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CY2018 08/15/2018GJ Z COURTS ° o: Kevin Madok, CPA .... Y1 Clerk of the Circuit Court & Comptroller — Monroe County, •R OE COUN DATE: August 30, 2018 TO: Janet Gunderson Herbener Senior Grant & Finance Analyst FROM: Pamela G. Hancock, D.C. SUBJECT: August 15' BOCC Meeting Attached is an electronic copy of Item T3, acceptance of a grant award of $50,000.00 from FDLE for the Residential Substance Abuse Treatment (RSAT) Program for the project entitled, "Men's Jail In -House Drug Abuse Treatment Program ", for the period of January 1, 2018 through December 31, 2018, for your handling. Should you have any questions, please feel free to contact me at extension 3550. Thank you. cc: County Attorney_ Finance File KEY WEST 500 Whitehead Street Key West, Florida 33040 305 - 294 -4641 MARATHON 3117 Overseas Highway Marathon, Florida 33050 305 - 289 -6027 PLANTATION KEY 88820 Overseas Highway Plantation Key, Florida 33070 305 - 852 -7145 PK/ROTH BUILDING 50 High Point Road Plantation Key, Florida 33070 305 - 852 -7145 RESIDENTIAL SUBSTANCE ABUSE TREATMENT FUNDS AGREEMENT THIS AGREEMENT is made and entered into this 15 day of August, 2018, 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." WITNESSETH 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 January 1, 2018 through December 31, 2018, the date of the signature by the parties notwithstanding, unless earlier terminated as provided herein. 2. SERVICES - The AGENCY will provide services, in compliance with all provisions, as outlined in the COUNTY'S Residential Substance Abuse Treatment Sub -grant Award, attached and made a part hereof (Attachment B). 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 B). 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. 6. 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 provide all documents and information as set forth in Attachment F prior to billing and payment. 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 unit cost of the services, and all other information required including supporting documentation validating delivery of services. 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. (c) The County shall only make payment subject to the funded amount above, for the documented services provided which are reviewed and approved as complying with Monroe County Code of Ordinances, State laws and regulations and Attachment B - Residential Substance Abuse Treatment Funds Sub -grant Award. Evidence of services rendered by the PROVIDER shall be in the form of a letter, summarizing the units of services with supporting documentation of service delivery attached. The letter should contain a notarized certification statement. An example of a payment request cover letter is included as Attachment A. 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 Maureen Dunleavy, MA, NCC LMHC 1100 Simonton Street Area Director Key. West, FL 33040 Guidance /Care Center 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 REGULATIONS - In providing all services pursuant to this Agreement, the AGENCY shall abide by all statutes, ordinances, rules, and regulations pertaining to, or regulating the provision of, such services, including those now in effect and hereafter adopted, and particularly Article 1, Section 3 of the Constitution of the State of Florida and Article 1 of the United States Constitution, which provide that no revenue of the state or any political subdivision shall be utilized, directly or indirectly, in aid of any church, sect or religious denomination or in aid of any sectarian institution. Any violation of said statutes, ordinances, rules, or regulations shall constitute a material breach of this Agreement immediately upon delivery of written notice of termination to the AGENCY. If the AGENCY receives notice of material breach, it will have thirty days in order to cure the material breach of the contract. If, after thirty (30) days, the breach has not been cured, the contract will automatically be terminated. 13. ASSIGNMENTS AND SUBCONTRACTING - Neither party to this Agreement shall assign this Agreement or any interest under this Agreement, or subcontract any of its obligations under this Agreement, without the written consent of the other. 14. EMPLOYEE STATUS - The AGENCY is an independent contractor. Persons employed by the AGENCY in the performance of services and functions pursuant to this Agreement shall have no claim to pension, worker's compensation, unemployment compensation, civil service or other employee rights or privileges granted to the COUNTY'S officers and employees either by operation of law or by the COUNTY. 15. INDEMNIFICATION AND HOLD HARMLESS. The AGENCY covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims and causes of action for medical malpractice, medical negligence, bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the AGENCY occasioned by the negligence, errors, or other wrongful act or omission of the AGENCY'S employees, agents, or volunteers. 16. ENTIRE AGREEMENT (a) It is understood and agreed that the entire Agreement of the parties is contained herein and that this Agreement supersedes all oral agreements and negotiations between the parties relating to the subject matter hereof as well as any previous agreements presently in effect between the parties relating to the subject matter hereof. (b) Any alterations, amendments, deletions, or waivers of the provisions of this Agreement shall be valid only when expressed in writing and duly signed by the parties. I N ,r1 F , HEREOF, the parties to this Agreement have caused their names to be affixed hereto by the m. Fe:o , ereof for the purposes herein expressed at Monroe County, Florida, on the day and year ;VW it'e �(y t „ y BOARD OF COUNTY COMMISSIONERS y - Fi E s e ADOK, Clerk OF MONROE C UNTY, F LORIDA By: By: Deputy Clerk Mayor /Chai an Guidance /Care Center c =` 3 . - o • � ,1 r / i i % %Z/4 / By: -' MAIL A JL�, / 1 . t ' '. G s G.7 ci - IP ess Ow m : i _ c+;. .: Q . c ., pres, c:),,c1: vu _ !_ _ t i ess P Title: Im. ,rri. = : -,n MONROE COUNTY ATTORNEY -. 1 t AST 4 FOCI • CHRISTINE LIMBERT - BARROWS ASSISTANT C e 0 • ORNEY DATE: r SAS Z ATTACHMENT A 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 units of services provided for (Organization name) for the period of Number of Units Unit Type Provided for Program Unit Cost Amount Due Service provided XX.XXX $ XX.XX $ XXX.XX Service provided XX.XXX $ XX.XX $ 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 services have been provided to the clients and that the units are accurate and in agreement with the records of this organization. Furthermore, these units are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for payment to any other funding source. • Authorized Signatory Attachments (supporting documentation) Subscribed and sworn to (or affirmed) before me this day of 20 by (name of affiant). He /she is personally known to me or has produced (type of identification) as identification. Notary Public Notary Stamp My Commission Expires: ATTACHMENT B F ®LE / ' Florida Department of�` 4 '$I Years of Law Enforcement w�� ery 1 ce Richard L. Swearingen 1 9 6 7-2 0 1 7 Commissioner AUG 0 8 2018 Honorable David Rice Mayor Monroe County Board of Commissioners 9400 Overseas Highway Suite 210 Marathon, FL 33050 -3303 Re: Contract No. 2018- RSAT - MONR -1 -U4 -004 Dear Mayor Rice: The Florida Department of Law Enforcement is pleased to award a Residential Substance Abuse Treatment (RSAT) subgrant to your unit of government in the amount of $ 50,000.00 for the project entitled, MEN'S JAIL IN HOUSE DRUG ABUSE TREATMENT PROGRAM. This subaward is approved under Florida's state RSAT award 2017 -RT- BX -0036 from the Department of Justice (DOJ). These funds shall be utilized for the purpose of providing residential substance abuse treatment services to incarcerated individuals meeting the criteria for RSAT programs. Enclosed is a copy of the approved subaward application with the referenced contract number and Standard Conditions. This subaward is subject to all administrative and financial requirements, including timely submission of all financial and performance reports and compliance with all standard conditions. Information from subawards and performance reports are provided to the DOJ Performance Measurement Tool (PMT) and the Florida Federal Funding Accountability and Transparency Act (FFATA) systems to meet federal transparency requirements. Contract and grant information is also provided to the State of Florida, Department of Financial Services (DFS) via the Florida Accountability Contract Tracking System (FACTS). This grant agreement and all 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. If this agreement contains confidential or exempt information not subject to disclosure under Chapter 119, F.S., please contact the Office of Criminal Justice Grants (OCJG) for guidance on requesting exemption. Please complete and return the enclosed certification forms within 30 calendar days from the date of award. Completion of the Certificate of Acceptance constitutes official acceptance of the subaward and must be received by the Department prior to reimbursement of any project expenditures. Some costs require prior written approval from OCJG and DOJ before beginning project activities. If your subaward contains any such items, or those listed on the Bureau of Justice Assistance (BJA) Controlled Expenditures List, a _ grant adjustment with accompanying written request will be required. A correlating special condition on your subgrant award in the Subgrant Information Management -Line (SIMON) system may also included. We look forward to working with you on this project. Please contact me or Senior Management Analyst Supervisor, Danielle Terrell at (850) 617 -1250 if you have any questions or we can be of further assistance. SiI erely, Petrina Tuttle Herring Bureau Chief PTH /sa Enclosures Business Support • Office of Criminal Justice Grants • Post Office Box 1489, Tallahassee, FL 32302 -1489 (850) 617 -1250 www.fdle.state.fl.us Service • Integrity • Respect • Quality SUBGRANT AWARD CERTIFICATE Subgrantee: Monroe County Board of Commissioners Date of Award: q j o 1 Z Grant Period: From: 01/01/2018 TO: 12/31/2018 Project Title: MEN'S JAIL IN HOUSE DRUG ABUSE TREATMENT PROGRAM Grant Number: 2018 - RSAT - MONR -1 -U4 -004 • 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 subgrant under Part E of Title I of the Omnibus Crime Control and Safe Streets Act of 1968 as amended Subpart 1 of such part (42 U.S.C. 3751 - 3759); the Consolidated Appropriations Act, 2008, Public Law 110 -161; and Public Law 109 -162, Title XI, Department of Justice Reauthorization, Subtitle B, Improving the Department of Justice's Grant Programs, Chapter 1, Assisting Law Enforcement and Criminal Justice Agencies, Section 1111. Merger of Byrne Grant Program and Local Law Enforcement Block Grant Program, to the above mentioned subgrantee and subject to any attached or special conditions. This award is subject to all applicable rules, regulations, and conditions as contained in the Office of Justice Programs (OJP) Financial Guide, Common Rule for State and Local Governments, or OMB Uniform Grant Guidance (2 CFR Part 200), in their entirety. It is also subject to the attached standard conditions and 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. 90 -351, as amended, and P.L. 100 -690. This award 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. Expenditures must be supported with documentation and verified during annual monitoring. Failure to comply with provisions of this agreement, or failure to meet minimum performance specified in the agreement will result in required corrective action up to and including project costs being disallowed, withholding of federal funds and /or termination of the project, as specified within the terms of the agreement and OMB Uniform Guidance 200.338 - 200.342. 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 of Subgrant Award is returned to the Department. Authorized Official Petrina Tuttle Herring Bureau Chief • Date ( This award is subject to special conditions (attached). State of Florida Office of Criminal Justice Grants Florida Department of Law Enforcement 2331 Phillips Road Tallahassee, Florida 32308 SPECIAL CONDITION(S) /GENERAL COMMENT(S) Grantee: Office of Criminal Justice Grants Grant Number: 2018 - RSAT - MONR -1 -U4 -004 Grant Title: MEN'S JAIL IN HOUSE DRUG ABUSE TREATMENT PROGRAM In addition to the general conditions applicable to fiscal administration, the grant is subject to the following Special Condition(s) /General Comment(s): Ref# S38012: Prior to the drawdown of federal funds for contractual services, Monroe County must complete and submit to the Office of Criminal Justice Grants, a U.S. Department of Justice, Office of Justice Programs "Checklist to Determine Subrecipient or Contractor Classification" form located at https://ojp.gov/ training /pdfs /Subrecipient - Procure- cklist -B.pdf for each contracted vendor or provider. Ref# S38013: Prior to the drawdown of federal funds for contractual services, Monroe County must specify the method of procurement for each contracted vendor or provider. • State of Florida Office of Criminal Justice Grants Florida Department of Law Enforcement 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 201 8 -RSAT MOLAR- 1- U4-004, in the amount of $ 50,000.00, for a project entitled, MEN'S JAIL IN HOUSE DRUG ABUSE TREATMENT PROGRAM, for the period of 01/01/2018 through 12/31/2018, to be implemented in accordance with the approved subgrant application, and subject to the Florida Department of Law Enforcement's Standard Conditions and any special conditions governing this subgrant. This subaward requires that no recipient or subrecipient, or entity that receives a contract or subcontract with any funds under this award, may require any employee or contractor to sign an intemal confidentiality agreement or statement that prohibits or otherwise restricts, or purports to restrict, the reporting of waste, fraud or abuse in accordance with the law to a department or agency authorized to receive such information. This is not intended to contravene requirements applicable to classified, sensitive or exempt Information. In accepting this award, the subgrantee certifies that ft neither requires nor has required employees or contractors to sign such intemal confidentiality agreements or statements. ( nature of Subg tee's Authorized Official) David Rice, Mayor (Print Name and Title of Official) Monroe County Board of Commissioners (Name of Subgrantee) SW' jig (Date of Acceptance) • • • OCJG-012 (rev. October 2005) State of Florida Office of Criminal Justice Grants Florida Department of Law Enforcement 233,1 Phillips Road Tallahassee, Florida 32308 ATTESTATIONS AND CERTIFICATIONS - This form is required to be completed by the authorized official, or authorized official designee, of all subgrantee units of govemment receiving Residential Substance Abuse treatment (RSAT) program federal pass - through funding from the Florida Department of Law Enforcement. In accepting this award, the subgrantee certifies that it will comply with the requirements set forth below and/or any other requirements of the subaward. Failure to do so may result in a hold or freeze on the drawdown of federal funds, and /or suspension or termination of the agreement. Conflict of interest Decisions related to use of these grant funds must be free of undisclosed personal or organizational conflicts of interest, both in fact and In appearance. The subgrantee, through its authorized representative, certifies the unit of govemment below is compliant with OMB Uniform Requirements, 2 C.F.R. § 200.112, and OJP Financial Guide, Section 3.20 regarding Conflict of Interest, and will notify FDLE Office of Criminal Justice Grants, in writing, of any potential conflicts of interest in accordance with this agreement. The recipient also agrees to disclose in a timely manner, In wdl,ing, all violations of state or federal criminal law Involving fraud, bnbery or gratuity violations. Organization Name: Monroe County Board of Commissioners Subaward Number. 2018 RSAT - MONR- 1- U4-004 A. - ... 