Item C01
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: AUGUST 15/16, 2001
DIVISION: COMMUNITY SERVICES
BULK ITEM: YES
DEPARTMENT: COMMUNITY SERVICES
AGENDA ITEM WORDING: Approval of Certification Regarding Lobbying Form; Certification Regarding Debarment,
Suspension, and other Responsibility Matters Primary Covered Transactions Form; Florida Statutes on Public Entity
Crime Form; Florida Clean Indoor Air Act Form; and Certification Regarding a Drug-Free Workplace Form, concerning
the Contract with South Florida Employment & Training Consortium (SFETC) for Jim Malloch to continue liaison
representative duties.
ITEM BACKGROUND: Each year, Monroe County must approve the above items to be submitted with the Contract to
SFETC.
PREVIOUS RELEVANT BOCC ACTION: Approved annually.
CONTRACTIAGREEMENTCHANGES: N~
STAFF RECOMMENDATION: Approval
TOTAL COST: -0-
BUDGETED: N/A
COST TO COUNTY: -0-
REVENUE PRODUCING: N/A
AMOUNT PER MONTH /YEAR: N/A
APPROVED BY: County Attorney XXX
OMB/Purchasing XXX
Risk Management XXX
DIVISION DIRECTOR APPROVAL
Director
DOCUMENTATION: Included XXX
To Follow
Not Required
AGENDA ITEM #
/-~/
r
DISPOSITION:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: So.Fl.Employment &
1 rammg ConsortIUm
Contract #
Effective Date:
Expiration Date:
Contract Manager: Jim Malloch
(Name)
4500
(Ext, )
Communit Service 1 #1
(Department/Stop #)
for BOCC meetin on
8/15101
A enda Deadline: 8/1/01
Total Dollar
Budgeted? YesD
Grant: $
County Match: $
CONTRACT COSTS
of Contract: $
Account Code .
- -
--
ADDITIONAL
Esti Ongoing Costs: $_/yr For:
at included in dollar value above) (e ,maintenance, utilities, . anito '
CONTRACT REVIEW
Date In
Division Director '1/7... <I (J I
Risk Manag~t;nent 7-0b-O( YesD NoGJ '
rlJ!I.~q?;()-ofiesD No~
~ Attorney YesD NoD
Changes
Needed
YesD No
Date Out
,
} .,~;> ~(,)/
/j -3/ --0;
Comments:
CERTIFICATION REGARDING LOBBYll'J!!
C!RTtFlCA.TION ..oR CONTRACl'S. GRANTS. LOANS, AND COOPERATr,,"E
AGREEMENTS '
The tnlersigned certifies. 10 the be$! onus or her knowledge and belief. dut:
(1) No Fedcm approprWed ft.aDds have been paid or will be paid. b)' cr on behalf of ~
undersig,rd, to aDY person for iaflWlDCmr or anemprinc to iDfJucm;c om officer or elflPJoyee of an
ag~ncy. ! Manbcr of Ccmpess. III oificcr or employee of CoD;n:ss. or.u employee of II. Member
of Congress in CO.."loO wi1h lbIc awardiDa of lIlY Fedcra1 QHIIIKI" cbe maldQ( of any Fedctl.l
~..m. the m:a..kin: of my M*nI ao.n. _ awming imo of lIlY couperacnc ~ent. and the
ntcrnoc. <:on!imIalion. renew2l. ~ent. or rnodifaUOD of aay Fcden1 conttact. gtaJll. ioan.
Oi coor;entiYe a5i~.
(2) If' my funm other than M:dtral ~li"lcd fllllds lave been paid or will be paid to :my
person for inft'o1tncing or :dIUup!1.n: to iDfIuencc ID ofIkc' or employee of my IICI1CY. . Member
of Congre$s. 3D offim' or employee of CUII!ftSI. or ID ~~ of. Member of Congntu in
conneCtion wid! this FedcrI!~. J:riU1!. lolm, or "oopePlive 2~. ,.. undersigned .hall
ccmpl~r: and submit Standard Form-Ut. "Diselosme Form to Report LDbbyiDg." iD aceordJnce
wilh iG instrUctions.
(3) The UIXlmjgncd shaD ItQUUe thai ~ language at fhis catifieation be included in the award
documems for an" subawards at all ti~ ('~udmg subbmtr..t1S. 5Ubgrams IIIi \.Vl1U<lLU uader
cranes. loans, and coopmtive agr=ment!) and tI1Jt J1t- mtJm;ipienm sbaJ1 ce:tify and di.ocelose
~crUiDgb' .
