, Overnight Deliveries, Courier, etc. A log of all postage expenses as they relate to the County contract is required for reimbursement. For overnight or express deliveries, the vendor invoice must be included. Rents, Leases, etc. A copy of the rental or lease agreement is required. Deposits and advance payments are not allowable expenses. Reproductions, Copies, etc. A log of copy expenses as they relate to the County contract is required for reimbursement. The log must define the date, number of copies made, source document, purpose, and recipient. A reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a sample of the finished product are required. Supplies, Services, etc, For supplies or services ordered, a vendor invoice is required. Telefax, Fax, etc. A fax log is required. The log must define the sender, the intended recipient, the date, the number called, and the reason for sending the fax. Telephone Expenses A user log of pertinent information must be remitted including: the party called, the caller, the telephone number, the date, and the purpose of the call. Travel and Meal Expenses Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with Monroe County Code of Ordinances and State laws and regulations. Credit card statements are not acceptable documentation for reimbursement. If attending a conference or meeting a copy of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental reimbursement requires the vendor invoice. Fuel purchases should be documented with paid receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Parking is considered a reimbursable travel expense at the destination. Airport parking during a business trip is not. A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room must be registered and paid for by traveler. The County will only reimburse the actual room and related bed tax. Room service, movies, and personal telephone calls are not allowable expenses. Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a residence or office to a point of departure. For example, driving from one's home to the airport for a business trip is not a reimbursable expense. Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2 p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement. Non -allowable Expenses The following expenses are not allowable for reimbursement: capital outlay expenditures (unless specifically included in the contract), contributions, depreciation expenses (unless specifically included in the contract), entertainment expenses, fundraising, non -sufficient check charges, penalties and fines. ATTACHMENT B ORGANIZATION LETTERHEAD Monroe County Board of County Commissioners Finance Department 500 Whitehead Street Key West, FL 33040 Date The following is a summary of the expenses for (Organization name) for the time period of to Check # Payee Reason Amount 101 Company A Rent $ X,XXX.XX 102 Company B Utilities XXX.XX 104 Employee A P/R ending 05/14/01 XXX.XX 105 Employee B P/R ending 05/28/01 XXX.XX (A) Total $ X,XXX.XX (B) Total prior payments $ X,XXX.XX (C) Total requested and paid (A + B) $ X,XXX.XX (D) Total contract amount $ X,XXX.XX Balance of contract (D C) $ X,XXX.XX I certify that the above checks have been submitted to the vendors as noted and that the expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source. Executive Director Attachments (supporting documentation) Sworn to and subscribed before me this day of 20_ by who is personally known to me. Notary Public Notary Stamp FDLE ATTACHMEN 11 TC k"), vv-1 q ot Bunwwss Support Cflntif4al JnJstice Grants Aftoerpf,,'ty Geni,)riV Bme 14,149 32" )2 4f3'9 Ad airn PiAnam, of Agriculture, vV'A"w 0 ate PI 'j�"' The Honorable Danny Kolhage Mayor Monroe County Board of Commissioners 530 Whitehead Street Suite 102 Key West, FL 33040-6547 Re- Contract No, 2015.RSAT-MONR-1-R2-002 Dear Mayor Kolhage. The Florida Department of Law Enforcement is pleased to award a Residential Substance Abuse Treatment for State Prisoners grant to your unit of government in the amount of $ 50,000,00 for the project entitled, MEN'S JAIL HOUSED DRUG ABUSE TREATMENT. These funds shall be utilized for the purpose of providing substance abuse treatment to at risk prisoners. A copy of the approved subgrant application with the referenced contract number is enclosed for your file. All correspondence with the Department should always refer to the project number and title. As you may be aware, information from subgrants and performance reports are currently provided to the Department of Justice under the Performance Measurement Tool (PMT) and Federal Funding Accountability and Transparency Act (FFATA) to meet current federal transparency requirements. Contract and grant information is also provided to the State of Florida Department of Financial Services via the Florida Accountability Contract Tracking System (FACTS). This grant contract and all subsequent correlating information including general contract, performance, amendment/modification information and a copy of the grant document is provided to FACTS to meet requirements under Chapter 2013-54 and 2013-154 Laws of Florida for transparency in government spending. If this grant agreement contains confidential or exempt information not subject to disclosure under public records law, Chapter 119, F.S., (such as disclosure of equipment for certain undercover operations that may result in sensitive information on grant documents) please contact the Office of Criminal Justice Grants for information on requesting exemption from public records disclosure. Please complete and return the enclosed Certification of Acceptance to the Office of Criminal Justice Grants within 30 calendar days from the date of award. This certificate constitutes official acceptance of the award and must be received by the Department prior to reimbursement of any project expenditures. Some costs require prior written approval from OCJG and/or the Department of Justice before beginning project activities including: a sole source procurement in excess of $150,000: compensation for consultant services for rates in excess of $650/day ($81.25 per hour); publication plans; and purchase of automated data processing (ADP) equipment and software. A written request for approval is required if they are applicable to your project. You may also see a correlating special condition on your grant award in the Subgrant Information Management ON -Line (SIMON) system. We look forward to working with you on this project. Please contact Senior Management Analyst Supervisor Martha McWilliams at (850) 617-1250 if you have any questions or we can be of further assistance. Sincerely, Petrina Tuttle Herring Administrator PTH/as Enclosures 1�y State of Florida Office of Criminal Justice Grants .-lorida Department of Law Enforcemell; 2331 Phillips Road Tallahassee, Florida 32308 CERTIFICATION OF ACCEPTANCE OF SUBGRANT AWARD The subgrantee, through its authorized representative, acknowledges receipt and acceptance of subgrant award number 2015-RSAT-MOLAR-1-R2-002, in the amount of $ 50,000.00, for a project entitled, MEN'S JAIL HOUSED DRUG ABUSE TREATMENT, for the period of 10101/2014 through 09/30/2015, in accordance with the statement of work contained in the subgrant application, and subject to the Florida Department of Law Enforcement's Conditions of Agreement and any special conditions governing this subgrant. 21i SInature of SubbOantee's Authorized OffidFal bmir - -At roc Cwjc�j FL Typed N e and Itle Q 1cla, Date of Acceptance MG-012 (rev. October 2005) SUBGRANT AWARD CERTIFICATE Subgrantee: Monroe County Board of Commissioners P Date of Award: , Grant Period: From: 10/01/2014 To., 09/30/2015 Project Title: MEN'S JAIL HOUSED DRUG ABUSE TREATMENT Grant Number: 2015-RSAT-MONR-1-R2-002 Federal Funds: $ 50.000,00 Agency Match: $ 16,667,00 Total Project Cost: $ 66,667 .00 Program Area: 0001 : Residential Substance Abuse Treatment CFDA #: 16.593 Award is hereby made in the amount and for the period shown above of a grant under Title IV of the Violent Crime Control and Law Enforcement Act of 1994, P. L 103-322, as amended, to the above mentioned subgrantee and subject to any attached standards or special conditions. This award is subject to all applicable rules, regulations, and conditions as contained in the Financial and Administrative Guide for Grants. Office of Justice Programs, Common Rule for State and Local Governments and A- 87, or OMB Circulars A-1 10 and A-21, in their entirety. It is also subject to such further rules, regulations and policies as may be reasonably prescribed by the State or Federal Government consistent with the purposes and authorization of P.L, 103-322, as amended. This grant shall become effective on the beginning date of the grant period provided that within 30 days from the date of award, a properly executed Certification of Acceptance/ Request for Payment is returned to the department. Li Authorized Official Petrina Tuttle Herring Administrator Date ( ) This award is subject to special conditions (attached). Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Subgrant Recipient Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: ©army Kolhage Title: Mayor Address: 530 Whitehead Street Suite 102 City: Key infest State: FL Zip: 33040-6547 phone: 305-292-3440 Ext: Fax-, Email: boccelisl@monroecouniy-fl.gov Chief Financial Officer Name: Army Heavilin Title: Clerk of Court Address: 500 Whitehead Street City: Key West State: FL Zip: 3304€1-3110 Phone: 305-295-3130 Ext: Fax: Email: aheavilin@monroe-clerk.com Application Ref # 2015-RSAT-94 Section #1 page 1 of 3 Contract 2015-LSAT-MOLAR-I-R2-002 OCJG-005 (rev. AP012005) Application for Funding Assistance Florida department of Law Enforcement Residential Substance Abuse Treatment implementing Agency organization lame: Monroe County Board of CoMmissioners County: Monroe Chief Official Name: Canny Kolhage Title: Mayor Address: 530 Whitehead Street Suite 102 City: Key West State: FL Zip: 33040-5547 Phone: 305-292-3440 Ext: Fax: Email: baccdisl@manreecounty-fl.gov Project, Director Name: Laura Deloach-Hartle Title: Senior Administrator- Grants & Special Projects Address, 1100 Simonton Street Room 2-285 City: Key West State: FL Zip: 33040-3110 Phone: 305-292-4482 Ext: Fax: Email: deloachhartle-laura r@monroecounty-fl_gov Application Fief # 2015-RSAT-94 Section #1 Page 2 of 3 Contract 2015-RSAT-M©NR-1-R2-002 pCJG•005 (rev April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment ✓� ^[ 5 sY f'F;� � ( � kxk 4/'. ry '� 3 fi" r \ � p-.. X y r � A J' Section Questions: Question: What is the DUNS number for the subgrantee? Answer: 73876767 Application Fief # 2015-RSAT-94 Section #i Page 3 of 3 Contract 2015-RSAT-MONK-1-R2-002 OCJG-005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment General Project Information Project Title: MEN'S .JAIL HOUSED DRUG ABUSE TREATMENT Subgrant Recipient: Monroe County Board of Commissioners implementing Agency: Monroe County Board of Commissioners Project Start Date: 10/1/2014 End Date: 9/30/2015 Problem Identification South Florida, including Monroe County and the Florida Keys, continues to have the unfortunate distinction of being designated as a high -intensity drug trafficking area and, as such, is a leading illicit drug importation area. This, of course, has increased the availability of illicit drugs in Monroe County resulting in drug abuse rates higher than both the state and national averages. Specifically in regards to the male population of Monroe County, which is the population of focus for this grant request, the latest Behavioral Risk Factor Surveillance Survey compiled by the Florida Department of Health reports rates of drug involvement as over twice that of the state average and four times that of the much larger Miami -Dade County to the north. The Agency fur Healthcare Administration in its Emergency Department and Inpatient Hospitalization Data of 2011 publication indicates that male residents of our county had over twice the state rate per 100,000 population far emergency room treatment for acute drug intoxication. In addition, Monroe has over twice the state average for DUI arrests and, consequently, almost three times the state average for vehicular deaths involving drug use. For drug involved parents, statistics from the Florida Department of Children and Families indicate that 57% of Monroe County foster care placements between April 2011 and March 2012 were as a result of parental substance abuse. For many drug involved men, the obsession surrounding use and attainment of illicit and legal drugs of abuse often lead to legal involvement, criminal conduct, neglect of family and self, and ultimately incarceration. In addition; the destruction of parent -child relationships, increased domestic violence, increased crime, child abuse and neglect, foster care placement, divorce, stress on the legal and medical systems of a county with very limited resources, and global negative effects on our communities and quality of rife are also directly affected. Recognizing the significant need for appropriate treatment among greater numbers of incarcerated men whose level of drug involvement is such that they would not benefit from available outpatient treatment and who are often the primary caretakers of children, the Guidance Care Center along with the Monroe County Sheriffs Office created the Jail In House Drug Treatment Program located within the Monroe County Detention Center in 1992. It remains today as one of the few such programs operated within a county jail in Florida and the only opportunity for men to receive intensive drug abuse treatment within Monroe County. Moreover, these men are able to get treatment quickly instead of being one of the 66% of substance abusing Florida residents who desire help but are unable to access treatment due to Florida's lengthy waiting list for substance abuse services as reported by the Florida Department of Children and Families. This program has been able to attain and maintain a very low recidivism rate (under 25%) for participants in the last 5 years with the addition of evidenced -based practices and special attention to the unique needs of substance abusing men. The program has a very close relationship with county judges, attorneys, and the administration and staff of the Monroe County Detention Center as well as city and county authorities. Men who complete treatment are often granted early release from incarceration to return to their families and begin rebuilding their lives and the Application Ref # 2015-RSAT-94 Section #2 Page 1 of 5 Contract 2015-RSAT-MONK-1-R2-002 OWC-005 (rev. APTH 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment lives of their loved ones, thereby saving the county the expense of their continued detainment. Skills attained within the context of treatment increases the chances of sustained recovery, healthier family and other personal relationships, healthier children, and safer communities. project Summary (Scope of Wore In 1992, The Jail Incarceration Program (JIP) was developed in the Monroe County Detention Center and began providing substance abuse treatment services to county inmates to lay the foundation for sustained recovery. The majority of clients are court ordered by the Drug Court, Circuit Court and County Court Judges in Monroe County. The rest enter the program as volunteers who have met the criteria for druglalcohol treatment and will be in the county jail a minimum of 182 days. The program has established a positive reputation county wide, working closely with judges, prosecutors and defense attorneys throughout the county. DCF audits for the past three years reported that this program meets or exceeds Best Practice standards with 100% compliance. This year's funding will allow services begun with last year's grant to continue for this population in the detention center. In July 2013, the Commission on Accreditation of Rehabilitative