2/IS (,' . nature of Autho Pr'' Official) (Date) David Rice, Mayor (Printed Name and Title of Authorize Official) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment � a Subgrant Recipient Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: David Rice Title: , Mayor Address: 9400 Overseas Highway Suite 210 City: Marathon State: FL Zip: 33050 -3303 Phone: 305 - 289 -6000 Ext: Fax: Email: boccdis4 @monroecounty -fl.gov Chief Financial Officer Name: Kevin Madok Title: Clerk of Court Address: Post Office Box 1980 City: Key West State: FL Zip: 33041 -1980 Phone: 305 - 295 -3130 Ext: Fax: Email: kmadok @monroe - clerk.com • • Application Ref # 2018 -RSAT -112 Section #1 Page 1 of 2 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance. Abuse Treatment 4 Implementing Agency Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: David Rice Title: Mayor Address: 9400 Overseas Highway Suite 210 City: Marathon State: FL Zip: 33050 -3303 Phone: 305 - 289 -6000 Ext: Fax: Email: boccdis4 @monroecounty =fl.gov Project Director Name: Janet Gunderson Title: Senior Grants and Finance Analyst Address: 1100 Simonton Street Room 2 -213 City: Key West State: FL Zip: 33040 -3110 Phone: 305 - 292 -4470 Ext: Fax: 305 - 292 -4515 Email: Gunderson- Janet @monroecounty -fl.gov Application Ref # 2018 -RSAT -112 Section #1 Page 2 of 2 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment _ >- . ».,. da ._. General Project Information Project Title: MEN'S JAIL IN HOUSE DRUG ABUSE TREATMENT PROGRAM Subgrant Recipient: Monroe County Board of Commissioners Implementing Agency: Monroe County Board of Commissioners Project Start Date: 1/1/2018 End Date: 12/31/2018 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 for 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 for 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 34% of Monroe County foster care placements between October 2017 to September 2017 were as a result of parental substance abuse. Opioid and crack cocaine addiction also continues to ravage the community and lead addicts quickly into the criminal justice system. The GAINS Center is a program within the Federal Substance Abuse and Mental Health Services Administration (SAMHSA) that provides information and skills training to help individuals and organizations at the local, state, regional, and national levels implement effective, integrated programming that will transform the criminal justice and behavioral health systems and estimates that US jails admit approximately estimates that US jails admit approximately 1.1 million people with serious mental illness annually and among these admissions, 72% also meet criteria for co- occurring substance use disorders. BEHAVIORAL HEALTH AND JUSTICE INVOLVED POPULATIONS Pamela S. Hyde, J.D. • SAMHSA Administrator, Bureau of Justice Assistance, Justice and Mental Health Collaboration Program Baltimore, MD; February 11, 2011.. South Florida, including Monroe County and the Florida Keys, like many areas of the country has seen an influx of opiate related deaths and increase in opiate abuse. "Heroin deaths increased sharply from 2012 to 2016 across all of Florida, rising 1,423% from 57 in 2011 to a projected 868 in 2016 based on doubling the number from the first half of that year. The sharp escalations of heroin use, treatment admission, and deaths in Florida along with stable and high levels of prescription opioid indicators have constituted an opiate epidemic." (Florida Alcohol & Drug Abuse Association (FADAA) Substance Use Trends Data Report, June 2017) 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 - Application Ref # 2018 -RSAT -112 Section #2 Page 1 of 5 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment 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 life 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, a local treatment provider 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 6 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 lives of their loved ones, thereby saving the county the expense of their continued • detainment. Clients are required to create a Relapse Prevention Plan that details coping skills to manage stress, anxiety, triggers to relapse. Clients are provided a Life Skills group with courses on job interviewing skills, resume creation, professionalism, budgeting, opening a bank account and household management skills. These skills attained within the context of treatment increases the chances of sustained recovery, healthier family and other personal relationships, healthier children, and safer communities. As they have successfully completed an intensive, comprehensive treatment program. Project Summary (Scope of Work) 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 drug /alcohol treatment and will be in the county jail a minimum of 182 days. The program will serve seventy male inmates. Clients must have a minimum of 6 months jail time to complete the program, agree to follow all program rules including the absence of disciplinary infractions while incarcerated and complete all program assignments and attend groups 5 days per week. Once clients have been referred, a biopsychosocial and program orientation is completed to determine treatment needs within 7 days of receiving court order. The Clinical Assessment Tool (CAT) was developed by the state managing entity and is part of the statewide system of care to assess for substance abuse, mental health and risk behaviors. It gathers needed information for comprehensive care in every area of life. Additional assessments including a Mental Health Status Assessment and the Post Traumatic Check List (PCL -5) which identify suicide risk levels, trauma and impairments in functioning. If a mental health diagnosis is identified as part of the • Application Ref # 2018 -RSAT -112 Section #2 Page 2 of 5 Contract # 2018- RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment assessment, the client receives a referral to a mental health services by contracted jail staff. These clients continue to participate in the JIP services to address the substance use disorder and criminal thinking and behavior. During client treatment of mental illness, JIP program staff will collaborate with jail providers on behalf of client since a co- occurring disorder is seen as a vital part of recovery from substance abuse. Admission policies are welcoming to individuals with co- occurring disorders, learning disabilities, illiteracy and other special individualized needs allowing access for all who probably otherwise would not receive services. Client- centered, individualized treatment plans funded by this RSAT program are tailored to the needs of men are a cornerstone of gender- responsive treatment. Following completion of the biopsychosocial comprehensive assessment the JIP counselors and client collaboratively developing a person- centered Wellness Plan in the first month of services. This plan is reviewed updated with the participant every 30 days throughout the course of the program. Program treatment services are delivered by three program staff and a program coordinator. Groups are facilitated 5 days per week. In addition each program participant is assigned a primary counselor /case manager for monthly individual sessions, to assist with treatment planning, monitor progress and discharge planning. Treatment services use several evidence based practices including 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. Throughout the treatment episode participants use a client workbook that belongs to them. Moral Reconation Therapy (MRT), another systematic treatment strategy that seeks to decrease recidivism among criminal offenders by increasing moral reasoning is included. Additionally, 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. 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 also be incorporated into group schedule. Client/inmates are required to complete all program service components in two phases in a minimum of 6 months. Each phase of treatment include phase specific "dorm- work" assignments that are reviewed and graded by program staff. Client/inmate is only allowed to phase up to level 2 and successfully graduate the program once all assignments are completed and presented to staff and peers. Client/inmates are required to submit daily homework assignments, attend groups 5 days per week and maintain their behavior in the dorm and groups. When participants move from one phase to the next is not pre- determined and the timeline is individualized based on progress. JIP staff submit monthly status report to Jail Program Director and staff. Program • coordinator submits quarterly and annual reports county/state grant administrators. Treatment in the program is a minimum of six months and a maximum of one year. Successful program completion rate will be 80% or higher. Program staff will use Application Ref # 2018 -RSAT -112 Section #2 Page 3 of 5 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) 1 Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment • discharge planning and plan for client discharge. Aftercare services are encouraged as a part of re -entry planning and last up to six months once the participant is released. Aftercare includes both mental health and substance abuse needs. JIP participants are given appointments with a psychiatrist as part of aftercare and assigned a case worker to help them with appointments, treatment adherence, accessing of community services and medication assistance. If MAT (Medication Assisted Treatment) is needed it will be added to discharge planning to occur post release in the community. Corrections staff conduct random drug testing of program participants with tests provided by the contracted services. If a client tests positive for any of the 10 drugs there is disciplinary action resulting in 30 days in lock down and a return to court for judicial review of the case. Tests used are the Reditest icup which is a 10 panel dip sticks testing for amphetamine, benzodiazepines, cocaine, opiates, synthetic opiates, THC, PCP, barbiturates, MDMA and methadone. The JIP program has been evaluated and accredited by the Council on Accreditation for ' Rehabilitation Facilities (CARF) over the past 6 years .The Jail Incarceration Program met the highest CARF standards and received recognition for its positive relationships between correctional staff and program staff' Additionally, the contracted agency has evaluation of the JIP • program as part of the annual performance improvement plan which includes JIP outcome measures, documentation and client satisfaction. This is a pass- through subaward approved under the State of Florida's federal Residential Substance Abuse Treatment (RSAT) award grant number 2017 -RT -BX -0036. The deliverable for this subaward is residential treatment services provided to inmates with an identified substance abuse treatment need and with referral to the program by classification or assessment. The subaward will reimburse eligible costs for providing these services in accordance with the Budget: Section 4: Financial; and as attested to on the Project Expenditure Report submitted. Application Ref # 2018 -RSAT -112 Section #2 Page 4 of 5 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment P : Section Questions: Question: What percentage of the total cost of this project is being funded by sources other than this award? Answer: 25 Question: Does the subgrantee have an active and current registration in the System for Award Management (SAM.gov)? Answer: Yes Question: Does the subgrantee receive a single grant in the amount of $750,000 or more from the U.S. Department of Justice? Answer: No • Application Ref # 2018 -RSAT -112 Section #2 Page 5 of 5 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment General Performance Info: Performance Reporting Frequency: Quarterly Prime Purpose Area: 0001 - Residential Substance Abuse Treatment State Purpose Area: 0001 - Residential Substance Abuse Treatment Activity Description Activity: Group Counseling Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Address(es) : Monroe County Detention Center 5525 College Road Key West , FL 33040 Objectives and Measures Objective: Completions - Questions regarding Participants who Successfully Completed the RSAT Program Measure: Completions 01 How many participants do you estimate will successfully complete all requirements of the RSAT program during the grant term? Goal: 60 Measure: Completions 02 How many successful RSAT completions do you estimate will be released into the community during the grant term? Goal: 60 Measure: Completions 03 How many successful RSAT completions do you estimate will be released into the community under correctional supervision? Goal: 50 Measure: Completions 04 Historically, how many successful RSAT completions released into the community are referred to an aftercare program? Goal: 60 Application Ref # 2018-RSAT-112 Section #3 Page 1 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement { ,- Residential Substance Abuse Treatment 4 b`1 £ r:� � � ��`14 iY [ . Measure: Completions 05 Historically how many successful RSAT completions are released into the community with a continuity of care arrangement, reentry and /or transitional plan? Goal: 60 Measure: Completions 06 Based on your agencies plan, how many successful RSAT completions occur during months 0 -3? Goal: 0 Measure: Completions 07 Based on your agencies plan, how many successful RSAT completions occur during months 4 -6? Goal: 55 Measure: Completions 08 Based on your agencies plan, how many successful RSAT completions occur during months 7 -9? Goal: 5 Measure: Completions 09 Based on your agencies plan, how many successful RSAT completions occur during months 10 or more? Goal: 0 Measure: Completes 10 Historically, how many inmates successfully complete the RSAT program and are released into the community annually? Goal: 49 Measure: Completes 11 Historically, how many successful RSAT participants were released into a mandated aftercare program annually? Goal: 13 Measure: Completes 12 Application Ref # 2018 -RSAT -112 Section #3 Page 2 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Historically, how many successful RSAT participants released into the community were subsequently reincarcerated within 12 months? Goal: 14 Objective: Drug Testing - Alcohol /Drug Testing Measure: Drug Testing 02 What percentage of RSAT participants will be tested for alcohol or illegal substances during the program? Goal: 100 Objective: Evidence -Based - Questions regarding Evidence -Based Treatment Service Measure: Evidence 01 What evidence -based treatment services will be used in your RSAT program? Goal: Seeking Safety, Relapse Prevention Strategies for Self- change, Moral Reconation • Therapy. Objective: Funding - Questions regarding RSAT Funds Spent Measure: Funding 01 Enter the dollar amount of funds, from all sources, to be spent on your RSAT program for personnel. Goal: $0 Measure: Funding 02 Enter the dollar amount, from all sources, to be spent on your RSAT program for fringe benefits. Goal:. $0 Measure: Funding 03 Enter the dollar amount, from all sources, to be spent on your RSAT program for supplies. Goal: $0 Measure: Funding 04 Enter the dollar amount, from all sources, to be spent on your RSAT program for equipment. Goal: $0 Measure: Funding 05 Enter the dollar amount, from all sources, to be spent on your RSAT program`for contract/consultant fees. Application Ref # 2018 -RSAT -112 Section #3 Page 3 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Goal: $66,667 Measure: Funding 06 Enter the dollar amount, from all sources, to be spent on your RSAT program for indirect costs. Goal: $0 Measure: Funding 07 Enter the dollar amount, from all sources, to be spent on your RSAT program for any other category not listed above. Goal: $0 Objective: General - Questions for all RSAT Programs Measure: General 1 What will your accomplishments be during the grant period? Goal: Continue running evidence based programming, continue coordinating with the work release program, continue maintaining low recidivism rates. Measure: General 3 Are any problems /barriers anticipated that would prevent goals or milestones from being reached? Is there any assistance that OCJG can provide to address these problems /barriers? Goal: Often judges court order individuals to the program who cannot complete the full 6 months due to time restrictions in their jail term. Although we coordinate aftercare, without court supervision individuals are unlikely to follow up. Without the benefit of the full program, these individuals are more likely to reoffend. We have worked with the courts on this matter and do not require assistance from OCJG. • Measure: General 4 Will you remain on track to fiscally and programmatically complete your program as outlined in your grant application? (Please answer YES or NO and if no, please explain.) Goal: Yes Measure: General 5 What major activities are planned for your program? Goal: A full schedule of evidence based curriculum driven groups, individual counseling, coordination with work release and thorough discharge planning. Measure: General 6 Will you share with OCJG any innovative programs /accomplishments based on your knowledge of the criminal justice field? Application Ref # 2018 -RSAT -112 Section #3 Page 4 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Goal: Yes Objective: Incompletes - Questions regarding Participants who did not complete the RSAT Program Measure: Incompletes 01 Historically, how many RSAT participants do not complete the program due to termination for a new charge? Goal: 5 Measure: Incompletes 02 Historically, how many RSAT participants do not complete the program due to release or transfer to another correctional /jail facility? Goal: 5 Measure: Incompletes 03 How many RSAT participants will not complete the program due to serious illness or death? Goal: 0 Measure: Incompletes 04 Historically, how many RSAT participants do not complete the program due to voluntary dropout? Goal: 2 Measure: Incompletes 05 Historically, how many RSAT participants did not complete the program due to failure to meet program requirements? Goal: 2 Measure: Incompletes 06 Historically, how many RSAT participants did not complete the program due to violation of institutional rules? Goal: 5 Measure: Incompletes 07 Historically, how many RSAT participants did not complete the program due to other reasons not mentioned above? Goal: 0 Measure: Incompletes 08 Historically, how many RSAT participants left the program unsuccessfully within months 0 -3? Goal: 2 Application Ref # 2018 -RSAT -112 Section #3 Page 5 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Measure: Incompletes 09 Historically, how many RSAT participants left the program unsuccessfully within months 4 -6? Goal: 10 Measure: Incompletes 10 Historically, how many RSAT participants left the program unsuccessfully within months 7 -9? Goal: 0 Measure: Incompletes 11 Historically, how many RSAT participants left the program unsuccessfully within months 10 or more? Goal: 0 Measure: Incompletes 12 Historically, how many unsuccessful RSAT participants were released into the community? Goal: 0 Measure: Incompletes 13 Historically, how many unsuccessful RSAT participants released into the community were subsequently reincarcerated within 12 months? Goal: 14 Objective: MAT - Medication Assisted Treatment Measure: MAT 01 Historically, how many RSAT participants have been eligible for Medication Assisted Treatment (MAT)? Goal: 14 Measure: MAT 02 Historically, how many RSAT participants deemed eligible for MAT received at least one treatment? Goal: 1 Measure: MAT 03 If your RSAT program includes MAT, which medications will be utilized? Goal: Vivitrol after discharge. Application Ref # 2018 -RSAT -112 Section #3 Page 6 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) r , Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Objective: Participants - General Questions regarding RSAT Participants Measure: Participants 01 Historically, how many new RSAT participants will be admitted into the program? Goal: 61 Measure: Participants 02 How many RSAT participants are targeted to receive substance abuse treatment services during the grant cycle? Goal: 70 Measure: Participants 03 How many RSAT participants are targeted to receive cognitive and behavioral services during the grant cycle? Goal: 70 Measure: Participants 04 How many RSAT participants are targeted to receive employment services during the grant cycle? Goal: 70 Measure: Participants 05 How many RSAT participants are targeted to receive housing services during the grant cycle? • Goal: 70 Measure: Participants 06 How many RSAT participants are targeted to receive mental health services during the grant cycle? Goal: 7 Measure: Participants 07 How many RSAT participants are targeted to receive services other than those mentioned above? Explain the other services. Goal: Case Management, all those who are historical opioid users receive free Narcan kit at discharge. Measure: Participants 08 How many RSAT participants are targeted to receive transitional /planning services with RSAT funds (including match)? Goal: 70 Application Ref # 2018 -RSAT -112 Section #3 Page 7 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) • Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment # — " o S Se t s k 't Measure: Participants 09 From the start of each RSAT program, what is the targeted number of participants that will still be enrolled on the last day of the program? Goal: 20 Measure: Participants 10 Historically, how many inmates participate in the RSAT program annually? Goal: 80 Objective: Reincarceration - Questions regarding the re- incarceration of RSAT participants Measure: Reincarce 01 Does your agency track the number of successful RSAT completions that are released and subsequently reincarcerated on a new criminal charge? Goal: Yes Measure: Reincarce 02 How many successful RSAT completions will be released and reincarcerated based on revocation for a technical violation? Goal: 14 Measure: Reincarce 03 How many RSAT participants unsuccessfully exiting the program and released will be reincarcerated based on revocation for a technical violation? Goal: 5 Measure: Reincarce 04 How many RSAT participants unsuccessfully exiting the program and released will be reincarcerated based on a new criminal charge? Goal: 5 Objective: Services - Questions regarding RSAT Services Provided Measure: Services 01 Historically, how many RSAT participants are administered a risk and /or needs assessment? Application Ref # 2018 -RSAT -112 Section #3 Page 8 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Goal: 70 Measure: Services 02 Name the risk assessment instrument used to assess risk and /or needs. Goal: KIS Assessment Measure: Services 03 Historically, of those entering the RSAT program, how many were identified as having high criminogenic risks and /or high substance abuse needs? Goal: 70 Measure: Services 04 Historically, of those entering the RSAT program, how many had an individualized substance abuse treatment plan? Goal: 70 Objective: Staff - Questions regarding RSAT Staff Measure: Staff 01 How many treatment staff will work directly with participants in the RSAT program regardless of funding source? Goal: 5 Measure: Staff 02 Of the treatment staff working directly with RSAT program participants, how many will be paid, at least partially, with grant funds (including match)? Goal: 4 Measure: Staff 03 How many treatment staff will be cross - trained in the RSAT program? Goal: 4 Measure: Staff 04 Will grant funds (including match) be used to pay for custody staff cross - training in the RSAT program? Goal: No Measure: Staff 05 How many custody staff members will be cross - trained in the RSAT program? Goal: 0 Application Ref # 2018 -RSAT -112 Section #3 Page 9 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Application Ref # 2018 -RSAT -112 Section #3 Page 10 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: What is the total number of beds (treatment and non - treatment) in the facility? Please list the number for each facility (if more than one) separately. Answer: 596 Question: How many non RSAT funded treatment beds are in the facility /facilities? Please list separately if multiple facilities. Answer: 526 Question: How many RSAT funded treatment beds are in the facility /facilities? Please list separately if multiple facilities. Answer: 70 Question: How is aftercare provided? Answer: Aftercare services are part of the re -entry planning. Guidance /Care Center provides aftercare as well as full continuum of care throughout the Florida Keys in community based facilities. Question: What is the anticipated number of RSAT completions during each reporting period (either monthly or quarterly)? Answer: 17 Question: What goals will be accomplished during the grant period? Answer: Deliver a comprehensive substance abuse treatment program with evidence based process and reduce recidivism in Monroe County. Question: Please provide the name and physical address for the facility /facilities in which the RSAT program operates. Answer: Monroe County Detention Center 5525 College Road Key West, FL 33040 Question: How often is drug testing performed on EACH participant? Answer: Once per quarter Question: What type of drug testing is administered? Answer: 10 panel iCup observed testing with one step specimen validity for adulterants Question: Is Medication Assisted Treatment (MAT) used with RSAT participants? Answer: Yes Question: If yes, what type of MAT is used? Answer: Not during the program but can be linked to receive at Guidance /Care Center site during aftercare. Vivitrol may be used at discharge of program as part of aftercare. Question: What is the anticipated recidivism rate for RSAT participants? Answer: Less than 20% Application Ref # 2018 -RSAT -112 Section #3 Page 11 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment • • Application Ref # 2018 -RSAT -112 Section #3 Page 12 of 12 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law 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 / Vendor Number: 596000749 Budget: Budget Category Prime 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 -- $50,000.00 $16,667.00 $66,667.00 Percentage 74.9996 25.0003 100.0 Project Generated Income: Will the project earn project generated income (PGI)? No Application Ref # 2018 -RSAT -112 Section #4 Page 1 of 4 Contract # 2018 -RSAT- MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative: Budget Detail Salaries and Benefits: $0 Expenses: Contractual Services: *Assessments 139 quarter hours @ $17.71/qtr. hr. = $2,462 *Individual Therapy 623 quarter hours @ $20.33 /qtr. hr. = $12,666 *Group Therapy 6,016.79 quarter hours @ $5.08 /qtr. hr. = $30,565 *Case Management 1,108 quarter hours @ $18.93/qtr. hr. = $20,974 Total Contractual Services = $66,667 Total Budget: $66,667 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 unit cost rates were derived by using the hourly rates from the FY 2016 -17 state funding contract for Substance Abuse and Mental Health services and dividing by four (4) to arrive at the quarter hour rates. 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 direct service quarter hour Unit Rate: $17.71 Units Requested: 139 quarter hours to be paid for by this grant. Psychosocial Assessment Total Cost: $2,462 Individual Counseling: Monroe County through its contracted treatment provider will provide individual counseling to all program participants to review progress and develop treatment plans and work on treatment plan goals and objectives. Unit of Service: Client direct service quarter hour Unit Rate: $20.33 Units Requested: 623 quarter hours to be paid for by this grant. Individual Counseling Total Cost: $12,666 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 direct service quarter hour Unit Rate: $5.08 Units Requested: 6,016.79 quarter hours to be paid for by this grant. Group Therapy Total Costs: $30,565 Application Ref # 2018 -RSAT -112 Section #4 Page 2 of 4 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative (Continued): Case Management: Monroe County through its contracted treatment provider will provide the coordination of adjunctive services, discharge planning, communication with collateral contacts, linkage with other treatment resources to all program participants. Unit of Service: Client direct service quarter hour Unit Rate: $18.93 Units Requested: 1,108 quarter hours to be paid for by this grant. Case Management Total Cost: $20,974 Monthly invoices are provided to Monroe County by the treatment provider summarizing activities for which they seek payment. These are reviewed by Monroe County staff for approval of payment. Grant Funding Requested: $50,000 Grant Match Monroe County Fine and Forfeiture Funds: $16,667 TOTAL PROGRAM COST: $66,667.00 The nature of the relationship between Monroe County and the treatment provider will be a contract to administer and provide evidence based substance abuse treatment services to men incarcerated in the Monroe County Detention Center. The treatment provider is the only organization, in Monroe County, licensed in accordance with Chapter 397, Florida Statutes to provide substance abuse services at the Monroe County Detention Center located at 5525 College Road, Key West, FL 33043; a form documenting the Sole Source Justification for Services is provided. The treatment provider is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). ' A copy of the contract with the treatment provider will be provided to FDLE. Application Ref # 2018 -RSAT -112 Section #4 Page 3 of 4 Contract # 2018- RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) • Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: If Expenses and /or Operating Capital Outlay items are included in the budget, what will be the method of procurement for those items? (e.g. competitive bid, sole source, state term contract, etc.) Answer: Sole Source Question: If indirect costs are included in the budget, has an approved Indirect Cost Plan been submitted to the OCJG? Answer: N/A Question: If contractual services included in the budget are based on unit costs, provide a definition and breakdown of cost for each service. Answer: Contractual Services are included in the grant budget and the budget is based on unit costs. A unit is defined as a quarter hour (0.25) of service. *Assessments 139 quarter hours @ $17.71/qtr. hr. = $2,462 Definition of Assessment: An interview will be conducted all program participants for the purposes of data collection for educational, employment, criminal, medical, family, substance abuse and mental health histories to assist in determination of the inmates' appropriateness for the program and to update treatment plans. *Individual Therapy 623 quarter hours @ $20.33 /qtr. hr. _ $12,666 Definition of Individual Therapy: The provision of one -on -one counseling for all program participants to review progress and develop treatment plans and work on treatment plan goals and objectives. *Group Therapy 6,016.79 quarter hours @ $5.08 /qtr. hr. = $30,565 Definition of Group Therapy: Provision of group counseling for all program participants to include the introduction of "Self -help groups" and their attendance to establish an ongoing support network. *Case Management 1,108 quarter hours @ $18.93/qtr. hr. = $20,974 Definition of Case Management: The coordination of adjunctive services, discharge planning, communication with collateral contacts, linkage with other treatment resources. Total Contractual Services = $66,667 Total Budget: $66,667 Question: Indicate your agency's Operating Capital Outlay threshold. Answer: N/A Application Ref # 2018 -RSAT -112 Section #4 Page 4 of 4 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment i Section 5 Standard Conditions . K y Insert Standard Conditions Page here. Application Ref # 2018 -RSAT -112 Section #5 Page 1 of 1 Contract # 2018 - RSAT - MONR -1 -U4 -004 OCJG -005 (rev. April 2005) Residential Substance Abuse Treatment (RSAT) Program for State Prisoners STANDARD CONDITIONS The State of Florida, Department of Law Enforcement (FDLE or Department) is a Recipient of federal RSAT grant funds. FDLE, as the designated state pass- through entity for this program, subawards RSAT funds and requires compliance with the agreement, federal award special conditions, and subaward standard conditions upon signed acceptance of the subaward. The following terms and conditions will become binding upon approval of the subaward. The subrecipient must submit required programmatic and financial reports and any requested supporting documentation to substantiate eligible activities were completed in accordance with the grant and program requirements. The Department will only reimburse subrecipients for authorized activities. The Department will not reimburse for costs incurred for any purpose other than those specified in the agreement. Failure to comply with the provisions of this agreement, or failure to perform activities as specified in the agreement will result in corrective action in accordance with 2 C.F.R. § 200 and these conditions, including but not limited to disallowance of project costs, withholding of funds and /or project termination. GENERAL REQUIREMENTS All subrecipients must comply with the financial and administrative requirements set forth in the following: Current edition of the U.S. Department of Justice (DOJ) Grants Financial Guide ( https:// oip. qov /financialguide /doi /pdfs /DOJ FinancialGuide.pdf) Consolidated Appropriations Act, of 2017 https: / /oip.gov /fundi nq /Explore/ FY17AppropriationsRestrictions. htm Residential Substance Abuse Treatment for State Prisoners Program Announcement, hftps://www.bia.pov/Fundinp/RSAT17.pdf Office of Management and Budget (OMB) Uniform Grant Guidance (2 C.F.R. § 200) Subpart A, Definitions Subparts B -D, Administrative Requirements Subpart E, Cost Principles Subpart F, Audit Requirements and all applicable Appendices Code of Federal Regulations: www.gpo.00v /fdsys/ 2 C.F.R. § 175.15(b), "Award Term for Trafficking in Persons" 28 C.F.R. § 38, "Equal Treatment for Faith -Based Organizations" 28 C.F.R. § 66, "U.S. Department of Justice Common Rule for State And Local Governments" 28 C.F.R. § 83, "Government -Wide Requirements for Drug -Free Workplace (Grants)" 28 C.F.R. §§ 18, 22, 23, 30, 35, 42, 61, and 63 United States Code: www.gpo.gov /fdsys/ 42 U.S.C. § 3711 et seq., "Omnibus Crime Control and Safe Streets Act of 1968" 41 U.S.C. § 4712, "Pilot program for enhancement of contractor protection from reprisal for disclosure of certain information" State of Florida General Records Schedule GS1 -SL for State and Local Government Agencieshttp / /dos.mvflorida.com/ media / 693574 /general- records- schedulegs0l - si.pdf State of Florida Statutes Section 112.061, F.S., Per diem /travel expenses of public officers, employees, authorized persons Chapter 119, F.S., Public Records Section 215.34(2), F.S., State funds; non - collectible items; procedure Section 215.97, F.S., Florida Single Audit Act Section 215.971, F.S., Agreements funded with federal or state assistance