This cerrifltation is a material I(;~l~tion of faa upon ",hich ~liance we placed. when ,this
nnsaaiDD wu made or cmm:d iDto. Submi$sion of this ~enifiOlt&m i! a prerequisite for mtkin! or
entering into this tr.mSlICtioa imposed by Section 1352. TItle 31, U.5, Code. Any penon who fails
to fale the required certification shall be subject to a civitpenalty of not less th2n 510.000 and 00'
more man 5100.000 for each sllch failure.
Monroe Couuty
GrarnecJCOmnc.lor Ol1aniuton
Prosr:un/Tillc
G~orgc Neugent. Mayor
Name of CertifyiDg Offici3J
SlsnaNFe
D.Il!
.Ncte~ In me7e lnsnnc:o. -All.. in me ArW Rule is ~xpecmi to be clan6ed to sbolA! Utal II ~ppiie!',
l~ ~overed ct'lftI~rJ!'3nt rr2ft!umom oyer 5100.000 (per OMB)
( --
CERnm;ATlON REGARDlNG-BBARMENT. StJSPENSW~. AND
OTtmK
~SPONSlBILITY MATTERS PIUMARY COVERED TRANSACTIONS
1. The se1"icc provider certifies to me best of itt 1alD"'lcdse aDd belief. :bit it and iIS
principaJ$ ;
3. Are not pn!Sl!ntJy dtbm'ed. smpeDded~ proposed for debmn!!nt. decl3red ineligihle,
or volumarily excluded ftom covered aausaaiom by aD)' FcdcnI dcpallme11! or
~.
b, Have not wilhin oil thm:-yar period preceding this proposal been coovit&ed of or had
a civil judgmneD1 tendered against them tor commission of fraud or I criminal
o!fcme in conaecrion with obWning. .ncmptiDg to olJIain. or perfcmniDg a public
(federal, SWe. or local) uansKrioD or COUCIa:t \IIIdc:r ~ publ"" tnllIMOiou; violation
of Fedenl or Swe aut*rru.'tt SllNIa or faJsificarion or desttuc:rion of m:ords, l1'IIking
false swancms. or ~civing mlea pro~ ty;
C. Ate IlO( prcseady iDdicred for or GdIenvise crimiaaUy or cnilly c:batged by a
govermnenr emiry (Fc:dcr.Il. Slate. or loc:al) wilh CDIDIIIi5sion of :JIJ1 of tbe offenses
eaumentcd in paragnph l.b at tbis ca1ificaaon; and
d. Have not within a three-year period preceding Ibis zppHcationlproposal had om; or
mo~ public tram=iocs (Fcde:aJ. SlIIe. or loc;a1) termiIw.cd for c;ausc or default.
~. Wbere tile prospCC1iVc primary pilIticipam is umble co ccriifY co Illy of the statememS in tbi.s
ccnific.aDon. sucl1 prosp:ctive parricipUlf shlill submit aa expJaaaciop to SfE'I'C.
Monro~ County
SER v1CE PROVIDER AOENCY
George Neugent. Mayor
NA!vfE OF CERnFYlNG OFFIClAL
5.lGNA ru.R.E OF CERTIfYlNC OmC'oJ\L
DATE
8R.IG,47.fRM
~.05~1ll~
C,,/ l~A~tf.: ~:~CN
nME ----Li..1. // VI
.
,
,
\
t
SWOM SU~ PlJaSUANT 1'0 SBCnON moW W UU.
AOJUD.4 .n'Atl1J'ES OH~R.1'fD1Y CIDIE
1'IDS FORM MUST IE S1GNED AHI1 SWOaN 1'0 IN 11IE JIUSEM':E Of .\ fIIOT.urr PUilUC 01 011ID omcw.
AU1HOJUttD TO AOMINISIEa 04111S.
I. na. .-on ....... iI........ .. D~ ~It ""'". ~- .. T'h8_ o.a.Hi..
" Geo~ge Neugent, Mayor
(pMl caa. 1IdIridui'a -- .... ....
...
Monrof' County
...