Facilities (CART=) evaluated the JIP program for accreditation. The process of accreditation has strengthened assessment and treatment_ The Jail Incarceration Program met the highest CARF standards and received recognition for its positive relationships between correctional staff and treatment clinical staff. The agency has submitted Annual Conformance to Quality Reports to CART= and continues to meet the highest accreditation standards. Client -centered, individualized treatment plans tailored to the needs of men are a cornerstone of gender -responsive treatment. After developing these plans in partnership with the program participant, treatment plan reviews, case management services, community linkages and monthly self -reports of progress continue to refine the plan. Seventy new plans will be developed in FY 15 and will indicate the dosage, frequency and duration of each service intervention specific to that individual. On -going program review occurs through quarterly focus groups with administrative staff and participants. The Global Assessment of Individual deeds (GAIN) instrument 1 provides a comprehensive assessment of client needs and assists in developing a person -centered Wellness Plan that is updated with the participant every 30 days. Admission policies are welcoming to individuals with co-occurring disorders, learning disabilities, illiteracy and other special individualized needs. This allows access for all who probably otherwise would not receive services. For men with a mental illness as well as drug addiction, a Mental Health Status Assessment identifies impairments in functioning. Once: identified, the client receives a referral to a mental health counselor and the Armor Correctional psychiatrist as well as participating in services to address the substance use disorder and criminal thinking and behavior. Treatment of mental illness is monitored by program staff as a vital part of recovery from substance abuse. Participants are given appointments with the Guidance/Care Center psychiatrist upon completion of the program and release from incarceration, and assigned a case worker to help them with appointments, treatment adherence, accessing of community services and medication assistance. Psychotropic medications are provided free of charge to participants who cannot afford their medications or who do not have insurance coverage. Application Ref # 2015-RSAT-94 Sectiorr #2 Page 2 of 5 Contract 2015-RSAT,M0NR-1-R2-002 OCJG-005 (mv. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Treatment in the program is a minimum of six months and a maximum of one year. Aftercare services are encouraged as a part of re-entry planning and last up to six months once the participant is released. The Guidance/Care Center provides aftercare throughout the Florida Keys in community -rased facilities. Aftercare is given priority and participants are enrolled before they are released. These services are not funded by the grant and are available to all participants regardless of ability to pay. Corrections staff conduct random drug testing, with positive tests resulting in 30 days in lock down and a return to court for judicial review of the case. One hundred drug tests will to administered in the fiscal year. Tests used are the Reditest 10 panel dip sticks testing for amphetamine, benzodiazepines, cocaine, opiates, synthetic opiates, THC, PCP, barbiturates, MDMA and methadone. The program also has a relationship with the local drug court to run tests on their spectrometry machine if test results are questionable which helps to identify those who may have attempted to be dishonest by trying to mask the results. Program services will be delivered using an evidence based practice Cognitive Behavioral Therapy (CBT) curriculum entitled "Substance Abuse and Criminal Conduct: Strategies for Self Improvement and Change, Pathways to Responsible Living" authored by Harvey Milkman and Kenneth Wanberg 2. Throughout the treatment episode participants use a client workbook that belongs to them. The cost of that workbook is $25.00 per copy. Use of this workbook is subject to change as more advanced evidenced -based treatment resources became available but will not exceed the $25.00 cost. Moral Reconation Therapy (MRT), another systematic treatment strategy that seeks to decrease recidivism among criminal offenders by increasing moral reasoning Is included and MRT books are $24.00 each 3. Treatment in the correctional setting will incorporate trauma -informed and gender -responsive treatment through the use of the evidenced -based „Seeking Safety„ treatment model to promote the healing and edification of the human spirit. Seeking Safety offers 25 treatment topics, each with a clinician guide and client handouts.4 These relational models support the development of healthy relationships with self, significant others, and the community at large in order to reduce the risk of relapse and recidivism. Staff will use individual and group formats to deliver core services. An evidenced based Relapse Prevention Therapy program will continue running as well. Specific treatment services will include: ? A thorough assessment including mental health, substance abuse, and risk behaviors to equal 140 quarter hours total ? Therapeutic Substance Abuse Treatment- 6836 quarter hours of Group Therapy and 670 quarter hours of individual counseling for 100 men which includes: o Education about addiction to include relapse prevention o Consequences of criminal behavior o Anger and emotional control o Trauma -informed care and treatment to include sexual abuse and domestic violence o Physical and emotional wellness o Learning, developing, and practicing positive coping skills o Developing and beginning to implement a realistic and Hopeful life plan 7 613 quarter hours of case management services which includes o Court coordination as needed o Continuum of care: supporting participants by connecting and coordinating aftercare in Application Ref # 2015-RSAT-94 Section #2 Page 3 of 5 Contract 2015-RSAT-MOLAR-1-R2-002 OGJG-005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment the community and though 12-steplsupport group involvement o Discharge and aftercare planning 1 Dennis, M.L. (2010), Global Appraisal of individual Needs (GAIN)_ A Standardized Biopsychos©cial Assessment Tool. Bloomington, tL: Chestnut Health Systems, Global Appraisal of individual Needs (GAIN): A Standardized Biopsychosocial Assessment Tool accessed 2011-01 -11. 2 Wanberg, K_ W., & Milkman, H. B. (2006). Criminal conduct and substance abuse treatment: Strategies for self-improvement and change: pathways to responsible living: the participants workbook. Thousand Oaks: SAGE Publications. 3 Grandberry, G., & Washington (State). (1998). Moral reconaiion therapy evaluation: Final report. Olympia, WA: Washington State Dept. of Corrections, Planning and Research Section. 4 Najavits, L. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York: Guilford Press. Application Ref # 2015-RSAT-94 Section #2 Page 4 of 5 Contract 2015-RSAT-MONK-1-R2-002 QCJG-005 (rev. April 20055) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment 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 operative 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 19867 If answer to Part i, above, was "no," answer N/A. Answer: N/A Question: Do the Subrecipient and Implementing agencies understand that this is a cost - reimbursement agreement for satisfactory performance of eligible activities? Requests for reimbursement may be submitted quarterly or monthly as designated in the Financial Section of the agreement. Requests for reimbursement will be processed in conjunction with receipt and review of programmatic performance reports to determine successful completion of minimum performance for deliverables as specified in the agreement Answer No Application Ref # 2015-RSA `-94 Section #2 Page 5 of 5 Contract 2015-R5AT-MOLAR-1-R2-002 OGJG-005 (eev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment r General Performance Into: Performance Reporting Frequency: Quarterly Federal Purpose Area: t1001 - Residential Substance Abuse Treatment State Purpose Area: 0001 - Residential Substance Abuse Treatment Activity Description Activity: Cognitive Restructuring Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Activity: 12-Step Target Group: Adult Males Geographic Area: State of Florida Location Type: ,laic Activity: drug Testing Target Group: Adult Males Geographic Area: State of Florida Location Type: .laic Activity Description Activity Description Activity Description Activity: Educational Programs Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Activity Description Activity: Impulse/Anger Control Target Group. Adult Males Geographic Area: State of Florida Location Type: Jail Application Ref 4 2015-RSAT-94 Section ##3 Page 1 of 9 Contract 2015-RSAT-MOLAR-1-R2-002 OGJG-005 (rev. APO 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Activity Description Activity: Individual Counseling Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Activity Description Activity: Mental Health Counseling Target Group: Adult Males Geographic Area: State of Florida Location Type: Mail Activity Description Activity: Therapeutic Community Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Objectives and Measures objective: FFY20141 as - To record the number of RSAT participants anticipated to still be in the program at the end of the grant period. Measure: FFY201410a Approximately how marry RSAT participants are expected to still be in the program at the end of the grant period? Goal: 30 Objective: FFY201411a - To report the number of new RSAT admissions. Measure: FFY20141Ia Approximately how many new admissions are anticipated to participate in the RSAT program? This does not include any carry-overs from a previous grant period. Goal: TO Objective: FFY201412a - To report RSAT participants receiving treatment through the following components: SUBSTANCE ABUSE" and TREATMENT SERVICES COGNITIVEIBEHAVIORAL SERVICES EMPLOYMENT SERVICES HOUSING SERVICES MENTAL HEALTH SERVICES Application Ref # 2015-RSAT-94 Section #3 Page 2 of 9 Contract 2015-RSAT-M0NR-1-R2-002 OCJG-005 (rev. Apr l 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment 1 K.:'t . K t •F r t. ''ki 5 �r ' y, A .y.+ r 6� fr5 OTHER SERVICES (EXPLAIN) Measure: FFY201412a During the grant period, how many RSAT participants are expected to receive treatment through the fallowing components. a) substance abuse and treatment services; b) cognitive behavioral services; c)employment services; d) housing services; e) mental health services; f) other (describe.) Goal: 70 Objective: FFY201412b - To provide aftercare and transitional planning services with RSAT funding. Measure: FFY201412b Flow many RSAT participants will receive transitional pianning/aftercare services using RSAT funding? Goal: 70 objective: FFY201413a - To report the number of RSAT participants who successfully complete all requirements as set forth in RSAT grant. Measure: F'FY201413a How many RSAT participants are anticipated to successfully complete all requirements as set forth in the RSAT grant application during the grant period? Goal: 75 objective: FFY201413b - To record the number of RSAT participants who: a) successfully completed the RSAT program and were released into the community. b) successfully completed the RSAT program and were released into the community under correctional supervision. c) successfully completed the RSAT program and were released into the community with an aftercare program in effect. d) successfully completed the RSAT program and were released into the community with a continuity of care and/or transitional plan. Measure: FFY201413b How many participants successfully completing the RSAT program are expected to: a) be released into the community after treatment completion? b) be released into the community under correctional supervision after completing the RSAT program? c) be released into the community with an aftercare program in effect? d) be released into the community with continuity of care and/or transitional plan. Application Ref # 2015-RSAT-94 Section #3 Page 3 of 9 Contract 2015-RSAT-MOLAR-I-R2-002 OGJG-005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment r.. 1. ..... ., .:..' Goal: 70 Objective. FFY201414a - To record the number of RSAT participants anticipated to be removed from the program due to: a) Termination for a new charge. b) Release or transfer to another correctional facility. c) Death or serious illness. d) Voluntary dropout. e) Failure to meet program requirements. f) Violation of institutional rules. g) Other reasons (please specify other reasons.) Measure: FFY201414a Approximately how many RSAT participants are expected to be removed from the program due to the following reasons? a) Termination for a new charge. b) Release or transfer to another correctional facility. c) Death or serious illness. d) Voluntary dropout. e) Failure to meet program requirements. f) Violation of institutional rules. g) Other reasons (please specify other reasons) Goal: 25 Objective: FFY201415a - To report successful completions in the RSAT program within the following time frames: a) 0-3 months b) 4-6 months c) 7-9 months d) 10-12 months Measure: FFY201415a Approximately how many successful RSAT completions are anticipated within the following time frames? a) 0-3 months b) 4-6 months c) 7-9 months d) 10-12 months Goal: a. 0 b. 50 c. 25 objective: FFY201415b - To report the number of participants who left the RSAT program unsuccessfully within the following time frames: a) 0-3 months Application Ref # 2015-RSAT-94 Section #3 Page 4 of 9 Contract 2015-RSAT-MOOR-1-R2-002 =C-005 (rev. April 2{)05) Application for Funding Assistance Florida ©apartment of Law Enforcement Residential Substance Abuse Treatment b) 4-6 months c) 7-9 months d) 10-12 months Measure: FFY201415b Approximately how many participants are anticipated to leave the RSAT program unsuccessfully within the following time frames: a) 0-3 months b) 4-6 months c) 7-9 months d) 10-12 months Goal: a. 0 b. 18 c. 7 Objective: 1=FY201416a - To report the number of RSAT participants who were tested for drugs and/or alcohol: a) before admission into the RSAT program b) during the RSAT program c) within 30 days after completing the RSAT program d) while currently enrolled and tested positive for the presence of alcohol or illegal substance Measure: FFY201416a How many RSAT participants are anticipated to be tested for drugs and/or alcohol: a) before admission into the RSAT program b) during the RSAT program c) within 30 days after completing the RSAT program d) while currently enrolled and testers positive for the presence of alcohol or illegal substance. Goal: Ica Objective: FFY201417a - To report any potential problems or barriers. Measure: FFY201417a What problems and/or barriers (if any) to a successful RSAT program are anticipated? Goal: None Objective: FFY201417b - To maintain and keep the RSAT program on track to fiscally and programmatically complete as outlined in the RSAT grant application. Measure; FFY201417b Is the RSAT program anticipated to stay on track (fiscally and Application Ref # 2015-RSAT-94 Section #3 Page 5 of 3 Contract 2015-RSAT-M4NRA,112-002 OCJG-005 (rev. April 20051 Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment '•Ya _ ..�. '.. a -.. ..r ... .. �...: .. .. .,. .. r, r... ... .