The URL can be used to link to this page

Item C27 I � BOARD OF COUNTY COMMISSIONERS Mayor Sylvia J. Murphy,District 5 • ter` tid�� Mayor Pro Tem Danny Kolhage,District 1 (AUNTY o�MONROE �. �.:� '. •`- Heather Carruthers,District KEY WEST FLORIDA 33040 i r �/•. George Neugent, District 2 (305)294 46a� r: 'r,^':` '� ( David Rice,District 4 •District 4 Office: • ' ,; � Y s°r , 9400 Overseas Highway ' +��• ,j,, Florida Keys Marathon Airport,Suite 210 Marathon, FL 33050 Ph:305 289-6000 Fx:305 289-4610 • "'' • -Em:boccdis4@monroecounty-fl.gov _ ►1 • Interoffice Memorandum Date: December 5,2013 To: Amy Heavilin, Clerk of the Court Avge2;____ From: Commissioner David Rice,District 4 Re: Notice of Voting;Conflict • Per Florida Statute 112.3143, I hereby disclose by;written memorandum that I will . abstain from the vote on certain issues that are brought before the Monroe County Board of Commissioners with entities that I am involved with. I will abstain from the vote;on issues concerning the Guidance Care Center, Inc., a private,not-for-profit entity,which,receives some of its operational funding from the County,as I am currently a member of the Board of Directors of the Care Center. I also am a member of the Board of the Historic Florida Keys Foundation,Inc., and will abstain from voting on any issues concerning that organization as well. At the December 11,2013'BOCC meeting,I will abstain from the vote on item(s)on the Bulk Approval Agenda,#C24,25,26&27,(these items were deleted from the November 206 BOCC agenda): #C24::Authorization for the Mayor to execute the Certificate of Acceptance of Sublgrant Award for the Guidance/Care Center Women's Jail Housed Drug Abuse Treatment Program, using funds provided under the FDLE Edward Byrne Memorial Justice Assistance Grant program,for the period from October 1, 2013 through September;30, 2014. • Notice of Voting Conflict—December 11,2013 Page 2 December 5,2013 #C25:Authorization for the Mayor to execute a Memorandum of Understanding with Guidance/Care Center Women's Jail Housed Drug Abuse.Treatment Program,for the period from October 1, 2013 through September 30, 2014. #C26:Authorization for the Mayor to execute the Certificate of Acceptance of Sub-grant Award for the Guidance/Care Center for the Men's Jail Housed Drug Abuse Tre atment Program, using funds provided under the FDLE Residential Substance Abuse Treatment Grant program,for the period from October 1, 2013 through September 30, 2014. #C27:Authorization for the Mayor to execute a contract with the Guidance/Care Center for the Men's Jail Housed Drug Abuse Treatment Program, using funds provided under the FDLE Residential Substance Abuse Treatment Grant,for the period from October 1, 2013 through September 30, 2014. Thank you. If you have any questions,please do not hesitate to contact our office for assistance. • . i - I BOARD OF COUNTY COMMISSIONERS AGENDA ITEM 5—U—MMARY Meeting Date:-.December 11, 2013 Division: OMB Bulk Item: Yes E No M Department: Grants Administration Staff Person: deLoach-Hartle -- Ext:_4482 AGENDA ITEM WORDING: Authorization for the Mayor to execute a Memorandum of Understanding with Guidance/Care Center for the project entitled Men's ]ai| Housed Drug Abuse Treatment Program, for the period from Oct 1, 2013 through Sept 30 2014. ' ITEM BACKGROUND: Federal funds are provided through the Florida Department of Law Enforcement. PREVIOUS RELEVANT BUCCACTION: Approval to apply for grant funds was given at the September 2013 meeting. The Certificate of Acceptance for Bub-grant Award from FOLE is also on the agenda for this meeting. CONTRACT/AGREEMENT CHANGES: None. STAFF RECOMMENDATION: Approval TOTAL COST: $66,667 Indirect Cost: BUDGETED: Yes 0 No �] COST TO COUNTY: $16,667 SOURCE OF FUNDS: EDLE and Fine & Forfeiture Fund 101 DIFFERENTIAL OF LOCAL PREFERENCE: REVENUE PRODUCING: Yes R No AMOUNT PER MONTH YEAR APPROVED BY:COUNTY ATT4 OMB/PURCHASING ��K MANAGEMENT DOCUMENTATION: INCLUDED: E TO FOLLOW: Fl NOT REQUIRED: F� DISPOSITION: ___ AGENDA ITEM #: ___ MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Guidance/Care Center Effective Date: 10/01/13 Expiration Date: D9L30114 Contract Purpose/Description: Funds are provi.ded through an FDLE,,Residentia ,rant Anraement for the Men's Jail Housed Drug Abuse Treatment Abu 3e Treatment Q I S-ubstance Rcqgram. Contract Manager: Laura del-oach-Hartle 4482 OMB/Grants,,Admin. (Name) (Ext.) (Department) [for BOCC meeting on 12/11/13 Agenda Deadline: 11/27/13 CONTRACT COSTS Total Dollar Value of Contract: $66,667 Current Year Portion: $66,667 Budgeted? Yes X No Account Codes: 125-06019-530490-GG1409 G ra n t: 15Do 0 0 County Match: $16,667 ADDITIONAL COSTS CONTRACT REVIEW Changes Date Out Date In Needed Reviewer-- , Division Director YesF*� NoF� ..........1, Risk Management YesM NoEV O.M.B./Purchasing YesF-1 Nom, I 32�L County Attorney I YesFj NoCo 14z4, Is> Comments:_ OMB Form Revised 9/11/95 MCP #2 RESIDENTIAL SUBSTANCE ABUSE TREATMENT FUNDS AGREEMENT THIS AGREEMENT is made and entered into this 11th day of December, 2013, by and between MONROE COUNTY, a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, FL 33040, hereinafter referred to as "COUNTY," and 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 October 1, 2013 through September 30, 2014, the date of the signature by the parties notwithstanding, unless earlier terminated as provided herein. 2. SERVICES - The AGENCY will provide services as outlined in the COUNTY'S Residential Substance Abuse Treatment Sub-grant Award, attached and made a part hereof. 3. FUNDS - The total project budget to be expended by the AGENCY in performance of the services set forth in Section 2 of this agreement shall be the total sum of $66,667. The total sum represents federal grant/state sub-grant support in the amount of $50,000 and local matching funds in the amount of $16,667, which amount shall be provided by the county. All funds shall be distributed and expended in accordance with the Project Budget Narrative as outlined in the grant agreement. 4. INCORPORATION BY REFERENCE - The provisions of those certain documents entitled "State of Florida Office of Criminal Justice Grants Florida Department of Law Enforcement Sub-grant Award Certificate and Application" and all laws, rules and regulations relating thereto are incorporated by reference (Attachment C). 5. IMPLEMENTING AGENCY BOUND - The AGENCY is an implementing agency under the COUNTY'S Residential Substance Abuse Treatment Program, and shall be bound by all the provisions of the documents incorporated by reference in Section 4 of this Agreement. Additionally, the AGENCY shall be bound by all laws, rules, and regulations relating to the COUNTY'S performance under the Florida Department of Law Enforcement Residential Substance Abuse Treatment Grant Program. 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 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 toall objectives included in your project, as described in the Performance section in the grant agreement. Adetai|ed narrative, reflecting Vn accomplishments, cha||eng8s etc is required as part ofthis quarterly report. The AGENCY shall render to the COUNTY, mmo ^�~`hUy ^�temmizedaysinvoices, not later than 30 �� after the end of each month, properly dated,d describing the services rendered, the cost of the services, and all other information required. 'The original invoice shall be sent to: Grants Administrator 11OO Simonton Street Key West, FL3304O (b) Payment shall be made after review and approval by the COUNTY within thirty (30) days of receipt Vfthe correct and proper invoice submitted by the AGENCY. 7. TERMINATION - This Agreement may be terminated by either party at any tirne with or without cause, upon not less than thirty (]O\ days written notice delivered to the uth=�' 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 4of this Agreement. 9. AUDIT - TheAGENCYsha|| subrnittotheCOUNTYanauditreportcoveringtha 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 4of this Agreement. 10. NOTICES - Whenever either party desires to give notice unto the other, itrnustbe given by written notice, sent byregistered United States rnai|/ with return receipt requested and sent to: � ' FOR COUNTY:. FOR PROVIDER: Grants Administrator Frank RabbibJ, Senior Vice President 1100Sinnonton Street [3uidance/CareCenter Key West, FL33O4O 1305 Fourth Street Key West, FL33O4O Either ofthe parties may change, by written notice as provided above the addresses or persons for receipt ofnotices. ' 11, UNAVAILABILITY OF FUNDS - If the COUNTY shall learn that funding from the Florida Department ofLaw 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 rna// 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 n8oei~`~ notice of material breach, it will have thirty days in order to cure the material breach of the contract after thirty (30) days, the breach has not been cured, the contract will automatically be ' ' l[ 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 ofthe other. 14. EMPLOYEE STATUS - The AGENCY is an independent contractor. Persons employed by the AGENCY in the performance of services and functions ' on� pur�uanttothis Agreement shall have no claim to pension, worker's compensation, unemployment compensation, dv|| service or other employee rights or privileges granted to the CDUNTY'B officers and employees either by operation of law orbythe COUNTY. 15. INDEMNIFICATION - TheAGENCfagreesto hold harmless, indernnifv and defend the COUNTY, its commissioners, officers, employees, and agents against any and �"''dairns losses, damages, or lawsuits for dannages, arising from, allegedly arising from related t` the provision of services hereunder by the AGENCY. ' '� " 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. IN WITNESS WHEREOF, the parties to this Agreement have caused their names to be affixed hereto by the proper officers thereof for the purposes herein expressed at Monroe County, Florida, on the day and year first written above. (SEAL)` ' BOARD OF COUNTY COMMISSIONERS ATTEST: AMYHEAVILIN, Clerk OFMDNR[}E COUNTY, FLORIDA By: Deputy Clerk By: uidance/lqare Center Witness Itl Witness Title: MONROE COUNTY XrTORNEY APPROVED) AS TO FORM, ASSISTANT COQN ')ate ATTACHMENT Expense Reimbursement Requirements This document is intended to provide basic guidelines to Human Service and Community-Based Organizations, county travelers, and contractual parties who have reimbursable expenses - associated with Monroe County business. Thes� guide|ines as they relate hJt i Monroe County Code of Ordinances and State /avvSand regulations. na«� ' �r� from �h� A cover letter (see Attachment 8) summarizing the major |iD8itenOsonthereinnburSab/e expense request needs to also contain the following notarized certified statement: "I certify that the above checks have been submitted to the vendors as noted and that the attached expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this Vrganization's contract with the Monroe County Board of County Commissioners and will not b8 submitted for n8/rnburm�rnent to any otherfund/ngsOurce." Invoices should be billed to the contracting agency. Third party payments will not be considered for reimbursement. Remember, the expense should be paid prior to requesting a ene reimbursement. Only current charges will be considered, no previous balances. Reimbursement requests will be monitored in accordance with the level of detail in the contract. This document should not be considered a// inclusive. The Clerk's Finance Department reservesr�� ` the right to review reimbursement requests on an individual basis. Any questions regarding these guidelines should be directed to 305-292-3534. /ny Data Processing, PC Time, etc. The vendor invoice is required for neirnbunsernent. Inter-company allocations are not considered reimbursable expenditures unless appropriate payroll journals for the charging department e r� ettachedandcertiOed. are Payroll A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If a Payroll Journal is provided, it should include: dates, employee name, salary or hourly cnca| hours worked, withholding information aOd p�/d p�yn)|| taxes ch°=� /u/�' �k number and check amount, If Payroll Journal is not provided, the following information be provided: period, check amount, check number, date, payee, support for applicable o paid payroll taxepay s. Postage, Overnight Deliveries, Courier, etc. A log of all postage expenses as they re/ate to the County contract is required for reimbursement. For overnight or express deliveries, the vendor invoice must be included. Rents' Leases, etc. AcVpy of the rental or lease agreement is required. Deposits and advance payments are not allowable expenses. Reproductions, Copies, etc. A log of copy expenses as they relate to the County contract is required for reimbursement. reinbunaene t The must define the date, number of cVp/aS made, source doCun8nt, purpose, and redpienc' AneasVnaU|e fee for copy expenses will be allowable. For vendor services, the vendor invoice anda sample of the finished product are required. Supplies, etc, For supplies or services ordered/ a vendor invoice is required. TeUefax' Fax, etc~ A fax log is required. The log must define the sender, the intended recipient, the date, the number called, and the reason for sending the fax. Telephone Expenses A user log of pertinent information must be remitted including: �h� p8rtv ��/|�d �h� c�U th telephone number, the date, and the purpose of the call. ' ' ' p� e Travel and Meal Expenses Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel e|Expenses. Travel reimbursement requests must b8 submitted and will be paid in accordance Monroe County Code of Ordinances and State |avS and regulations. Credit card statements are not acceptable documentation for reimbursement. If attending a conference or meeting a copy of the agenda is needed Airfare reimbursement requires the original passenger receiptPortion of the airline ticket. ^ trave| itinerary is appreciated to facilitate the audit trail. Auto nsVta| reirnbUrGernentrequires the vendor invoice. Fuel purchases should b d ' u o paid receipts. Taxis are not reimbursed if taken to arrive at a departure point: documented with taking a taxi from one's residence to the airport for � a bUS/n8sS trip i re po � for example, /s considered a reimbursable travel expense at the d8sUnat| np a not reimbursable. Parking bus|ne�� trip /sn�t. destination. /\|rportparking during a A detailed list of charges is required on the lodging invoice. Balance due must be zero Ro must be registered and paid for bytraveler. The County will only reinlbunaethe acu��actual orn related bed tax. Room service, movies, and personal t8|Hp"0n8 calls are nota) room and expenses. '"..