.........,..,... . ~ -~ ~
......IIIiHn....... 5100 College Road. Key tlest, FL 33Q40
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lut4 aa Wer............ ca..1
"''-te&. (PIeue..............-
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....,..~........ ....re ......__ _ .Ll1 IfIIk....,............,... _.......... tIIIa
... l1li&.... of . ,..It...., __ ~ .. _>>.... MID cn-...................~ 11 I -A""'"
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~. .... INII ... . .....r.... " - lINIn...... c-....... ... wi RIrilIIt ..... el ......-.l.'...........
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WI .- ;tI11~W' _ ... _.~ .......... ,........" clcllA1il__).
I UNDERST.vm 1RA1'11IE SWMIDIONOFTBlSI'OIM 'I'OftlECON'I'UI:'IIMI onICD'" nmPUlUC
IN'I1TT IDDfTlFlED IN FAaAGLVIII (IJftE) DOYE lima TIlE ruauc IH11TY ONLY AND. DlAT tHIS
fOaM 15 VALID 11IJlOUGH JIJ'.CIMID 31 C1I11IEc:Al.lNDAIl YIAR IN WIIImlT II ma AND 11Ii FOa
PERIOD OF 11IE CONnIACI' IJn'IUD INIO. WlllCIIPII rDlOD IS UINGIIL I AUD UtDEl5TAND
1JI,\T I AM REQUlIlED 1'0 IMODI'IIE PUlUC EN1'ITY PAIO& 1'0 DrlUING uno 4 c:cJN'mACT IN
pew OF TIlE 1IIaESHOLD AMOUN"I' ftlOVIDUIN su:nON m.tI7. JLDRIDA. ETA.TtJ'n:S. PO"
CAnGOIY TWO OF AIfY CHANGE 1M 'mE INFOllMAnON CONTAII'G 'N nus FORM.
{Sipatlre)
s.... . .. ..4 .......... WIn _ mil. _ ., '"
~uowa
. J, _"
ell' pnIIi-<llli [hvl~
~... -......
M, "," -. .....
, (f'rpe f!JIldttr~' ,
CfttIM,IIi, t;rJIlII. _.... ____.... .... ol-.r; ,.,1Oci
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APpROVED AS "fo,:O ,"
b.N~AL SUfFI
. ,. ----... ..-_... .
ANNE ~I'lUVON
'2/; 7/1J I
" I
florid. C..II 'ndoor Air Act
'The pUrJlose of tlte Fforide cr.n Indoor Nt Ad " CD fIN*CI 1M pubic ftUIft. CDIIIIotL and enwanmenr
oy ~aIlng ona in pubtic ... and.. public '1lNIf~ 1b8I.. ~ .... from tcdlaClCD smgKe i11
~ing II unifOfm IOta'" ".."."., CDdL 1M", c:mnar" i1Ia~....1O req&ln the desigNllion 01
smoking arus, Haftver. it IS fM il'lleffl '" the llllitllbft to diIeau~g. ttt. d8"!lr\at!Oft of 3Ify an!:a
~ a g~.mmlN'lt tUIlItnO . ellftl)ldng ....
The Florida Claan .nct.r Air Act pnMd. tile fotlowing:
A SmokIng Ana MAY NOT. DM'gnatad In:
(s. 3J6.2~2)(.'. F.S.J
. EJeyalor5
. Sdali8.-
. PWlIic Muns of Mall ~"
. (;om'nan AI'-. of Rdi...,. Hamel . COI1iinIInIumS
. ReslmaINi
.......
. Doc:tar's 01 DefttiInt WIiIinI Raams
. Jury Defibe"*,, .... WIllI", RaDfIW
. County HalIh o-.-.._~
. 0., Cant c-. ,
. SChools or other Edw:allon8l Facitities (Pobllc ~PridIa)
. Common Area at public pIIces TheM....... an, __yo CIDIftdOt. labOy. ais/It. watrr
~ntaitl aNa, raaaom, sran..JI. ~r. GI' gonr.vnc:a raom in.., puDIiC pMc:a.
Smoking ..dOt ~ in ..oIr.,-, ... 01.., puIIIfc., (....203(6). F.e.), 8maIdng .... ...,
bit .Il~ '" the _~L." pubI;.... I'IOIAIRI"; I'ID~ IIIIIn ane-MlfDfIM........... rootage
of. single enc:laIed indDar..... .. dalg""'" ....making .....
