Item C02
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
2->~
, >;::-~~
Louis LaTorre
MEETING DATE: AUGUST 15/16, 2001
DIVISION: COMMUNITY SERVICES
BULK ITEM: YES
DEPARTMENT: SOCIAL SERVICES/SCSEP
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) concerning the Contract with Monroe
County Senior Community Service Employment Program (SCSEP).
ITEM BACKGROUND: This year, SFETC has awarded the SCSEP with a Contract for funds, therefore these documents
must be submitted with the Contract to SFETC.
PREVIOUS RELEVANT BOCC ACTION: Forms have been approved annually for the Liaison Contract and the Summer
Youth Program Contract. However, since this is a new Contract for the SCSEP Program, no previous BOCC action has
been taken.
CONTRACT~GREEMENTCHANGES: N~
STAFF RECOMMENDATION: Approval
TOTAL COST: -0-
BUDGETED: N/A
COST TO COUNTY: -0-
REVENUE PRODUCING: N/A
AMOUNT PER MONTH NEAR: N/A
APPROVED BY: County Attorney XXX
OMB/Purchasing XXX
Risk Management XXX
),
//
DOCUMENTATION: Included XXX
~'
DIVISION DIRECTOR APPROVAL
To Follow
Not Required
AGENDA ITEM #
/--r-'~~
DISPOSITION:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: South Florida Employment and Training Contract #
Consortium -
Effective Date: 07/01/2001
Expiration 06/30/2002
Date:
Contract Purpose/Description:
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) concerning the Contract with Monroe County Senior Community Service
Employment Program (SCSEP).
Contract Manager: Dianne Russell 4593 Social Services/# 1
(Name) (Ext. ) (Department/Stop #)
for BOCC meeting on 8/15 - 16/2001 Agenda Deadline: 8/1/2001
CONTRACT COSTS
Total Dollar Va u
Budgeted? YesD
Grant: $
County Match: $
Esti Ongoing Costs: $
ot included in dollar value above)
ADDInONAL
/yr For:
(eg. maintenance, utilities, j
CONTRACT REVIEW
tv:
Division Director .-, '2, b I
Risk Management l'~u'o( YesD Nom ' l,-'~c..>(;) ,
~L1~.()hesDNo~ "'!-;>/-()
County Attorney YesDNoD SoD ~O~
Comments:
Date Out
CERTIFICATION REGARDING LOBBYIlS!i
CERTt'FlCA.TION .oR CONTRAC1'S, GRANTS. LOANS, AND COOPERAID"E
AGREEMENTS '
The undC1'Si~ned eenifics. to the best of his or ber know1edlC 3Dd belief. lhat:
(1) No Fedcr.U appropriaIed fuuds bave beaJ paid' or will be paid. by or on behalf of !he
undersi,JIed, to my person for iDfluem:iDZ or aaeqtdDI to ~ m officer or eII1J)Joytt of a.~
agency. a Mc:mbcr of CaDpess, III officer or empJoyce of Canpcss. or _ employee of a. Member
of Congress in COJD1'fiou wi1h Ibc ~wudiDa of allY FcdaI1 COIIIIGl. cbe m;'J.-;pc of allY Fedctll
1fllM. !be 1!Pji.~ of my "*nI pil. _ cnminI no of lIlY c.ooperaciYc ap:ement. md ilit
atcr.s20a. ~on!iJmItion. renew2l. ~ Of 1'IIOdifalioo of IIl.'J Fcdenl ccmttact. pl. Joan.
or c:oo~ntiYe lsfeement, '
(2) If any fund5 other dum Faltral 1IW1vtllill= fimds line been paid or .ul be ptid to :my
person for inftutnci.1g or am:rnpr.n: to iDfI\II!lIICC ID oftiI:Er or empIoya: uf my ..ene" . Member
of Congress. an officer or employee fJf C~. or In ~ or . Member of Congntn in
connection witb this Federal ~. :rant. loaIl, or ..oopen.tM 2~~ - uadersiped sball
compl~r: and submit StmSud Form-tLL. "Dkclosure Ponn to Report f.,obbyiDg." iD aceordmce
with i~ instrUc:tions.