�u/� Mileage reimbursement shall be at the rate established by ARTICLE XXVI TRAVEL PER DIEM MEALS, AND MILEAGE POLICY Ofthe Monroe County Code ofDrdinancea / An odometer /ne� r ne�te di' rnustbeindudedon the state travel voucher for vicinity trave| Mileage 'is not al| edf ng residence V, of�cetoa point ofdeparture. For example, driving fn�rnOn�'shorn�»w rV thero/n � fora business trip is not reimbursable expense. ' �|rport Meal reimbursement shall be at the rates established by ARTICLE XXVI TRAVEL PER DIEM, MEALS, AND MILEAGE P[>LICYofthe Monroe County Code of Ordinances. Meal TRAVEL, ` t that travel must begin prior to 6 a.nl for breakfast reimbursement, b-=�' 9 state P'rn^ for lunch reimbursement, and before 6 p rn and end after 8 ' before noon and end after � reimbursement. ' = ' ' a er p.m. for dinner Non-allowable Expenses The following expenses are not allowable for reimbursement: capital outlay expenditures (unless specifically included in the contract), contributions, ~ specifically included in the coDtrdCt) entertainment t ��P��c��U»D ��P�n�eS (un|��S charges, penalties and fines. '' rco �wp�n�e�' fundraising, non-sufficient �h��k ATTACHMENT ORGANIZATION LETTERHEAD Monroe County Board of County Commissioners Finance Department 5OO Whitehead Street Key West, FL33O4O Date The following is a summary of the expenses for (Organization name) for the time period of _______ to _______. ` ' Chech # Payee Reason Amount 101 Company Rent 102 Company Utilities $ )(,}(X>(.XX 104 Employee p/R ending 05/14/01 XXX'XX 105 Ennp|oyOe8 p/R endingO5/28/U1 X�)('XX XXX.XX (4) Total ` , $ X,XXX.XX (�) T�bs| phOrp8yrnentS . . $ )<,XXX.XX (C) Total requested and paid /A + B\ � X �X� XX (O) Total ` ' - / ' - � � XX /D \ Balance of contract C 'X%X' , , $ X,XXX.XX I certify that the above checks have been submitted to the vendors as noted and that the expenses are accurate and in agreement with the records of this organization. Furth these expenses are in compliance with this onganization's contract vvith th Merrnore' Board of County Commissioners and will not be submitted for reimbursemente onro� Coun�y funding source. to �nyoth�r Executive Director Attachments (supporting documentation) Sworn to and subscribed before me this day of ZO by h i ---- |yknowntu who � p�r�on�/ nne. �-------------- Notary Public. ~~..` Notary Stamp ' \ \ ATTACHMENT FDLE SupportFlorida Department of Busines's Rick Law Enfommmon Offi ce � ��u� ��mn Attorney General Chief Financial Officer Gam��geUay 489 Adam Pu�am'C"mPost Office Box 1489 Jeff �msx",eroh4Ariculture unmnnmnonur (850)617-1250 NOV 2 22013 The Honorable George Neuged Mayo, Monroe County Board ofCommissioners 11OO Simonton Street Key West, FL 33040-8110 Re: Contract No.2014-RGAT'M0NF-1'A7-001 Dear Mayor Neugent: The Florida Department of Law Enforcement is pleased to award a Residential Substance Abuse Treatment for State Prisoners grant to your unit of government in the amount of$50,000.00 for the project entitled,MEN'S JAIL HOUSED DRUG ABUSE TREATMENT PROGRAM, These funds shall b*utilized for the purpose of providing substance abuse treatment to at risk prisoners.A copy of the approved subgrant application with the referenced contract number ie enclosed for your file. All correspondence with the Department should always refer to the project number and title. As you may be aware, information from subgrants and performance reports are currently provided to the Department of Justice under the Performance Measurement Tool(PMT)and Federal Funding Accountability and Transparency Act(FFAJA)(o meet current federal transparency requirements. However,the State of Florida recently passed legislation requiring all contracts,including grants for state or federal financial assistance,be provided to the Department of Fi d |Services via the Florida Accountability C trmo Tracking System contract and all subsequent correlating information including performance reports,expenditure reports,grant amendments,etc.are provided to FACTS to meet requirements under Chapter 2013-54 and 2013-154 Laws of Florida for transparency|n government spending. |f this grant agreement contains confidential ur exempt information not subject to disclosure under the public records law,Chapter 119,F.S., (such as the names of personnel and disclosure of equipment for certain undercover operations,etc.that may result in officer names or other sensitive information on grant documents and expenditure reports)please contactthe Offioaof Criminal Justice Grants for information on requesting exemption from public records disclosure, Due tm recent shifts in federal reporting requirements performance reporting has changed. Subsequently, changes will pass down to each grantee and grant adjustment requests will be required of each award recipient, A notice providing instructions will be released to each grantee in the near future. Please complete and return the enclosed Certification of Acceptance to the Office of Criminal Justice Grants within 30 calendar cays from the date of award.This certificate constitutes official acceptance of the award and must be received by the Department prior to the reimbursement of any project expenditures. YVe look forward Uz working with you on this project. Please contact Planning Manager Martha McWilliams at(850)617-1280 if you have any questions orwe can bnoy further assistance. Sl petrina Tuttle Herring . J Administrator PTH/as Enclosures Service ^Integrity ^Respect ^Quolity 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 2014-RSAT-MOLAR-1-A7-001, in the amount of$50,000.00,for a project entitled, MEN'S JAIL HOUSED DRUG ABUSE TREATMENT PROGRAM,for the period of 10/01/2013 through 09/30/2014, in accordance with the statement of work contained in the subgrant application, and subject to the Florida Department of Law Enforcement's Conditions of Agreement and any special conditions governing this subgrant. Signature of Subgrantee's Authorized Official Typed Name and Title of Official Date of Acceptance MONROE COUNTY ATTORNEY APPROVED AS TO FORM: ILA" CHRISTINE M. LIMBERT-BARROWS ASSISTANT COUNTY ATTORNEY Date II T; OCJG-01 2 (rev. October 2005) 1 SUBGRANT AWARD CERTIFICATE Subgrantee: Monroe County Board of Commissioners Date of Award: Grant Period: From: 10/01/2013 TO: 09/30/2014 Project Title: MEN'S JAIL HOUSED DRUG ABUSE TREATMENT PROGRAM Grant Number: 2014-RSAT-MONR-1-A7-001 Federal Funds: $50,000.00 Agency Match: $ 16,667.00 Total Project Cost: $66,667.00 Program Area: 0001 : Residential Substance Abuse Treatment CFDA : 16.593 Award Is hereby made in the amount and for the period shown above of a grant under Title IV of the Violent Crime Control and Law Enforcement Act of 1994, P.L 103-322,as amended,to the above mentioned subgrantee and subject to any attached standards or special conditions. This award is subject to all applicable rules,regulations,and conditions as contained in the Financial and Administrative Guide for Grants,Office of Justice Programs,Common Rule for State and Local Governments and A- 87,or OMB Circulars A-110 and A-21,in their entirety. It is also subject to such further rules,regulations and policies as may be reasonably prescribed by the State or Federal Government consistent with the purposes and authorization of P.L. 103-322,as amended. This grant shall become effective on the beginning date of the grant period provided that within 30 days from the date of award,a properly executed Certification of Acceptance/Request for Payment is returned to the department. } r J / Authorized Official Petrina Tuttle Herring Administrator Date ( }This award is subject to special conditions(attached). s f n \S. Apt-.�ation for Funding Assistanu�e Florida Department of Law Enforcement Residential Substance Abuse Treatment Subgrant Recipient Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: George Neugent Title: Mayor RECEIVED Address: 1100 Simonton Street City: Key west SEP 3 2013 State: FL Zip: 33040-3110 - Phone: 305-289-6039 Ext: OFFICE OF Fax: 305-872-9195 CRiMiiV JUSTICE GPM Email: neugent-george@monroecounty-fl.gov Chief Financial Officer Name: Amy Heavilin Title: Clerk of Court Address: 500 Whitehead Street City: Key West State: FL Zip: 33040-3110 Phone: 305-295-3130 Ext: Fax: Email: aheavilin@monroe-clerk.com Application Ref# 2014-RSAT-83 Section#1 Page 1 of 3 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appr.�ation for Funding Assistarisad Florida Department of Law Enforcement Residential Substance Abuse Treatment �o;1 Implementing Agency Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: George Neugent Title: Mayor 60 Address: 1100 Simonton Street RECEIVED City: Key West State: FL Zip: 33040-3110 SEP 3 - 2013 Phone: 305-289-6039 Ext: OFFICE OF Fax: 305-872-9195 CRIAAii+ALJusnCF GRM Email: neugent-george@monroecounty-fl.gov Project Director Name: Laura Deloach-Hartle Title: Senior Administrator-Grants&Special Projects Address: 1100 Simonton Street Room 2-285 City: Key West State: FL Zip: 33040-3110 Phone: 305-292-4482 Ext: Fax: Email: deloachhartle-laura@monroecounty-fl.gov Application Ref# 2014-RSAT-83 Section#1 Page 2 of 3 Contract -RSAT-MONR--- OCJG-006(rev.April 2005) App.'.'�ation for Funding AssistatJe Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: What Is the DUNS number for the subgrantee? Answer: 73876757 Application Ref# 2014-RSAT-83 Section#1 Page 3 of 3 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) App..