--... .. .,. r- .i. _ . .,. programmatically) as outlined in the RSAT grant application's. Goal: Yes Objective: FFY201417c - To report major activities planned for the future. Measure: FFY201417c List any major activities planned for the grant period. Goal: We will report any major activities. Objective: FFY201417d - To report any innovative prograrnslaccomplishments that you would like to share with OCJG (based on your knowledge of the criminal justice field.) Measure: FFY201417d Will you report any innovative programs/accomplishments that you would like to share with OCJG (based on your knowledge of the criminal justice field)? Goal: Yes, we will report on any innovative programs. Objective: FFY20141a - Report subgrant activities and anticipated accomplishments. This refers to any proposed activity in the OCJG approved subgrant implemented with RSAT funds and within the grant period. Provide explanation if no activity is anticipated to occur. Measure: FFY20141a What RSAT-funded subgrant activities and accomplishments will occur during the subgrant period? (An explanation must be provided if no activity is anticipated to occur.) Goat: Education -addiction, relapse prevention, consequences of criminal behavior, Angedernotional control; Trauma -informed care/treatment including sexual abuse, domestic violence; Informationallemational/behavioral options to strengthen self & family; Emphasis on physicallemotional wellness; Learning/developing/practicing positive coping skills; Devefoping/implementing a realistic, hopeful life plan; Continuum of care; 6ischargelaftercare planning Objective: FFY20142a - To report the number of RSAT participants added during each reporting period. Measure: FFY20142a Wow many RSAT participants will be added to the program during the GRANT period? Goal: 70 Objective: FFY20143a - Describe evidence -based services to be used in the RSAT program such as those demonstrated by the research literature to be effective at reducing substance abuse among court -involved Individuals Appiica#ion Fief # 2015-RSAT-94 Section #3 Page 6 of 9 Contract 2015-RSAT-MONR-1-R2-002 OCJG-005 (rev. April 2 05) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment K (see link at http://www.samhsa.gov/ebpwebguidef Measure: FFY20143a What evidence -based treatment services (such as those demonstrated to be effective at reducing substance abuse among court4nvolved individuals) will be used in the RSAT program? Goal: Cognitive Behavioral Therapy (GBT) curriculum entitled "Substance Abuse and Criminal Conduct: Strategies for Self Improvement and Change, Pathways to Responsible Living" will be used as well as "Moral Reconition Therapy, Seeking Safety and Relapse Prevention" (in addition to SSC). Objective, FFY20145a - To record the following. a) the number of treatment staff working directly with RSAT participants regardless of funding source b) the number of treatment staff paid for at least partially with RSAT funds (this refers to any treatment staff including but not limited to program managers, administrators, case managers and clinicians. Do not include mentors, volunteers or interns. Measure: FFY20145a Flow many treatment staff are expected to be used: a) regardless of funding source and b) paid for at least partially with RSAT funds? This includes treatment employees such as program managers, administrators, case managers, clinicians. Do not include mentors, volunteers or interns. Goal: 7. Objective: FFY20146a - To report the number treatment staff to be cross -trained in the RSAT prograrn using RSAT funding (including match.) This refers to any treatment employees including but not limited to program managers, administrators, case managers and clinicians. Do not include mentors, volunteers or interns. Measure: FFY24146a How many RSAT treatment staff are expected to be cross -trained using RSAT funds (include match)? Goal: 7. objective; FFY20146b -To report the number of custody staff to be crass -trained in the RSAT program using RSAT funding (including match.) Measure: FFY20146b Using RSAT funding (including match), how many custody staff members are expected to be crass -trained with treatment staff in the RSAT program? Goal: 7. Objective: FFY201473 - To report the type of risk and need assessment used to identify factors that may least a participant to re -offend; pinpointing needed services to minimize those: risks. Measure: FFY20147a Application Ref # 2016-RSAT-94 Section #3 Page 7 of 9 Contract 2015-RSAT-MONR-1-R2.002 OCJG•006 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Approximately how many RSAT participants will receive risk and/or need assessments? What type of risk and/or need assessments will be used? ('his refers to an instrument used to identify factors that may lead a participant to re - offend; pinpointing needed services to minimize those risks. Goal: Seventy participants will receive the referenced assessments utilizing the evidenced based Global Assessment of Individual Need (GAIN). Objective: FFY20147b - To report number of RSAT participants receiving risk and need assessments who are identified as high criminogenic risks, such as high substance abuse treatment needs. Measure: FFY20147b How many RSAT participants receiving risk and/or need assessments are expected to be identified as high criminogenic risks, such as high substance abuse treatment needs? Goal: 60 Objective. FFY20148a - To report the number of RSAT participants to receive individualized treatment plans (should be equal to or less than the number of participants to be enrolled and should be based on an unduplicated count of participants with treatment plans.) Participants with updated treatment plans should be counted only once. Measure: FFY20148a : How many RSAT participants are expected to have an individualized treatment plan? This number should be equal to or less than the number of participants to be enrolled and should be based on an unduplicated count of participants with treatment plans, Participants with updated treatment plans should be counted only once. Goal: 100 Objective: FFY20149a - To record types of correctional institution/community based partnerships in order to ensure that therapeutic services are administered to participants after their release into the community. Measure: FFY20149a Describe any correctional institution/community based partnership to be provided to participants completing the RSAT program. These partnerships should ensure that therapeutic services administered to participants are maintained after their release into the community. Goal: Aftercare services are encouraged as a part of re-entry planning and last up to six months once the participant is released. The Guidance/Care Center provides aftercare throughout the Florida Keys in community -based facilities. Aftercare is given priority and participants are enrolled before they are released Application Ref # 2015-RSAT-94 Section #3 Page 8 of 9 Contract 2015-RSAT-MONR-1-R2-002 OCJG-oils (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment .�\ �1' r-'• •+ t t - t s Section Questions: Question: What is the TOTAL number of beds (treatment and non -treatment) in the facility? Please give the number for each facility if there are multiple facilites. Answer. 596 Question: How many non RSAT-funded treatment beds are in this facility? Please give the number for each facility if there are multiple facilites. Answer: 526 Question: How many RSAT funded treatment beds are in this facility? Please give the number for each facility If there are multiple facilites. Answer: 70 Question: How is aftercare provided? Answer: Aftercare services are encouraged as a part of re-entry planning and last up to six months once the participant is released. The Guidance/Care Center provides aftercare throughout the Florida Keys in community -based facili5es. Aftercare is given priority and participants are enrolled before they are released. Question: What is the anticipated number of RSAT program completions during each quarterly reporting period? Answer: 17 Question: What goals do you plan to accomplish during the subgrant period? Answer: All staff' will be trained in evidence based practices and will be able to deliver these services with fidelity. Question: Please provide the physical address for the facility or facilities in which your RSAT- funded program operates. Answer: Monroe County Detention Center 5525 College Road Key West, Ft. 33940 Question: If "other' was selected for the geographic area, please describe. Answer, NIA Question: if "other" was selected for location type, please describe. Answer: NIA Application Ref # 2015-RSAT-94 Section #i`3 Page 9 of 9 Contract 2015-R3AT-M0NR 1-it2-092 =0-005 [rev. AprN 2005) Application for Funding Assistance Florida Department of Lawn Enforcement Residential Substance Abuse Treatment 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 I'Vendor Number: 596000749 Budget: Budget Category Federal Match Total salaries and Benefits $0.00 $0.00 $0.00 contractual Services $50,000.00 $16,667.00 $66,667.00 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 — $60,000.00 $16,667.00 $66,667.00 Percentage 74.9996 25.0003 100.0 Projeot Generated Income: Will the project earn project generated income (PGI) ? No Application Ref # 2015-RSAT-94 Section #4 Page 1 of 5 Contract 2015-RSAT-MONK-I-R2-002 OGJO-005 (rev. Apd 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative: The budget reflects costs directly associated with the provision of substance abuse treatment, mental health and educational services to inmates of Monroe County jail. The line items designated below are in the budget category of "Contractual Services." A contract with the treatment provider will be developed to be utilized during the established grant period. Psychosocial Assessment: Monroe County through a contracted treatment provider will interview all program participants for the purposes of data collection of educational, employment, criminal, medical, family, substance abuse and mental health histories to assist in the determination of the inmates appropriateness for the program and to update treatment plans. Unit of Service: Client contact quarter hour Unit Rate $20.20 Units Requested 140.00 quarter hours to be paid for by this grant. Total Cost $2,828.00 Individual Counseling: Monroe County through its contracted treatment provider will provide face- to-face contact to all program participants to review progress and develop treatment plans and work on treatment plan goals and objectives. Unit of Service: Client contact quarter hour. Unit Rate $22.77 Units Requested 670 quarter hours to be paid for by this grant. Total Cost $15,255.90 Group Therapy: Monroe County through its contracted treatment provider will provide group therapy to all program participants weekly. Group counseling among program participants will be conducted to include the introduction of "Self-help groups" and their attendance to establish an ongoing support network. Unit of Service: Client contact quarter hour Unit Rate $5.69 Units Requested 6836 quarter hours to be paid for by this grant. Total Costs $38,896.84 Case Management: Monroe County through its contracted treatment provider will provide the coordination of adjunctive services, discharge planning, communication with Goliateral contacts, linkage with other treatment resources to all program participants. Unit of Service: Client direct service quarter hour Unit Rate $15.80 Units Requested 613 quarter hours to be paid for by this grant, Total Cost $9,686.25 Monthly invoices are provided to Monroe County by the treatment provider summarizing activities for which they seek payment. These are reviewed by Monroe County for approval of payment. Federal Amount: $50,000.00 Match: Monroe County Fine and Forfeiture Funds - $16,667.00 TOTAL PROGRAM COST $66,%7.00 Application Ref # 2015-RSAT-94 Section #4 Page 2 of 5 Contract 2015-R5AT-MONR 1-R2-002 OCJG-005 (rev. April 2€ 05) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Application Ref # 2015-RSAT-94 Section #4 Page 3 of 5 Contract 2015-RSAT-MONK-i-R2-002 OCJG-Q05 (rev. April 205) Application for Funding Assistance Florida department of Law Enforcement Residential Substance Abuse Treatment . IyA. S S .�.•' Section Questions: Question: What is the subgrantee's Operating Capital dollar threshold? Answer. 1000 Question: is there a sole source purchase Involved with this subgrant? Answer: No Question: Is there a contract executed for activities in this subgrant? If so, has a copy been received by the OCJG? Answer: There will be an executed contract for activities and a copy will be provided to POLE. Question: Are indirect costs included in the budget? If so, has a copy of the subgrantee's Indirect Cost Plan (approved by the cognizant federal agency) been submitted to the OCJG? Answer: NIA Question: If salaries and benefits are included in the budget, Is there a net increase in the number of personnel? Answer: No Question: if benefits are to be included, are they reflected in the budget narrative? Answer: No Question: Will the applicant be requesting an advance of federal funds? Answer: No Question: Will the project earn Program Generated Income (PGI)? Answer: No 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: Each service is based on the cost centers cited in 65E-14.021, FAG: unit Cost Method of Payment. The service emit costs are based on and do not exceed the maximum rate. This Rule was updated 11126/2014. Psychosccial Assessment: Cost Center Description: Assessment services assess, evaluate, and provide assistance to individuals and families to determine level of care, motivation, and the need for services and supports to assist individuals and families identify their strengths for Adult Mental Health, Childrens Mental Health, Adult Substance Abuse, and Childrens Substance Abuse programs. Unit of Measure - Contact Hour. Maximum Unit Cost Rate: $85.91 Treatment provider contract: $80.81 Subgrant Application: $20.20 per quarter hour Individual Counseling: Application Ref # 2015-RSAT-94 Section #4 Page 4 of 5 Contract 2015-RSAT-MONRA-R2-002 OCJG-006 (rev. April2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Cost Center Description: Outpatient services provide a therapeutic environment, which is designed to improve the functioning or prevent further deterioration of persons with mental health and/or substance abuse problems. These services are usually provided on a regularly scheduled basis by appointment, with arrangements made for non-scheduled visits during times of increased stress or crisis. Outpatient services may be provided to an individual or in a group setting. The group size limitations applicable to the Medicaid program shall apply to all Outpatient services funded through a state substance abuse and mental health program contract. It is listed In the treatment provider contract in fthibit G and is specific to Adult Mental Health, Childrens Mental Health, Adult Substance Abuse and Childrens Substance Abuse programs. Unit of Measure - Contact Hour. Maximum Unit Cost Rate: $91.09 Treatment provider contract: $91.09 Subgrant Application: $22.77 per quarter hour. Group Therapy: Cost Center Description: Outpatient services provide a therapeutic environment, which is designed to improve the functioning or prevent further deterioration of persons with mental health and/or substance abuse problems. These services are usually provided on a regularly scheduled basis by appointment with arrangements made for non-scheduled visits during times of increased stress or crisis. Outpatient services may be provided to an individual or in a group setting. The group size limitations applicable to the Medicaid program shall apply to all Outpatient services funded through a state substance abuse and mental health program contract. it Is listed in the treatment provider contract in Exhibit G and is specific to Adult Mental Health, Childrens Mental Health, Adult Substance Abuse, and Childrens Substance Abuse programs. Unit of Measure - Contact Hour Maximum Unit Cost Rate: $91.09 Treatment provider contract: $91.09 Subgrant Application: $5.69 per quarter hour Case Management: Cost Center Description: Case management services consist of activities aimed at identifying the recipients needs, planning services, linking the service system with the person, coordinating the various system components, monitoring service delivery, and evaluating the effect of the services received for Adult Mental Health, Childrens Mental Health, Adult Substance Abuse, and Childrens Substance Abuse programs. Unit of Measure - Direct Staff Hour Maximum Unit Cast Rate: $63.21 Treatment provider contract: $63.21 Subgrant Application: $15.80 per quarter hour. Application Fief # 2015-RSAT-94 Section #4 Page 5 of 5 Contract 2015-RSAT-MONK-1-R2-002 OUG-005 (rev. April 2DD5) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Insert Standard Conditions Page here. Application Ref # 2015-RSAT-94 Section #5 Page 1 of 9 Contract 2015-RSAT-MOLAR-I-R2-002 OCJG-605 (rev. APriI 2005) rqorida Department of Law Enforcement Office of Criminal 3ustice Grants 0 Post office Box 1489 Tallahassee, Flodda32302-1489 (850)617-1250 crilf.r�ttilaltiusti(.e'i-�,tcli.,st$,;-�-fl.