(3) The uncJmigned shaD RqUire rhaI ~ lInguagc oftbis ccrlifi~tion be included in the award
doc:umcms for an" subawards at all tiers (ududiDg S1Ibt.~, sabgtaDts aDd "V&JU&1S UDder
IfaDCS. loans. and coapmtivl: agreementS) IDlItIl1l an" svtndpiems sbaJl ceftify and cmelose
~orWDg1)' .
This cenific;auon is ~ mataiaJ n;;~ar.maDon of fKt upon which rdiafJC'e we placed wbed,this
nnsacdou wu made: or cmr:rcd DO. Submission of this ~ i! a premr-zisite for tDIIkin! or
eoseriDg iJIlo tJW tr.l11SlICtioa imposed by Section 1352. TIde ~J, U.S, Code. Any penon who fails
to file Use required certification $hall be subject to a civ;t peaa!tY of ftOt less than 510,000 and not
more than S100.000 for each such faiJure.
Monroe County
(irantl:c/COnlrac:tor Ol1ani.auon
'"'8J'2m/Tille:
G~orgc Neugent, Mayor
Name of Certifying Official
S18naNrt:
Dale
.Ncte' In mc:!l: Insnnee5. - "'U. - in the ~ Rule is es.pecttd 10 be clllnfied to shOW thaI il awli~
fa c::overed c.om~rlgnnt n:2Il!aaiom over 5100.000 (per OMS),
CERTIFU:ATlON REGARDING-DEBARMtNT. SUSPENS<<W'. AND
01.HJt;K
~SPONSlBILITY MATTERS PIUMARY COVERED TRANSA.CTIONS
1. The service provide:: ce:rtific::s to die best of it! 1a2D_lcdge =d belief. tD1[ it 1nd iIS
principals;
a. Are nor pn'S!ntJy debarr!d. S'lJ5pt!Dded~ proposed for debmn~{. dttbred ineligible.
or volumarity excluded from covered mmsaaiom by aD)' Fcdc3I dcpartmet.l or
~.
b, Hav!: not wilhin a. tIRe-yar period preceding this proposal been coDVic:ted of or had
a civil judpmeDt rendend apnst 1ban for f:OIIUDiSsioll of fraud or a criminal
olfcmc in c:anuecrion with obWDing. .atmlpliDg to obtain. or pcricmniDg a public
(Federal, $we. or local) nnsKtioD or COUUa:t UDdcrl iI publK; h~ioD; violation
of Federal or Swe aadrru<< SWUm! or falsification or desaudicm of records, rnaJcin&
false swancms. or m:civillg mIen propcny;
C. Are JlO( pn:sem1y iDcIictcd for at alhcrwise crimiDa1Jy or cjyjUy <:.barged by a
govcmmenr emitY (Fc:dcnl. Stile. or 10tal) with CODJJDi5sion of atlJ of me offenses
eaummtaf in p&n8Rph l.b at tbis a:rtificaEion; aDd
d. Have nOt within a three-year period preceding Ihi5 appJicationlproposallmd om: or
more J'Ubl~ tram:ll:OODS (Fcdml. srme. or loal) tem1iDan:d for c;ause or default.
].. Where rile prospcdiVe primary panicjpaDt is umble to ccrUfy CO Illy of the stat.emernS U3 tbis
!:CttificaDon. sucla pruspcctive participant sJa1J submit au exp1aaaliop to SFE'I'C.
Monro~ county
SERVICE PROVIDeR AOENey
Georg~ ~eugentJ Mayor
NAME OF CERnFYlNG OFFICIAL
SIGNA nJaL Of CERT1fYINC OmC'..'\L
D.4, TE
BR.10,41,FRM
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SWOaN su1DCDil' PlDISUAHI' m acnaN moW Ul W.
~JUDA G'tAtl1J'I:S OHfUlll,U:RJmn" aDIE
11115 roAM MUST IE SIGHED AND SWOaN 1'0 IN 1IIE JIItISIJG Of . fIOT.urt ""..u: aa 0fJIn omcw.
AUnlOJUlED TO AI)MIHIS'IEa OA11IS.
I. DII ....n ..... . ........ .. . ~1II11 ","II, ~- . n._-. 0taIlIfti..
" George Neugent t MaYQt
...... -- .......... --.......
