Item C23
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: OCTOBER 18/19, 2000
DIVISION: COMMUNITY SERVICES
BULK ITEM: YES
DEPARTMENT: COMMUNITY SERVICES
AGENDA ITEM WORDING: Approval of the Certification Regarding Lobbying, concerning the Liaison Contract with
South Florida Employment & Training Consortium.
ITEM BACKGROUND: The grant requires annual approval of this document.
PREVIOUS RELEVANT BOCC ACTION: Approved by the BOCC on a yearly basis since 1989.
STAFF RECOMMENDATION: Approval.
TOTAL COST: N/A
BUDGETED: N/A
COST TO COUNTY: N/A
REVENUE PRODUCING: N/A
AMOUNT PER MONTH /YEAR:
DIVISION DIRECTOR APPROVAL
OMBlPurchasing Qb. cJJ Management
Division Director
xxx
APPROVED BY: County Attorney XXX
DOCUMENTATION: Included)<..'>( x
To Follow
Not Required
AGENDA ITEM#--' ~('lJJ
DISPOSITION:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Effective Date:
Expiration Date:
Contract Purpose/Description:Approval of the Certification Regarding Lobbying. concerning the
Liaison Contract with South Florida Employment & Training Consortium
Contract Manager:Jim Malloch
(Name)
4500
(Ext. )
Community ServicesII
(Department) / Courier Stop
for BOCC meeting on 10/18/00
Agenda Deadline: 10/4/00
CONTRACT COSTS
Total Dollar Value of Contract: $N/A Current Year Portion: $
Budgeted? YesD No D Account Codes: _ -_ -
Grant: $ _-_ -_
County Match: $ _-_ -_
- - -
----
ADDITIONAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar value above) (eg;. maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Division Director
Changes .
Dp:.tey In Needed ~
'"0\:>100 YesD No~ ~
Date Out
\0 f3/Ou
Risk Management iO-lI-00 YesD No[d n ~ i()- ~-OJ
otP"~ 10-:;-00 YesDNolli'~_~OI(Q {~
County Attorney /O/Jf/CC YeSDNo~~ 1c-11-ct:o
Comments:
OMB Form Revised 12/13/99
~Ui"~~V.~ ...".VV,&J1..6ll.
\
P:RTlFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACI'S, GRANTS, LOANS, AND COOPERATIVE
. AGREEMENTS
The undersigned certifies, to the best of his or her Ialowledge and belief. 1bat:
(1) No Federal appropriated tbDds have been paid or will be paid. by or on bebalf of the
uodersigncd. 10 any person for iDfluenciDg or auempting to iDt1uencc aD oftlca' or employee of an
accncy. a Member of Coogrcss, ID officer or employee of CoDgress, or an employee of a Member
of Congress in CODDCdion with the awarding of my Federal contraCt, die 1'I'I.1ci"1 of any Federal
grant. Ibc m,nng of any Federal loan. the entaiDg Into of any cooperative agreement, and the
extenSion, continuation. renewal, IlDfI!ndnat, or modification of any Federal contraCt, gram, loan.
or cooperative agn:cmcnt.
(2) If any ftmds other tban Federal appropriated f\mdS have been paid or will be paid to any
person for iDfluenciDg or attempting to iDflucnce 3D officer or employee of any agency. a Member
of Congress. an officer or employee of Ccmpess. or ID employee of a Member of Coqrcss in
connection with this Federal comract, grant, loan. or cooperative agreement, the undersigned sball
complete aDd submit StaDdard Form-LLL, -Disclosure Fonn to Report Lobbying," in accordaDcc
with irs tnsttuctions.
(3) Tbc undersigned sba1l require that the languap of this certification be iDc1uded in the award
documents for all" subawards at an tiers (including subcontraCtS. subgraDtS and comracts UDder
grants. loaDS. and cooperative ~,) and Ibat aU* subrecipicn1S sball cenify aod clisc10se
accordin&ly.
This certification is a material representation of fact upon which rellalK:c was placed when this
ttaDSaaion was made or ~Ied into. $phmi!lSion of this certification is a prerequisite for mll1ri1lg or
entering into this traDSaCtion imposed by Section 13.52, Title 31, U.S. Code. Any person who fails
to file the required certification shall be subject to a civil peualty of not less 1ban $10,000 and not
mon: than SI00.000 for each such failure.
ProgramfI'idc
Grancee/Comractor Organization
Name of Cenif)'ing Official
Signature
Dale
*Note: In Ibese instances. "All." in the fiPal Rule i5 ~ to be clarified to show that it applies
to covered coruractlgram tranSaCtions over $100.000 (per OMB).
APPROVED
,~Y!J;'
BERT N. Wr;:!~
DATE ~- /-f ~ ([(~