�l, Residential Substance Abuse Treatment (RSAT) for State Prisoners Program f SFY 2015 RSAT Standard Conditions Page 1 o21 Rev. 1/2015 [This page intentionally lef blank sFY 2015 RSAT Standard Conditions Page 2 of 21 Rev.1/2015 The RSAT Program assists states and local governments to develop and implement substance abuse treatment programs in state and local correctional and detention facilities and to create and maintain community -based aftercare services for offenders. The goal of the (LSAT Program is to break the cycle of drugs and violence by reducing the demand for, use, and trafficking of illegal drugs. LSAT enhances the capability of states and units of local government to provide residential substance abuse treatment for incarcerated inmates; prepares offenders for their reintegration into the communities from which they came by incorporating reentry planning activities into treatment programs; and assists offenders and their communities through the reentry process through the delivery of community -based treatment and other inroad -based aftercare services. Conditions of agreement requiring compliance by units of local government (subgrant recipients), implementing agencies, and state agencies upon signed acceptance of the subgrant award appear in this section. Upon approval of this subgrant, the approved application and the following terms of conditions will become binding. Failure to comply with provisions of this agreement will result in required corrective action up to and including project costs being disallowed, termination of the project, as specified in item 17 of this section or other administrative action as appropriate. 1. All subgrant recipients must comply with the financial and administrative requirements set forth in the current edition of the U.S. Department of Justice, office of Justice programs (OJP) Financial Guide (Financial Guide) www.o .usda'. vtflnancia d ndex.htm and the Residential Substance Abuse Treatment (RSAT) for State Prisoners program iFY 2013 Formula Grant Announcement as well as Federal statutes, regulations, policies, guidelines and requirements and Florida laws and regulations Including but not limited to: 0 office of Management and Budget (OMB) Circulars: www.whiteh0use. ovlorriblcircuiars a A-21 (2 CFR 220), "Cost Principles for Educational Institutions" o A-87 (2 CFR 225), "Cost Principles for State, Local and Indian Tribal Governments" o A-102, "Grants and Cooperative Agreements with State and Local Governments" o A-110 (2 CFR 216), "Uniform Administrative Requiroments for Grants and Cooperative Agreements" o A-122 (2 CFR 230), "Cost Principles for Dori -Profit Organizations„ o A-133, "Audits of States, Local Governments, and Non -Profit Organizations„ Code of Federal Regulations: www, o. ovffds sJ 0 2 CFR 175.15(b), "Award Term for Trafficking in Persons" 0 28 CFR 38, "Equal Treatment for Fait"ased Organizations" o 28 CFR 66, "U.S. Department of Justice Common Rule for State And Local Governments" (Common Rule) a 28 CFR 83, "Government -Wide Requirements for Drug -Free Workplace (Grants), 0 28 CFR 18, 22, 23, 30,.35, 42, 61, and 63 o United States Code: www.rino.novffdayA o 42 U.S.C. 3711 et seq., "Omnibus Crime* Control and Safe Streets Act of 1968" o State of Florida General Records Schedule GS1-SL for State and Local Government Agencies: dlis.dos.state fl.uafbarm! enschedules/GSi-SL. df. SFY 2 )15 AT Standard Conditions Page 3 of 21 Rev. 1/2015 2. RSAT Prison -Based Programs: As set forth in the Residential Substance Abuse Treatment (RSA7) for State Prisoners Program FY2014 Formula Grant Announcement fhttcs://www.big.gov/Fundingi l4RSATsall Prison -Based Programs must include all of the following requirements. a. Provide substance abuse treatment services to each participant at least 6 and no more than 12 months. Provide residential treatment facilities set apart --ire a completely separate facility or dedicated unit in a facility exclusively for use by RSAT participants from the general correctional population_ b. Focus on the substance abuse problems of the Inmate. c. Develop the inmate's cognitive, behavioral, social, vocational, and other skills to solve the substance abuse and related problems. a. Require urinalysis and/or other proven reliable forms of drug and alcohol testing for program participants, including both periodic and random testing, and for former participants while they remain in the custody of the state or local government. d. If possible, RSAT residential participation should be limited to inmates with 6 to 12 months remaining in their confinement so they can be released from prison instead of returning to the general prison population after completing the program. e. If possible, program design should be based on evidence -based, scientific practices. 3. RSAT Jail -Based Programs roust. As set forth in the Residential Substance Abuse Treatment (RSAT) for State Prisoners Program FY,2014 Formula Grant Announcement (https•Nwww.bia ov/1=undinga 14RSATsol.gdf), all Jail -Based Programs must include aft of the following requirements. a. Provide substance abuse treatment services to each {participant at least three (3) months. b. Focus on the substance abuse problems of the inmate. c. Develop the inmate's cognitive, behavioral, social, vocational, and other skills to salve the substance abuse and related problems. d. If possible, jail -based programs should separate the treatment population from the general correctional population and program design should be based on effective, scientific practices 3. Requirements for Contractors of Subgrant Recipients The subgrant recipient assures the compliance of all contractors with the applicable provisions of Title I of the Omnibus Crime Control and Safe Streets Act of 1968, as amended (42 U.S.C. 3711 et seq. at www,gpo,govfids ss0; the provisions of the current edition of the Office of Justice Programs Financial Guide www.o' .usd ov flna dial ufde ex.htm ; and all other applicable federal and state laws, orders, circulars or regulations. 4. Allowable Costs a. Allowance for costs incurred under the subgrant shall be determined according to the general principles and standards for selected cost items set forth in the Office of Justice Programs Financial Guide, U.S. Department of Justice Common Rule for State And local Governments and federal OMB Circular A-87, "Cost Principles for State, Local and Indian Tribal Governments," or OMB Circular A-21,'Cost Principles for Educational Institutions." b. All procedures employed in the use of federal funds for any procurement shall be according to U.S. Department of Justice Common Rule for State and Local Governments, or OMB Circular A- 110, or SFY 2015 RSAT Standard Conditions Page 4 of 21 Rev. 1/2015 OMB Circular A-102, and Florida law to be eligible for reimbursement. S. Reports a. Project Performance Reporting Time Frames are on a monthly or quarterly basis and must be submitted prior to submittal of Project Expenditure Reports. The submittal deadline is fifteen (15) days after the end of each reporting period which is based on the calendar year. If the subgrant period is extended, additional reporting roust occur through the revised subgrant period. (1) Failure to submit Performance Reports that are complete, accurate, and timely may result in sanctions. (2) Performance Reports must include a detailed response to all objectives included in the subgrant and must reflect accomplishments for the reporting period. Any problems with project implementation must also be documented along with actions being taken to resolve the problems. Additional information may be required by the Department. (3) Reports are to be submitted by the Project Director, Application Manager, or Performance contacts. b. Project Expenditure Reporting Time Frames directly coincide with and are subsequent to the submittal of Performance Reports. PERs are due thirty (30) days after the end of each reporting perk)d_ If the subgrant period is extended, reporting must be submitted through the revised subgrant period. (1) Failure to submit PERs that are complete, accurate, and timely may result in sanctions. (2) PERs must include detailed information directly correlating to the Scope of Work, Budget Narrative and performance reporting. Additional information on an as -needed basis may be required by the Department. (3) PERs are to be submitted by the Chief Financial Officer (CFO) or a duly designated (in writing) person to sign on behalf of the CFO. (4) PERs must be submitted in sufficient detail for pre and post -audit examination. (5) Prior to approval of the final PER, the subgrant recipient must submit all outstanding reports and must have satisfied all special conditions. Failure to comply with the above provisions shall result in forfeiture of reimbursement- (6) Reports are to be submitted even when no reimbursement is being requested- c, Financial Closeout Audit (1) The Financial Closeout Audit snail be submitted to the Department within forty-five (45) days of the subgrant expiration date_ (2) The Financial Closeout Audit must be submitted by the CFO or a duly designated (in writing) person to sign on their behalf. d. Project Generated income (PGI) (1) if applicable, the subgrant recipient shall submit Quarterly PGI Earnings and Expenditures Reports to the Department within thirty (30) days of the end of the reporting period covering subgrant project generated income and expenditures during the previous quarter. If any PGI remains unspent after the subgrant ends, the subgrant recipient must continue submitting SFY 2015 RSAT Standard Conditions Page 5 of 21 Rev. 1 /201.5 quarterly PGI reports until ail funds are expended. (2) PGI Earnings and Expenditures reports must be electronically signed by the Chief Official or the CPO or designee. e. Other Reports (t) The subgrant recipient shall report to the Uniform Crime Report and any other reports required by the Department. 5. Fiscal Control and Fund Accounting procedures a. All expenditures and cost accounting of funds shall conform to the Office of Justice Programs Financial Guide, the Common Rule, and OMB Circulars A-21, A-87, and A-M, or A-102 as applicable, in their entirety. b. The subgrant recipient is required to establish and maintain adequate accounting systems and financial records and to accurately account for funds awarded to them. As a subgrant recipient, you must have a financial management system in place that is able to record and report on the receipt, obligation, and expenditure of grant funds. An adequate accounting system for a subgrant recipient must be able to accommodate a fund and account structure to separately track receipts, expenditures, assets, and liabilities for awards, programs, and subgrant recipients. c. All funds spent on this project shall be disbursed according to provisions of the project budget as approved by the Department. d. All funds not spent in accordance with this agreement shall be subject to repayment by the subgrant recipient. 7_ payment Contingent on Appropriation and Available Funds The State of Florida's performance and obligation to pay under this agreement is contingent upon an annual appropriation by the Florida Legislature. Furthermore, the obligation of the State of Florida to reimburse subgrant recipients for incurred costs is subject to available federal funds. a. Obligation of Subgrant Recipient Funds Subgrant funds shall not under any circumstances be obligated prior to the effective date, or subsequent to the termination date, of the subgrant award period. Only project costs incurred on or after the effective date, and on or prior to the termination date of the subgrant recipient's project are eligible for reimbursement. All payments must be completed within thirty (30) days of the end of the subgrant period. 9. Advance Funding Advance funding maybe provided to a subgrant recipient upon a written request to the Department. The request must be electronically signed by the subgrant recipient or implementing agency's Chief Financial Officer or the Chief Financial Officer designee. 10. 'Crust Funds a. The unit of local government must establish a trust fund in which to deposit RSAT funds. The trust fund may or may not be an interest bearing account. b. The account may earn interest, but any earned Interest must be used for program purposes and expended before the federal grant period end date. Any unexpended interest remaining at the end of the federal grant period must be submitted to the Department for transmittal to the Bureau of Justice Assistance. SF`f 2015 RSAT Standard Conditions Page 6 of 21 Rev. 1/2015 11. Travel and Training The cost of all travel shall be reimbursed according to the subgrant recipient's written travel policy. if the subgrant recipient does not have a written travel policy, cost of all travel will be reimbursed according to State of Florida Travel Guidelines § 112.061, Fla. Stat. 12, Approval of Consultant Contracts The Department shall review and approve in writing all consultant contracts prior to employment of a consultant when the consultant's rate exceeds $650 (excluding travel and subsistence costs) per eight - hour day, or $81.25 per hour_ A detailed justification must be submitted to and approved by the Department prior to obligation or expenditures of such funds. Approval shall be based upon the contract's compliance with requirements found in the Financial Guide, the Common Mule, and in applicable state statutes. The Department's ,approval of the subgrant recipient agreement does not constitute approval of consultant contracts. if consultants are hired through a competitive bidding process (not sole source), the $650 threshold does not apply. 13, Property Accountability a. The subgrant recipient agrees to use all non -expendable property for criminal justice purposes during its useful life or dispose of it pursuant to § 274, Fla. Stat. b_ The subgrant recipient shall establish and administer a system to protect, preserve, use, maintain and dispose of any property furnished to it by the Department or purchased pursuant to this agreement according to federal property management standards set forth In the Office of Justice Programs Financial Guide, U.S. Department of Justice Common Rule for State and Local Governments or the federal OMB Circular A-110 or A-102, as applicable. This obligation continues as long as the subgrant recipient retains the property, notwithstanding expiration of this agreement. 14. Ownership of Data arid Creative Material Ownership of material, discoveries, inventions, and results developed, produced, or discovered subordinate to this agreement is governed by the terms of the Office of Justice Programs Financial Guide (as amended), and the U.S. Department of Justice Common Suie for State and Local Governments, or the federal OMB Circular A-110 or A-102, as applicable. 16. Copyright a, The awarding agency reserves a royaity-free non-exclusive, and irrevocable license to reproduce, publish, or otherwise use, and authorize others to use, for federal government purposes: (1) The copyright in any work developed under an award or subaward, and (2) Any rights of copyright to which a subgrant recipient or subreciplent purchases ownership with support funded under this grant agreement. 