· LitJnIt1ltS
. IIus8ums
. TtI.lllers
. IndoGr AudIor'/UIN
. Indaor AIwuIa
. InCIIaor RecrwUaaIII FdIiIIs
. GIOC8fy Sbw
. RIIIIII SIDrn
. NUIUlg Ham.
. QH,rt RDOIM
. .....GI ~MIhI
. GQtntfnn_ct BuIld.. <-r DliJding or parClDft of.., DUillfInt 0MI8d tr or __ tD 1M stall! or
My poIIk:It 1Utdlri1_ fInof 8ft; wN" .........'*'111 ........,
Key points or tIMt law:
· A ~ may nul..... ... &lWIiu meeting amplln ...igr...ded .............
i
e A f'I!lIt8urMt... _ ....... so Plf8CMIS ................... . ........,... dining'" it!
rae.rvecll1aMmoIdl'g (S, 311,205(.). F&}, EtIldj'6 0cIDMr ,. 200' II ~.........~ IhaC 65
DeI'Cl8flt of l1li dining.. is ,..~ '--'~'llI' R\;;!.Lar&l.... mIl'dIaoIe to be~.
eTermfMls of puIlIic ~ CIfttlIN ~ In ........ .,.. r .~ ~ . IMf - we.
~s CMlr 230,_ _........ annauncI_ ~ III ... .,.."..-y 30..... in
appropri.. tanguaGU, Ift8I FIana... deen i.......,.... .... ttwt....-ong '- ...... only in
_"'*" "', (.. _,cn. F,S,.,
. . ~eng is prahiDaIId lot any persan under 18 y..._... tn. on. ....In 1.000..... db rea'
~~ _....,lIiRI .",MR;.""'_"'~j~,,"""'ar_.'''''''' cs.;16 ~12. F.S.)
-. -.. _.......!.....~...~!...:.~.....-..~. --., .
... " ,.
_,. paienl's ream 1ft .~. ~ hamI. or __.... ad......,........... -. ,
smoking "'lU"~ ff IUCh ..... 'Ju1iattIS........".. - .diIlO "..,.'. ....... to _l1li.......
..signed to ttI8t roam. No mn ItIn one-MIF at tile.... in IIIJ "... ~ f8a1iIy mIJ be dMlgnateCI
as unalclng'" (So 318.2O!(Z)(aO). F.&.).
. POIting fils... (a. 318.2111. F .8.):
. ". ..... 1ft c:NIIIe '" _1IIII*............a .' ...;.~_ 01__ tD" pgIIlId.1n any
.. _i....~. ................ _...... is ~...JIId In .......
_'".~: (s. _~4). F.8.)
. Emplorere..... .veIDp. .......... ........ .~..Mo..."" WIg ... ~lIIdInIIan CJdIClng
llhJ.lGaI...... 8I1d .......&diQn IJ.~'''' a........., ~....a..~.matte '
..., '
. tr _...Ad\~ II t-u6.d.1'D..... OM ...fI.....__.......... puIIIe'"
............_ ~l J................tar.. .....tt '--......1 'ar,"'.
.,~.
. An enw. CDI1'ImdI'I wodl... ...,. tie dftiF.d. a ........ ......~ ftlUdftllly
...._ II'" tit.....,...... .......
L. -'.,:~"'.' ^.
,-
_ A. smoking 8f811 may ncM contain C::lOmlnCJI1 .rees wNCfI.. ..c.. IW tD '" VIed b1 the pubftc. C',
318.2D!5(51. F.5.). '
Admlntcnaon ..d l!nfOn:ament:
.The Department 01..... (DOH)"'II enfan:e......... or..... __""!Ie P'I*'! of
stgns, Forlftfrlrmallan nIpr'dIn; the ,.., 0110 rIIJOft ~I"", aantIIcI '" ~ or HeeIIh.
(DOH) Bures of F8ClI1ly "'...aMlI .1.eao-33T-31C. ..... . ............ DOH nNII tI8we"
tbltaMnV ir/l,."....,. ..........,..... ,....,..................dJ All. c:Ir....
s,eetfte ll1fb......_ """_0I1I....:t ~.ar.....(.. _.lOt. F.&).
. AnJ persanwtm.,....... _.204. F.5.. -"...'" ..0.....-- ~r /. .,...i~ In s.. ~l.
puntshDJe by 11 fine fIf rd men ","00 fer...... _t&Il~L"''''''''''' ACID_..eft
~ vtllIIIIan. JwI~' ___....... _~I"'GlIUftIfaut.