Section 215.985, F.S., Transparency in government spending Section 216.181(6), F.S., Approved budgets for operations and fixed capital outlay FY17 RSAT Standard Conditions Page 1 of 14 Rev. 1/2018 DEFINITIONS part of a Federal program. FDLE is the authorized non- . federal pass- through entity for Florida's NCHIP and Equipment means tangible personal property (including NARIP grant programs. information technology systems) having a useful life of more than one year and a per -unit acquisition cost which - Performance goal means -a target level of performance equals or exceeds the lesser of the subrecipient's expressed as a tangible, measurable objective, against capitalization threshold or $5,000. which actual achievement can be compared, including a goal expressed as a quantitative standard, value, or rate. Grant agreement means a legal instrument of financial In some instances (e.g., discretionary research awards), assistance between a Federal awarding agency or pass- this may be limited to the requirement to submit technical through entity and a non - Federal entity that, consistent performance reports (to be evaluated in accordance with with 31 U.S.C. §§ 6302, 6304 and s. 215.971, F.S., is agency policy). used to enter into a relationship with the purpose of transferring anything of value from the awarding entity to Period of performance means the time during which the the recipient or subrecipient to carry out a public purpose non - Federal entity may incur new obligations to carry out authorized by a law; and not to acquire property or the work authorized under the Federal award. The services for the Federal awarding agency or pass- through Federal awarding agency or pass- through entity must entity's direct benefit or use. include start and end dates of the period of performance in the Federal award and subaward (see 2 C.F.R. §§ Improper payment means any payment that should not 200.210(a)(5), "Information contained in a Federal award" have been made or that was made in an incorrect amount and 200.331(a)(1)(iv), "Requirements for pass- through (including overpayments and underpayments) under entities "). statutory, contractual, administrative, or other legally applicable requirements and; Improper payment includes Protected Personally Identifiable Information (PII) any payment to an ineligible party, any payment for an means an individual's first name or first initial and last ineligible good or service, any duplicate payment, any name in combination with any one -or more of types of payment for a good or service not received (except for information, including, but not limited to social security such payments where authorized by law), any payment numbers; passport numbers; credit card numbers; that does not account for credit for applicable discounts, clearances; bank numbers; biometrics; date and place of and any payment where insufficient or lack of birth; mother's maiden name; criminal, medical, and documentation prevents a reviewer from discerning financial records; and educational transcripts. This does whether a payment was proper. not include PII that is required by law to be disclosed. (See also 2 CFR § 200.79 "Personally Identifiable Micro- purchase means a purchase of supplies or Information (PII) "). services using simplified acquisition procedures, the aggregate amount of which does not exceed the micro- Questioned cost means a cost that is questioned by the purchase threshold. The non - Federal entity uses such auditor because of an audit finding 1) that resulted from a procedures in order to expedite the completion of its violation or possible violation of a statute, regulation, or lowest- dollar small . purchase transactions and minimize the terms and conditions of a Federal award, including for the associated administrative burden -and cost. The funds used to match Federal funds; 2) where the costs, at federal micro - purchase threshold is $3,000, except as the time of the audit, are not supported by adequate otherwise discussed in 48 C.F.R. § 2, Subpart 2.1, documentation; or 3) where the costs incurred appear "Definitions ". unreasonable and do not reflect the actions a prudent person would take in the circumstances. Modified Total Direct Cost (MTDC) means all direct salaries and wages, applicable fringe benefits, materials Simplified acquisition threshold means the dollar and supplies, services, travel, and up to the first $25,000 amount below which a non - Federal entity may purchase of each subaward (regardless of the period of property or services using small purchase methods. Non- performance of the subawards under the award). MTDC Federal entities adopt small purchase procedures in order - excludes equipment, capital expenditures, charges for to expedite the purchase of items costing less than the patient care, rental costs, tuition remission, scholarships simplified acquisition threshold. The simplified acquisition and fellowships, participant support costs and the portion threshold is set by the Federal Acquisition Regulation at of each subaward in excess of $25,000. Other items may 48 C.F.R. 2, Subpart 2.1 "Definitions ". As of the only be excluded when necessary to avoid a serious publication of this part, the simplified acquisition threshold inequity in the distribution of indirect costs, and with the is $150,000, but this threshold is periodically adjusted for approval of the cognizant agency for indirect costs. inflation. (See also: definition of Micro - purchase, 2 C.F.R. § 200.67). Non - Federal entity is a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit Subaward /Subgrant means an award provided by a organization that carries out a Federal award as a pass- through entity to a subrecipient for the subrecipient recipient or subrecipient. to carry out part of a Federal award received by the pass- through entity. It does not include payments to a Non- federal pass- through entity is a non - Federal entity contractor or payments to an individual that is a that provides a subaward to a subrecipient to carry out beneficiary of a Federal program. A subaward may be FY17 RSAT Standard Conditions Page 2 of 14 Rev. 1/2018 provided through any form of legal agreement, including acknowledges that some changes in points of an agreement that the pass- through entity considers a contact will require formal grant adjustment to contract. reflect the change in the agreement. Subrecipient means a non - Federal entity that receives a 5.0 Non - Procurement, Debarment and Suspension - subaward from a pass- through entity to carry out part of a The subrecipient must comply with Executive Order Federal program; but does not include an individual that is 12549, Debarment and Suspension and 2 C.F.R. § a beneficiary such program. A subrecipient may also be 180, "OMB Guidelines To Agencies On a recipient of other. Federal awards directly from a Federal . Government wide Debarment And Suspension awarding agency. (Non- procurement) ". These procedures require the subrecipient to certify it shall not enter into any Supplies means all tangible personal property other than lower tiered covered transaction with a person who those described in 2 C.F.R. § 200.33, "Equipment ". A is debarred, suspended, declared ineligible or is computing device is a supply if the acquisition cost is less voluntarily excluded from participating in this than the lesser of the capitalization level established by covered transaction, unless authorized by FDLE's the non - Federal entity for financial statement purposes or OCJG. The subrecipient and implementing agency $5,000, regardless of the length of its useful life. See also certify that they and their principals: §§ 200.20, "Computing devices" and 200.33, "Equipment ". 1) Are not presently debarred, suspended, SECTION I: TER MS A ND CONDITIONS ' proposed for debarment, declared ineligible, sentenced to a denial of federal benefits by a 1.0 Payment Contingent on Appropriation and state or federal court, or voluntarily excluded Available Funds - The State of Florida's obligation from covered transactions by any federal to pay under this agreement is contingent upon an department or agency; annual appropriation by the Florida Legislature. Furthermore, the obligation of the State of Florida 2) Have not within a three -year period preceding to reimburse subrecipients for incurred costs is this application been convicted of or had a civil subject to available federal funds. judgment rendered against them for commission of fraud or a criminal offense in 2.0 Commencement of Project - If a project is not connection with obtaining, attempting to operational within 60 days of the original start date obtain, or performing a public (federal, state, of the award period, the subrecipient must report or local) transaction or contract under a public by letter to FDLE Office of Criminal Justice Grants • transaction; violation of federal or state (OCJG) the steps taken to initiate the project, the antitrust statutes or commission of reasons for delay, and the expected start date. embezzlement, theft, forgery, bribery, falsification or destruction of records, making If a project is not operational within 90 days of the false statements, or receiving stolen property; original start date of the award period, the subrecipient must submit a second statement 3) Are not presently indicted for or otherwise explaining the implementation delay. criminally or civilly charged by a governmental entity (federal, state, or local) with commission Upon receipt of the ninety (90) day letter, the of any of the offenses enumerated above; and Department shall determine if the reason for delay is justified or shall, at its discretion, unilaterally 4) Have not within a three -year period preceding terminate this agreement and re- obligate subaward this application had one or more public funds to other approved projects. The Department, transactions (federal, state, or local) where warranted by extenuating circumstances, - terminated for cause or default. may extend the starting date of the project past the ninety (90) day period, but only by formal written 6.0 Restrictions on Lobbying - In general, as a adjustment to this agreement. matter of federal law, federal funds may not be used by any subrecipient at any tier, either directly 3.0 Supplanting - The subrecipient agrees that funds or indirectly, to support or oppose the enactment, received under this award will not be used to repeal, modification, or adoption of any law, supplant state or local funds, but will be used to regulation, or policy, at any level of government. increase or supplement the amounts of such funds See 18 U.S.C. § 1913. that would, in the absence of federal funds, be made available for substance abuse treatment Another federal law generally prohibits federal activities.. funds from being used by any subrecipient at any tier, to pay any person to influence (or attempt to 4.0 Personnel Changes - The subrecipient agrees to influence) a federal agency, a Member of promptly notify the Department through the SIMON Congress, or Congress (or an official or employee Help. Desk of any change in chief officials or key • • of any of them) with respect to the awarding of a project staff, including changes to contact federal grant or cooperative agreement, subgrant, information or title changes. The subrecipient contract, subcontract, or loan, or with respect to FY17 RSAT Standard Conditions - • Page 3 of 14 Rev. 1/2018 actions such as renewing, extending, or modifying 11.0 Immigration and Nationality Act - No public any such award. See 31 U.S.C. § 1352. funds will intentionally be awarded to any contractor who knowingly employs unauthorized 7.0 State Restrictions on Lobbying - The alien workers, constituting a violation of the expenditure of funds for the purpose of lobbying • employment provisions contained in 8 U.S.C. § the legislature or a state agency is prohibited under 1324a(e), Section 274A(e) of the Immigration and this agreement. Nationality Act ( "INA ").The Department shall consider the employment by any contractor of 8.0 "Pay -to— Stay" - Funds from this award may not unauthorized aliens a violation of Section 274A(e) be used to operate a "pay -to- stay" program in any of the INA. Such violation by the subrecipient of the local jail. Furthermore, no funds may be given to employment provisions contained in Section local jails that operate "pay -to- stay" programs. 274A(e) of the INA shall be grounds for unilateral "Local jail ", as referenced in this condition, means cancellation of this contract by the Department. an adult facility or detention center owned and /or operated by city, county, or municipality. It does not 12.0 Privacy Certification - The subrecipient must include juvenile detention centers. "Pay -to- stay" comply with all confidentiality requirements of 42 programs as referenced in this condition, means a U.S.C. § 3789g and 28 C.F.R. § 22 that are program by which extraordinary services, applicable to collection, use, and revelation of data amenities and /or accommodations, not otherwise or information. Subrecipient further agrees, as a available to the general inmate population, may be condition of grant approval, to submit a Privacy provided, based upon an offender's apparent ability Certificate that is in accord with requirements of 28 to pay, such that disparate conditions of C.F.R. § 22 and, in particular, 22.23. Privacy confinement are created for the same or similar . Certification forms must be signed by the offenders within a jurisdiction. subrecipient or implementing agency chief official or an individual with formal, written signature 9.0 Enhancement of Security - If funds are used for authority for the chief official. enhancing security, the subrecipient must: 13.0 • Insurance for Real Property and Equipment - 1) Have an adequate process to assess the The subrecipient must, at a minimum, provide the impact of any enhancement of a school equivalent insurance coverage for real property security measure that is undertaken on the and equipment acquired or improved with Federal incidence of crime in the geographic area funds as provided to property owned by the non- where the enhancement is undertaken. Federal entity. 2) Conduct such an assessment with respect to 'SECTION II: CIVIL RIGHTS REQUIREMENTS each such enhancement; and submit to the Department the aforementioned assessment 1.0 Participant Notification of Non - discrimination - in its Final Program Report. FDLE does not discriminate on the basis of race, color, religion, national origin, sex, disability or age 10.0 Background Check - Whenever a background in the delivery of services, benefits or in screening for employment or a background security employment. check is required by law for employment, unless otherwise provided by law, the provisions of s. 435, . 2.0 Title VI of the Civil Rights Act of 1964 - The F.S., shall apply. subrecipient at any tier, must comply with all applicable requirements of 28 C.F.R. § 42, All employees in positions designated by law as specifically including any applicable requirements positions of trust or responsibility shall be required in Subpart E that relate to an equal employment to undergo security background investigations as a opportunity program. condition of employment and continued employment. For the purposes of the subsection, , Equal Employment Opportunity Certification security background investigations shall include, (EEOC) - A subrecipient or implementing agency but not be limited to, employment history checks, must submit an EEO Certification annually within fingerprinting for all purposes and checks in this 120 days of award. subsection, statewide criminal and juvenile records . checks through the Florida Department of Law • Equal Employment Opportunity Program Enforcement, and federal criminal records checks (EEOP) - A subrecipient or implementing agency through the Federal Bureau of Investigation, and must comply with all applicable requirements in 28 may include local criminal records checks through C.F.R. § 42, Subpart E. local law enforcement agencies. Subrecipients are advised to use the Office for Civil Such background investigations shall be Rights EEO Reporting Tool to satisfy this condition conducted at the expense of the employing agency ( https : / /olp.4ov /about/ocr /eeop.htm). or employee. 3.0 Title IX of the Education Amendments of 1972 - If the subrecipient operates an education program FY17 RSAT Standard Conditions Page 4 of 14 Rev. 1/2018 or activity, the subrecipient must comply with all Human Relations, or the Equal Employment applicable requirements of 28 C.F.R. § 54, Opportunity Commission, based on the nature of "Nondiscrimination on the basis of sex in education the complaint. programs or activities receiving federal financial assistance." Discrimination complaints may also be submitted to the Office for Civil Rights, Office of Justice 4.0 Equal Treatment for Faith Based Organizations Programs, U.S. Department of Justice, 810 7 The subrecipient at any tier, must comply with all Street, Northwest, Washington, D.C. 20531, or by applicable requirements of 28 C.F.R. § 38, "Equal phone at (202) 307 -0690. Treatment for Faith Based Organizations ", specifically including the provision for written notice. 