16, Patents If any program produces patentable ltem% patent rights, processes, or inventions, in the course of work sponsored by the federal award or subaward funds, such facts must be promptly and fully reported to the awarding agency. Ffl (1) Unless 'there is a prior agreement between the subgrant recipient and the Department on disposition of such items, the Department may determine whether protection on the invention or discovery will be sought. (2) The Department will also determine how rights in the invention or discovery (including rights under any patents issued) will be allocated and administered in order to protect the public interest consistent with "Government Patent Policy" ("President's. Memorandum for Heads of Executive Departments and Agencies," dated August 23, 1971, and statement of Government patent policy, SFY 2015 RSAT Standard Conditions Page 7 of 21 Rev. 1/2015 as printed in 36 Federal Register 16839). (3) Government regulations have been issued in Title 37 CFR Part 401 by the U.S. Department of Commerce. 17. Publication or Printing of Reports a. The subgrant recipient shall submit for review and approval one copy of any curricula, training materials, or any other written materials that will be published, including web -based materials and web site content, through funds from this grant at least thirty (30) days prior to the targeted dissemination date. The subgrant recipient understands and agrees that any training materials developed or delivered with grant funding must adhere to the 'OJP Training Guiding Principles for Grantees and Subgranteee available at www.olio_usdoi.govffundinglointrainigufdinoprinclialss.hjrn. b. Ail materials publicizing or resulting from award activities shall contain the following statements: This project was supported by grant number. , awarded by the Bureau of Justioe Assistance, Office of Justice Programs. The opinions, findings, and conclusions or recommendations expressed in this pub€ication/programlexhibition are those of the authors and do not necessarily reflect the views of the Department of Justice. 18. Audit a. Subgrant recipients that expend $500,000 or more in a year in federal awards shall have a single or program -specific audit conducted for that year. The audit shall be performed in accordance with the federal OMB Circular A-133 and other applicable federal law. The contract for this agreement shall be identified in the Schedule of Federal Financial Assistance in the subject audit. The contract shall be identified as federal funds passed through the Florida Department of Law Enforcement and include the contract number, CFDA number, award amount, contract period, funds received and disbursed. When applicable, the subgrant recipient shall submit an annual financial audit that meets the requirements of § 11.45, Fla. Stat. , "Definitions; duties; authorities; reports; rules: ; § 215.97, Fla. Stat., "Florlda Single Audit Act"; and Rules of the Auditor General, Chapter 10.550, "Local Governmental Fruity Audits" and Chapter 10,650, "Florida Single Audit Act Audits Nonprofit and For - Profit Organizations_" b. A complete audit report that covers any portion of the effective dates of this agreement roust be submitted within 30 days after its completion, but no later than nine (9) months after the audit period. In order to be complete, the submitted report shall include any management letters issued separately and management's written response to all findings, both audit report and management letter findings. incomplete audit reports will not be accepted by the Department. c. The subgrant recipient shall have all audits compieted by an Independent Public Accountant (IPA). The IPA shall be either a Certified Public Accountant or a Incensed Public Accountant. d. The subgrant recipient shall take appropriate corrective action within six (6) months of the issue date of the audit report in instances of noncompliance with federal laws and regulations. e. The subgrant recipient shall ensure that audit working papers are made available to the Department, or its designee, upon request for a period of three (3) years from the date the audit report is issued, unless extended in writing by the Department. f. Subgrant recipients that expend less than $500,000 in federal awards during a fiscal year are exempt from; the audit requirements of OMB Circular A-133 for that fiscal year. In this case, written notification, which can be in the form of the "Certification of Audit Exemption" form, shall be provided to the Department by the Chief Financial Officer, or designee, that the subgrant recipient is exempt. This notice shalt be provided to the Department no later than march 1 following the end of the fiscal year. SFY 2015 RSAT Standard Conditions Page S of 21. Rev. 112015 g. If this agreement Is closed out without an audit, the Department reserves the right to recover any disallowed costs identified in an audit completed after such closeout. h. A scanned copy of the completed audit reports or a link to the electronic audit report should be sent via email to crirnin liustic 2fdle.state.ff. s or mailed to the following address: Florida Department of Law Enforcement Office of Criminal Justice Grants post Office Box 1489 Tallahassee, Florida 32302-1489 19. Performance of Agreement ]previsions in the event of default, non-compliance or violation of any provision of this agreement by the subgrant recipient, the subgrant recipient`s consultants and suppliers, or both, the Department shall impose sanctions it deems appropriate including withholding payments and cancellation, termination, or suspension of the agreement in whole or in part_ In such event, the Department shall notify the subgrant recipient of its decision thirty (30) days in advance of the effective date of such sanction. The subgrant recipient shalt be paid only for those services satisfactorily performed prior to the effective date of such sanction. 20. Commencement of Project a. If a project Is not operational within 60 days of the original start date of the grant period, the subgrant recipient must submit in writing, to the Department, the steps taken to initiate the project, the reasons for delay, and the expected start date. b. If a project is not operational within 90 days of the original start date of the award period, the subgrant recipient must submit a second statement to the Department explaining the delay. c. Upon receipt of the ninety (90) day letter, the Department shall determine if the reason for delay is justified or shall, at its discretion, unilaterally terminate this agreement and re -obligate subgrant funds to other Department approved projects. The Department, where warranted by extenuating circumstances, may extend the starting date of the project past the ninety (90) day period, but only by formal written adjustment to this agreement. 21. Excusable Delays a. Except with respect to defaults of consultants, the subgrant recipient shall not be in default by reason of any failure in performance of this agreement according to its terms (including any failure by the subgrant recipient to make progress in the execution of work hereunder which endangers such performance) if such failure arises out of causes beyond the control and without the fault or negligence of the subgrant recipient. Such causes include, but are not limited to, acts of God or of the public enemy, acts of the government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes, and unusually severe weather, but in every case, the failure to perform shalt be beyond the control and without the fault or negligence of the subgrant recipient. b. if failure to perform is caused by failure of a consultant to perform or maize progress, and if such failure arises out of causes beyond the control of subgrant recipient and consultant, and without fault or negligence of either of them, the subgrant recipient shall not be deemed in default, unless: (1) Supplies or services to be furnished by the consultant were obtainable from other sources, (2) The Department ordered the subgrant recipient in writing to procure such supplies or services from other sources, and SFy Zo15 RSAT Standard Conditions Page 9 of 21 Rev. 1/2015 (3) The subgrant recipient failed to reasonably comply with such order. c. Upon request of the subgrant recipient, the Department shall ascertain the facts and the extent of such failure, and if the Department determines that any failure to perform was occasioned by one or more said causes, the delivery schedule shall be revised accordingly. 22. Grant Adjustments a. Subgrant recipients must submit a grant adjustment through SIMON for major substantive changes such as changes in project activities or scope of the project, target populations, service providers, implementation schedules, project director, and designs or research plans set forth in the approved agreement and for any budget changes that affect a cost category that was not included in the original budget, Adjustments are also required when a there will be a transfer of 10% or more of the total budget between budget categories, or is an indirect cost rate category change. b. Subgrant recipients may transfer up to 10% of the total budget between current, approved budget categories without prior approval as long as the funds are transferred to an existing line item. c. Under no circumstances can transfers of funds increase the total budgeted award. d_ Requests for changes to the subgrant agreement must be electronically signed by the Subgrant recipient or implementing agency's chief official or the chief official's designee. 23. Disputes and Appeals a. The Department shall make its decision in writing when responding to any disputes, disagreements, or questions of fact arising under this agreement and shall distribute its response to all concerned parties. The subgrant recipient shall proceed diligently with the performance of this agreement according to the Department's decision. b. It the subgrant recipient appeals the Department's decision, the appeal also shall be made in writing within twenty-one (21) calendar days to the Department's cleric (agency cleric). The subgrant recipient's right to appeal the Department's decision is contained in § 120, Fla. Stat., and in procedures set forth In Rule 28-106.104, Florida Administrative Coda failure to appeal within this time frame constitutes a waiver of proceedings under § 120, Fla. Stat. 24- Conferences and Inspection of Work Conferences may be hold at the request of any party to this agreement. At any time, a representative of the Department, of the U.S. Department of Jusboe, or the Auditor General of the State of Florida, have the right of visiting the project site to monitor, inspect and assess work performed under this agreement. 25. Access to records a. The Florida Department of Law Enforcement, the Auditor General of the State of Florida, the U.S. Department of Justice, the U.S. Comptroller General or any of their duty authorized representatives, shalt have access to books, documents, papers and records of the subgrant recipient, implementing agency and contractors for the purpose of audit and examination according to the Financial Guide and the Common Rule. b. The Department reserves the right to unilaterally terminate this agreement if the subgrant recipient, implementing agency, or contractor refuses to allow public access to all documents, papers, letters, or other materials subject to provisions of § 110, Fla. Stat., and made or received by the subgrant recipient or its contractor in conjunction with this agreement. c. The subgrant recipient will give the awarding agency or the General Accounting Office, through any authorized representative, access to and the right to examine all paper or electronic records related to the financial assistance. SFY 2015 RSAT Standard Conditions Wage 10 of 21 Rev_ 1/2015 26. Retention of Records The subgrant recipient shall maintain all records and documents for a minimum of five (5) years from the date of the final financial statement and be available for audit and public disclosure upon request of duly authorized persons. The subgrant recipient shall comply with State of Florida General Records Schedule GSi-SL for State and Local Govemment Agencies: http.,lfdlls dos.stateJl_usfbarrnLgenschedulesJGS2- 2 M-Rev2010, df. 27, Personnel Changes Upon implementation of the project, in the event there is a change in Chief Officials for the Subgrant recipient or Implementing Agency, project staff must notify the help desk for FDLE's online grants management system, SIMON (Subgrant Information Management Online) so that the organization can be ,updated in SIMON, If the project director changes, a grant adjustment must be entered in SIMON to reflect the change. 28. Background Check a. Whenever a background screening for employment or a background security check is required by law for employment, unless otherwise provided by law, the provisions of § 436, Fla. Stat, shall apply. b. All positions in programs providing care to children, the developmentally disabled, or vulnerable adults for 15 hours or more per week; all permanent and temporary employee positions of the central abuse hotline; and all persons working under contract who have access to abuse records are deemed to be persons and positions of special trust or responsibility and require employment screening pursuant to § 435, Fla. Stat., using the level 2 standards set forth in that chapter. c. All employees in positions designated by law as positions of trust or responsibility shall be required to undergo security background investigations as a condition of employment and continued employment. For the purposes of the subsection, security background investigations shall include, but not be limited to, employment history checks, fingerprinting for all purposes and checks in this subsection, statewide criminal and juvenile records checks through the Florida Department of Law Enforcement, and federal criminal records checks through the Federal Bureau of Investigation, and may include local criminal records checks through local law enforcement agencies, (1) Any person who is required to undergo such a security background investigation and who refuses to cooperate in such Investigation or refuses to submit fingerprints shall be disqualified for employment in such position or, if employed, shall be dismissed. (2) Such background investigations shall be conducted at the expense of the employing agency or employee. When fingerprinting is required, the fingerprints of the employee or applicant for employment shall be taken by the employing agency or by an authorized law enforcement officer and submitted to the Department of Law Enforcement for processing and forwarding, when requested by the employing agency, to the United States Department of Justice for processing. The employing agency shall reimburse the Department of Law Enforcement for any costs incurred by it in the processing of the fingerprints. 29. Drug Court Projects A Drug Court Project must comply with § 397.334, Fla, Stat.,'Treatment-EWed Drug Court Programs." 