. "fa napon non""",,~ tJlttw AaI1da o.n tndagr"'" ift ~ . ___....... ~ tn_ of
UusinHs and fJhlfP . 11111~. DtfI!IDft"'.................. I2U
Mont'oe County
Service Provider
George Neugent, Mayor
Nome and l'1UI!t of ~ A8pru~tJve
Authorized Signature
.
Date
.
-
.... --.'-
....
CERnFlCAnON REG~RDINC A DRUG-FREE WORJ(PUQ
- ~..o:---,,~~....
George Neugent, MayoT . _ MIhorilcd rcpraeal.lliv~ or lbe Selvicc PtDvider. de fleteb)' mIke the
_ faUcr.,tft& Cllftmc:a&ion wicb rapecl .. die ~ or mpol'llibilities _ip'" to tM SOunt FlORIDA
EMPLOYMENT AND 1'JWNIJIIG CONSORTIUM. IIy th Slue Wet.. n-itlon Propun. .... tile Oruc-'rw
WOfkplec:eAclol19l1. tllePraposawiU: ... ,-"- .... ,
.. Publish. 51Itcm_,lPilYiAl-pJo;yer:s'" 1M .....w';uau&cnna. dbmlurioft. 4i~,....... or
.... 0(. aJIIDaUed NIA'~'" is .....W. die p.~, --'Place aDd ,......IP,rlq 1IlIi-- dud well .. liken
.pdS1 anpJoyces foryiahlioD of_ proh~ldon; ,'-:-: .:-'"
.,......:.... -.... '-~_. ....
... Estaltlish. drua-- ..-~.-a prapaaa IG inIana capIO)'CCI n:pdilt& f.) 1118 dupnof drug '.bUff '" the
..npll~; %.) TIle "~'. par~ 01 ~I .....ftee .....,.~ 3.) A1ty amIable ax counsel'...
.....WUtalion, and employ. IIIisaUa pupams; _4.) ,... ...1... dtt. , IIII)' be u..po.d IIJIOft aDpf."... for
4naC abu5C .ialJlliou oca.riq ia 1M wortplal:a; ,
c. Make it a rtqIIin:mcm that each employee tv br aappd m die paf'onn..ce or.. eotlftd be rea · capy or...
~meftt nquiml by puapph (a) ofd'lis urrifiarion.
d. Notlf)' die anpiayas in die l1li.._ requi'" b)' pllllJ"lPJt (a) 0( mi. GCf1ifiQlf;on dlaC, af · ClllIIdititlll ""
cmpio~ent _clet'" pulL .... ....ployee wiU~ Jl~bide ~ ft terms of the Jlltemalt: ad 21 NOfify ...
Proposer o( _, criminal dru, sulUtel:Ol}Vie1ion. for a riofmion occurrin& in die """",pt~e "0 'lIer tit... five (5)
days after such CGDvicaicm; ,
e, NOlify the SO\J'TH ft.01t1DA EMPLOYMENT AND TlAINING CONS01t.11UM with... ten (10) daye Ifter
rccc~'in! notj~ under lIIis sabpnanqm (cfX2). fi'cnt an mlployu or afIIerwlR ",ccMAS acma' ...lice' 01 un:h
conyjal~
r. Take olle o( die roltowib,.Ionl wiIIlhl1!lmy (30) dI1s of reeelviGl'nudc:e'" ....,.......,. (dX2) ..rh
respect to allY dIlpIoyel! wIJD is sa c:aIIYic=l:
J. nte apfH....;.. .-_Jbd aedon ............,.,...,.. ......IMiI........iaIIion, 01
2. ftequft StICh ~ to,.mdptR ift. *-I1blaIc atliJluoe _ ~ pIOPIIl ~cd
for $lid! .....pulla fly. F"'~ s... local....... law atW..aw... or" ......- asency; lIIId
.' Makinl a ~flIilll efFort to continue to IIII..in unl-ftee wvrkpilce dlrVlfsh-impkmtntlltion or psrqnaphl
(a), (b). {e), (4), (e). .. (I).
Monroe County
Scn-iee Pf'OYidtt
George Neugent. Mayor
"ta...4 TIlle a(~" ~in
Audtoriztd Sipaturc
hilt
I'na.~ -.ltItaC.