�ation for Funding Assistat,?e Florida Department of Law Enforcement Residential Substance Abuse Treatment General Project Information _ Project Title: MEN'S JAIL HOUSED DRUG ABUSE TREATMENT PROGRAM Subgrant Recipient: Monroe County Board of Commissioners Implementing Agency: Monroe County Board of Commissioners Project Start Date: 10/1/2013 End Date: 9/30/2014 Problem Identification 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 rat s 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 57% of Monroe County foster care placements between April 2011 and March 2012 were as a result of parental substance abuse. For many drug involved men, the obsession surrounding use and attainment of illicit and legal drugs of abuse often lead to legal involvement, criminal conduct, neglect of family and self, and ultimately incarceration. In addition; the destruction of parent-child relationships, increased domestic violence, increased crime,child abuse and neglect,foster care placement, divorce, stress on the legal and medical systems of a county with very limited resources, and global negative effects on our communities and quality of 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, the Guidance Care Center along with the Monroe County Sheriffs Office created the Jail Housed Drug Treatment Program located within the Monroe County Detention Center in 1992. It remains today as one of the few such programs operated within a county jail in Florida and the only opportunity for men to receive intensive drug abuse treatment within Monroe County. Moreover,these men are able to get treatment quickly instead of being one of the 66%of substance abusing Florida residents who desire help but are unable to access treatment due to Florida's lengthy waiting list for substance abuse services as reported by the Florida Department of Children and Families. This program has been able to attain and maintain a very low recidivism rate(under 25%)for participants in the last 5 years with the addition of evidenced-based practices and special attention to the unique needs of substance abusing men. The program has a very close relationship with county judges, attorneys, and the administration and staff of the Monroe County Detention Center as well as city and county authorities. Men who complete treatment are often granted early release from incarceration to return to their families and begin rebuilding their lives and the Application Ref# 2014-RSAT-83 Section#2 Page 1 of 4 Contract -RSAT-MON R--- OCJG-005(rev.April 2005) Appi. ation for Funding Assistarv.,e Florida Department of Law Enforcement Residential Substance Abuse Treatment i lives of their loved ones thereby saving the county the expense of their continued detainment. Skills attained within the context of treatment increases the chances of sustained recovery, healthier family and other personal relationships, healthier children, and safer communities. Project Summary (Scope of 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 j minimum of 182 days. The program has established a positive reputation county wide,working i closely with judges, prosecutors and defense attorneys throughout the county. DCF audits for the past three years reported that this program meets or exceeds Best Practice standards with 100% compliance.This year's funding will allow services begun with last year's grant to continue for this population in the detention center. In July 2013 , the Commission on Accreditation of Rehabilitative Facilities(GARF)evaluated the JIP program for accreditation. The process of accreditation has strengthened assessment and treatment. The Jail In-House Program met the highest GARF standards and received recognition for its positive relationships between correctional staff and treatment clinical staff. The agency has submitted Annual Conformance to Quality Reports to GARF and continues to meet the highest accreditation standards. Client-centered individualized treatment plans tailored to the needs of men are a cornerstone of gender-responsive treatment.After developing these plans in partnership with the program participant,treatment plan reviews, case management services to provide community linkages and monthly self-reports of progress continue to refine the plan. On-going program review occurs through monthly focus groups with administrative staff and participants.The Global Assessment of Individual Needs(GAIN)instrument provides a comprehensive assessment of client needs and assists in developing a person-centered Wellness Plan that is updated with the participant every 30 days.Admission policies are welcoming to individuals with co-occurring disorders, learning disabilities, illiteracy and other special individualized needs. This allows access for all who probably otherwise would not receive services. For men with a mental illness as well as drug addiction,a Mental Health Status Assessment Identifies impairments in functioning. Once identified,the client receives a referral to a mental health counselor and the Prison Health Services psychiatrist as well as participating in services to address the substance use disorder and criminal thinking and behavior. Treatment of mental illness is monitored by program staff as a vital part of recovery from substance abuse. Participants are given appointments with the Guidance Care Center psychiatrist upon completion of the program and release from incarceration and assigned a case worker to help them with appointments,treatment adherence, accessing of community services and medication assistance. Psychotropic medications are provided free of charge to participants who cannot afford their medications or who do not have insurance coverage. Treatment in the program is a minimum of six months and a maximum of one year. Aftercare services are encouraged as a part of re-entry planning and last up to six Application Ref# 2014-RSAT-83 Section#2 Page 2 of 4 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) - A� ' "�� ^�KD ��^�� °-= ___ -- Funding_° . ~�~~~~��..�� Florida Department of Law Enforcement Residential Substance Abuse Treatment months once the participant is released.The Guidance/Care Center provides aftercare throughout the Florida Keys in community-based facilities.Aftercare is given priority and participants are enrolled before they are released.These services are not funded by the grant and are available to all participants regardless of ability topay. Corrections staff conduct random drug testing with positive tests resulting in30dmveinbmk-up and a return tocnu��r judicial review uf the case. Tests |di sticks ' panel po o n testing for amphetamine, benzodiazepines,cocaine, opiates, synthetic opiates,THC, PCP, barbiturates, K4OMAand methadone. The program also has e relationship with the local drug court to run tests on their spectrometry machine if test results are questionable which helps to identify those who may have attempted to be dishonest by trying to mask the results. Program services will be delivered using an evidence based practice Cognitive Behavioral Therapy(CBT)curriculum entitled "Substance Abuse and Criminal Conduct: Strategies for Self Improvement and Change, Pathways to Responsible Living"authored by Harvey Milkman and KennethVVonberg. Throughout the treatment episode participants use a client workbook that belongs to them, The cost of that workbook is$22.00 per copy, Use of this workbook is subject to change as more advanced evidenced-based treatment resources become available but will not exceed the$22.00cost. Treatment in the correctional setting will incorporate trauma-informed and gender-responsive treatment through the use of the evidenced-based"Seeking Safety" ! treatment model to promote the healing and edification of the human spirit. Seeking Safety offers | 25 treatment topics, each with a clinician guide and client handouts.The seven interpersonal | topics are Asking for Help, Honesty, Setting Boundaries In Relationships, Healthy Relationships, � Community Resources, Healing from Anger, and Getting Others to Support Your Recovery. The seven behavioral topics are Detaching from Emotional Pain: (� ' Grounding,Taking Good {�oreof � You,se|tRedandGreenF|aga. Comm|tment. {�opin0vvith'Triggers, � RepectimgYuurTima, and | Self-Nurturing. The seven cognitive topics are PTSD: Taking Back Your Power, Compassion, | When Substances Control You, Recovery Thinking, Integrating the Split Self, Creating Meaning, / and Discovery. In addition,four combination topics are Introduction to Treatment I Case Management, Safety, The Life Choices Game(Rev|ew)' and Termination. 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 curriculum will be introduced this year. Specific treatment services will include: Education about addiction to include relapse prevention and the consequences of criminal behavior Anger and emotional control Trauma-informed care and treatment to include sexual abuse and domestic violence A range of informational, emotional, and behavioral options to strengthen self and family Improving abilities to cope with their children and the world around them. Emphasis on physical and emotional wellness Parenting education and practice Learning, developing, and practicing positive coping skills Developing and beginning to implement realistic and hopeful life plan Continuum of care supports participants by connecting and coordinating aftercare in the community and though 12-mb*p/nupport group involvement Discharge and aftercare planning - ' �� ` � �� 8�*�^�� ^�t��-� �" �- ��- Funding '- - - _ Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: Does theaubgrartee receive m single grant|n the amount of$500,000mmore from the U.G. Department ofJustice? Answer: No Question: Does the implementing agency receive o single grant in the amount cf$500.000or more from the U.@. Department ofJustice? /\nowmc No Question: Part 1: In your business or organization's preceding completed fiscal year, did your business or organization(the subgrantee)receive(1)80 percent or more of your annual gross revenues In U.S.federal contracts, subcontracts,loans, grants, subgrants, and/or cooperative agreements;and(2)$25,000,000 or more in annual gross revenues from U.S.federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements? If yes, answer"yes"or"no"to Part 2, below. Answer: No Question: Port 2: Does the public have access bo Information about the compensation cf the executives in your business or organization (the subgrantee)through periodic reports filed under section 13(o)or15(d)of the Securities Exchange Act of1934 (15U.S.C. 78m(e).78o(d)>or section 01O4cf the Internal Revenue Code uf1888? |f answer ho Part 1. above,was"no."answer NA\. Answer: N/A Contract -RGATMONR-'' Appkl iation for Funding Assistan.,� Florida Department of Law Enforcement Residential Substance Abuse Treatment T �iDffi�� „„�r � Y i�w � � fY 0 �'i�f+9✓' �� ok�✓ ',9� ry �i � � i aj(! Y ii p� Ord i//fit � General Performance Info: Performance Reporting Frequency: Quarterly Federal Purpose Area: 0001 - Residential Substance Abuse Treatment State Purpose Area: 0001 - Residential Substance Abuse Treatment Activity Description Activity: Cognitive Restructuring Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Address(es) : Monroe County Detention Center 5525 College Road Key West, FL 33040 Activity Description Activity: 12-Step 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 Activity Description Activity: Drug Testing Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Address(es) : Application Ref# 2014-RSAT-83 Section#3 Page 1 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appi cation for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment w iW' A � 'r r� i r 7kr? V%''�✓�„ ,�'� fh Iffl/ p »! ,. ti /, UN '✓ r Monroe County Detention Center 5525 College Road Key West, FL 33040 Activity Description Activity: Educational Programs 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 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 Activity Description Activity: Impulse/Anger Control 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 Application Ref# 2014-RSAT-83 Section#3 Page 2 of 13 Contract -RSAT-MONR--- OCJG-005(rev.ApNI 2005) App ication for Funding Assistan e Florida Department of Law Enforcement Residential Substance Abuse Treatment a t j 1� �1,, y:?rr. �Ga NEI Activity Description Activity: Individual Counseling Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Address(es) : Monroe County Detention Center 5525 College Road i Key West, FL 33040 j Activity Description Activity: Mental Health 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 Activity Description Activity: Parenting Training 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 Activity Description Activity: Therapeutic Community Target Group: Adult Males Geographic Area: State of Florida Application Ref# 2014-RSAT-83 Section#3 Page 3 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) 1 Application for Funding Assistari ce Florida Department of Law Enforcement Residential Substance Abuse Treatment oft � n� � �' f h �' i i W� �� 1d ^,✓ ) i � Ili �Y � Y" Location Type: Jail Addresses) Monroe County Detention Center 5525 College Road Key West, FL 33040 Objectives and Measures I Objective: 2012-01 A-To report whether or not grant activity occurred during each reporting period. Grant activity is defined as any proposed activity in the OCJG approved grant application that is implemented or executed with RSAT funds. (Yes or No.) i Measure: 2012-01 A Is grant activity expected to occur during EVERY reporting period? Grant activity is defined as any proposed activity in the OCJG approved grant application that is implemented or executed with RSAT funds. (Yes or No.) Goal: Yes Objective: 2012-02A-To report the number of RSAT participants added during each reporting period. Measure: 2012-02A Now many RSAT participants will be added to the program during the GRANT period? Goal: 70 Objective: 2012-03A-To report whether or not your RSAT program used evidence-based treatment services during each reporting period(those demonstrated by the research literature to be effective at reducing substance abuse among court-involved individuals(see link at http://www.samhsa.gov/ebpwebguide/)) Measure: 2012-03A Will your RSAT program use evidence-based treatment services such as those demonstrated by the research literature to be effective at reducing substance abuse among court-involved individuals(see link at http://www.samhsa.gov/ebpwebguide/)? Goal: Yes Objective: 2012-04A-To report the type of services provided to RSAT participants during each reporting period. Measure: 2012-04A What type of services will be provided to RSAT participants throughout the grant period? Application Ref# 2014-RSAT-83 Section#3 Page 4 of 13 Contract -RSAT-MOLAR--- OCJG-005(rev.A012005) Application for Funding Assistan we Florida Department of Law Enforcement Residential Substance Abuse Treatment rs Goal Education-addiction,./ �� relapse prevention,consequences of criminal behavior;Anger/emotional control;Trauma-informed care/treatment including sexual abuse,domenstic violence;Informational/emotional/behavioral options to strengthen self&family;Emphasis on physical/emotional wellness;Parenting education/practice;Learning/developing/practicing positive coping skills; Developing/implementing a realistic, hopeful life plan;Continuum of care;Discharge/aftercare planning Objective: 2012-05A-To report the number of custody&treatment staff who worked directly with RSAT participants in the RSAT program during each reporting period. Staff would be all custody and treatment employees including but not limited to program managers, administrators, case managers, correctional officers and clinicians. Do NOT include mentors,volunteers or interns. Measure: 2012-05A How many custody&treatment staff(who will work directly with RSAT participants in the RSAT program)are expected to be used?Staff would be all custody and treatment employees including but not limited to program managers, administrators, case managers, correctional officers and clinicians. Do NOT include mentors, volunteers or interns. Goal: 7 Objective: 2012-06A-To report the number of custody and treatment staff who are cross- trained in the RSAT program. (This should be based on the number of uniformed officers who received training in the implementation of assessment instruments, motivational interviewing (MI)techniques,accountability training, or addiction-related trainings, as well as the number of treatment staff who will receive officer training and other security training sessions. Measure: 2012-06A How many custody and treatment staff are to be cross-trained in the RSAT program? This should be based on the number of uniformed officers who received training in the implementation of assessment instruments, motivational interviewing (MI) techniques, accountability training, or addiction-related trainings, as well as the number of treatment staff who received officer training and other security training sessions for the RSAT program. Goal: 15 Objective: 2012-07A-To report the number of RSAT participants who will be administered a risk and need assessment during the program period. (This refers to an instrument used to identify factors that may lead a participant to re-offend; pinpointing needed services to minimize those risks). Measure: 2012-07A How many RSAT participants will be administered a risk and need assessment?This refers to an instrument used to identify factors that may Application Ref# 2014-RSAT-83 Section#3 Page 5 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appu�ation for Funding Assistan we Florida Department of Law Enforcement Residential Substance Abuse Treatment lead a participant to re-offend; pinpointing needed services to minimize those risks. Goal: 70 Objective: 2012-07B-To report number of RSAT participants listed in 7A who were identified during the reporting period as high criminogenic risks, such as high substance abuse treatment needs. Measure: 2012-07B From the number in question 7A, how many RSAT participants are expected to be Identified as high criminogenic risk, such as high substance abuse treatment needs. Goal: 60 Objective: 2012-08A-To report the number of RSAT participants with an individualized treatment plan. This number should be equal to or less than the number of participants currently enrolled and should be based on an unduplicated count of participants with treatment plans. Participants with updated treatment plans should be counted only once. Measure: 2012-8A How many RSAT participants will have an individualized treatment plan during the program?This number should be equal to or less than the number of participants enrolled and should be based on an unduplicated count of participants with treatment plans. Participants with updated treatment plans should be counted only once. Goal: 100 Objective: 2012-09A-To report whether or not your RSAT program participated in a correctional institution/community based partnership(during the reporting period)to ensure that therapeutic services administered to participants are maintained after their release into the community. Measure: 2012-09A Will your RSAT program participate in a correctional institution/community based partnership to ensure that therapeutic services administered to participants are maintained after their release into the community? Goal: Yes Objective: 2012-10A-To report the number of RSAT participants in the program during each reporting period (including the number of RSAT participants carried over from the previous reporting period and NOT new admissions during the reporting period. Measure: 2012-10A Approximately how many RSAT participants are expected to be in the program during the grant period? Goal: 100 Application Ref# 2014-RSAT-83 Section#3 Page 6 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appilication for Funding Assistar,,e Florida Department of Law Enforcement Residential Substance Abuse Treatment �s Objective: 2012-11A-To report the number of new admissions during the reporting period. Measure: 2012-11 A How many NEW admissions are anticipated to participate In the RSAT program during the grant period? This does not include any carry-overs from a previous grant period. Goal: 70 Objective: 2012-12A-To report RSAT participants receiving RSAT funded treatment through the following components: COGNITIVE SERVICES BEHAVIORAL SERVICES EMPLOYMENT SERVICES HOUSING SERVICES EDUCATION SERVICES MENTAL HEALTH SERVICES ? MEDICAUDENTAL SERVICES SUBSTANCE ABUSE SERVICES i OTHER SERVICES ! EXPLAIN OTHER SERVICES Measure: 2012-12A From the following components,which will be used in your RSAT program? COGNITIVE SERVICES, BEHAVIORAL SERVICES, EMPLOYMENT SERVICES, HOUSING SERVICES,EDUCATION SERVICES,MENTAL HEALTH SERVICES, MEDICAL/DENTAL SERVICES,SUBSTANCE ABUSE SERVICES, OTHER SERVICES (EXPLAIN OTHER SERVICES). Goal: Cognitive services, behavioral services, educational services, mental health services, substance abuse services Objective: 2012-13A-To report the number of RSAT participants who SUCCESSFULLY completed all requirements set forth in your RSAT grant application during the reporting period. Measure: 2012-13A How many RSAT participants are anticipated to SUCCESSFULLY complete all requirements set forth in your RSAT grant application during the grant period? Goal: 75 Objective: 2012-13B-To report those listed in 13A who were released into the community during the reporting period. Measure: 2012-13B Of those listed in 13A, how many participants are expected to be released into the community after treatment completion? Goal: 70 Objective: 2012-13C-To report the number of RSAT participants listed in 13B with a continuity of care arrangement with aftercare providers.This Application Ref# 2014-RSAT-83 Section 93 Page 7 of 13 Contract -RSAT-MONK--- OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment ,,..� " -1�M� I�„ ':;,d II 7�� '��,��,�a •w J�Pd �;r�rr,u�lr M.... ,,n�/��/�� '�� `.'� �? '!li i� , 1�,,�?��, ,frN°i ;'!,, � � �°Y; number should be based on those with active treatment plans that continue in the community and who receive referrals for services after their release into the community. Measure: 2012-13C Of the number in 1313, how many RSAT participants are expected to be released with a continuity of care arrangement with aftercare providers?This number should be based on those with active treatment plans that continue in the community and who receive referrals for services after their release into the community. Goal: 65 Objective: 2012-14A-To report number of RSAT participants removed from the program during the reporting period due to termination for a new charge. i Measure: 2012-14A How many RSAT participants are expected to be removed from the program during the grant period due to termination for a new charge? Goal: 5 Objective: 2012-14B-To report number of RSAT participants removed from the program during the reporting period due to release or transfer to another correctional facility. Measure: 2012-14B How many RSAT participants are expected to be removed from the program during the grant period due to release or transfer to another correctional facility? Goal: 5 Objective: 2012-14C-To report number of RSAT participants removed from the program during the reporting period due to death or serious illness. Measure: 2012-14C Approximately how many RSAT participants are expected to be removed from the program during the grant period due to death or serious illness? Goal: 00 Objective: 2012-14D-To report number of RSAT participants removed from the program during the reporting period due to a lack of engagement(non-responsiveness). Measure: 2012-14D Approximately how many RSAT participants are expected to be removed from the program due to a lack of engagement or non-responsiveness? Goal: 5 Application Ref# 2014-RSAT-83 Section#3 Page 8 of 13 Contract -RSAT-MONK--- OCJG-005(rev.April 2005) App,ication for Funding Assistal,%.e Florida Department of Law Enforcement Residential Substance Abuse Treatment I �."'+�� 1i� li✓d l,�� , N^�'��1;'.✓. � %'f(�' fur � ��H /�� ';/,v%��rv:IPvww�y ,�^� v P ,,,r� � � ,fly e� �ili iP%:., ,,, r �li. Objective: 2012-14E-To report number of RSAT participants removed from the program during the reporting period due to failure to meet program requirements. Measure: 2012-14E Approximately how many RSAT participants are expected to be removed from the program due to failure to meet program requirements? Goal: 10 Objective: 2012-14F-To report number of RSAT participants removed from the program during the reporting period due to other reasons(please list other reasons.) Measure: 2012-14F Approximately how many RSAT participants are expected to be removed from the program due to other reasons(please list other reasons)? Goal: 0 Objective: 2012-15A-To report the number of SUCCESSFUL completions in the program within the following time frames(the sum of this answer should equal the number in 13A): 7-9 months 10-12 months Measurer 2012-15A Approximately how many SUCCESSFUL completions in the program within the following time frames(the sum of this answer should equal the number in 13A): 7-9 months 10-12 months Goal: 7-9 months: 50 10-12 months: 25 Objective: 2012-15B-To report the number of UNSUCCESSFUL completions or terminations who were in the program within the following time frames(the sum of this answer should equal the total number in 14A-14F): 7-9 months 10-12 months Measure: 2012-15B Approximately how many UNSUCCESSFUL RSAT completions or terminations are anticipanted to be in the program within the following time frames(the sum of this answer should equal the total number in 14A-14F): 7-9 months 10-12 months Goal: 7-9 months: 18 10-12 months: 7 Objective: 2012-16A-To report the number of participants who were given a drug test before admission into the RSAT program during this reporting period. (Subgrantees must implement urinalysis or other proven reliable forms of testing including both random and periodic testing(1)of a participant before they enter the program and during the period in which they receivd treatment; and (2)of a participant released from an Application Ref# 2014-RSAT-83 Section#3 Page 9 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) App,,�ation for Funding Assistari.;e Florida Department of Law Enforcement Residential Substance Abuse Treatment r v i1 ✓J 1(1 � .