30. Overtime for Law Enforcement Personnel Prior to obligating funds from this award to support overtime by law enforcement officers, the U.S. Department of Justice encourages consultation with all allied components of the criminal justice system in the affected jurisdiction. The purpose of this consultation is to anticipate and plan for systemic impacts such as increased court dockets and the need for detention space_ SFY 2015 RSAT Standard Conditions Page 11 of 21 Rev. 112015 31. Criminal intelligence System a. The subgrant recipient agrees that any information technology system funded or supported by the Office of Justice Programs funds will comply with 28 C.F.R. Part 23, Criminal Intelligence Systems Operating Policies, if the Office of Justice Programs determines this regulation to be applicable. Should the Office of Justice Programs determine 28 C.F.R. fart 23 to be applicable, the Office of Justice Programs may, at its discretion, perform audits of the system, as per 28 C.F.R. 23.20(g). Should any violation of 28 C.F.R. Part 23 occur, the subgrant recipient may be fined as per 42 U.S.C_ 3789g(c)-(d). The subgrant recipient may not satisfy such a fine with federal funds. b. The subgrantee understands and agrees that no awarded funds may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. in doing so the subgrant recipient agrees the these restrictions will not limit the use of awarded funds necessary for any federal, state, tribal, or local lain enforcement agency or any other entity carrying out criminal investigations, prosecutions, or adjudication activities. 32, Confidential Funds A signed certification that the project director or the head of the Implementing Agency has read, understands, and agrees to abide by all of the conditions for confidential funds as set forth in the effective edition of the Office of Justice Programs Financial Guide is required from all projects that are involved with confidential funds. The signed certification must be submitted at the time of grant application. 33. Civil Rights Compliance a. Federal lags prohibit recipients of financial assistance from discriminating on the basis of race, color, national origin, religion, sex, disability, or age in funded programs or activities not only in respect to employment practices but also in the delivery of services or benefits. All subgrant recipients, implementing agencies, and contractors must comply with any applicable statutorily -imposed nondiscrimination requirements, which may include the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 U.S.C. § 10604(e)); The Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of 1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C. § 7 94), the Americans with Disabilities Act of 1990 (42 U.S.C. § 12131-34); the Education Amendments of 1972 (20 U.S.C. §§1681, 1683, 1685- 86); the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); and Department of Justice Non - Discrimination Regulations 28 CZ~R fart 42; see Ex. Order 13279 (equal protection of the laws for faith -based and community organizations)- b. FOLE does not discriminate on the basis of race, color, religion, national origin, sex, disability, or age in the delivery of services or benefits or in employment. The subgrant recipient must notify program participants and beneficiaries that it does not discriminate on the basis of race, color, national origin, religion, sex, disability, and age in the delivery of services or benefits or in employment practices. c. Subgrant recipients are responsible for ensuring that contractors, vendors, and agencies to whom they pass -through funds are in compliance with all Civil Rights requirements and that the contractors, vendors, and agencies are aware that they may file a discrimination complaint with the subgrant recipient, with the Department or with the Office for Civil Rights and how to do so. d. Equal Employment Opportunity (EEO) Plans (1) The subgrant recipient or implementing agency must develop an EEO Plan if it has 50 or more employees and it has received any single award of $25,000 or more from the Department of Justice. The plan must be prepared using the on-line short form at www oln usdai govfaboutlocrleeopcomply.htm, must be retained by the subgrant recipient or implementing agency, and must be available for review or audit. The organization must also submit an EEO Certification to FDLE. SFY 2015 RSAT Standard Land€tlons Page 12 of 21. Rev. 1 j2015 (2) If the subgrant recipient or implementing agency is required to prepare an EEO Plan and has received any single award of $500,000 or more from the Department of Justice, it must submit its plan to the Department of Justice for approval. A copy of the Department of Justice approval letter must be submitted to FDLE. The approval letter expires two years from the date of the letter. (3) A subgrant recipient or implementing agency is exempt from the EEO Plan requirement it it is has fewer than 50 employees or if it does not receive any single award of $25,000 or more from the Department of Justice or If it is a nonprofit organization, a medical or educational Institution, or an Indian Tribe. If an organization is exempt from the EEO Plan requirement, It must submit an EEO Certification to FDLE. (4) The subgrant recipient and implementing agency acknowledge that failure to comply with EEO Requirements within 60 days of the project start date may result in suspension or termination of funding, until such time as it is in compliance. e. In the event a federal or state court or federal or state administrative agency makes a finding of discrimination after a due process hearing on the grounds of race, color, religion, nationa# origin, sex, or disability against a recipient of funds, the recipient will forward a copy of the finding to FDLE and to the Office for Civil Flights, Office of Justice Programs. f. in accordance with federal civil rights laws, the subgrant recipient shall not retaliate against individuals for taking action or participating in action to secure rights protected by these laws. g. Subgrant recipients must include comprehensive Civil Rights/Nondiscrimination Provisions in all contracts funded by the subgrant recipient. h. if the subgrant recipient or any of its employees, contractors, vendors, or program beneficiaries has a discrimination complaint, they may file a complaint with the subgrant recipient, with FDLE or with the Office for Civil Rights. Discrimination complaints may be submitted to FOLE at Office of the Inspector General, Post Office Box 1489, Tallahassee, Florida 32302-1489 or on -sins at www.fdle.state fl us/contactslcomment form.htM . discrimination complaints may also be submitted to the Office for Civil Rights, office of Justice Programs, U.S. Department of Justice, 810 71t' Street, Northwest, Washington, D.C. 20531, or by phone at (202) 307-0690, i. The subgrant recipient merit have procedures in place for responding to discrimination complaints that employees and clients, customers, and program participants file directly with the subgrant recipient. j. The subgrant recipient must have written policies or procedures in place for notifying program beneficiaries how to file complaints alleging discrimination by the subgrant recipient Amplementing agency with FDLE or the OCR. k. Any discrimination complaints filed with FDLE, will be reviewed by FOLE's Inspector General and referred to the Office for Civil Rights, the Florida Commission on Human Relations, or the Equal Employment Opportunity Commission, based on the nature of the complaint. 1. Americans with Disabilities Act Subgrant recipients mast comply with the requirements of the Americans with Disabilities act (ADA), Public Law 101-336, which prohibits discrimination by public and private entities on the basis of disability and requires certain accommodations be made with regard to employment (Title 1), state and local government services and transportation (Title 11), public accommodations (Title 111), and telecommunications (Title IV), SFY 2015 RSAT Standard Conditions Page 13 of 21 Rev. 1./2015 m. Rehabilitation Act of 1973 (28 C.F.R. Part 42, Subpart G) If the subgrant recipient has 50 or more employees and receives DOJ funding of $25,000 or more, the subgrant recipient must take the following actions: (1) Adopt grievance procedures that incorporate due process standards and provide for the prompt and equitable resolution of complaints alleging a violation of the DOJ regulations implementing Section 504 of the Rehabilitation Act of 1973, found at 28 C.F.A. Part 42, Subpart G, which prohibit discrimination on the basis of a disability in employment practices and the delivery of services. (2) Designate a person to coordinate compliance with the prohibitions against disability discrimination contained in 28 C.F.R. Part 42, Subpart G. (3) Notify participants, beneficiaries, employees, applicants, and others that the subgrant recip€ent/impiementing agency does not discriminate on the basis of disability. n. Limited English Proficiency (LEP) In accordance with Department of Justice Guidance pertaining to Title VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d, recipients of federal financial assistance must take reasonable steps to provide meaningful access to their programs and activities for persons with LEP. For more information on the civil rights responsibilities that recipients have in providing language services to LEP individuals, please see the website at www.ley.goy. FOLE strongly encourages subgrant recipients to have a written LEP Language Access Plan. o. Title IX of the Education Amendments of 1972 (28 C.F.R. Part 54) if the subgrant recipient operates an education, program or activity, the subgrant recipient must take the following actions: (1) Adopt grievance procedures that provide for the prompt and equitable resolution of complaints alleging a violation of the DOJ regulations Implementing Title IX of the Education Amendments of 1972, found at 28 C.F.R. Part 54, which prohibit discrimination on the basis of sex. (2) Designate a person to coordinate compliance with the prohibitions against sex discrimination contained in 28 C.F.R_ Part 54. (3) Notify applicants for admission and employment, employees, students, parents, and others that the subgrant recipientlimplementing agency does not discriminate on the basis of sex in its educational programs or activities. p. Equal Treatment for Faith Based Organizations The subgrant recipient agrees to comply with the applicable requirements of 28 C.F.R. Part 38, the Department of Justice regulation govemfng "Equal Treatment for Faith Rased Organizations" (the "Equal Treatment Regulation"). The Equal Treatment Regulation provides in part that Department of Justice grant awards of direct funding may not be used to fund any inherently religious activities, such as worship, religious instruction, or proselytization. Recipients of direct grants may still engage in inherently religious activities, but such activities must be separate in time or place from the Department of Justice funded program, and participation in such activities by individuals receiving services from the grantee or a sub -grantee must be voluntary. The Equal Treatment Regulation also makes clear that organizations participating in programs directly funded by the Department of Justice are not permitted to discriminate in the provision of services on the basis of a beneficiary's religion. The subgrant recipient also understands and agrees that award funds may not be used to SFY 2015 RSAT Standard Conditions Page 14 of 21 Rev. 1/2015 discriminate against or denigrate the religious or moral beliefs of students who participate in programs for which financial assistance is provided from the award, or the parent or legal guardian of such students. Notwithstanding any other special condition of this award, faith -based organizations may, in some circumstances, consider religion as a basis for employment. See w ov about/ocr/ uai fbo.htm, 34. Immigration and Nationality Act No public funds will intentionally be awarded to any contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324a(e), Section 274A(e) of the immigration and Nationality Act („INK), The Department shall consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the subgrant recipient of the employment provisions contained In Section 274A(e) of the INA shall be grounds for unilateral cancellation of this contract by the Department. 35. National Environmental Policy Act (NEPA) a. The subgrant recipient agrees to assist FDLE in complying with the NEPA, the National Historic Preservation Act, and other related federal environmental impact analyses requirements in the use of subgrant funds by the subgrant recipient. This applies to the following new activities whether or not they are being specifically funded with these subgrant funds. That is, ii applies as long as the activity is being conducted by the subgrant recipient or any third party and the activity needs to be undertaken in order to use these subgrant funds: (1) New construction; (2) Minor renovation or remodeling of a property either (a) listed on or eligible for listing on the National Register of Historic Places or (b) located within a t 04-year flood plain; (3) A renovation, lease, or any other proposed use of a building or facility that will result either in a change in its basic prior use or significantly change its size; and (4) Implementation of a new program involving the use of chemicals other than chemicals that are purchased as an incidental component of a funded activity and traditionally used, for example, in office, household, recreational, or educational environments. (5) Implementation of a program relating to clandestine methamphetamine laboratory operations, including the identification, seizure, or closure of clandestine methamphetamine laboratories. b. The subgrant recipient understands and agrees that complying with NEPA may require the preparation of an Environmental Assessment and/or an Environmental Impact Statement, as directed by the Bureau of justice Assistance. The subgrant recipient further understands and agrees to the requirements for implementation of a Mitigation Plan, as detailed by the Department of Justice at www.bia. ov/Fundln ne .html for programs relating to methampheternine laboratory operations. c. For any of a subgrant recipient's existing programs or activitles that will be funded by these subgrants, the subgrant recipient, upon specific request from the Department and the U.S. Department of Justice, agrees to cooperate with the Department of Justice in any preparation by Department of Justice of a national or program environmental assessment of that funded program or activity. 36. Non -Procurement, Debarment and Suspension The subgrant recipient agrees to comply with Executive Order 12549, Debarment and Suspension and 2 CFR 180, `SOMB Guidelines To Agencies On Governmentwide Debarment And Suspension (Nonprocurement)" These procedures require the subgrant recipient to certify it shall not enter Into any lower tiered covered transaction with a person who Is debarred, suspended, declared ineligible or is voluntarily excluded from participating in this covered transaction, unless authorized by the Department. SFY 2015 RSAT Standard Conditions Page 15 of 21 Rev. 1/2015 If the subgrant is $100,000 or more, the subgrant recipient and implementing agency certify that they and their principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of federal benefits by a state or federal court, or voluntarily excluded from covered transactions by any federal department or agency, b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against there for commission of fraud or a criminal offense In connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and d. Have not within a three-year period preceding this application had one or more public transactions (federal, state, or local) terminated for cause or default. 