Aw Monro~ County
..... .... fit ...,. nil . ~ .~..
.......... .."..., 5100 College Road, Key West I FL 33040
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.......IIII&;;
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......tel. tpJeue...... ...wdl ,.... . .."...
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dl~ tIIdIJ, _ _ ...... ., th"'" ... ............... ...... . .",.....1IIIiIt --.... .. ... H .....
......... .... .. .... ....'F~... rM "1lN1na __ c-.., till...,,...... ~. .&.I-.l_~..
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I1JNDERSTAHD 11IAT'lREJaIMIS!IONOFTlDSl'ORM 'I'O'fIIECOJlft'UI:1'IMJ OFI'ICD 1'08 11m J'UlUC
DmTl" lDEHT1F1ED IN PAIlAG&ArIII CONQ AIIDYE IlFOa TIlE I'UIUC IHt1TY ONLY AND. DlAT nus
FOIN IS VALID 1'RIlOIJGH DECDIII& 31 C1I11IECALlNDM YUa Jill _alIT II h1.D AND l1Ii FOa
PERIOD OF 11IE CONIMQ' IN1'IUD INIO. WlBCIIPIIIDIOD IS LONGIIL I ~ .......STAND
11L\T 1 AM UQUlaED 1'0 DIFOaM 'lIE PUlUC umn JIJUO& TO INTEIING uno 4 CON1'JlACT 1N
pew (W TIlE 1IIUSHOLD AMOUNI' PIOYIDlDIN sr.cno.. atU.', Jl.ORlDA. J.'TAnrn;s. ro:a
CAnGOJ.V TWO OF ANY CllAHGE IN tHE nmJlMAllON CONTAII'CJ ,N t1fJ5 FORM.
4Iipe'.re
s... III .. ..4 .1IiIIcrW w.n _ GII _ ., '"
,.......", .....
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APP~OVED AS 'TO ~o~
&"N~AL SUffl
/'
~,~ I ANit~.Urr~N
c./ _0." ~ 1,21/1-'
, I '
florid. C..n 'ndoor Ale A~
'ine pUflJOSe at tM Fforide CfMIllnioor Air Ad Is &D pftIMct 1M puillc ftedft. c:omfon. and enwonmem
l1y eraatlng ~I in puDtlc piIcn and.. public 'IWIII~ IftIt 1ft reaanatNy he from tabaCICC amgKa l:11
pl"C'lMiing II Ui'tJfolm stat............"" cadL 1M l;WCIMDle:. ""-...dad to requn the designation oi
$moidng arus However. it i:s me i~ t7f the llllis~ to diucur.lge nt. de"!JMtIOn of any 3fe3
~irl a~"","" tUlCMg..~ ....
The Florida Clean InGDDr Air Act provid.. "e following:
A SmokIng Ana alA Y NOT" Daelgnatad In:
(s. 'J6.2~2)(.). F.S.)
. ElevAtors
. SdIaai ~
. Pul)(ic Munl of.....~"
. <:onvnan ,..of~4 Hames .cona~
. Reslraams
. ........
. Dociar's 01 DemiIf'8 Wailing Raoms
. Jury OICibe,..,. ...",.... RaafIW
. CountY Hallh ~.,_lbo
. 0., Clnt CMIIr& ,
. Schools or other Edu=lllon.' Facilities (Pl.IbflC ~ Priv8re)
. Cotnn'lDn Area of public pllces These.. definlCf.. any h8/tM1V. c:antdor. ~. aisle. w~,
buntaitl aNa. resnom. srallweJ/. enerywaf. (I' gon_nee IQO/11 in arrr pul)1lC plaCe.
smOkmg i.1'lOl pefmitl8d 1ft IoOfllft\Gf'l ..... or.., public..... (t. 311.203(6). F.S.). SIMidng ..., R'8y
be dellqnatP tn the ~ ....-:.... no......: I'ID ngIW ",n une-M1f of... tatIl ..... foOtage
of. SInge enc:losed wndaor.. C8t'I De dalg~ n _.making ...
· Libr1It"IeS
. Museums
. 1ll..arI
. ""** ~
. Indoor Ar8na
. IMaor R...... F.....