�, Y r'i�� .,,q) �I}�U)` l{�l P"ry '`Pw' a' �'l )�,�p " j��% f d RSAT program if they remain in the custody of the State.) Measure: 2012-16A Approximately how many participants are expected to be given a drug test before admission into the RSAT program? Subgrantees must implement urinalysis or other i proven reliable forms of testing including both random and periodic testing(1)of a 1 participant before they enter the program and during the period in which they receivd treatment; and (2)of a participant released from an RSAT program if they remain in the custody of the State.) Goal: 70 Objective: 2012-16B-To report the number of participants who were given a drug test after successfully completing the RSAT program during the reporting period. (Subgrantees must implement urinalysis or other proven reliable forms of testing including both random and periodic testing (1)of a participant before they enter the program and during the period in which they receivd treatment; and(2)of a participant released from an RSAT program if they remain in the custody of the State.) Measure: 2012-16B Approximately how many participants are expected to be given a drug test after successfully completing the RSAT program? Subgrantees must implement urinalysis or other proven reliable forms of testing including both random and periodic testing (1)of a participant before they enter the program and during the period in which they receivd treatment; and(2)of a participant released from an RSAT program if they remain in the custody of the State. Goal: 10 Objective: 2012-16C-To report the total number of RSAT participants who were drug tested DURING the RSAT program during the reporting period. The number entered should be an unduplicated count only of participants tested for alcohol or illegal substances and should be equal to or greater than the number of positive tests given during the reporting period. Measure: 2012-16C Approximately how many RSAT participants are expected to be drug tested DURING the RSAT program? The number entered should be an unduplicated count only of participants tested for alcohol or illegal substances and should be equal to or greater than the number of positive tests given during the entire grant period. Goal: 70 Objective: 2012-16D-To report the number of participants tested DURING the RSAT program during the reporting period with a POSITIVE result. Include only an unduplicated count only of participants(completions, non completions and current participants) who tested positive for alcohol or illgal substances and should equal or be less than the total. Application Ref# 2014-RSAT-83 Section#3 Page 10 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Measure: 2012-16D Approximately how many participants are expected to be tested DURING the RSAT program with a POSITIVE result? Include only an unduplicated count only of participants(completions, non completions and current participants)who tested positive for alcohol or illgal substances and should equal or be less than the total. Goal: 1 Objective: 2012-17C-To report in narrative form any problems or barriers encountered which prevented goals and/or accomplishments from being reached during the reporting period. Measure: 2012-17C Do you anticipate any problems or barriers encountered which would prevent goals and/or accomplishments from being reached? If so, please elaborate. Goal: No i j Objective: 2012-17D-To report any assistance that OCJG can provide to address any 1 problems or barriers identified in 17C. j Measure: 2012-17D Do you anticipate seeking assistance that OCJG can provide to address any problems or barriers identified in 17C? Goal: No Objective: 2012-17E-To report in narrative form whether or not the RSAT program is on track to fiscally and programmatically complete as outlined in the RSAT grant application. Measure: 2012-17E Do you expect your RSAT program to stay on track to fiscally and programmatically complete as outlined in the RSAT grant application? Goal: Yes Objective: 2012-17F-To report major activities for the upcoming six months. Measure: 2012-17F Will you report major activities for the upcoming six months in each performance report? Goal: Yes Objective: 2012-17G-To report any innovative programs/accomplishments that you would like to share with OCJG (based on your knowledge of the criminal justice field.) Measure: 2012-17G { Could you report any innovative programs/accomplishments that you would like to share with OCJG (based on your knowledge of the criminal justice s Application Ref# 2014-RSAT-83 Section#3 Page 11 of 13 Contract -RSAT-MONR--- i� OCJG-005(rev.April 2005) I Appi cation for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment ✓�«�'w�kra�. %..rwb �. yul�� a�cLwvi�°. �*,/�.,� � ,� � vw/ �.�/ r'��'�/, � Wfleld)? Goal: Yes i Application Ref# 2014-RSAT-83 Section#3 Page 12 of 13 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appircation for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment ;� - �x. Section Questions: Question: What is the TOTAL number of beds(treatment and non-treatment)in the facility? Please give the number for each facility if there are multiple facilites. Answer: 596 Question: How many non RSAT-funded treatment beds are in this facility? Please give the number for each facility if there are multiple facilites. Answer: 526 Question: How many RSAT-funded treatment beds are in this facility? Please give the number for each facility if there are multiple facilites. i Answer: 70 i Question: How is aftercare provided? Answer: Aftercare services are encouraged as a part of re-entry planning and last up to six months once the participant is released. The Guidance/Care Center provides aftercare throughout the Florida Keys in community-based facilities.Aftercare is given priority and participants are enrolled before they are released. i Question: What is the anticipated number of RSAT program completions during each quarterly reporting period? Answer: 18 Question: What goals do you plan to accomplish during the subgrant period? Answer: An evidenced based relapse prevention curriculum will be introduced this year. Question: Please provide the physical address for the facility or facilities in which your RSAT- funded program operates. Answer: Monroe County Detention Center 5525 College Road Key West, FL 33040 Question: If"other"was selected for the geographic area, please describe. Answer: N/A Question: If"other"was selected for location type, please describe. Answer: N/A r ' Application Ref# 2014-RSAT-83 Section#3 Page 13 of 13 Contract -RSAT-MOLAR--- =G-005(rev,April 2005) Appoication for Funding Assistai�ue Florida Department of Law Enforcement Residential Substance Abuse Treatment Pei W /rf i'/ 1 Iii j p 1 / mrX ( . r General Financial Info: Note: All financial remittances will be sent to the Chief Financial Officer of the Subgrantee Organization. Financial Reporting Frequency for this Subgrant: Quarterly Is the subgrantee a state agency?: No FLAIR/Vendor Number: 596000749 Budget: Budget Category Federal Match Total Salaries and Benefits $0.00 $0.00 , $0.00 Contractual Services $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(PGQ? No Application Ref# 2014-RSAT-83 Section#4 Page 1 of 4 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) Appitcation for Funding Assistar,%;e Florida Department of Law Enforcement Residential Substance Abuse Treatment «�� n� , r V s � w 'v(( i �IV �u v�da'�iW� f '"' D d b ! �"7r ;m"—,"""'— "�.," ,{✓ Budget Narrative: Total budget $66,667 Contractual Services: Salaries and Benefits: Substance Abuse Counselor 27,853(.87 FT) Lead Counselor 24,790(.65 FTE) Counselor/Case Manager 6,964(22 FTE) FICA 4,560(1.74 FTE) Total Salaries and Benefits 64,167 Expenses: 70 workbooks@$22.00 each 1,540 Supplies 340 Drug tests 140 @$4.43 each 620 Total Expenses 2,500 Total Contractual Services: $66,667 Unit Cost= 18.42 Approximate Units = 3,619.27 The Substance Abuse Counselor at.87 FTE will provide group and individual therapy,conduct assessments, make appropriate referrals as needed, provide information on client participation and progress to judges and detention staff, and develop and monitor treatment plans. This will be a Bachelor's level position. The Lead Counselor at .65 FTE's will provide the same services as above with the addition of clinical oversight duties of the Program. This will be a Masters level position. The Counselor/Case Manager will provide case management support to participants as well as conduct groups and intakes as needed. This will be a Bachelors level position Therapy workbooks will be provided to each participant in the program. Supplies will include paper, pens, folders, copier toner, and other basic office supplies to be used by staff and participants. Drug testing will be administered upon entry into the Program and at least once while receiving treatment within the Program. Monroe County will provide the 25% match required. The Guidance Care Center will cover all costs in excess of the allocated grant amount. Monroe County will execute an agreement with the Guidance Care Center for the grant period. A copy of the agreement will be provided to FDLE. Application Ref# 2014-RSAT-83 Section#4 Page 2 of 4 Contract -RSAT-MONR--- OCJG•005(rev.April 2005) i Appve�ation for Funding Assistaim.e Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: What is the subgrantee's Operating Capital dollar threshold? Answer: 1000 Question: Is there a sole source purchase involved with this subgrant? Answer: No Question: Is there a contract executed for activities in this subgrant? If so, has a copy been received by the OCJG? Answer: There will be an executed contract for activities and a copy will be provided to FDLE/OCJG. Question: Are indirect costs included in the budget? If so, has a copy of the subgrantee's Indirect Cost Plan(approved by the cognizant federal agency)been submitted to the OCJG? Answer: No Question: If salaries and benefits are included in the budget, is there a net increase in the number of personnel? Answer: No Question: If benefits are to be included, are they reflected in the budget narrative? Answer: No Question: Will the applicant be requesting an advance of federal funds? Answer: No Question: Will the project earn Program Generated Income(PGI)? Answer: No Question: Does the budget include services based on unit costs? If so, provide a definition and cost for each service as part of the budget narrative for contractual services. Include the basis for the unit costs and how recently the basis was established or updated. Answer: Yes. Total budget Contractual Services: Salaries and Benefits: $66,667 Substance Abuse Counselor2V,85307 FT) Lead Counselor24,790(J65 FTE) Counselor/Case Manager61964(322 FTE) FICA;A560(1.74 FTE) Total Salaries and Benefits:64,167 Expenses: 70 workbooks@$22.00 eachrQ540 Supplies340 Drug Testing 620 Application Ref# 2014-RSAT-83 Section#4 Page 3 of 4 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) AppUcatUon for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Total UO Total Contractual Services: $66.067 Unit Coot= 18.42 Total grant units=3,81S.27 The Substance Abuse Counselor sd.87FTE will provide group and individual therapy, conduct assessments, make appropriate referrals as needed, provide information on client participation and progress to judges and detention staff, and develop and monitor treatment plans.This will be a Bachelor's level position, The Lead Counselor at .O5FTE'y will provide the same services am above with the addition of clinical oversight duties of the Program.This will be a Masters level position. The Counselor/Case Manager will provide case management support to participants | as well as conduct groups and intakes as needed.This will be a Bachelors level | position Therapy workbooks will be provided to each participant in the program. Supplies will include paper, pens,folders,copier toner,and other basic office supplies hoba used by staff and participants. | Unit Cost data provided August 18. 2O13by<�uidanca Care(�enter ! . � | � / ' | | � � | ' ' } / ` ) � � ' / � � , � � Contract 'RGAT-MONR--- Florida Department of Law Enforcement Residential Substance Abuse Treatment Program , �Izzlnm Conditions of agreement requiring compliance by units of local government (subgrant recipients), implementing agencies and state agencies upon signed acceptance of the subgrant award appear in this section and will become binding upon approval of this subgrant. Failure to comply with provisions of this agreement will result in required corrective action up to and including project costs being disallowed. All persons involved in or having administrative responsibility for the subgrant must read these conditions. This section must be returned as part of the completed application. Definitions: "OCJG", unless otherwise stated, refers to the Florida Department of Law Enforcement, Office of Criminal Justice Grants. "Recipient"refers to the governing body of a count that performs ri i Y p c mina)justice functions as determined by the U.S. Secretary of the Interior,and includes an"Implementing Agency"which is a subordinate agency of a county or an agency under the direction of an elected official (for example, Sheriff). I i 1. Reports i A. Project Progress Reports: Regardless of whether project activities occur or not, the recipient must submit Quarterly Project Progress Reports to the Office of Criminal Justice Grants(OCJG)by February 1,May 1, August 1, and November 1 covering subgrant activities occurring during the previous calendar quarter. In addition,if the subgrant award period Is extended beyond the"original" project period, additional Quarterly Project Progress Reports shall be submitted. B. Financial Reports: 1. The recipient shall have the choice of submitting either Monthly or Quarterly Reimbursement Requests to the OCJG. All Reimbursement Requests are due thirty-one (31) days after the end of the reporting period. A final Reimbursement Request and a Criminal Justice Contract(Financial)Closeout Package shall be submitted to the OCJG within forty-five (45) days of the subgrant end date. Such Reimbursement Requests shall be distinctly identified as "final". 2. Regardless of whether costs are incurred or not, all claims for reimbursement of recipient costs shall be submitted on the Reimbursement Request forms prescribed and provided by the OCJG. A recipient shall submit either monthly or quarterly reimbursement requests in order to report current project costs. Reports are to be submitted even when no reimbursement is being requested. 