37. federal Restrictions on Lobbying a. Each subgrant recipient agrees to comply with 28 CFR Part 69, "New Restfictions on Lobbying" and shall file the most current edition of the Certification And Disclosure Form, if applicable, with each submission that Initiates consideration of such subgrant recipient for award of federal contract, grant, or cooperative agreement of $100,000 or more. b. This certification is a material representation of fact upon which reliance was placed when this agreement was made- Submission of this certification is a prerequisite to entering into this agreement subject to conditions and penalties imposed by 31 t1SC 1352. Any person who fails to file the required certification is subject to a civil penalty of not less than $10,000 and not more than $100,000 for each failure to file. c. As required by 31 USC 1352, and implemented at 28 CFR 69, for persons entering into a grant or cooperative agreement over $100,000. as defined at 28 CFR 69, the applicant certifies 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 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 making of any federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal grant 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 grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LU , "Disclosure of Lobbying Activities,° 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 subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subgrant recipients shall certify and disclose accordingly. SFY 2015 RSAT Standard Conditions Page 16 of 21 Rev. 1/2015 38. State Resh'ictions on Lobbying In addition to the provisions contained in Item 38, above, the expenditure of funds for the purpose of lobbying the legislature or a state agency is prohibited under this contract. 39. Additional Restrictions on Lobbying The subgrant recipient understands and agrees that it cannot use any federal funds, either directly or indirectly, in support of the enactment, repeal, modification or adoption of any law, regulation or policy, at any level of government, without the express prior written approval of the Office of Justice Programs. 40. "Pay -- to -- Stay" Funds from this award may not be used to operate a "pay -to -stay" program in any local jail. Furthermore, no funds may be given to local jails that operate "pay -to -stay programs. "Local jail," as referenced in this condition, means an adult facility or detention center owned and/or operated by city, county, or municipality. It does not include ;juvenile detention centers_ "Pay -to -stay' programs as referenced in this condition, means a program by which extraordinary services, amenities and/or accommodations, not otherwise available to the general Inmate population, may be provided, based upon as offender's apparent ability to pay, such that disparate conditions of confinement are created for the same or similar offenders within a jurisdiction. 41. The Coastal Harrier Resources Act The subgrant recipient will comply and assure the compliance cat all contractors with the provisions of the Coastal Barrier Resources Act (P.L. 97-348) dated October 19, 1962 (16 USC 3501 et seq.) which prohibits the expenditure of most new federal funds within the units of the Coastal Barrier Resources System. 42. Environmental Protection Agency's (EPA) iist of Violating Facilities The subgrant recipient assures that the facilities under its ownership, lease or supervision which shall be utilized in the accomplishment of the Program Purpose are not listed on the EPA's list of Violating Facilities and that it will notify the Departmani of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for listing by the EPA. 43. Flood Disaster Protection Act The subgrant recipient will comply with Section 102(a) of the Flood Disaster Protection Act of 1973, Public Law 93-234, 87 Stat. 975, requiring that the purchase of flood insurance in communities where such insurance is available as a condition of the receipt of any federal financial assistance for construction or acquisition purposes for use in any area that has been identified as an area having special flood hazards. 44. National Historic PreseruatiGn Act It will assist the Department (if necessary) in assuring compliance with section 106 of the National Historic Preservation Act of 1966 (16 U.S.C. § 470), Ex. Order 11593 (identification and protection of historic properties), the Archeological and Historical Preservation Act of 1974 (16 U.S.C. § 469 a-1 et seq.), and the National Environmental Policy Act of 1969 (42 U_S.C. § 4321). 45. Human Research Subjects Subgrant recipient agrees to comply with the requirements of 28 C.F.R. part 46 and all Office of Justice Programs policies and procedures regarding the protection of human research subjects, including obtainment of Institutional Review Board approval, if appropriate, and subject informed consent. SFy 2015 RSAT Standard Conditions Page 17 of 21 Rev. 112015 46. Reporting, Data Collection and Evaluation The subgrant recipient agrees to comply with all reporting, data collection and evaluation requirements, as prescribed by the Bureau of Justice Assistance. Compliance with these requirements will be monitored by FDLE. 47. Drug Testing The subgrant recipient/ implementing agency will implement urinalysis or other proven reliable forms of testing of individuals in correctional residential substance abuse treatment programs. Such testing shall include individuals released from residential substance abuse treatment programs who remain in the custody of the State. 48. Privacy Certification The subgrant recipient agrees to comply with all confidentiality requirements of 42 U.S.C_ section 3789g and 28 C.F.R. Part 22 that are applicable to collection, use, and revelation of data or information. The subgrant recipient further agrees, as a condition of grant approval, to submit a Privacy Certificate that is in accord with requirements of 28 C.F.R. Part 22 and, in particular, section 22.23. 49. State Information Technology Point of Contact The subgrant recipient agrees to ensure that the State Information Technology Point of Contact receives written notification regarding any information technology project funded by this grant during the obligation and expenditures period. This is to facilitate communication among local and state governmental entities regarding various information technology projects being conducted with these grant funds. In addition, the subgrant recipient agrees to maintain an administrative file documenting the meeting of this requirement. For a list of State Information Technology Points of Contact, go to www.it.OiR.Qov/default.asoX?area=policyAndPLqc_tice&pgge=1 046. 50. Supplanting The subgrant recipient agrees that funds received under this award will not be used to supplant state or local funds, but will be used to increase the amounts of such funds that would, in the absence of federal funds, be made available for law enforcement activities. 51. Conflict of Interest The subgrant recipient and implementing agency will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 52. Uniform Relocation Assistance and Real Property Acquis€tions Act The subgrant recipient will comply with the requirements of the Uniform Relocation Assistance and Beal Property Acquisitions Act of 1970 (42 U.S.C. § 4601 et seq.), which govern the treatment of persons displaced as a result of federal and federallpassisted programs. 53. American Made Equipment and Products To the greatest extent practicable, all equipment and products purchased with program funds should be American made. 54. Limitations on Government Employees Financed by Federal Assistance The subgrant recipient will comply with requirements of 5 U.S.C. §§ 1501-OB and §§ 7324-28, which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by federal assistance. 55. Additional Required Certifications a. Certification of Employees Working Solely on a Single Federal Award For any position that works 100% of its time on a single federal award, the employee must certify 5FY 2015 RSAT Standard Conditions Page 18 of 21 Rev. 1/2015 that 1o0% of his or her time was spent working on that federal award. This requirement applies to both full time and part time positions regardless of the percentage of the position's salary that is charged to the grant. The certification must be signed by both the employee and the employee's direct supervisor having firsthand knowledge of the work performed by the employee. The forms must be submitted semi-annually and may not be signed prior to the end of the reporting period. Certifications must be provided to cover the entire grant period. b. Sole Source If the project requires a purchase of services or equipment from a sole source, the subgrant recipient must complete the Sole Source Justification for Services and Equipment Form. This form must be submitted upon application if applicable and pre -approval must be obtained. If the cost is below $100,000, the form must be kept on file for review at monitoring. If the subgrantee is a state agency and the cost is at least $150,000, then the agency must submit a copy of the approval from the Department of Management Services (F.S. 287A57(5)) c. Automated Data Processing (ADP) Justification The subgrant recipient roust complete an ADP equipment and Software and Criminal Justice Information and Communication Systems Request for Approval form if the purchase of any ADP equipment is to be made, this form must be submitted upon application it applicable and pre - approval must be obtained. d. Sole Source, ADP ,Justification, and Privacy Certification forms, must be signed by the subgrant recipient or implementing agency chief official or an individual with formal, written signature authority for the chief official. 56. Timesheets Timesheets must be kept for all project staff whose hours will be charged to the project. The timesheets roust be signed by the supervisor and clearly indicate hours spent on project activities. v. Additional Documentation of personnel for Department of Financial Services in accordance with Section 215.971, Florida Statutes, the Florida Department of Financial Services may require documentation validation that personnel services were performed on project -related activities in accordance with the contract agreement. 58. Reporting Potential Fraud, Waste, Abuse, and Similar Misconduct The subgrant recipient must promptly refer to the Department any credible evidence that a principal, employee, agent, contractor, subcontractor, or other person has either 1) submitted a false claim for grant funds under the False Claims Act; or 2) committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. 69. Funds to Association of Communtty Organizations for Reform Now (ACORN) Unallowable Subgrant recipient understands and agrees that it cannot use any federal funds, either directly or indirectly, in support of any contract or subaward to either the Association of Community Organizations for Reform Now (ACORN) or its subsidiaries, without the express prior written approval of OJP. 60. High Risk Subgrant Recipients The subgrant recipient agrees to comply with any additional requirements that may be imposed during the grant performance period if the U.S. Department of Justice determines that the subgrant recipient is a high -risk grantee. Cf. 28 C.F.R. parts 66, 70. oi. Tent Messaging While Driving Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging While Driving," 74 Fed, Reg. 51225 (October 1, 2009), the subgrant recipient is encouraged to adopt and enforce policies banning employees from text messaging while driving any vehicle during the course of performing work SF( 2015 RSAT Standard Conditions page 19 of 21 Rev. 112015 tended by this subgrant and to establish workplace safety policies and conduct education, awareness, and other outreach to decrease crashes caused by distracted drivers. 62. System for Award Management (SAM) The subgrant recipient must maintain current information in SAM until it submits the final financial report required under this award or receives the final payment, whichever is later. This requires that the subgrant recipient review and update the information at least annually after the initial registration, and more frequently if required by changes in its information or another award term. 63. Maximum Allowable Salary No portion of these federal grant funds shalt be used towards any part of the annual cash compensation of any employee of the subgrant recipient whose total annual cash compensation exceeds 1101/6 of the maximum satary payable to a member of the Federal government's Senior Executive Service at an agency with a Certified SES Performance Appraisal System for that year. (The saiary table for SES employees is available at hft://www.opm.goviocaipa ratesAndex.as . A subgrant recipient may compensate an employee at a higher rate, provided the amount in excess of this compensation limitation is paid with non-federal funds.) This limitation on compensation rates allowable under this award may be waived on an individual basis at the discretion of the OJP official indicated in the program announcement under which this award is made. 64. BJA or FI LE Sponsored Events The subgrant recipient agrees to participate in BJA- or FL3i,.E-sponsored training events, technical assistance events, or conference held by FDLE or BJA or their designees, upon FDLE`s or BJA's request. 65. Expenses Related to Conferences, Meetings, Trainiings, and Other Events The subgrant recipient agrees to comply with all applicable taws, regulations, policies, and guidance (Including specific cost limits, prior approval and reporting requirements, where applicable) governing the use of federal funds for expenses related to conferences, meetings, trainings, and other events, Including the provision of food and/or beverages at such events, and costs of attendance at such events. Information on pertinent laws, regulations, policies, and guidance is available at www.a' . ov fun funding ConfcoSt.htm. 66- Environmental Requirements and Energy a. For subgrants in excess of $100,000, the subgrant recipient must comply with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C.1857(h)), section 508 of the Clean Water Act (33 U.S.G. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 GF8 part 15). b. The subgrant recipient must comply with Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and t:,onservation Act (Pub. L. 94-16% 89 Stat. 871), if any. 67. other Federal Funds The subgrant recipient agrees that if it currently has an open award of federal funds or if it receives an award of federal funds other than this award, and those awards have been, are being, or are to be used, in whole or in part, for one or more of the identical cost items for which funds are being provided under this award, the subgrant recipient will promptly notify in writing, the grant manager for this award, and, if so requested by the Department, seek a budget modification or change of project scope grant adjustment notice (GAN) to eliminate any inappropriate duplication of funding. 68. Monitoring The subgrant recipient agrees to comply with the Department's grant monitoring guidelines, protocols, and procedures, and to cooperate on all grant monitoring requests, including requests related to desk reviews, enhanced programmatic desk reviews, and/or site visits. The subgrant recipient agrees to SFY 2015 RSAT Standard Conditions Page 20 of 21 Rev. 1/2015 provide all documentation necessary to complete monitoring of the subgrant award. Further, the subgrant recipient agrees to abide by reasonable deadlines set by the Department for providing requested documents. Failure to cooperate may result in sanctions affecting the recipient's award, including, but not limited to., withholding and/or other restrictions on the subgrant recipient's access to funds, referral to the Office of the Inspector General for audit review, designation of the recipient as a FDLE High Risk subgrant recipient, or termination of award(s). 69. Alcohol and Drug Abuse Agencies The State/Territory (State) will coordinate the design and implementation of treatment programs between State correctional representatives and the State alcohol and drug abuse agency (and, if appropriate, between representatives of local correctional agencies and: representatives of either the State alcohol and drug abuse agency or any appropriate local alcohol and drug abuse agency, especially where there is opportunity to coordinate with initiatives funded through the Justice Assistance Grant (JAG) program). 