11.0 Retaliation - In accordance with federal civil rights to current or prospective program beneficiaries. laws, the subrecipient shall not retaliate against individuals for taking action or participating in 5.0 Americans with Disabilities Act - Subrecipients . action to secure rights protected by these laws. must comply with the requirements of the Americans with Disabilities Act (ADA), Public Law 12.0 Non - discrimination Contract Requirements - 101 -336, which prohibits discrimination on the Subrecipients must include comprehensive Civil basis of disability including provision to provide Rights nondiscrimination provisions in all contracts reasonable accommodations. funded by the subrecipient. 6.0 Section 504 of the Rehabilitation Act of 1973 13.0 Pass- through Requirements - Subrecipients are (28 C.F.R. § 42, Subpart G) - Subrecipients must responsible for the compliance of contractors and comply with all provisions prohibiting discrimination other entities to whom they pass- through funds on the basis of disability in both employment and including compliance with all Civil Rights the delivery of services. requirements. These additional tier subrecipients must be made aware that they may file a 7.0 Age Discrimination Act of 1975 - Subrecipients discrimination complaint with the subrecipient, with must comply with all requirements in Subpart I of FDLE, or with the USDOJ Office for Civil Rights 28 C.F.R. §42 which prohibits discrimination based and provided the contact information. on age in federally assisted programs. 8.0 Limited English Proficiency (LEP) - In 'SECTION III: FINANCIAL REQUIREMENTS AND accordance with Department of Justice Guidance :RESPONSIBILITY pertaining to Title VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d, subrecipients �f federal 1.0 Fiscal Control and Fund Accounting financial assistance must take reasonable steps to Procedures - All expenditures and cost accounting provide meaningful access to their programs and of funds shall conform to the DOJ Grants Financial activities for persons with LEP. FDLE strongly Guide, the 28 C.F.R. § 66, and 2 C.F.R. § 200 as advises subrecipients to have a written LEP applicable, in their entirety. Language Access Plan. For more information visit www.lep.aov. • Subrecipients are required to establish and maintain adequate accounting systems and 9.0 Finding of Discrimination - In the event a federal financial records and to accurately account for or state court or federal or state administrative funds awarded to them. Financial management agency makes, after a due process hearing, a systems must be able to record and report on the finding of discrimination on the grounds of race, receipt, obligation, and expenditure of grant funds; color, religion, national origin, sex, or disability and able to accommodate a fund and account against a subrecipient of funds, the subrecipient structure to separately track receipts, expenditures, will forward a copy of the finding to FDLE and to assets, and liabilities for awards, programs, and the Office for Civil Rights, Office of Justice additional tiered subrecipients. The awarded funds Programs. may or may not be an interest bearing account, but any earned interest must be used for program 10.0 Filing a Complaint - If the subrecipient or any of purposes and expended before the federal grant its employees, contractors, vendors, or program period end date. Any unexpended interest beneficiaries has a discrimination complaint, they remaining at the end of the federal grant period may file a complaint with the subrecipient, with must be submitted to the Office of Criminal Justice FDLE, or with the Office for Civil Rights. Grants for transmittal to DOJ. Discrimination complaints may be submitted to 2.0 Match - The value or amount of any "non- federal FDLE at Office of the Inspector General, Post share," "match," or cost - sharing contribution Office Box 1489, Tallahassee, Florida 32302 -1489, incorporated into the approved budget is part of the or online at info(afdle.state.fl.us. Any discrimination "project cost" for purposes of the 2 C.F.R. § 200 complaints filed with FDLE will be reviewed by Uniform Requirements, and is subject to audit. In FDLE's Inspector General and referred to the general, the rules and restrictions that apply to Office for Civil Rights, the Florida Commission on • award funds from federal sources also apply to FY17 RSAT Standard Conditions Page 5 of 14 Rev. 1/2018 funds in the approved budget that are provided as requirements. "match" or through "cost sharing." Requirement for Data on Performance and Section IV: SUBAWARD MANAGEMENT AND I Effectiveness Under the Award - The REPORTING REQUIREMENTS subrecipient must collect and maintain data that - -- — measures the performance and effectiveness of 1.0 Obligation of Subrecipient Funds - Subaward work under this award. The data must be provided funds shall not under any circumstances be to OCJG in the manner (including within the obligated prior to the effective date, or subsequent timeframes) specified by OCJG. Data collection to the termination date, of the period of supports compliance with the Government performance. Only project costs incurred on or Performance and Results Act (GPRA) and the after the effective date, and on or prior to the GPRA Modernization Act of 2010, and other termination date of the subrecipient's project are applicable laws. eligible for reimbursement. All payments must be completed within thirty (30) days of the end of the Financial Consequences for Failure to Perform - subaward period of performance. In accordance with s. 215.971 F.S., payments for state and federal financial assistance must be 2.0 Use of Funds - Grant funds may be used only for directly related to the scope of work and meet the the purposes in the subrecipient's approved minimum level of performance for successful application. Subrecipients shall not undertake any completion. If the subrecipient fails to meet the work or activities not described in the approved minimum level of service or performance identified in grant award, and that use staff, equipment, or other this agreement, or is customary for subawards, then goods or services paid for with grant funds, without the Department will apply financial consequences prior written approval from FDLE's Office of commensurate with the deficiency. Financial Criminal Justice Grants (OCJG). consequences may include but are not limited to withholding payments /reimbursement until the 3.0 Advance Funding - Advance funding may be deficiency is resolved, tendering only partial provided to a subrecipient upon a written request payment/reimbursement, imposition of other financial to the Department. The request must be consequences according to the Standard Conditions electronically signed by the subrecipient or as applicable, and /or termination of contract and implementing agency's Chief Financial Officer or requisition of goods or services from an alternate the Chief Financial Officer designee. source. Any payment made in reliance on subrecipient's evidence of performance, which 4.0 Performance and Reporting evidence is subsequently determined to be erroneous, will be immediately due to the Reporting Time Frames - The Project Director, Department as an overpayment. Application Manager, or Performance Contacts shall submit monthly or quarterly Project 5.0 Grant Adjustments - Subrecipients must submit a Performance Reports to the Department, within grant adjustment through SIMON for major fifteen (15) days after the end of the reporting substantive changes, including modification to period. In addition, if the subaward period is project activities or scope, target populations, extended beyond the "original" project period, service providers, implementation schedules, additional Project Performance Reports shall be project director, and designs or research plans set submitted. forth in the approved agreement; and for any budget changes that affect a cost category not Failure to Submit - Performance Reports that are included in the approved budget. Grant not complete, accurate, and timely may result in adjustments are also required for transfer of 10% sanctions, as specified in Section IV, Performance or more of the total amount of the award between of Agreement Provisions. budget categories, or changes to the indirect costs. Report Contents - Performance Reports must Subrecipients may transfer up to 10% of the total include a response to all objectives included in budget between current, approved budget your subaward. A detailed response is required in categories without prior approval as long as the the narrative portion for yes /no performance funds are transferred to an existing line item. objectives. Submitted performance reports must clearly articulate, where appropriate, performance Under no circumstances can transfers of funds during the execution of the award has met a increase the total budgeted award. standard against which the subrecipient's performance can be measured. The narrative must Requests for changes to the subaward agreement also reflect on accomplishments for the period and must be electronically signed by the subrecipient or identify problems with project implementation and implementing agency chief official or the chief address actions being taken to resolve the official designee. problems. Additional information may be required if necessary to comply with federal reporting All grant adjustments must be submitted no later FY17 RSAT Standard Conditions Page 6 of 14 Rev. 1/2018 than thirty (30) days prior to grant expiration date. accomplishments for the period and identify . problems with project implementation and address 6.0 Financial Expenditure and Reporting actions being taken to resolve the problems. Additional information may be required if necessary Reporting Requirements - The subrecipient shall to comply with federal reporting requirements. have a choice of submitting either a Monthly or a Quarterly Project Expenditure Report to the Submission - Performance Reports may be Department. Project Expenditure Reports are due , submitted by the Project Director, Application thirty (30) days after the end of the reporting Manager, or Performance Contacts. period. In addition, if the subaward period is extended, additional Project Expenditure Reports 8.0 Project Generated Income (PGI) - All income shall be submitted: generated as a direct result of a sub project shall be deemed program income. Program income from All project expenditures for reimbursement of asset seizures and forfeitures is considered eamed subrecipient costs shall be submitted on the when the property has been adjudicated to the Project Expenditure Report Forms prescribed and benefit of the plaintiff (i.e., law enforcement entity). provided by the Office of Criminal Justice Grants (OCJG) through the SIMON (Subgrant Information Required Reports - the subrecipient shall submit Management Online). Quarterly PGI Earnings and Expenditures Reports to the Department within thirty (30) days after the All Project Expenditure Reports shall be submitted end of the reporting period covering subaward in sufficient detail for proper pre -audit and post- project generated income and expenditures during audit. the previous quarter. If any PGI remains unspent after the subaward ends, the subrecipient must All reports must relate financial data to continue submitting quarterly PGI reports until all performance accomplishments. funds are expended. Before the "final" Project Expenditure Report will Submission - PGI Earnings and Expenditure be processed, the subrecipient must submit to the reports must be electronically signed by the Department all outstanding project reports and subrecipient or implementing agency's Chief must have satisfied all special conditions. Failure to Financial Officer or the Chief Financial Officer's comply with the above provisions shall result in designee. forfeiture of reimbursement. PGI Expenditure - Program income should be Reports are to be submitted even when no used as earned and expended as soon as possible reimbursement is being requested. and used to further the objects in which the award was made. Any unexpended PGI remaining at the Submission - The report must be electronically end of the federal grant period must be submitted signed by the subrecipient or implementing to OCJG for transmittal to the Bureau of Justice agency's Chief Financial Officer or the Chief Statistics. Financial Officer's designee. 9.0 Subrecipient Integrity and Performance Matters - 7.0 Project Performance Reports Requirement to report information on certain civil, criminal, and administrative proceedings to OCJG, Reporting Time Frames - The subrecipient shall SAM and FAPIIS. submit Monthly or Quarterly Project Performance Reports to the Florida Department of Law The subrecipient must comply with any and all Enforcement, hereafter known as the Department, applicable requirements regarding reporting of within fifteen (15) days after the end of the information on civil, criminal, and administrative reporting period. In addition, if the subaward period proceedings connected with (or connected to the is extended beyond the "original" project period, performance of) either this award or any other additional Quarterly Project Performance Reports grant, cooperative agreement, or procurement shall be submitted. contract from the federal govemment. Under certain circumstances, recipients of.OJP awards Failure to Submit - Performance Reports that are are required to report information about such complete, accurate, and timely may result in proceedings, through the federal System for Award sanctions, as specified in Section IV, Performance Management (SAM), to the designated federal of. Agreement Provisions. integrity and performance system (FAPIIS). Report Contents - Performance Reports must ;SECTION V_ MONITORING AND AUDITS include a response to all objectives included in your subaward. A detailed response is required in 1.0 Access to Records and Inspection of Work the narrative portion for yes /no performance The Florida Department of Law Enforcement, the objectives. The narrative must also reflect on Auditor General of the State of Florida, the U.S. FY17 RSAT Standard Conditions Page 7 of. 14 Rev. 1/2018 Department of Justice, the U.S. Comptroller period of performance, or until the property is no General or any of their duly authorized longer needed. Subrecipients must use, manage representatives, shall have access to books, and dispose of equipment acquired under a documents, papers and records of the Federal award in accordance with ss. 274, F.S. subrecipient, implementing agency and contractors Tangible Property and 200.313, F.S., Equipment. for the purpose of audit and examination according to the Financial Guide and 28 C.F.R. § 66. At any 3.0 Subaward Closeout - A Financial Closeout Audit time, a representative of the Department, the U.S. shall be submitted to. the Department within forty- Department of Justice, or the Auditor General of five (45) days of the end date of the performance the State of Florida, have the right to visit the period. project site to monitor, inspect and assess work performed under this agreement. The Financial Closeout Audit report located in SIMON must be electronically signed by the The Department reserves the right to unilaterally subrecipient or implementing agency's Chief terminate this agreement if the subrecipient, Financial Officer or the Chief Financial Officer implementing agency, or contractor refuses to designee. allow public access to all documents, papers, letters, or other materials subject to provisions of s. Subaward Closeout will be initiated by the 119, F. S., unless specifically exempted and /or Department after the Financial Closeout has been made confidential by operation of s..119, F. S., and completed and approved. Failure to submit made or received by the subrecipient or its closeout reports timely will result in an contractor in conjunction with this agreement. Administrative Closeout by the Department. The subrecipient will give the awarding agency or 4.0 High Risk Subrecipients - If a subrecipient is the General Accounting Office, through any designated "high risk" by a federal grant- making authorized representative, access to and the right agency, currently or at any time during the course to examine all paper or electronic records related of the period of performance under this award, the to the financial assistance. subrecipient must disclose that fact and certain related information to FDLE's OCJG. For purposes 2.0 Monitoring - The subrecipient must comply with of this disclosure, high risk includes any status FDLE's grant monitoring guidelines, protocols, and under which a federal awarding agency provides procedures, and cooperate with FDLE and the additional oversight due to the subrecipient's past Federal: awarding agency on all grant monitoring performance, or other programmatic or financial requests, including requests related to desk