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2012-JAGC-MONR-2-C4-246 Adjustment Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant-County-wide All of the funds were not expended.The balance of the grant Is$2.51. By electronically submitting this adjustment, I hereby certify that I have reviewed the changes and find them necessary for program activities. I am the signing authority or have been delegated as such by the appropriate official. Information regarding the signing authority is available for review. Electronically Signed By: Date 10/30/2012 David Rice Authorized Official or Designated Representative Application Ref# 2012-JAGC-1766 Contract 2012-JAGC-MONR-2-C4-246 Hwe ae'ererce 110-9006 OCJG-005(rev Apru 2005) Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant-County-wide General Financial Info: Note: All financial remittances will be sent to the Chief Financial Officer of the Subgrantee Organization. Financial Reporting Frequency for this Subgrant: Quarterly Is the subgrantee a state agency?: No FLAIR/Vendor Number: 596000749 Budget: Budget Category Federal Match Total Salaries and Benefits $0.00 $0.00 $0 00 Contractual Services $29.856.49 $0.00 $29.856.49 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— S29,856.49 $0.00 S29,856.49 Percentage 100.0 0.0 100.0 Project Generated Income: Will the project earn project generated income(PGI)? No Application Ref a 2012-JAGC-1768 Section#4 Page I of 3 Contract 2012-JAGC-MONR-2-C4-246 Pule Reference 110-9 006 OCJG-005(rev Apo,2005) Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant-County-wide Budget Narrative: TOTAL BUDGET: $29,856.49 CONTRACTUAL SERVICES: Heron-Peacock wilt provide approximately 1,800 hours of services to clients. The service will include: assessments, case management,drug testing, substance abuse counseling and recovery services. Unit 1 Service hour Units to be provided: 1,800(approximately) Unit Cost 16.59(rounded) 1,800 units x 16.59 per unit=29,856 49 TOTAL PROJECT=$29,856 49 CONTRACT: Monroe County will execute a contract with US Fellowship DBA Heron-Peacock Supported Living for the period of Oct 1, 2011 thin Sept 30, 2012 to cover the grant period. A copy of the executed contract will be sent to FDLE. Application Ref a 2012-JAGC-1768 Section 84 Page 2 of 3 Contract 2012-JAGC-MONR-2-C4-246 12ue Reference 1109 006 OCJG-0C5(rev Apnl 2005) Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant- County-wide Section Questions: Question: If salaries and benefits are included in the budget as actual costs for staff in the implementing agency, is there a net personnel increase, or a continued net personnel increase from the previous Byrne program? Answer: NA/Services provided by contracted provider. Question: If benefits are to be included, are they reflected in the budget narrative? Answer. NA/Services provided by contracted provider. Question: Indicate the Operating Capital Outlay threshold established by the subgrantee or implementing agency, if it is the sheriffs office. Answer: 1,000 Question. If indirect cost is included in the budget, indicate the basis for the plan(e.g. percent of salaries and benefits), and provide documentation of the appropriate approval of this plan. Answer NA Question- If the budget includes services based on unit costs, provide a definition and cost for each service as part of the budget narrative for contractual services. Include the basis for the unit costs and how recently the basis was established or updated. Answer: Unit Cost based on the following budget: Salaries and Benefits: Site Manager: 8,725 Team Leader: 8,936 FT Support Worker. 7,555 PT Support Worker 3,643 Sub-total Sal/Ben: 28,859 Expenses- Drug Test Kits and Gloves: 1,000 TOTAL:$29,859 Unit cost= 1 service hour Total units= 1,800(approximately) Unit cost= 16.59(rounded) 1,800 units x 16.59=$29,859. TOTAL PROJECT=$29,859 'All funds were not expended. The balance of the grant was$2.51 Apphcahon Ref# 2012-JAGC-1768 Section#4 Page 3 of 3 Contract 2012-JAGC-MONR 2.C4-246 HuW Helerame 110-9006 OCJG-0051rev AO 20051