3. Before the"final"Reimbursement Request will be processed,the recipient must submit to the OCJG all outstanding project performance reports and must have satisfied all special conditions. Failure to comply with the above provisions shall result in forfeiture of reimbursement. 4. The recipient shall submit Quarterly Project Generated Income Reports to the OCJG by February 1, May 1, August 1, and November 1, covering subgrant project generated income and expenditures occurring during the previous quarter. C. Other Reports: The recipient shall submit other reports as may be reasonably required by the OCJG. 2. Fiscal Control and Fund Accounting Procedures A. The recipient shall establish fiscal control and fund accounting procedures that assure proper disbursement and accounting of subgrant funds and required non-federal expenditures. All Section 5 Page 1 Revised July 22,2009 ) / Florida Department OfLaw Enforcement Residential Substance Abuse Treatment Program C. All bills for any travel expenses shall be submitted according to provisions in Section 112.061, F�& 0' Written Approval of Changes Tn this Approved Agreement Subgrantees must provide written requests signed bvthe Chief Official,of anysignificantchan to the subgrant. OCGJ approval of any grant amendment request must be received prior to the incorporation of saidamendment. These include,but are not limited to: Changes in project activities,designs or research plans set forth in the approved agreement, Budget deviations that do not meet the following criterion. That is,a recipient may transfer funds between budget categories as long as the total amount of transfer does not exceed ten(10)percent of the total approved budget and the transfer is made to an approved budget line item; or, A. Transfers of funds above the ten (10) percent cap shall be made only ifthe Department approves o revised budget. B. Under no circumstances can transfers cf funds increase the total budgeted award. Transfers do not allow for increasing the quantitative number of items documented in any approved budget |ine|tem. (For example,equipment items in Operating Capital Outlay or Expense categories or staff positions inthe Salaries and Benefits oadegory.) 10. Reimbursement Subject to Available Funds The obligation of the State of Florida to reimburse recipients for incurred costs is subject hothe availability of federal funds authorized under the Residential Substance Abuse Treatment for State Prisoners Formula Grant Program. 11. Procedures for Reimbursement Request All requests for reimbursement of recipient costs shall be submitted on the form prescribed and provided by the Department. A recipient ehe|| submit reimbursement requests on a monthly o/ quarterly basis, aa specified ioorder1nnaportpnojectcootsinourredduringtheypecihedrepVrting period. All requests for reimbursement shall be submitted in sufficient detail for proper pre-audit and post-audit. 12' Advance Funding Advance funding io authorized upto twenty-five (26) percent of the federal award for each project according to Section 216.181(15)(b). F.G. and the Office of Justice Programs' Financial Guide. Advance funding shall bm provided tue recipient upon e written request to the Department justifying the need for such funds. 13. Commencement ofProject If a project has not begun within sixty(60)days after acceptance of the subgrant award,the recipient shall send a letter to the OCJG requesting approval of a new project starting date. The letter must outline steps to initiate the project, explain reasons for daioy, and specify an anticipated project starting date. If a project has not begun within ninety (SU) daya after acceptance of the aubgrant award, the recipient shall send another letter to the OCJG, again explaining reasons for delay and requesting approval ofarevised project starting date. Upon receipt of the ninety(90)day letter,the OCJG shall determine if the reason for delay is justified or mha)|, at its discretion, unilaterally terminate this agreement and re-obligate aubgrent (undo to other projects approved by the Department. If warranted by extenuating oircumatenoee, the d OepameDtmayextendthautarhngdateofthepro\ec{beynndtheninmty(9daypednd. buton|y Section 5 Page 3 Revised July 22. 2O0S Florida Department of Law Enforcement Residential Substance Abuse Treatment Program paid only for those services satisfactorily performed prior tothe effective date of such sanction. 19' Retention wfRecords The recipient shall maintain all records and documents for a minimum of five(5)years from the date of the project completion as provided by the Florida Department of State, General Schedule for Local Government G81-L, and be available for audit andpublic disclo sure upon request ofduly authorized persons. 2D. Access To Records | The Florida Department of Law Enforcement, Auditor General of the State of Florida, the U.G. | Department of Justice,the U.S. Comptroller General orany of their duly authorized representatives, | shall have access 10 books, documents, papers and records ofthereu�p}enL |mp|emenUngAgency ! and contractors for the purpose of audit and examination according to the Office of Justice PruQrmm'a Financial Guide. i � The Department reserves the right to unilaterally terminate this agreement if the puu|p/enL ' Implementing Agennyorcontroutorrefuoeotoa||mwpubUoacceentoaUdnoumenCa,papere' |ettere. or other materials subject tn provisions cf Chapter 110, F.G.'and made or received by the recipient or its contractor in conjunction with this agreement. 21' Audit A. Subgrant recipients that expend$500,000 or more in a year in Federal awards shall have a single or program-specific audit conducted for that year.The audit shallbe performed federal OMB's Circular A-133 and other applicable federal law. The contract for this agreement shall be identified with the subject audit in The Schedule of Federal Financial Assistance. The contract shall be identified as federal funds passed-through the Florida Department of Law Enforcement and include the contract number, CFDA number, award amount, contract period, funds received and disbursed. When applicable, the subgrant recipient shall submit an annual financial audit which meets the requirements of Chapters 11.45 and215.97, Florida Statutes;and, Chapters 10.550 and /uum0, Rules of the Florida Auditor General. B. A complete audit report which covers any portion of the effective dates of this agreement must be submitted within uv days after its com ` ' onihaafter the audit period. |nordo,tobeoomplebe'dheaubmittedrepod shallinclude any management letters issued se orate|`andmmnagement^swrittenreeponoekoa8nd/ngo,bothauditvopmtendmenagem --- —ing— ent Incomplete audit reports will not be accepted by the Department and will be returned to the subgrant ' recipient.C. The~~~x. ` nanipiantaha|| havesA|auddocompletedbxanindependentpublic accountant(|pA) . The IPA shall be either a Certified Public AccountantoraLicenaedPuWk Accountant. Theaubgnan` recipient shall take appropriate corrective action vvh � �within six the issue date/f the audi � repo�in instances ofnoncompUance with federal laws and regulations. ` D. The aubQnmnt recipient shall ensure that audit working papers are made available hz the Department, or its designee, upon request for a period«f three(3)years from the date the aud�nepo� - un|assex±ended|nrd|ngby�heDopa�ment is issued, vv E. Subgrant recipients that expend less than$500,000 in Federal awards during a fiscal year are exempt from the audit requirements of OMB CJncularA'/J3 for that fiscal year. In this mane writtenncdificationohaUbepnzvidedtotheDepa�men1byiheChiefFinanoia|(]fhcer'ordeoignee'thsd8le mubQrant recipient imexempt. This notice shall bo provided bzOCJ(�nn later than March 1 designee,that the end cf the fiscal year. F. If this agreement is closed out without an audit, the Department reserves the right to recover any Section G Page 5 Revised July 22. 2OOQ / \ ' \ Florida Department of Law Enforcement Residential Substance Abuse Treatment Program document are those of the author and do not necessarily represent the official position of policies of the U.S. Department ofJuaUoe." 27. Equal Employment Opportunity(EEO) A. Federal laws prohibit recipients of financial assistance from discriminating on the basis of race, color, national origin, religion, sex,disability, or age in funded programs oractivities. A||oubgreni recipients and implementing agencies must comply with any applicable statutorily-im posed nondiscrimination requirements,which may include the Omnibus Crime Control and Safe Streets Act of1968(42U.8.{J. §378Qd);the Victims of Crime Act(42U.S.C. § 1OGO4(m))|The Juvenile Justice and0a|i Prevention Act of2OO2(42USC 5672(b));the Civil Rights Act of Disabilities Act of 1990(42 U.S.C.§ 12131-34);the Education Amendments of 1972(20 U.S.C. Department of Justice Non-Discrimination Regulations 28 CFR Part 42;see Ex.Order 13279 (equal protection of the laws for faith-based and community� organizations). | B. Aoubgrant recipient orimplementing agency mustdevelop an EEO Plan ifit has 50 or more employees and it has received any single award of$25,000 or more from the Department of ! Justice. The plan mustbe short form at / retained bv the aubgrantrecipient , or implementing agency, and must ba available for review oraudit. The organization must also ` submit on EEO Certification toFOLE. ' � C. |f the nubgrant recipient or implementing egen is irodhoprepare an EEO Plan and has received any singleaward of$5OO'OOOnr more from the Department mf Justice, itmust submit its plan ho the Department of Justice for approval. A copy of the Department of Justice approval letter must be submitted to FDLE. The approval letter expires two years from the date ofthe letter. ( D. A subgrant recipient or implementing agency is exempt from the EEO Plan requirement if it is has fewer than 50 employees or if it does not receive any single award of$25,000 or more from the ` Department of Justice or if it is a nonprofit organization, a medical or educational institution,or an Indian Tribe. Kan organization io exempt from the EEO Plan requirement, it must submit an EEO Certification to FDLE. � E. The oubgrant recipient amdimp/emenUng agency acknowledge that failure to comply with EEO Requirements within OO days of the project start date may result in suspension or termination cd funding, until such time aaitieincompliance. F. |n the event a Federal or State court of Federal or State administrative agency aka finding of discrimination after a due process hearing on the grounds of race, color, religion, national origin, sex, or disability against a recipient of funds, the recipient will forward a copy of the finding tothe Office for Civil Rights'Office VfJustice Programs. 28' Payment Contingent an Appropriation The State of Florida's performance and obligation to pay under this agreement|o contingent upon / an annual appropriation by the Florida Legislature. � 20 Certifications Regarding Lobbying; Debarment, Suspension and other Responsibility Matters; | and Drug-Free Workplace Requirements � Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form.Signature of this form provides for compliance with certification Section 5 Page 7 Revised July 22'2OO9 � \ \ Florida Department of Law Enforcement Residential Substance Abuse Treatmentprogram C. DRUG-FREE WORKPLACE(GRANTEES OTHER THAN INDIVIDUALS) Ae required by the Drug-Free Workplace Act cf1988.and implemented at28CFR Part 87, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620 1. The applicant certifies that it will or will continue to provide a drug-free workplace by: a. Publishing a statement notifying employees that the unlawful manufacture,distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; b. Establishing an on-going drug-free awareness program to inform employees about ! 1. The dangers cf drug abuse in the workplace; | ! - 2. The grantee's policy of maintaining a drug-free workplace; ' | 3. Any available drug counseling, rehabilitation, and employee assistance programs; | and | 4. The penalties that may bo imposed upon employees for drug abuse violations ' occurring in the workplace; / / c. Making it a requirementthat each employee 0zbo engaged in the performance ofthe � grant bu given a copy cf the statement required by paragraph (o)| � d. Notifying the employee in the statement required by paragraph (e)that, aea condition of � employment under the grant,the employee will 1. Abide by the terms of the statement;and � 2. Notify the employer in writing of his or her conviction for u violation ofa criminal drug statute occurring in the workplace no later than five calendar days after such � conviction; e. Notifying subparagraph(d)(2)from an employee or otherwise receiving actual notice of such convic-tion. Employers of convicted employees must provide notice, including position vm* v^ ueparxnuntcxuusnna Office o/Justice Programs, 8| |N:Control Dmek, S3S Indiana Avenue, N.W.,Washington, D.C.20531. Notice shall include the identification number(a)of each affected grant; f. Taking one of the following actions,within 30 calendar days of receiving notice under subparagraph (d)(2).with respect tm any employee who iaooconvicted 1. Taking appropriate personnel action against such an employee, upho and including termination,consistent with the requirements ofthe Rehabilitation Act of 1973' as amended;or � 2. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement,or other appropriate agency; � g. Making a good faith effort ho continue tomaintain a d workplace through / implementation of paragraphs(a), (b). (o)' (d)' (e). and(0. \ Section 5 Page Q � \ \ Florida Department of Law Enforcement Residential Substance Abuse Treatment Program 32. Background Check It /s strongly recommended that all programs targeting juveniles, implemented by other than e sworn law enforcement officer o/ program licensed by the Department of Children and Family Services, conduct background checks on all personnel providing direct services. | 33. Purchase of American-Made Equipment and Products | i To the greatest extent practioeb|e, all equipment and products purchased with program funds should boAmohoan'made. 34. Eligibility for Employment in the United States / The State of Florida will not intentionally award publicly-funded contracts to any contractor who knowingly employs unauthorized alien vvorkere, constituting a violation of the employment ' provisions contained in 8 U.G.C. Section 1324A(o) [Seodon274A(a) of the Immigration and Nationality Act ("|NA")l. The Department shall consider the employment by any contractor of / unauthorized aliens o violation of Section 274A(a)oy the|NA. Such violation by the recipient ofthe employment provisions contained in Section 274A(e) of the |NAshaU be grounds for unilateral cancellation of this Agreement by the Department. 35' National Environmental Policy Act(NEPA) A. ThaaubQronteo agrees toassist FDLE in complying with the NEP/\and other related federal environmental impact analyses requirements in the use of subgrant funds by the subgrantee. This applies to the following new activities whether or not they are being specifically funded with these mubgrantfundm. That is, it applies as long as the activity io being conducted by the subgrantee or any third party and the activity needs to be undertaken in order to use these eubg/antfundo' 1. New construction; ' 2. Minor renovation or remodeling of a property either(a) listed on or eligible for listing onthe National Register of Historic Places or (b) located within e 100-yeerOood plain; 3. A renovation, |eaee, or any other proposed use of a building or facility that will either (a) result in a change in its basic prior use or (b) significantly change its size; and, 4. Implementation ofanew program involving the use of chemicals other than chemicals that are(a)purchased as an incidental component of a funded activity and(b)traditionally used, for example, in office, household, recreational, or educational environments. B. For any of a subgrantee's existing programs or activities that will be funded by these subgrant, the aubgnantea` upon specific request from the Department and the Bureau of Justice Assistance (BUA)' egnaoo to cooperate with BJA in any preparation by BJAuf anediona| o, program environmental assessment of that funded program or activity. 36' Assurance of Political Activities Limitations The subgrantee assures that it will comply with provisions of Federal law which limit certain political activities of State orlocal government employeeswhose principal employment iein connection with an activity financed in whole or part by Federal grants (5UGC1GO1, e8weq.) | A. Environmental Protection Agency's(EPA) list mfViolating Facilities ! The eubgn*nhae assures that the facilities underits ownership, lease or supervision which shall be utilized in the accomplishment of the Program Purpose are not listed onthe EPA'e list of ' Violating Facilities and that it will notify the FDLE of the receipt of any communication from the ` Director of the EPA Office of Federal Activities indicating that facility to be used in the project |m under consideration for listing bythe EPA. � � Section 5 Page 11 � Revised July 22 2009 ! ' ' \ \ Florida Department of Law Enforcement Residential Substance Abuse Treatment Program 274A(e) of the INA shall be grounds for unilateral cancellation of this contract by the Department. 42. Limmited English Proficiency(LEP) In accordance with Department of Justice Guidance pertaining to Title VI of the Civil RightsAct of 1964'42U.G.C.§2000d, recipients of Federal financial assistance must take reasonable steps to provide meaningful access to their programs and activities for persons with LEP. For more information on the civil rights responsibilities that recipients have in providing language services to LEP individuals, please see the webai1ecd . 43. Equal Treatment for Faith Based Organizations The grantee agrees hz comply with the applicable requirements of28C.F.R. Part 88' the Department of Justice regulation governing"Equal Treatment for Faith Based Organizations"(the"Equal Treatment Regulation"). The Equal Treatment Regulation provides in part that Department ofJustice grant awards of direct funding may not be used to fund any inherently religious activities, such as worship, religious instruction, or proselytization. Recipients of direct grants may still engage in inherently religious activities,but such activities must be separate in time or place from the Department of Justice funded program, and participation in such activities by individuals receiving services from the grantee ore sub-grantee must be | t The Equal Treatment Regulation also . makes clear that organizations participating in programs directly funded by the Department of Justice � are not permitted to discriminate in the provision of services on the basis of a beneficiary's religion. ! Notwithstanding any other special condition of this award,faith based organizations may, in some / circumstances,consider religion as a basis for employment. See 44 Certification for Employees Working Solely wnm Single Federal Amxmmd Any project staff that are fully funded by the grantmust certify that they worked solely nn the grant. The certification must be prepared a1|aeotnem|mnnua||yondmuutbeoignedbytheemp|oyeeondby a supervisory official having first hand knowledge of the work performed by the employee. ` i � � � ! Section 5 Page 18 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. Recipient's Name: MonroeDUNS Number:073876757 Address: Grant Title: Grant Number:2014-RSAT-83 Award Amount: $50,000 Name acid Title of Contact Person: Laura deLoach-Hartle; Grants Administrator Tele hone Number: 305 292-4482 E-Mail Address: ntv_ Section A Declaration Claiming Complete Exemption from the EEOP Requirement Please check all the following boxes that apply: n Recipient has less,than fifty employees. o Recipient is an Indian tribe. ❑Recipient is a medical institution. f o Recipient is a nonprofit organization. o Recipient is an educational institution. ❑Recipient is receiving an award less than$25,000. i I, [responsible official], certify that [recipient] is not required to prepare an ESOP for the reason(s)checked above,pursuant to 28 C.F.R§42.302 I further certify that [recipient] will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of services. Print or Type Name and Title Signature Date Section B--Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an ESOP 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 ESOP to the OCR for review as long as it certifies the following(42 C.F.R.§42.305): 1, Roman Gastesi, County Administrator [responsible official], certify that [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 ESOP 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: Galvin Allen EEO Officer Monroe Go,r,ty [organization], [address]. ::R man Gastesi Count Administrato pLY Print or Type Name and Title Signature Date Section C—Declaration Stating that an ESOP Utilization Report 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!Utilization Report to the OCR for review. I' [responsible official], certify than [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, submt. E,,and sent it for review on [date] to the Office for Civil Rights,Office of Justice Programs,U.S.Department of Justice: Print or Type Name and Title Signature Date OMB Approval No,1121-0340 Expiration Date:05/31/14 CERTIFICATION REGARDING LOBBYING; DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITIY MATTERS;AND DRUG-FREE WORKPLACE REQUIREMENTS Florida Department of Law Enforcement Residendial Substance Abuse Treatment Program (o) Making It a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph(a); (d) Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the employee will- (1) Abide by the terms of the statement;and (2) Notify the employer in writing of his or her conviction for a violation of a Check here _ if there are workplaces on file that are not Identified criminal drug statute occurring In the workplace no later than five calendar days here. after the convictlon; Section 67,630 of the regulations provides that a grantee that Is a (a) Notifying the agency,in writing,within 10 calendar days after receiving notice State may elect to make one certification in each Federal fiscal year. under subparagraph(d)(2)from an employee or otherwise receiving actual notice A copy of which should be included with each application for of such conviction. Employers of convicted employees must provide notice Department of Justice funding. States and State agencies may elect including position title,to:Department of Justice,Office of Justice Programs, to use OJP Form 4061/7. ATTN:Control Desk,633 Indiana Avenue,N.W.,Washington,D.C. 20531. Notice shall include the Identification number(s)of each affected grant; Check here-^ If the State has elected to complete OJP Form 4061/7. (f) Taking one of the following actions,within 30 calendar days of receiving notice under subparagraph(d)(2),with respect to any employee who is so convicted- (1) Taking appropriate personnel action against such an employee,up to and DRUG-FREE WORKPLACE including termination,consistent with the requirements of the Rehabilitation Act of (GRANTEES WHO ARE INDIVIDUALS) 1973,as amended;or As required by the Drug-Free Workplace Act of 1988,and (2) Requiring such employee to participate satisfactorily in a drug abuse Implemented at 28 CFR Part 67,Subpart F,for grantees,as defined assistance or rehabilitation program approved for such purposes by a Federal, at 28 CFR Part 67;Sections 67.615 and 67,620- State,or local health,law enforcement,or other appropriate agency; A. As a condition of the grant,I certify that I will not engage in the (g) Making a good faith effort to continue to maintain a drug-free workplace unlawful manufacture,distribution,dispensing,possession,or use of through implementation of paragraphs(a),(b),(c),(d),(a),and(f), a controlled substance in conducting any activity with the grant;and B. The grantee may insert In the space provided below the site(s)for the B. If convicted of a criminal drug offense resulting from a violation performance of work done In connection with the specific grant: occurring during the conduct of any grant activity,I will report the conviction,in writing,within 10 calendar days of the conviction,to: Place of Performance(Street address,city,county,state,zip code) Department of Justice,Office of Justice Programs,ATTN:Control Desk,633 Indiana Avenue,N.W.,Washington,D.C. 20531. As the duly authorized representative of the applicant, I hereby certify that the applicant will Comply with the above Certifications. I. Grantee Name and Address: Monroe County, 1100 Simonton Street, Key West FL 33040 2. Project Name: Residential Substance Abuse Treatment-Men's Jail Housed Drug Abuse Treatment Program 3, Typed Name and Title of Authorized Representative: Roman Gastesi,County Administrator 4. Signature, Date:FDLE RSAT Grant Application Package Lobbying,Debarment Suspension,and Drug Free Workplace CerfiFcatton Page 2 ...................................... 