concerns with the subrecipient. The subrecipient's reviews, enhanced programmatic desk reviews, disclosure must include the following: 1. The and /or site visits. The subrecipient must provide federal awarding agency that currently designates FDLE and /or the Federal awarding agency all - the subrecipient high risk, 2. The date the documentation necessary to complete monitoring subrecipient was designated high risk, 3. The high- of the award. Further, the subrecipient must abide risk point of contact at that federal awarding by reasonable deadlines set by FDLE for providing agency (name, phone number, and email address), requested documents. Failure to cooperate with and 4. The reasons for the high -risk status, as set FDLE grant monitoring activities may result in out by the federal awarding agency. sanctions affecting the subrecipient's award, including, but not limited to: withholding and /or 5.0 Imposition of Additional Requirements - The other restrictions on the subrecipient's access to subrecipient agrees to comply with any additional funds, referral to the Office of the Inspector requirements that may be imposed by OCJG General for audit review, designation of the during the period of performance for this award, if subrecipient as a FDLE High Risk subrecipient or the subrecipient is designated as "high risk" for termination of an award(s). purposes of the DOJ high -risk grantee list. 3.0 Property Management - The subrecipient shall 6.0 Retention of Records The subrecipient shall establish and administer a system to protect, maintain all records and documents for a minimum preserve, use, maintain and dispose of any of five (5) years from the date of the final financial property furnished to it by the Department or statement and be available for audit and public purchased pursuant to this agreement according to disclosure upon request of duly authorized federal property management standards set forth in persons. The subrecipient shall comply with State the DOJ Grants Financial Guide, and 28 C.F.R. § of Florida General Records Schedule GS1- SL for 66. This obligation continues as long as the State and Local Government Agencies: subrecipient retains the property, notwithstanding http: / /dos.myflorida.com /media /693574 /general- expiration of this agreement. records- scheduleos0l- sl.pdf and htto://dos.mvflorida.com/media/693578/os02.pdf. Property Use - The subrecipient must use equipment acquired under a Federal award for the 7.0 Disputes and Appeals - The Department shall authorized purposes of the project during the make its decision in writing when responding to FY17 RSAT Standard Conditions Page 8 of 14 Rev. 1/2018 any disputes, disagreements, or questions of fact to Part 200 on the specified Data Collection Form arising under this agreement and shall distribute its (Form SF -SAC). response to all concerned parties. The subrecipient shall proceed diligently with the performance of this Records shall be made available upon request for agreement according to the Department's decision. a period of five (5) years from the date the audit If the subrecipient appeals the Department's report is issued, unless extended in writing by the decision, the appeal also shall be made in writing Department. within twenty -one (21) calendar days to the Department's clerk (agency clerk). The Subrecipients that expend Tess than $750,000 in subrecipient's right to appeal the Departments federal awards during a fiscal year are exempt decision is contained in s. 120, F. S., and in from the Single Audit Act audit requirements for procedures set forth in Rule 28-106.104, Florida that fiscal year. In this case, written notification, in Administrative Code. Failure to appeal within this the form of the "Certification of Audit Exemption" time frame constitutes a waiver of proceedings form, shall be provided to the Department by the under s. 120, F. S. Chief Financial Officer, or designee, that the subrecipient is exempt. This notice shall be 8.0 Failure to Address Audit Issues -, The provided to the Department no later than March 1 subrecipient understands and agrees that FDLE's following the end of the fiscal year. OCJG may withhold award funds, or may impose _ award conditions or other related requirements, if , SECTION VI: SUBAWARD PROCUREMENT AND (as determined by OCJG) the subrecipient does COST PRINCIPLES not satisfactorily and promptly address outstanding issues from audits required by the 2 C.F.R.. § 200 1.0 Procurement Procedures - Subrecipients must Uniform Requirements (or by the terms of this have written procedures for procurement award), or other outstanding issues that arise in transactions. Procedures must conform to connection with audits, investigations, or reviews. applicable Federal law and the standards in 2 C.F.R. §§ 200.318 -326. 9.0 Single Annual Audit - Subrecipients that expend $750,000 or more in a year in federal awards shall This condition applies to agreements that OCJG have a single audit or program- specific audit considers to be a procurement "contract ", and not a conducted for that year. The audit shall be second tier subaward. performed in accordance with the OMB 2 C.F.R. § 200 Subpart F — Audit Requirements and other The details of the advance approval requirement to applicable federal law. The contract for this use a noncompetitive approach in.a procurement agreement shall be identified in the Schedule of contract under this award are posed on the OJP Federal Financial Assistance in the subject audit. website at The contract shall be identified as federal funds https: / /oip.gov /funding /Explore /NoncompetitiveProc passed through the Florida Department of Law urement.htm. Enforcement and include the contract number, CFDA number, award amount, contract period, Additional information on Federal purchasing funds received and disbursed. When applicable, guidelines can be found at the subrecipient shall submit an annual financial https: / /oip.gov /funding /Implement/Resources /Guide audit that meets the requirements of 2 C.F.R. § ToProcurementProcedures.pdf, Guide to 200 Subpart F, "Audit Requirements" s. 215.97, Procurements Under DOJ Grants and Cooperative F.S., "Florida Single Audit Act" and Rules of the. Agreements. Auditor General, Chapter 10.550, "Local Governmental Entity Audits" and Chapter 10.650, Subrecipients must have written procedures for "Florida Single Audit Act Audits Nonprofit and For- procurement transactions. Procedures must Profit Organizations." adhere to specifications in 2 C.F.R. § 200.319 Competition. A complete audit report that covers any portion of the effective dates of this agreement must be 2.0 Cost Analysis - A cost analysis must be submitted within thirty (30) days after its performed by the subrecipient if the cost or price is completion, but no later than nine (9) months after at or above the $35,000 acquisition threshold and the end of the audit period. The Federal Audit the contract was awarded non - competitively in Clearinghouse is the repository of record for 2 accordance with s. 216.3475, F.S. The C.F.R. § 200 — Subpart F. Audits performed as a subrecipient must maintain records to support the result of this requirement must be completed and cost analysis, which includes a detailed budget, submitted to the Federal Audit Clearinghouse documented review of individual cost elements for within the earlier of thirty (30) calendar days after allowability, reasonableness, and necessity. See receipt of the auditor's report(s), or nine (9) months also: Chief Financial Officer Memorandum No. 02 after the end of the audit period. Submissions must (2012- 2013). include required elements described in Appendix X 3.0 Allowable Costs - Allowance for costs incurred FY17 RSAT Standard Conditions Page 9 of 14 Rev. 1/2018 under the subaward shall be determined according Charges made to the Personnel Budget Category to the general principles and standards for selected must reasonably reflect the total time and activity cost items set forth in the Office of Justice for which the employee is compensated by the Programs Financial Guide, 28 C.F.R. § 66, organization and cover both federally funded and "Uniform Administrative Requirements for Grants all other activities. The records may include the and Cooperative Agreements to State and Local use of subsidiary records as defined in the Governments ", and 2 C.F.R. § 200.405(e), "Cost organization's written policies. Where grant Principles ". subrecipients work on multiple grant programs or cost activities, documentation must support a 4.0 Unallowable Costs - Payments made for costs reasonable allocation or distribution of costs determined to be unallowable by either the Federal among specific activities or cost objectives. awarding agency, or the Department, either as direct or indirect costs, must be refunded (including 8.0 Contractual Services - The subrecipient at any interest) to FDLE and the Federal Government in tier must maintain written standards of conduct accordance with instructions that determined the covering conflicts of interest and governing the costs are unallowable unless state or Federal actions of its employees engaged in the selection, statute or regulation directs otherwise. See also 2 award and administration of contracts as described C.F.R. §§ 200.300 -309. in 2 C.F.R. § 200.318 General Procurement. 5.0 Indirect Cost Rate - A subrecipient that is eligible Requirements for Contractors of Subrecipients - to use the "de minimis" indirect cost rate described The subrecipient assures the compliance of all in 2 C.F.R. § 200.414(f), and elects to do so, must contractors with the applicable provisions of Title I of advise OCJG in writing of both its eligibility and its the Omnibus Crime Control and Safe Streets Act of election, and must comply with all associated 1968, as amended 42 U.S.C. §§ 3711 et seq.; the requirements in the 2 C.F.R. § 200 and Appendix provisions of the current edition of the DOJ Grants VII. Financial Guide Section https:// oip. qov /financialquide /doi /pdfs /DOJ Financial 6.0 Sole Source - If the project requires a non- Guide.pdf competitive purchase from a sole source, the subrecipient must complete the Sole Source Approval of Consultant Contracts - Justification for Services and Equipment Form and Compensation for individual consultant services submit to OCJG upon application for pre - approval. must be reasonable and consistent with that paid If the subrecipient is a state agency and the cost for similar services in the marketplace. The Federal meets or exceeds $150,000, the subrecipient must awarding agency and pass- through entity must also receive approval from the Department of review and approve in writing all consultant Management Services (DMS) (s. 287.057(5), F.S.). contracts prior to employment of a consultant when The Sole Source form must be signed by the the individual compensation rate exceeds $650 subrecipient or implementing agency chief official (excluding travel and subsistence costs) per eight - or chief official designee. Additional details on the hour day, or $81.25 per hour. A detailed sole source requirement can be found at 2 C.F.R. justification must be submitted to and approved by § 200 and the DOJ Grants Financial Guide. FDLE, who will coordinate written approval of the Federal awarding agency, prior to subrecipient 7.0 Personal Services - Subrecipients may use grant obligation or expenditures of such funds. Approval funds for eligible personal services including shall be based upon the contract's compliance with salaries, wages, and fringe benefits, including requirements found in the Financial Guide Section overtime in accordance with the DOJ Grants 3.6 Consultant Rates, 28 C.F.R. § 66, and Financial Guide Section 3.9 - Compensation for applicable state statutes. The Department's Personal Services, consistent with the principles approval of the subrecipient agreement does not set out in 2 C.F.R. 200, Subpart E and those constitute approval of individual consultant permitted in the federal program's authorizing contracts or rates. If consultants are hired through legislation. Subrecipient employees should be a competitive bidding process (not sole source), compensated with overtime payments for work the $650 threshold does not apply. performed in excess of the established work week and in accordance with the subrecipient's written FFATA Reporting Requirements - Subrecipients compensation and pay plan. that enter into subawards of $25,000 or more should review the Federal Funding Accountability Documentation - Charges for salaries, wages, and Transparency Act of 2006 (FFATA), website at and fringe benefits must be supported by a system https: / /oip.aov /funding /Explore /FFATA.htm for of internal controls providing reasonable assurance additional reporting requirements. that charges are accurate, allowable, and properly allocated. Documentation supporting charges must 9.0 Travel and Training - The cost of all travel shall be incorporated into the official records of the be reimbursed according to the subrecipient's organization. written travel policy. If the subrecipient does not have a written travel policy, cost of all travel will be FY17 RSAT Standard Conditions Page 10 of 14 Rev. 1/2018 reimbursed according to State of Florida Travel including web -based materials and website Guidelines s. 112.061, F. S. Any foreign travel content, to be paid under this award at least thirty must obtain prior written, approval from the Federal (30) days prior to the targeted dissemination date. awarding agency and pass- through entity. All electronic and print materials paid under this BJS or FDLE Sponsored Events - The award must contain the following statements subrecipient agrees to participate in BJS- or FDLE- identifying the federal award: sponsored training events, technical assistance events, or conference held by FDLE or BJS or their This project was supported by Award No. designees, upon FDLE's or BJS's request. awarded by the Bureau of Justice Assistance, Office of Justice Programs. 10.0 Expenses Related to Conferences, Meetings, The opinions, findings, and conclusions or Trainings, and Other Events - Subgrant funds recommendations expressed in this requested for meetings, retreats, seminars, publication /program /exhibition are those symposia, events, and group training activities and of the authors and do not necessarily related expenses must receive written pre - approval reflect the views of the Department of from the Federal awarding agency and pass- Justice or grant making component." through entity and comply with all provisions in 2 C.F.R. § 200.432 and DOJ Grants Financial Guide Any website that funded in whole or in part Section 3.10 Conference Approval, Planning, and under this award must include the same Reporting. Subgrant applications requesting statement on the home page, on all major approval for meeting, training, conference, or other entry pages (i.e., pages (exclusive of event costs must include a completed Conference documents) whose primary purpose is to & Events Submission Form for approval prior to navigate the user to interior content), and on obligating subgrant funds for these purposes. any pages from which a visitor may access or use a web -based service, including any pages 11.0 Training and Training Materials - Any training or that provide results or outputs from the training materials that has been developed or service. delivered with grant funding under this award must adhere to the OJP Training Guiding Principles for Patents - Subrecipients are subject to applicable Grantees and Subgrantees, available at regulations governing patents and inventions, www. oip. qov/ fundinq/ oiptrainingquidingprinciples.ht including government wide regulations issued by m. the Department of Commerce (27 C.F.R. § 401 and 2 C.F.R. § 200.315(c)). 12.0 Publications, Media and Patents Subrecipients must promptly and fully report to Ownership of Data and Creative Material - FDLE and the Federal awarding agency if any Ownership of material, discoveries, inventions, and program produces patentable items, patent rights, results developed, produced, or discovered processes, or inventions, in the course of work subordinate to this agreement is govemed by the sponsored under this award terms of the DOJ Grants Financial Guide, 28 C.F.R. §§ 66 and 200.315. 