. Gnx:8ty $tns
. RBtIIIf SIDnrs
. NUI'Ii1g Hem.
. ~rt RD0m5
. ..... af empIDrmIm
. Gcha...,_d BuIldings - (-.y building or paraatI 01 any 0Ui.IrI1n9 0lM'8d by or l8Ised to 1M state or
My ~ 1Utd~'i.iDn fInof and used far ~1lII ~1JlGHl)
Key points or 1M law:
· A pcr=a may nul....... ~ meeting amplln ~ &maWng '-'5.
_" ~... _ ........ so f.*'8OM must............ sa.... '" ftlI dlninlJ.... i.
nteerved "ansmoId"O (S. 311,205(.). F,S }. ~ft'l!dlt6 0I:IDIIer ,. 200' II,...,.,. tftUIt.rtSUte !halOS
Def'Q!l'lt 01 ftII Dining __ is . eM""" ....._.~'lJ. ~_...I 0Wft8fB 1M\' dIoote to be~,
-Term"." 01",,* nMpolltlbol. ~ D:8IflIf In................. r '~.Il1 &.11 ~i.....wiII
~s CMlI' 230.00II.........ID.-.nouncItIJIIfI 0UiIC...... ~...., 3U minuiIII. in
8PP"'priallt iangU8geS. DIM FIona. . . dean i""'. .... 8M hit ....-mg ,. 8tIowW only in
""'lMM ..... (,. J88,4". F,S..,
. . ~rng is ~ tor an, permn under 18 Y'" _....... Oft. cw...tn 1.000,..,01 the n!81
~~ __..~ 11 ",. or..,- "''''-Iboo,. ~.....:anUry IdIoaL cs. ;t6 212. F.S.)
-~. -..- ~'~7'.;':-~~----,,::,~.~,,'~'.. .
... pa&ient's room 1ft .~. nut'Iitg nome. or __..-. ad'" CIIIf" ~ - a
smgkjng .,.. an~ If IUCh deB 'In ,Iiof', 1S....1Iy... ~.ao ~ ... ..... to fit 811.....
..signed to "" roam. No moN ...., ~ ofN __In." tl.... ~ Idly mIY be atllgn.-:eo
as analdng'" (I. ..2OS(Z)(aKOt. F.S... .. " "
. ~tirt9 of 1!grIII (a. 3111.2111. F .8.):
. 1M .,...,. .,..... err. pIIIIC........ mr--,' --lr pea 01..- tg lilt pgIiId. In any
........ _. ................. tMl...~ is ......~ in w:tI8IM
-'n.~: (s. 318~4.. F.8.)
. ~1grel8 ..... ..... iInpIIfnInt, aN p* ....-111 poIq -.g InID ~lIIlIerdan ~
Phr.il:aI e.riID 8nd .......,.....n .,...~. 6'-......., ~1D....e= tM~ ~ '
...,
. "......4ch~ II ,MlfA4. ftOM" OM ...__ .............. en, puIIIe"
wfIh"'...._.4--_I...."........-.'---.-....-...... J . ~tor
.....AUNI.
. An ..,1Ir8 camrnan wa$ ... fNIJ!Ie dnlgn__. ~ ........ .. If II WGfDf'C ~8ly
....peeI _... II........... time.....
oa" ..... .
l... .' '
,.
. A smoking &l8111MV noI CDnIIln c:amm:m IIre8S whICh ant ~ tD be "'" by "" put)fle. CI,
318.205(5), F.B.). '
. An, person who '41atI1Ia ... _.2Ot. F .s.. _I....... 8 .o....;RMI ~... ~..;ded In s.. ~l.
puntsh1lDle by II fine of nat men e...ItOO for.... .....lIIan ... MII...............-:It
~~. JII.......... _WIll" .,(.I..,.._rau'-aut.
. T\'I t9pcrt non"""",.";_lOIl arb Acn:ta 0IIIn tndal:Ir"'" in .......... --- ..1A,-.1n8tt of
Uusiness and PI~ ReguIItIo"i DIW'I!!eft"'...... ---...." t2U
Monroe County
Service Provider
George Neugent. Mayor
Neme and l'1tIe of ~ Repruentatlve
Authorized Signature
..
Date
oj
-'
~.
CERr...nCAnON REGARDINC A DRUG-FREE WORKPLACE
- ...-..-=--...~ -.. ..
George Neugent, Mayor. _ auIhoriad rcprc.wnll'iv~ or ,be Selvic.c Provider, de hereb,. ","ate lhe
. fo~ftl ClIftific:a&ion W. mpea . .. cscs;utiosl or raponsibiiides _iplld to the SOt.rn4 FtOR,IDA
~'LOYMENT AND 'l1tAJNDIICi CONSORTIUM,. hy dte SlUe Welf'ue n-sition Propam. iliad chc OruI.Frw
WoriLpl~ AQ oft 9&1. ne 'mposer wiD: .. ,~- ,.-' ,
.. PUbUsh. SDlan_, _l)"iAl _pJoyeIS IIw tile ~ '.ufttcram. db1nllurioft. di~!. pm,asian or
&11& of. amaalled IWLfn.,.... is pnablbJral 111 die p.~, ~bce .. ~~iq ..... dI.. will" IIkflt
.pinss employees far 'ViollllicD or S8Ch prohibtdon; .' ,_~~, .~: '_ ,_'
b. EstaBlish. drue-- .-...ctN!IS .....,.. ID inlana 1lIIQdOJ'CCS reprding '.J ne dupnof dnIgllbV~ "' the
wortpjl~; t.) TIle ,.~l. poriqt 01"'-"-1 il dnIa.ftee -.arkp1ac:e; 3.) AJry ...illble dnlg COUftsetf~
ntiIIbUUauon, and employ_ ~ ~ _~.) 1"IIt pcnrlies ....,IIIIY be im,.-d upon C21tttfo,en for
.we abu5C viGJaIiou ooamiq ill ... wanplu:a; ,
c. Make i[ a requ;mncnf that each employee tv br eappd in 1he pcrf'onn..ce of~. 00fIIrId be rea · c:apy of'thc
Jl,atemeftl requim! by plIrlIpaph (.) of"ttlk Uftifil:lliorl.
d. NOllf)' me CftI1'Iaya;s in die slllaacnc requin!d by,.....,h (8) of llli, &:Cf1if'iQlt;on d!Bt, as a cvnd;t;en r#
cmpio~ment lIIICIer the pnt. 1M ....P..e: ..,m~ I) ~bidt by d'te tem'lS of the Jlinanmt: lIIId 2) NOfify 1M
Proposer o( aay criminal dru& Slatule lOOIJ\'ict.ion. fOr . viofr.ion occurring in ~ wMptece: "0 liter dill" five (~)
dlYs after such CGDviaion;
e, NOlify [be SOU1l1 nOJUDA EMPLOYMENT AND TRAINING cmrSOIt11tJM within ta'I (10) days Ifter
rccc~'in! n~icr under 1his sDbparqnqm (dX2). hilt Ul mtpr~ or ortIefwlR m:ciYins KftI&I flOtice of Ull:h
convjalcm:;
r. T:ke O!le of the followiuSlCllOft. wiIIltn 1triTty (!O) dI)'S of rteel'fiq'nodce ..... die svIJ,.-.cnP" (d)(2) wim
~pea to aD)' drI~ wfJD is sa ClDlYic=!:
t. nJ:e ~w,.;.. t""'_Ib..J action ...a.... ~ up"" ........ial....iaIQon; Of
2. bqvirc sach ..,..". 10 ,.mci\'* n. . ... ablate ...... ell' ,..,.,-- proeram apprtn'ed
for ~ parposa &y, ''''n~ SlIM. local"" law atbrcanenc. uratbtr .....oJfIriaae 8!ens:)'; and
I MakinS:a good.faith efIOn 10 continue to ",._in lti'aK-fioeI: wortplacc thrvaSR'irnplftMntlllion Df psf8l"lph'
(a), (b). (el, (d), (e). aDd (I).
Monroe County
xl'Tiee flfOYid"
George Neugent. Mavor
HIID..... nUe otCcrNYiIll ~iYC
Au&horiz~ SiplUrt
tltle
bnt.,- -mpl&;;.
~A~!;