7,0. Categorical Exclusion a. The RSAT Grant Program provides funds for use by the state and units of local government In developing and implementing residential substance abuse treatment programs within correctional and detention facilities in which prisoners are incarcerated for a period of time sufficient to permit substance abuse treatment. Done of the following activities will be conducted whether under the Office of Justice Programs federal action or a related third party action. f. New construction. ii. Any renovation or remodeling of a property located in an environmentally or historically sensitive area, including property (a) listed on or eligible for listing on the National Register of Historic Places, or (b) located within a 100-year flood plain, a wetland, or habitat for an endangered species. ill. A renovation that will change the basic prior use of a facility or significantly change its size. iv. Research and technology whose anticipated and future application could be expected to have an effect on the environment. v, implementation of a program involving the use of chemicals_ vi. Additionally, the proposed action is neither a phase nor a segment of a project that when reviewed in its entirety would not meet the criteria for a categorical exclusion. Consequently, the subject federal actions meets the Office of Justice Programs' criteria for a categorical exclusion as contained in paragraph 4(b) of Appendix D to Part 61 of Title 28 of the Code of Federal Regulations. 71. Financial Consequences for Failure to Perform If the subgrant recipient fails to meet the minimum level of service or performance identified in this agreement, or is customary for subawards, then the department will apply financial consequences commensurate with the deficiency. Financial consequences may Include but are not limited to withholding payments/reimbursement until the deficiency is resolved, tendering only partial payment/reimbursement, imposition of other financial consequences according to the Standard Conditions as applicable, and/or termination, of contract and requisition of goods or services from an alternate source. Any payment made in reliance on subgrant recipient's evidence of performance, which evidence is subsequently determined to be erroneous, will be immediately due to the Department as an overpayment. SFY 2015 RSAT Standard Conditions Page 21 of 21 }rev. 1/2015 CERTIFICATION REGARDING LOBBYING; DEBARMENT, MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS Florida Department of Laver Enforcement R+esidendiatl Substance Abuse Treatment P ram Form Provided by the U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS, OFFICE OF THE COMPTROLLER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS Applicafrts should refar to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this Ibirm. Signature of this form providers for compliance with certification requirements under 28 CFR Part 69, 'New Restrictions on Lobbying" and 28 CFR Part 67, "Gover iment-wide Debarment and Suspension (Nora -procurement) and Govemment wide Requirements fear Drug -Free Workplace (Grants)'. The certiffcatlons shall be treated as a material representation of fact upon which reliance will be placed when Me Department of Justice determines to award the covered transaction, grant, or cooperative agreement (b) Have notwititin a three-year period preceding this application 7. Lt38t YING been conviaod of ir had a dvl judgement rendered against them for commission of fraud or a criminal offense in connection with As required by Section 1352, Me 31 of the U.S. Code, and implarnanted at 28 obtaining. ale mpting to obtain, or performing a public (Federal, State, CFR Part 89, for parsons entering into a grant or cooperative agreement over or loci) tra*=don or eonftw under a public transaction; violation of $100,000, as defined at 28 CFR Past Ba, the apocant certfres that Federal or State antitrust statutes orcommission of errtiltesxternent theft forgery, bfibery, faismeawn or destnsr:tion of u=rds, rmaldng (a) No faderel appropriated funds have been paid or will be paid, by or on behalf false statamtnis, or mceiving stem property. ordre undersigned, to any person for tnfiuendng or attempting to influence an officer or employee of any agency, a menaear of Congress, an dicer oremptoyee (c) Are not pnseansy indicted ibr or otherwise, criminally or civiy of Congress, or an a ooye* of a mamuer or Congress in connection with rite charged by a govemmentali entity, (Faderal, State, or local) with mawng of any twetal grant, the entering Into of any cooperathm aagreement, and commisslo n of any of the offenses e;wmerated in paragraph (1) (b) of the extension, carrilnuatlon, renewal, amendment, or modification of any federal this carlificatorr end grant or cooperauva agreement. (d) Have not within a three-year period Preceding thla application (b) if any funds other then faders) appropriated funds have been paid or will be had are or more public transactions (Federal. State, ar focal) paid to any Person Irafluertchag or attidfrgrthtg to influence an ofrxxzr or employee of terminated for cause or default; and any agency, a member of Congress, an off ber or an employea of Congress, Of an a. Where the applicant Is unable wcerey+ to any of the statements in employes or a member of Congress inlonnecdon with this federal grant or C9rtIt1C8NOm, he or she shalt attach an a9xplanation to this cooperaflve agreement the undersigned shall complete and submitstandard this Form - LLL, "Dishdosure of Lobbying Activities", In accordance with f0 insttucaons; appgcaillon• (a) The undersigned shall require that the language of this cxrtyrratian be Included In the award documents for all subawards at all tiers (induding subgrants, 3. DRUG -FREE WORKPLACE contracts under grants and 000peratt" agreements, and subconbaoW and that all (GRANTEES OTHER THAN INDIVIDUALS) subneolplents shall certYy and disclose accordingly. As required by fife Drug -Free 1Hw'"ce Act of 1988. and "9mattttad at 28 CFR Par187, Subpart F, for grantees, as defined 2. DEBARMENT, SUSPENSION, AND OTHER at 25 CFR Parl67 sections 67.616 end e7.620- RESPONSIBILiTf MATiER3 (DIRECT RECIPIENT] free workplace csrlylas firer it WE Or Will Continue to pmvlde a drug - (DIRECT mquhed by Executive Order 1254% Debarment and Suepanston, and a PuttWsitfng a statement notifying employees that the unlawful Imptemertted at 28 CFR Part 67, for prospective paNcipants in primary covered (a) transactions, as defined at 28 CFR Part 67, Section 67.510 - mamufaed mre, shwc tarxnnr prohibited in t e possession, ds arose aE a controlled sasbstarace is prahibked in the grantee's wwlaplaoa and A The apprrant cerNf€as that it and its principals: violation actions that will be taken mgainstemployers for violation ct such pcahltdtion; (a) Are not presently debarred, suspended, proposed for debarment, declared Ineligible. &vrd"ced to a dental of federal benefits by a State or Federal court, or (b) FstabliaMng an on -going drug -frets awareness program to Wt9m voluntarily excluded from covered transactions by arty federal departmeetor employees abouto agena7: (1) The darvem of drug abuse In Noe workplace; 12) The gralaies's pollay or maintaining a drag -free Workplace; (3) Any mvarabie drug counseling, reh=abiiltatlor% and employee asalstance programs; and (4) The penalties than may he unposed upon employees fordrug abate violations occurring in the workpiace; FDLE RSAT Grant ►caftan Faa ka a L afth ht 17ebarfnatrt, Sat start and Btu FreO Work s Cart w age i CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENVON, AND ETHER RESPONSIBILITIY MATTERS; AND DRUG -FREE WORKPLACE RMUIREMENTS Florida Department of Law Enforcement Residendial Substance Abuse Treatment Pro ram (C) hmking it a nequkement that each employee to be n:ngagad in tits Performance of the grant be gWn a Copy of the statement rstpured by paragraph (a); (d) Noefying Me employee in the statement required by paragraph (a) that. as a condi im of employment under the grant, the eaVoyee w81- (1) Adde by the terms of the sWwnant and (2) Notify the ernpioyer in wrtong of his or her co wict€on for a Aolatfan of a Check hers If thane are workpfaces on gle that are not identrred here. cri:nthtrd drug statuia occurring in the warkpine no later than Five calendar days after the convi on: 5sdkxn 87AM of the rcguiadons provides that a grantee that is a (e) Notifying the agency, in writing, within 10 calendar days der receiving notice slate may elect to m*a one certirrcatidn in each Federal fiscal year. A copy of Which should be inducted with each appitcatlon for under subparagraph (d) (2) from an employee or otherwise receNirtg actual notice of such conviction- Erriployans of convicted employees must prov€de notice Department of Justice funding. States and State agencies may sled including position We. to: Department of J ustiaa, CMOs of Justice Programs, to use OJP Form 406117. ATTN: Cantrot Desk, 633 Indiana Avenue, N.1rV., Washingtotr, D.C. 20531. Notice Check here tf the State has elected to complete OJP Form .hale induda the Identification number(s) of each affected grant; _ 406117. (t) Taking one of the kftwtrsg ac8on% within 30 calendar days of receiving notice under subparagraph (d) (2). with respect to any empk}yee who is so convicted- (1) TAkhV appropriate personnel action againstsuch an ernpkryes. up to and incuding termination, consistent with the req kaments of the RehabilitaWn Act d DRUG -FREE WORKPLACE (GRANTEES W140 ARE INDIVIDUALS) 4973. as amended; or As required by the Drag -Free Workplace Act of VMS. and Requiring such emplOYee to maurposes in A by ar Federal, �pp_ P. f20g-mks, as darned anted as)s€stanc:n or r+ebabiftficn program d far suchlpste at Part 67: Sections 87.016 a7. State, or local health. taw errfartomenlr or otter appropdate agency A. As a oartdHbn of the grant, I carE€ry filet t will not engage in the tthhrouggh mplarnwiall000d o of paragraphs { ), b), ( effort to cOAtinue to mat} (d (e} and M- a clontrolledt vtsfance in conduucting dispensing, with the grans; and S. The grantee may insert In the space provuded below the site(s) ter the performance of work dona in connection with the wedfrc grant: S, if convicted of a criminal drug offense resulting from a vkistion occurring doting the conduct trF any grant ectiivity, t will report the can*&n, in wailing, within 10 calendar days of the conviction, to: Plana of Performance (Street address, nity,,wunty, state, zip coda) Department of Justica, Office of Jus3es Programs, ATTN. Control Desk, 633lndiana Avenue. N_W , Washington, D.C. 20631. As the duly authorized representattve of the applicant, t hereby eettify that the applicant wi11 comply with the above Certifications. 4. Grant6e Name and Address: Mon I Iog Simonton Strew Key West F 3304Q 2. Project Name: M n's all HOUS-W 12M AbUSS IrgOtM001 3. Typed Name and Title of Authorized Representative: an Gast r f d. Signature:_::2 . !� FDL,E RSAT' Grant liradorr pacAme Lobbying,L'obbying, Debarmerr suspwSieft, and Drt+ nee a Cerfhffca CERTIFICATION FORM compliance with the Equal Employment Opportunity Plan. (EEOP) Requirements Please read carefully the Instructions (see below) and then complete ,Section A or Section B or Section C not all three. Reci ienf s Name: Monroe County DUNS Number: 073876757 Address: 1100 Sirnanton Street, Key (Nest, FL =41] Grant Title: Residential Substance Abuse Treatment Grant Number: 201&RsAT-94 Awatd Amount: $:anon Name and Title of Contact Person: era deLoach-rlarge, Grants Admen tar Telephone Number: (s03) 2924482 1 E-Mail Address: debadtatlle laureoronmewunty-n.sov Section A —Declaration Claiming Complete Exemption from the EEOP Requirement Please chuck all the following boxes that apply. • Recipient has less ttean fifty employees. ❑ itecipieat is an Indian tribe. ❑ Recipient is a medical institution. a Recipient is a nonprofit organization. ❑ Recipient is an educational institution. ❑ Recipient is receiving an sward less than S.25,000. 1, [responsible officion, certify that [recipient] is not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R. § 42.302. I further certify that [recipient] will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of services. Print or 7.pe.Name and Title Signature Date Section B--Deelalratiou Claiming Exemistion from the ESOP Submission Requirement and Certifying That an EEOP Is on Fite for Review Ifa recipieni agency has fifty or more employees and is receiving a meler award or subaward of $25,000 or more, but less than $500,000, then the recipient agency does not have to submit an ESOP to the ocRfor review as long as it certifles the following (42 C. E R § 42.305): Roman easteal, County Adminlsla for f responsible official], certify that Mome county [recipient], which has fifty or more employees and is receiving a single award or sulaward for $25,000 or more, but less than $500,000, has fortulated an EEOP in accordance with 28 CFR pt. 42, suhpt_ E. l further certify that within the last twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as required by applicable federal lave, it is available for review by the public, employees, the appropriate state planning agency, and the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice. The ESOP is on file at the following office: Calvin Alien, EEO (}tjieer, Monme County [organization), 110D Simonton 5'bv4 Key West, rL 3300 {{ [address]. iprZior n e"si, county Administrator ! Type Name andTlile Sigma Date Section C-Declaration Stating that an EEOP Utilization Report Has Been Submitted to the Office for Civil Rights for Review Ifa recipient agency has" or more employees and is receiving a single award or subaward of $500,000 or more, there the recipient agency moist send an EEOP wlkation Report to the OCR for review. 1, [responsible offician, certify that (recipient], which has fifty or more employees and is receiving a single award of $500,000 or more, has formulated an EEOP in accordance with 28 CPR pt_ 42, subpt. E, and sent it for review on [date] to the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice. Print or Type Name and Title Signature Date ()MB Approval No. 1 ]21.0340 Expiration =- 05/31/14 Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment 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. Typed Name and Title: Pawns T. H", eurm ChW Date: Typed Name of.Subgrant'Reci - nt: Mq�nroe County Board of County Commissioners Signature: Typed Name and Title: Roman Gastesi, County Administrator � " I � �4 1 � L Date, Typed Name of Imng"A gencMonroe County Board of County Commisioners y� Signature: Typed Name and Title: Rornantastesi, County Administrator I I I L' Date: L 41 ".4, � i I -1 A 4--L Application Ref # 2015-RSAT-94 Section #6 Page 1 of 1 Contract -RSAT-MONR--- OCJG-005 (rev. April 2005) ETHICS CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA (Company) ATTACHMENT E "...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee." (Signature) Dater STATE OF: T � Oki COUNTY OF: 1`t Subscribed and sworn to (or affirmed) before me on f i ' _l T (� (name of affiant). He/She is personally (date) by _ C�� ...,, �, , known to me or has produced 'FL Ll >FAD-` 7), - !� ` j" (type of identification) as identification. NOTARY PUBLIC My Commission Expires: SISY p I•I�i ALANA THURSTON Notary Public • State of ftorlda My Comm. Expires Jan 1A, 2Q16 Commission # EE 158527 ATTACHMENT F DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of Business) 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. f (Signature) Date: zo,r STATE OF: COUNTY OF: , 1 (� e-Pik scribed and swo n to (or affirmed) before me on [ U �� 2� S (date) by (name of a giant). He/She is pel'sonally known to me or has roduced L7— �'�,_. -��-� -L] pe of id ratification) as Identification. NOTARY PUBLIC My Commission Expires: 1 U - 0 t ( P ., ,��"'wLs� ,R^ ALANA THURSD158527 �: Notary Public • State ?+ayye� � My Comm. Expires Ja Commission # EE