13.0 Information Technology Projects Publication or Printing of Materials - Publication Criminal Intelligence Systems - The subrecipient costs for electronic and print media, including agrees that any information technology system distribution, promotion, and general handling are funded or supported by the Office of Justice allowable. If these costs are not identifiable with a Programs funds will comply with 28 C.F.R. § 23, particular direct cost objective, it should be Criminal Intelligence Systems Operating Policies, if allocated as indirect costs. Publication includes the Office of Justice Programs determines this writing, editing, and preparing the illustrated regulation to be applicable. Should the Office of material (including videos and electronic Justice Programs determine 28 C.F.R. § 23 to be mediums). applicable, the Office of Justice Programs may, at its discretion, perform audits of the system, as per Subrecipients must request pre - approval in writing 28 C.F.R. § 23.20(g). Should any violation of 28 for page charges for professional journal C.F.R. § 23 occur, the subrecipient may be fined publications. as per 42 U.S.C. § 3789g(c) -(d). The subrecipient All publication materials must comply with may not satisfy such a fine with federal funds. provisions in 2 C.F.R. § 200.461 and DOJ Grants Financial Guide Section 3.9 Allowable Costs — The subrecipient understands and agrees that no Publication. awarded funds may be used to maintain or establish a computer network unless such network Subrecipients must submit for review and approval blocks the viewing, downloading, and exchanging one (1) copy of any curricula, training materials, or of pornography. In doing so the subrecipient any other written materials to be published, agrees that these restrictions will not limit the use FY17 RSAT Standard Conditions Page 11 of 14 Rev. 1/2018 of awarded funds necessary for any federal, state, appropriate privacy policy that protects shared tribal, or local law enforcement agency or any other information, or provide detailed justification for why . entity carrying out criminal investigations, an alternative approach is recommended. prosecutions, or adjudication activities. SECTION VII: ADDITIONAL REQUIREMENTS • 1 14.0 Interoperable Communications Guidance Subrecipients using funds to support emergency 1.0 Environmental Protection Agency's (EPA) list communications activities must comply with the of Violating Facilities The subrecipient assures. current SAFECOM Guidance for Emergency that the facilities under its ownership, lease or Communication Grants, including - provisions on supervision which shall be utilized in the technical standards that ensure and enhance accomplishment of the Program Purpose are not interoperable communications. Emergency listed on the EPA's list. of Violating Facilities and communications activities include the purchase of that it will notify the Department of the receipt of Interoperable Communications Equipment and any communication from the Director of the EPA technologies such as voice- over- intemetprotocol Office of Federal Activities indicating that a facility bridging or gateway devices, or equipment to to be used in the project is under consideration for support the build out of wireless broadband listing by the EPA. networks in the 700 MHz public safety band under the Federal Communications Commission (FCC), 2.0 National Environmental Policy Act (NEPA) - Waiver Order. SAFECOM guidance can be found The subrecipient must assist FDLE in complying at with NEPA, the National Historic Preservation Act, www.safecomprogram.gov /library /lists /library /DispF and other related federal environmental impact orm.aspx ?ID =334. analyses requirements in the use of subaward funds. This applies to the following new activities Subrecipients interested in developing a public whether or not they are being specifically funded safety broadband network in the 700 MHz band in with these subaward funds. That is, it applies as their jurisdictions must adhere to the technical long as the activity is being conducted by the standards set forth in the FCC Waiver Order, or subrecipient or any third party and the activity any succeeding FCC orders, rules, or regulations needs to be undertaken in order to use these pertaining to broadband operations in the 700 MHz • subaward funds, Accordingly, the subrecipient public safety band. The subrecipient shall also must first determine if any of the following activities ensure projects support the Statewide will be funded by the grant, prior to obligating funds Communication Interoperability Plan (SCIP) and for any of these purposes. are fully coordinated with the full -time Statewide Interoperability Coordinator (SWIC). If any future If it is determined that any of the following activities regulatory requirement (from the FCC or other will be funded by the grant, the grantee must governmental entity) results in a material technical. contact FDLE OCJG to obtain written pre - approval or financial change in the project, the recipient from the Federal awarding agency and pass - should submit associated documentation, and through entity. other material, as applicable, for review by the SWIC to ensure coordination. Subrecipients must 1) New construction provide a listing of all communications equipment purchased with grant award funding (plus the 2) Any Renovation or remodeling of a property quantity purchased of each item) to FDLE once either (a) listed on or eligible for listing on the items are procured during any periodic National Register of Historic Places or (b) programmatic progress reports. located within a 100 -year flood plain; a wetland, or habitat for endangered species. 15.0 Drug Court Projects - A Drug Court Project must comply with s. 397.334, F. S., "Treatment -Based 3) A renovation, lease, or any other proposed Drug Court Programs." use of a building or facility that will either (a) s result in a change in its basic prior use or (b) 16.0 Global Standards Package - In order to promote significantly change its size. information sharing and enable interoperability among disparate systems across the justice and • • 4) Implementation of a new program involving the public safety community, OJP requires the use of chemicals other than chemicals that are subrecipient to comply with DOJ's Global Justice (a) purchased as an incidental component of a Information Sharing Initiative (DOJ's Global) funded activity and (b) traditionally used, for guidelines and recommendations for this particular example, in office, household, recreational, or grant. Subrecipient shall conform to the Global educational environments. Standards Package (GSP) and all constituent elements, where applicable, as described at: 5) Implementation of a program relating to _ www.it.oip.gov /gsp grantcondition. Subrecipient clandestine methamphetamine laboratory shall document planned approaches to information operations, including the identification, seizure, sharing and describe compliance to the GSP and or closure of clandestine methamphetamine FY17 RSAT Standard Conditions Page 12 of 14 Rev. 1/2018 . } laboratories. The foregoing is not intended, to contravene requirements applicable to classified information. In The subrecipient understands and agrees that accepting this award, the subrecipient: complying with NEPA may require the preparation of an Environmental. Assessment and /or an. 1) Has not required internal confidentiality Environmental Impact Statement, as directed by agreements or statements from employees or the Bureau of Justice Assistance. The subrecipient contractors that currently prohibit reporting further understands and agrees to the waste, fraud, or abuse; and b. Certifies that, if . requirements for implementation of a Mitigation it learns that it is or has been requiring its Plan, as detailed by the Department of Justice at employees or contractors to execute www.bja.gov /Funding /neoa.html, for programs agreements that prohibit reporting of waste, relating to methamphetamine laboratory fraud, or abuse, it will immediately stop any operations. further obligations of award funds, will provide prompt written notification to OCJG, and will 3.0 Human Research Subjects - The subrecipient resume such obligations only if expressly must comply with the requirements of 28 C.F.R. § authorized to do so by OCJG. 46 and all Office of Justice Programs policies and procedures regarding the protection of human 2) Will comply with requirements of 5 U.S.C. §§ research subjects, including obtainment of 1501 -08 and 7324 -28, which limit certain Institutional Review Board approval, if appropriate, political activities of State or local government and subject informed consent. employees whose principal employment is in connection with an activity financed in whole 4.0 Disclosures or in part by federal assistance. Violations of Criminal Law - The subrecipient and 7.0 • Funds to Association of Community implementing agency must disclose all violations of Organizations for Reform Now (ACORN) state or federal criminal law involving fraud, bribery Unallowable- Subrecipient understands and or gratuity violations potentially affecting the agrees that it cannot use any federal funds, either subaward. directly or indirectly, in support of any contract or subaward to either the Association of Community 5.0 Reporting Potential Fraud, Waste, Abuse, and Organizations for Reform Now (ACORN) or its Similar Misconduct - The subrecipient, at any tier, subsidiaries, without the express prior written must promptly refer to the FDLE, Office of the approval of OJP. Inspector General (OIG) any credible evidence that a principal, employee, agent, subrecipient, 8.0 Text Messaging While Driving - Pursuant to contractor, subcontractor, or other person has, in Executive Order 13513, "Federal Leadership on connection with funds under this award (1) Reducing Text Messaging While Driving," 74 Fed. submitted a claim that violates the False Claims Reg. 51225 (October 1, 2009), and s. 316.305, F. Act; or (2) committed a criminal or civil violation of S., the subrecipient is encouraged to adopt and laws pertaining to fraud, conflict of interest, bribery, enforce policies banning employees from text gratuity, or similar misconduct. messaging while driving any vehicle during the course of performing work funded by this subaward Potential fraud, waste, abuse, or misconduct and to establish workplace safety policies and involving or relating to funds under this award • • conduct education, awareness, and other outreach should be reported to the FDLE OIG by -- (1) mail to decrease crashes caused by distracted drivers. directed to: Florida Department of Law Enforcement, Office of the Inspector General, at 9.0 Report Duplicative Funding - Subrecipients must Post Office Box 1489, Tallahassee, Florida 32302- disclose or promptly notify the Federal awarding 1489, (2) e-mail to oigreportfraud na.fdle.state.fl.us; agency or pass- through entity of other active and /or (3) the FDLE OIG hotline: at (800) 543- federal awards that have been, are being, or are to, 5353. • be used (in whole or in part) for one or more identical cost items provided under this award. 6.0 Restrictions and Certifications Regarding Non - disclosure Agreements and Related Matters - 10.0 Trafficking in Persons - The subrecipient must No subrecipient under this award, or entity that comply with applicable requirements pertaining to receives a procurement contract with funds under prohibited conduct relating to the trafficking of this award, may require an employee to sign an . persons, whether on the part of subrecipient or internal confidentiality agreement that prohibits the individuals defined as "employees" of the reporting of waste, fraud, or abuse to an subrecipient. The details of the subrecipient's investigative or law enforcement representative obligations related to prohibited conduct related to authorized to receive such information. trafficking in persons are posted on the OJP web site at https: / /oip.gov /funding /Explore /ProhibitedConduct - FY17 RSAT Stand and Conditions Page 13 of 14 Rev. 1/2018 • Traffickina.htm, and are incorporated by reference social, vocational, and other skills to solve the here. substance abuse and related problems. 11.0 SAM Registration - The subrecipient must comply 4) Require urinalysis and /or other proven reliable with applicable requirements regarding the System forms of drug and alcohol testing for program for Award Management (SAM), currently participants, including both periodic and accessible at https: / /www.sam.gov /. This includes random testing, and for former participants applicable requirements regarding registration with while they remain in the custody of the state or SAM, as well as maintaining current information in local government. SAM. 5) If possible, RSAT residential participation The subrecipient also must comply with applicable should be limited to inmates with 6 to 12 restrictions on subawards to second -tier months remaining in their confinement so they subrecipients, including restrictions on subawards can be released from prison instead of to entities that do not acquire and provide the returning to the general prison population after unique entity identifier required for SAM completing the program. registration. 6) If possible, program design should be based The details of the subrecipient's obligations related on evidence - based, scientific practices. to SAM and to unique entity identifiers are posted on the OJP web site at 14.0 RSAT Jail -Based Programs Must - As set forth in https: / /olp.gov /fundinq /Explore /SAM.htm. the Residential Substance Abuse Treatment (RSAT) for State Prisoners Program FY 2017 12.0 Requirement of the Award; Remedies for Non- Formula Grant Announcement Compliance or for Materially False Statements - (https: / /www.bia.gov /Funding /RSAT17.pdf), all Jail - Any materially false, fictitious, or fraudulent Based Programs must include all of the following statement to the Department related to this award requirements: (or concealment or omission of a material fact) may be the subject of criminal prosecution (including 1) Provide substance abuse treatment services under 18 U.S.C. §§ 1001, 1621, and /or 42 U.S.C. § to each participant at least three (3) months. 3795a), and also may lead to imposition of civil penalties and administrative remedies for false 2) Focus on the substance abuse problems of claims or otherwise (including under 31 U.S.C. §§ the inmate. 3729 -3730 and 3801 - 3812). 3) Develop the inmate's cognitive, behavioral, Should any provision of a. requirement of this award social, vocational, and other skills to solve the be held to be invalid or unenforceable by its terms, substance abuse and related problems. that provision shall first be applied with a limited construction so as to give it the maximum effect 4) If possible, jail -based programs should permitted by law. Should it be held, instead, that the separate the treatment population from the provision is utterly invalid or unenforceable; such general correctional population and program provision shall be deemed severable from this design should be based on effective, scientific award. practices. 13.0 RSAT Prison -Based Programs - As set forth in the 15.0 Program Coordination - The subrecipient will Residential Substance Abuse Treatment (RSAT) for coordinate the design and implementation of State Prisoners Program FY 2017 Formula Grant treatment programs between State correctional Announcement representatives and the State alcohol and drug ( https: / /www.bia.gov /Funding /RSAT17.pdf), all abuse agency (and, if appropriate, between Prison -Based Programs must include all of the representatives of local correctional agencies and following requirements: representatives of either the State alcohol and drug abuse agency or any appropriate local alcohol and 1) Provide substance abuse treatment services drug abuse agency, especially where there is to each participant at least 6 and no more than opportunity to coordinate with initiatives funded 12 months. Provide residential treatment through the Justice Assistance Grant (JAG) facilities set apart—in a completely separate program). facility or dedicated unit in a facility exclusively for use by RSAT participants —from the 15.0 Opioid Reduction - Subrecipient agrees that, to general correctional population. the extent that substance abuse treatment and related services are funded by this award, they will 2) Focus on substance abuse problems of the include needed treatment and services to address inmate. opioid abuse reduction. 3) Develop the inmate's cognitive, behavioral, FY17 RSAT Standard Conditions Page 14 of 14 Rev. 1/2018 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 State of Florida G . Department of Law Enforcement a- a C ite H of Criminal Jus #ice Grants ` Signature ; 1-insw Typed Name and Title: PetrtM T. Herring, Bureau Chief Date: e6, / i Subgrant�Rec�pient �° Author�ztngOffi�talofGov�ernn�n #a1Urnt ' {commission Chairnian, Mayor, or Designated Representative) .. .. ._ Typed Name of Subgrant Monroe County Board of Commissioners Signature Typed Name and Title: David Rice, Mayor Date: `4 182' [ ' 'S lmplemen ing Agency x$" official, Admmtstrator or Designated Representative C.._.:, .{ '' wry .xs `a• �k .. .... ..........�,..._�,._..- t rw r*iSr Ile- t _ .tc z z- d" ' as a �.r. , ... a .gy 011, Typed Name of Implementing Monroe County Board of Commissioners Signature Typed Name and Title: David Rice, Mayor Date: 4 1 it 2-1 l �' Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Insert Certifications and Authorizations here. Application Ref # 2018 -RSAT -112 Section #7 Page 1 of 1 Contract # 2018 - RSAT- MONR -1 -U4 -004 OCJG -005 (rev. April 2005) U.S. DEPARTMENT OF JUSTICE } OFFICE OF JUSTICE PROGRAMS OFFICE OF THE COMPTROLLER Certification Regarding Debarment. Suspension. Ineligibility and Voluntary Exclusion for Lower Tier Covered Transactions (Subrecipient) This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 28 C.F.R. Part 67, Section 67.510, Participants' responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160- 19211). BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS (1) The prospective lower tier participants certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such . prospective participant shall attach an explanation to this proposal. iihaitcr Chief Official of the A plicant Government Date David Rice Monroe County Board of Commissioners Printed Name Applicant Government Name • 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. If recipient completes Section A or C and sub - grants a single award over $500, 000, in addition, please complete Section D. Recipient's Name: Monroe County Board of County Commissioners Address: 1100 Simonton Street, Key West, FL 33040 Is agency a; ❑ Direct or Sub recipient of OJP, OVW or COPS funding? Law Enforcement Agency? ❑ Yes x No DUNS Number: 073876747 Vendor Number (only if direct recipient) N/A Name and Title of Contact Person: Janet Gunderson, Sr. Grants & Finance Analyst Telephone Number: 305 - 292 -4470 E -Mail Address: Gunderson - Janet @MonroeCounty - FL.gov Section A— Declaration Claiming Complete Exemption from the EEOP Requirement ' • Please check all the following boxes that apply. • ❑ Less than fifty employees. o Indian Tribe ❑ Medical Institution. • o Nonprofit Organization .- ❑ Educational. Institution ❑ Receiving a single award(s)less than $25,000. -[responsible official], 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.- If recipient sub- grants a single award over $500, 000, in addition, please complete Section D • Print or Type Name and Title , Signature Date Section B— Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an EEOP Is on File for Review If a recipient agency has fifty or more employees and is receiving a single award or, subaward, of $25, 000 or more, but less than $500, 000, then the recipient agency does not have to submit an EEOP to the OCR for review as long as it certifies the following (42 C.F.R. § 42.305): I, David Rice, Mayor [responsible official], certify that Monroe County Board of County Commissioners [recipient], which has fifty or more employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. I 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 law, 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 EEOP is on file at the following office: Calvin Allen, EEO Officer, Monroe County Board of County Commissioners [organization], 1100 Simonton Street, Key West, FL 33040 - 3110 [address]. David Rice, Mayor 6/22/2018 Print or Type Name and Title Signature Date Section C— Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil Rights for Review If a recipient agency has fifty or more employees and is receiving a single award, or subaward, of $500,000 or more, then the recipient agency must send an EEOP Short Form to the OCR for review. _ I, [responsible official], 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 CFR 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. If recipient sub- grants a single award over $500, 000, in addition, please complete Section D - Print or Type Name and Title . Signature Date Section D— Declaration Stating that Recipient Subawards a Single Award Over $500,000 . If a recipient agency, subawards a single award of $500,000 or more then the granting agency should provide a list; including, name, address and DUNS # of each such sub - recipient. Sub - Recipient Agency Name /Address Sub- Recipient DUNS Number ti If additional space in necessary, please duplicate this page. OMB Control No. 1121 -0340 Expiration Date: 12/31/2015 U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS State or Local Government: FY 2017 Certification of Compliance with 8 U.S.C. § 1373 On behalf of the applicant government entity named below, and in support of its application, I certify under penalty of perjury to the Office of Justice Programs ( "OJP "), U.S. Department of Justice ( "USDOJ "), that all of the following are true and correct: (1) I am the chief legal officer of the State or local government of which the applicant entity named below is a part ("the jurisdiction "), and I have the authority to make this certification on behalf of the jurisdiction and the applicant entity (that is, the entity applying directly to OJP). I understand that OJP will rely upon this certification as a material representation in any decision to make an award to the applicant entity. (2) I have carefully reviewed 8 U.S.C. § 1373(a) and (b), including the prohibitions on certain actions by State and local government entities, - agencies, and - officials regarding information on citizenship and immigration status. I also have reviewed the provisions set out at (or referenced in) 8 U.S.C. § 1551 note ( "Abolition ... and Transfer of Functions "), pursuant to which references to the "Immigration and Naturalization Service" in 8 U.S.C. § 1373 are to be read, as a legal matter, as references to particular components of the U.S. Department of Homeland Security. (3) I (and also the applicant entity) understand that the U.S. Department of Justice will require States and local governments (and agencies or other entities thereof) to comply with 8 U.S.C. § 1373, with respect to any "program or activity" funded in whole or in part with the federal financial assistance provided through the FY 2017 OJP program under which this certification is being submitted ( "the FY 2017 OJP Program" identified below), specifically including any such "program or activity" of a governmental entity or - agency that is a subrecipient (at any tier) of funds under the FY 2017 OJP Program. (4) I (and also the applicant entity) understand that, for purposes of this certification, "program or activity" means what it means under title VI of the Civil Rights Act of 1964 (see 42 U.S.C. § 2000d -4a), and that terms used in this certification that are defined in 8 U.S.C. § 1101 mean what they mean under that section 1101, except that the term "State" also shall include American Samoa (cf. 42 U.S.C. § 901(a)(2)). Also, I understand that, for purposes of this certification, neither a "public" institution of higher education (i.e., one that is owned, controlled, or directly funded by a State or local government) nor an Indian tribe is considered a State or local government entity or - agency. (5) I have conducted (or caused to be conducted for me) a diligent inquiry and review concerning both — (a) the "program or activity" to be funded (in whole or in part) with the federal financial assistance sought by the applicant entity under this FY 2017 OJP Program; and (b) any prohibitions or restrictions potentially applicable to the "program or activity" sought to be funded under the FY 2017 OJP Program that deal with sending to, requesting or receiving from, maintaining, or exchanging information of the types described in 8 U.S.C. § 1373(a) or (b), whether imposed by a State or local government entity, - agency, or - official. (6) As of the date of this certification, neither the jurisdiction nor any entity, agency, or official of the jurisdiction has in effect, purports to have in effect, or is subject to or bound by, any prohibition or any restriction that would apply to the "program or activity" to be funded in whole or in part under the FY 2017 OJP Program (which, for the specific purpose of this paragraph 6, shall not be understood to include any such "program or activity" of any subrecipient at any tier), and that deals with either— (1) a government entity or - official sending or receiving information regarding citizenship or immigration status as described in 8 U.S.C. § 1373(a); or (2) a government entity or - agency sending to, requesting or receiving from, maintaining, or exchanging information of the types (and with respect to the entities) described in 8 U.S.C. § 1373(b). I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and /or 1621, and /or 42 U.S.C. § 3795a), and also may subject me and the applicant entity to civil penalties and administrative remedies for false claims or otherwise (including under 31 U.S.C. §§ 3729 -3730 and §§ 3801 - 3812). I also acknowledge that OJP awards, including cell' .tio •vided in connection with such awards, are subject to review by USDOJ, including by OJP and by the = • O J 0 - spector General. / . ter e. si. / _. .4ture ofrV hief egal Officer o'r e Jurisdiction Printed Name of Chief L gal Officer a 5 / Cdc,,,a4 ii-d Date of ertifica on Title of Chief Legal Officer of the Jurisdon t�lo rtro • e0 *, Board i-C Co..n+y Co rn m i ss i oners . Name of Applicant Government Entity (Le., the applicant to the FY 2017 OJP Program identified below) FY 2017 OlP Program: Byrne Justice Assistance Grant ( "JAG ") Program U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS Edward Byrne Justice Assistance Grant Program FY 2017 Local Solicitation Certifications and Assurances by the Chief Executive of the Applicant Government On behalf of the applicant unit of local government named below, in support of that locality's application for an award under the FY 2017 Edward Byrne Justice Assistance Grant ( "JAG ") Program, and further to 42 U.S.C. § 3752(a), I certify under penalty of perjury to the Office of Justice Programs ("OJP "), U.S. Department of Justice ( "USDOJ "), that all of the following are true and correct: 1. I am the chief executive of the applicant unit of local govemment named below, and.l have the authority to make the following representations on my own behalf and on behalf of the applicant unit of local govemment. I understand that these representations will be relied upon as material in. any OJP decision to make an award, under the application described above, to the applicant unit of local govemment. 2.. I certify that no federal funds made available by the award (if any) that•OJP makes based on the application described above will be used to supplant 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. 3. I assure that the application described above (and any amendment to that application) was submitted for review to the governing body of the unit of local government (e.g., city council or county commission), or to an organization designated by that governing body, not less than 30 days before the date of this certification. 4. I assure that, before the date of this certification— (a) the application described above (and any amendment to that application) was made public; and (b) an opportunity to comment on that application (or amendment) was provided to citizens and to neighborhood or community-based organizations, to the extent applicable law or established procedure made such an opportunity available. 5. I assure that, for each fiscal year of the award (if any) that OJP makes based on the application described above, the applicant unit of local government will maintain and report such data, records, and information (programmatic and financial), as OJP may reasonably require. 6. I certify that— (a) the programs to be funded by the award (if any) that OJP makes based on the application described above meet all the requirements of the JAG Program statute (42 U.S.C. §§ 3750 - 3758); (b) all the information contained in that application is correct; (c) in connection with that application, there has been appropriate coordination with affected agencies; and (d) in connection with that award (if any), the applicant unit of local government will comply with all provisions of the JAG Program statute and all other applicable federal laws. 7. I have examined certification entitled "State or Local Govemment: FY 2017 Certification of Compliance with 8 U.S.C. § 1373" executed by the chief legal officer of the applicant government with respect to the FY 2017 JAG program and submitted in support of the application described above, and I hereby adopt that certification as my own on behalf of that government. I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it "supports, may be the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and /or 1621, and /or 42 U.S.C. § 3795a), and also may subject me and the applicant unit of local govemment to civil penalties and administrative remedies for false claims or otherwise (including under 31 U.S.C. §§ 3729 -3730 and §§ 3801 - 3812). I also acknowledge that OJP awards, including certifications provided in connection with such awards, are subject to review by USDOJ, including by OJP and by the USDOJ Office of the Inspector General. Lir / Applicant Unit of Date of Certification Signature of Chie Executive of the Local Government . n1 ac 0 r— '.0 2-v C1 - J `( Title of C'iief Executive Printed Name of C ief Exeputive� Mon r 172_- ('over z.1 . Caw) 00t"Y yl l SS l O (I,Q,G Name of Applicant Unit of Loal Government ATTACHMENT C PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." I have read the above and state that neither U LUreeY L IDG- i'dearespondent's name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months. \, 1 L — � r.� (Signature) • Date: 7 130J i cc STATE OF: I COUNTY OF: hl Vl rd P� Subscribed and sworn to (or affirmed) before me on J1L1 L% jO , aO13 (date) by fr1LU -r DILL le ,vy (name of affiant). He he is personally known to me or has produced I■yA (type of identification) as identification. I NO ' RY PUBLIC My Commission Expires: t / 6 22-- '% Notary Public State of Florida Maryanne L Johnson ? �,p Expires 01'/15/2022 175345 ATTACHMENT D SWORN STATEMENT UNDER ORDINANCE NO. 010 -1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE " Guidance /Care Center (Company) "...warrants that he /it has not employed, retained or otherwise had act on his /her behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010 -1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010 -1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee." (Signature Date: 1 5011 r STATE OF: FjOV?d COUNTY OF: j jt'l V/9& Subscribed and sworn to (or affirmed) before me on jUil,( 1 (/)/q (date) by klAkre'eV' it/11l? au LI (name of affiant). He / /he is personally known to 9 or has produced WA (type of identification) as identification. ,A% 0/l/14,m • ARY PU IC My Commission Expires: 1 J l h Y-- y'ls. Notary public State of Florida Maryanne L Johnson My Commission GG 175345 � , ti o�' Expires Ol /15/2022 ATTACHMENT E DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: Guidance /Care Center (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. (Signature) Date: fo/J& STATEOF: Fitri COUNTY OF: 1M6-pi V `� Subscribed and sworn to (or affirmed) before me on ‘, , W. o (date) Ilkkarew tA,v1 (name of affiant). Herke is personally known for has produced k (type of identification) as identification. / c eP4g_ Notary Public State of Ftorida NOT AIF Y PUBLIC a ; - Maryanne L Johnson v My Commission GG 175345 :4 a o Expires 0 1 /1 5120 2 2 My Commission Expires: tl ATTACHMENT F COMPLIANCE WITH COUNTY GUIDELINES The PROVIDER must furnish to the County the following items: (a) IRS Letter of Determination and GUIDESTAR printout indicating current 501(c)(3) status; (b) Proof of registration with the Florida Department of Agriculture as required by Florida Statute 496.405 and the Florida Department of State as require by Florida Statute 617.01201 or proof of exemption from registration as per Florida Stature 496.406. (c) List of the Organization's Board of Directors of which there must be at least 5 and for each board member please indicate when elected to serve and the length of term of service; (d) Evidence of annual election of Officers and Directors; (e) Unqualified audited financial statements from the most recent fiscal year for all organizations that expend $150,000 a year or more; if qualified, include a statement of deficiencies with corrective actions recommended /taken; audit shall be prepared by an independent certified public accountant (CPA) with a current license, in good standing with the Florida State Board of Accountancy. If the PROVIDER receives $100,000 or more in grant funding from the County: a. The CPA that prepares the audit must also be a member of the American Institute of Certified Public Accountants (AICPA); b. The CPA must maintain malpractice insurance covering the audit services provided and c. The County shall be considered an "intended recipient" of said audit. (f) Copy of a filed IRS Form 990 from most recent fiscal year with all attached schedules; (g) Organization's Corporate Bylaws, which must include the organization's mission, board and membership composition, and process for election of officers; (h) Organization's Policies and Procedures Manual which must include hiring policies for all staff, drug and alcohol free workplace provisions, and equal employment opportunity provisions; (i) Specific description or list of services to be provided under this contract with this grant (see Attachment B); (j) Cooperation with County monitoring visits that the County may request during the contract year; and (k) Other reasonable reports and information related to compliance with applicable laws, contract provisions and the scope of services that the County may request during the contract year.