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. Reel ient's Name: roe CountyDUNS Number:073876757 Address: Grant Title: �1111 natGrant Number:2014-RSAT-83 Award Amount: 50 000 Name and Title of Contact Person: Laura deLoach-Hartle,Grants Adminis#rotor Telephone Number: 305 292-4482 E-Mail Address: Aa monr ountv_ Section A—Declaration Claiming Complete Exemption from the EEOP Requirement Please check all the following boxes that apply: a Recipient has less.than fifty employees. ❑Recipient is an Indian tribe. a Recipient is a medical institution. o Recipient is a nonprofit organization. ❑Recipient is an educational institution. o Recipient is receiving an award less than$25,000. I, [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. - 1 further certify. that [recipient] will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of services. Print or Type Name and Title Signature Date Section B--Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an ESOP 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 ESOP to the OCR for review as long as it certifies the following(42 C.F.R. 42.305): I, _Roman Gastesi,County Administrator [responsible official], certify that ®Monroe County [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 ESOP 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 ESOP 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 ESOP is on file at the following office: Galvin Allen EEO Officer Monroe Cnunt�r [organization], [address]. Roman Gast siCounty Administrator �g � ( Print or Type Name and Title Signature Date Section C-®—Declaration Stating that an EEOP Utilization Report Has Been Submitted to the Office for Civil Rights for Review If a recipient agency has fif y or more employees and is receiving a single award or subaward of$500,000 or more,then the recipient agency must send an EEOP Utilization Report to the OCR for review: c [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 ESOP 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. Print or Type Name and Title Signature Date OMB Approval No.1121-0340 Expiration Date:05/31/14 CERTIFICATION REGARDING LOBBYING;DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITlY MATTERS;AND DRUG-FREE WORKPLACE REQUIREMENTS Florida Department of Law Enforcement Residendial Substance Abuse Treatment Program Form Provided by the U.S. DEPARTMENT OF JUSTICE,OFFICE OF JUSTICE PROGRAMS, OFFICE OF THE COMPTROLLER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITY MATTERS;AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements under 2811 Part 69,"New Restrictions on Lobbying"and 28 CFR Part 67,"Government-wide Debarment and Suspension(Non-procurement)and Government-wide Requirements for Drug-Free Workplace(Grants)". The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction,grant,or cooperative agreement. (b)Have not within a three-year period preceding this application 1. LOBBYING been convicted of or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with As required by Section 1352,Title 31 of the U.S.Code,and Implemented at 28 obtaining,attempting to obtain,or performing a public(Federal,State, CFR Part 69,for persons entering into a grant or cooperative agreement over or local)transaction or contract under a public transaction;violation of $100,000,as defined at 28 CFR Part 69,the applicant certifies that: Federal or State antitrust statutes or commission of embezzlement, theft forgery,bribery,falsification or destruction of records,making (a) No federal appropriated funds have been paid or will be paid,by or on behalf false statements,or receiving stolen property; of the undersigned,to any person for influencing or attempting to Influence an officer or employee of any agency,a member of Congress,an officer or employee (c) Are not presently Indicted for or otherwise criminally or civilly of Congress,or an employee of a Member of Congress in connection with the charged by a governmental entity(Federal,State,or local)with making of any federal grant,the entering into of any cooperative agreement,and commission of any of the offenses enumerated In paragraph(1)(b)of the extension,continuation,renewal,amendment,or modification of any federal this certification;and grant or cooperative agreement; (d) Have not within a three-year period preceding this application (b) If any funds other than federal appropriated funds have been paid or will be had one or more public transactions(Federal,State,or local) paid to any person Influencing or attempting to influence an officer or employee of terminated for cause or default;and any agency,a member of Congress,an officer or an employee of Congress,or an employee of a member of Congress in connection with this federal grant or B. Where the applicant is unable to certify to any of the statements in cooperative agreement,the undersigned shall complete and submit Standard this certification,he or she shall attach an explanation to this Form-LLL,"Disclosure of Lobbying Activities",In accordance with its instructions; application. (c) The undersigned shall require that the language of this certification be Included in the award documents for all subawards at all tiers(including subgrants, 3. DRUG-FREE WORKPLACE contracts under grants and cooperative agreements,and subcontracts)and that all (GRANTEES OTHER THAN INDIVIDUALS) subreciplents shall certify and disclose accordingly. As required by the Drug-Free Workplace Act of 1988,and implemented at 28 CFR Part 67,Subpart F,for grantees,as defined 2. DEBARMENT,SUSPENSION,AND OTHER at 28 CFR Part 67 Sections 67.615 and 67,620- RESPONSIBILITY MATTERS (DIRECT RECIPIENT) A. The applicant certifies that it will or will continue to provide a drug- free workplace by: As required by Executive Order 12549,Debarment and Suspension,and implemented at 28 CFR Part 67,for prospective participants in primary covered (a) Publishing a statement notifying employees that the unlawful transactions,as defined at 28 CFR Part 67,Section 67.510- manufacture,distribution,dispensing,possession,or use of a controlled substance is prohibited In the grantee's workplace and A. The applicant certifies that it and its principals: specifying the actions that will be taken against employees for violation of such prohibition; (a)Are not presently debarred,suspended,proposed for debarment,declared ineligible,sentenced to a denial of federal benefits by a State or Federal court,or (b) Establishing an on-going drug-free awareness program to inform voluntarily excluded from covered transactions by any federal department or employees about- agency; (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling,rehabilitation,and employee assistance programs;and (4) The penalties that may be imposed upon employees for drug abuse violations occurring In the w^rkplace; FDLE RSAT Grant Application Package Lobbying,Debannent,Suspension,and Drug-Free Workplace Cerfffication Page 9 CE A I IC 110N REGARDING LOBBING; DEBARMENT,ENT, USPE N I IN , SIN '1,1 RESPONSIBILITlY MATTERS;AND DRUG-FREE RKPLAC E REQUIREMENTS Florida Department of Law Enforcement IR'e'eldetndiel Substance Abuse Treatment Pro real (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph(a); (d) Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the employee will- (1) Abide by the terms of the statement;and (2) Notify the employer In writing of his or her conviction for a violation of a Check here _If there are workplaces on file that are not Identified criminal drug statute occurring in the workplace no later than five calendar days here. after the conviction; Section 67.630 of the regulations provides that a grantee that is a (a) Notifying the agency,in writing,within 10 calendar days after receiving notice State may elect to make one certification In each Federal fiscal year, under subparagraph(d)(2)from an employee or otherwise receiving actual notice A copy of which should be Included with each application for of such conviction. Employers of convicted employees must provide notice Department of Justice funding. States and State agencies may elect Including position title,to:Department of Justice,Office of Justice Programs, to use OJP Form 406117. ATTN:Control Desk,633 Indiana Avenue,N.W.,Washington,D.G. 20531. Notice shall Include the Identification number(s)of each affected grant; Check here _ If the State has elected to complete OJP Form 406117. (f) Taking one of the following actions,within 30 calendar days of receiving notice under subparagraph(d)(2),with respect to any employee who is so convicted- (1) Taking appropriate personnel action against such an employee,up to and DRUG-FREE WORKPLACE Including termination,consistent with the requirements of the Rehabilitation Act of (GRANTEES WHO ARE INDIVIDUALS) 1973,as amended;or As required by the Drug-Free Workplace Act of 1988,and (2) Requiring such employee to participate satisfactorily in a drug abuse implemented at 28 CFR Part 67,Subpart F,for grantees,as defined assistance or rehabilitation program approved for such purposes by a Federal, at 28 CFR Part 67;Sections 67.615 and 67.620- State,or local health,law enforcement,or other appropriate agency; A. As a condition of the grant,I certify that I will not engage in the (g) Making a good faith effort to continue to maintain a drug-tree workplace unlawful manufacture,distribution,dispensing,possession,or use of through Implementation of paragraphs(a),(b),(c),(d),(a),and(f). a controlled substance in conducting any activity with the grant;and B. The grantee may insert In the space provided below the site(s)for the B. If convicted of a criminal drug offense resulting from a violation performance of work done in connecfion with the specific grant: occurring during the conduct of any grant activity,I will report the conviction,in writing,within 10 calendar days of the conviction,to: Place of Performance(Street address,city,county,state,zip code) Department of Justice,Office of Justice Programs,ATTN:Control Desk,633Indiana Avenue,N.W.,Washington,D.C. 20531, As the duly authorized representative of the applicant,I hereby certify that the applicant will comply with the above certifications. 1. Grantee Name and Address: Monroe County, 1100 Simonton Street, Key West, FL 33040 2. Project Name: Residential Substance Abuse Treatment-Men's Jail Housed Drug Abuse Treatment Program 3. Typed Name and Title of Authorized Representative: Roman Gastesi, County Administrator 4, Signature: 5. Date: C%o FDLE RSAT Grant Application Package Lobbying,Debarment,Suspension,and Drug-Free Workplace Certification Page 2 i Applic,, on for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment In witness whereof, the parties affirm they each have read and agree to the conditions set forth in this agreement, have read and understand the agreement in its entirety and have executed this agreement by their duty authorized officers on the date, month and year set out below. Corrections on this page, including Strikeovers, whiteout,etc. are not acceptable. g i irk ryry Signature: Typed Name and Title: Petrina T. Herring,Administrator Date: 11�22�2�13 � d g Typed Name of Sub cipi nroe Counjy Board of Counjy Commissioners Signature: el Typed Name and Title: Roman Gastesi County Administrator Date: n Ww'', 11 Typed Name of ImplM A c unly Commissioners Signature: ,,,,��y/� Typed Name and Title: gom_ an Ga�te�i County Administr^tor Date: Cff�3 Application Ref# 2014-RSAT-83 Section#6 Page 1 of 1 Contract -RSAT-MONR--- OCJG-005(rev.April 2005) ATTACHMENT "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 ofa public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work asa contractor, supp}ier subcontnac±or, or with under contract �th 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 period of36 months from the date of being placed on the convicted vendor list." ATTACHMENT SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORID ETHICS CLAUSE warrants that he/it or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. 4 ture� Date:. STATE OF COUNTY OF ^ 'e ��me- PERSONALLYAPPEAREDBEFOREME, theundgrSignedauthority, — who, after first being sworn by me, affixed his/her ��w �ature (name ~. individual signing) in the space �bov� on thiS �� day of ' 2~_=�_. NOTARY PUBLIC My commission expires: OMB - MCP FORM #4 ATTACHMENT DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing/ possession, or use of controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. ' 2. Infmrnl� employees about the dangers of drug abuse in the workplace, the business's policy of n �maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employeeassistance programs, and the penalties that rn8y he imposed upon enlp|^^8eS -` drug abuse violations for ]. (5ive� ��h employee engaged in providing the commodities or contractual services that d bid a copy of the statement specified in subsection (1). a �r� un er 4. In the statement specified in subsection ' (1>, notifies the employees that, as condition f workin g the commodities or contractual services that are under bid' the employee will abide by the terns o fthe statement and will notify the � np|Oy�r � any conviction of, or plea of guilty or Do|o contenderg to ,anY violation of Chapter 893 (Florida Statutes) orof any controlled substance law of the United States or state' for a violation occurring in the workplace no later than five (5) days after such conviction. 5� Imposes a sanction On, or require the satisfactory participation in e drug abuse assistance or /rehabrehabiliprogram� on program if such is available in the employee's community, or any employeewho is so 6i�sMakes a.g0nd faith effort to continue to maintain 8 drug-free workplace through implementation of section As the person author/zed to sign the statement, I certify that this firm complies fully with the above STATE 0F C{]UNTYOF - ~ Si //u� PERSONALLY APPEARED BEFORE ME, the undersigned authority, / who, after first being sworn by rn8, /narne of individual signing) affixed his her signature /n the space provided above on this ` d�yUf ' ~w��°� � �� Z»Notary Public �� r/y commission expires: