Item C09BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 02/15/2012 Division: County Administrator
Bulk Item: Yes X No Department: Social Services
Staff Contact Perms: Shervl Graham x4592
AGENDA ITEM WORDING: Approval of the Low Income Home Energy Assistance Program
Federally Funded Sub grant Agreement Number 12EA-oF-11-54-01-019 between Monroe County
Board of County Commissioners (Community Services/Social Services) and the State of Florida,
Department of Economic Opportunity for the provision of funds to pay electric bills for low income
clients.
ITEM BACKGROUND: This is a reoccurring agreement. There is no match required by Monroe
County. This is a cost reimbursement agreement. This agreement allows Monroe County to provide
financial assistance to low income residents in order to assist them with paying past due energy bills.
PREVIOUS RELEVANT BOCC ACTION: Prior approval granted for the Low Income Home
Energy Assistance Program Contract Number 11 EA-8U-11-54-01-019 on 2l1 6111, item# C13.
CONTRACTIAGREEMENT CHANGES: There are a number of changes in the contract this year
that address increased oversight and transparency, and designed to reduce the frequency of fraud, waste
and abuse of LIHEAP funds statewide.
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $1813340.00
COST TO COUNTY: $0 (no match required)
BUDGETED: Yes X No
SOURCE OF FUNDS: Grant funds
REVENUE PRODUCING: Yes No X AMOUNT ER:
APPROVED BY: County Atty. `� OMB/Pur sing _
DOCUMENTATION:
DISPOSITION:
Revised 8/06
MONTH: YEAR:
Included x Not Required
Risk Managemer_=
To Follow
AGENDA ITEM #
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: LIHEAP (DEO) Contract: #12EA- OF-11-54-01-019
Effective Date: 3-01-2012
Expiration Date: 3-31-13
Contract Purpose/Description: Approval of the Low Income Home Energy Assistance Program Federally funded
Subgrant Agreement Number 12EA-OF-11-54-01-019 between Monroe County Board of County Commissioners
and the State of Florida, Department of Economic Opportunity for the provision of funds to pay electric bills for
low income Monroe County residents.
Contract Manager: Sheryl Graha 4592 Social Services/Stop 1
(Name) (Ext.) (Department/Stop #)
For BOCC meeting on 2/15/2012 Agenda Deadline: 1/31/2011
CONTRACT COSTS
Total Dollar Value of Contract: approx. $1 S 1,340.00 Current Year Portion:
$_1 S 1,340.00
Budgeted? Yes X No Account Codes: 125 - 6153512
County Match: -0-
Additional Match:
Total Match $0
Estimated Ongoing Costs: $
Not included in dollar value above)
Date
Division Director r 2
Risk Manage nt
O.M.B./P asing I � 12,,"'
County Attorney .tl ))/a
Comments:
ADDITIONAL COSTS
/yr For:
DMB Form Revised 2/27/01 MCP #2
(e.g. Maintenance, utilities, janitorial, salaries, etc
CONTRACT REVIEW
Changes Date Out
Need vi J `
Yes �o ' �l�c � t (2,_
Yes No
Yes No
Yes 6No
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
CFDA Number: 93.568
Contract Number: 12EA-0E-11-54-01--019
FEDERALLY -FUNDED SUBGRANT AGREEMENT
THIS AGREEMENT is entered into by the State of Florida, Department of Economic Opportunity,
with headquarters 'n Tallahassee, Florida (hereinafter referred to as the "Department"), and Monroe Coupty
Board of County Commissioners (hereinafter referred to as the "Recipient").
THIS AGREEMENT IS ENTERED INTO BASED ON THE FOLLOWING REPRESENTATIONS:
A. The Recipient represents that it is fully qualified and eligible to receive these grant funds to
provide the services identified herein; and
B. The Department has received these grant funds from the State of Florida, and has the authority to
subgrant these funds to the Recipient upon the terms and conditions below; and
C. The Department has statutory authority to disburse the funds under this Agreement.
THEREFORE, the Department and the Recipient agree to the following:
(1) SCOPE OF WORK
The Recipient shall perform the work in accordance with the Scope of work, Attachment A, and
Budget Attachment J of this Agreement.
(2) INCORPORATION OF LAWS, RULES, REGULATIONS_ AND POLICIES
The Recipient and the Department shall be governed by applicable State and Federal laws, rules
and regulations, including those identified in Attachment B.
(3) PERIOD OF AGREEMENT
This Agreement shall begin upon execution by both parties or March 1, 2012, whichever is
earlier, and shall end March 3 In 2013, unless terminated earlier in accordance with the provisions of
Paragraph (12) of this Agreement.
(4) MODIFICATION OF CONTRACT
Either party may request modification of the provisions of this Agreement. Changes which are
agreed upon shall be valid only when in writing, signed by each of the parties, and attached to the original of
this Agreement.
(5) RECORDKEEPING
(a) As applicable, Recipient's performance .under this Agreement shall be subject to the federal
"Common Rule: Uniform Administrative Requirements for State and Local Governments" (53 Federal
Register 8034) or OMB Circular No. A-110 (now 2 CFR 215), "Grants and Agreements with Institutions of
Higher Education, Hospitals, and Other Nonprofit Organizations," and either OMB Circular No. A-87, (now
2 CFR 225), "Cost Principles for State and Local Governments," OMB Circular No. A-21, (now 2 CFR 220)
"Cost Principles for Educational Institutions," or OMB Circular No. A-122, (now 2 CFR 23 0) "Cost
Principles for Nonprofit organizations." If this Agreement is made with a commercial (for -profit)
organization on a cost -reimbursement basis, the Recipient shall be subject to Federal Acquisition
Regulations 31.2 and 931.2.
(b) The Recipient shall retain sufficient records to show its compliance with the terms of this
Agreement, and the compliance of all subcontractors or consultants paid from funds under this Agreement,
for a period of five years from the date the audit report is issued, and shall allow the Department or its
designee, the State Chief Financial Officer or the State Auditor General access to the records upon request.
The Recipient shall ensure that audit working papers are available to them upon request for a period of five
years from the date the audit report is issued, unless extended in writing by the Department. The five year
period may be extended for the following exceptions:
1. If any litigation, claim or audit is started before the five year period expires, and extends
beyond the five year period, the records shall be retained until all litigation, claims or audit findings
involving the records have been resolved.
2. Records for the disposition of non -expendable personal property valued at $5,000 or
more at the time it is acquired shall be retained for five years after final disposition.
3. Records relating to real property acquired shall be retained for five years after the
closing on the transfer of title.
(e) The Recipient shall maintain all records for the Recipient and for all subcontractors or
consultants to be paid from funds provided under this -Agreement, including documentation of all program
costs, in a form sufficient to determine compliance with the requirements and objectives of the Budget and
Scope of Work - Attachment A - and all other applicable laws and regulations.
A The Recipient, its employees or agents, including all subcontractors or consultants to be
paid from funds provided under this Agreement, shall allow access to its records at reasonable times to the
Department, its employees, and agents. "Reasonable" shall ordinarily mean during normal business hours of
8:00 a.m. to 5:00 p.m., local time, on Monday through Friday. "Agents" shall include, but not be limited to,
auditors retained by the Department.
(6) AUDIT REQUIREMENTS
(a) The Recipient agrees to maintain financial procedures and support documents, in
accordance with generally accepted accounting principles, to account for the receipt and expenditure of
funds under this Agreement.
(b) These records shall be available at reasonable times for inspection, review, or audit by state
personnel and other personnel authorized by -the Department. "Reasonable" shall ordinarily mean normal
business hours of 8:00 a.m, to 5:00 p.m., local time, Monday through Friday.
(e) The Recipient shall provide the Department with the records, reports or financial statements
upon request for the purposes of auditing and monitoring the funds awarded under this Agreement.
0,
(d) If the Recipient is a State or local government or anon -profit organization as defined in
OMB Circular A-133, as revised, and in the event that the Recipient expends $500,000 or more in Federal
awards in its fiscal year, the Recipient must have a single or program -specific audit conducted in accordance
with the provisions of OMB Circular A7133, as revised. EXHIBIT 1 to this Agreement shoves the Federal
resources awarded through the Department by this Agreement. In determining the Federal awards expended
in its fiscal year, the Recipient shall consider all sources of Federal awards, - including Federal resources
received from the Department. The determination of amounts of Federal awards expended should be in
accordance with the guidelines established by OMB Circular A-133, as revised. An audit of the Recipient
conducted by the Auditor General in accordance with the provisions of OMB Circular A-133, as revised,
will meet the requirements of this paragraph.
In connection with the audit requirements addressed in this Paragraph 6 (d) above, the Recipient
shall fulfill the requirements for auditee responsibilities as provided in Subpart C of OMB Circular A-133,
as revised.
If the Recipient expends less than $500,000 in Federal awards in its fiscal year, an audit conducted
in accordance with the provisions of OMB Circular A-133, as revised, is not required. In the event that the
Recipient expends less than $500,000 in Federal awards in its fiscal year and chooses to have an audit
conducted in accordance with the provisions of OMB Circular A-133, as revised, the cost of the audit must
be paid from non -Federal funds.
(e) Send copies of reporting packages and any management letters issued by the auditor for
audits conducted in accordance with OMB Circular A-133, as revised, and required by subparagraph (d)
above, when required by Section .320 (d), OMB Circular A-133, as revised, by or on behalf of the Recipient
to the Department of Economic opportunity at the following address:
Department of Economic Opportunity
Office of Audit Services
107 East Madison Street
MSC 130
Tallahassee, Florida 32399-4120
(also send an electronic copy to Ms. Ginny Helwig at: orinn .helwi deo.m florida.corn)
Send the Single Audit reporting package and Form SF --SAC to the Federal Audit Clearinghouse by
submission online at
hiip.-//harvester.census.gov/fac/collect/ddeindex.html
And to any other Federal agencies and pass -through entities in accordance with Sections 320 (e) and (f),
OMB Circular A-133, as revised.
(f) Pursuant to Section .320 (f), OMB Circular A-133, as revised, the Recipient shall send a
copy of the reporting package described in Section .320 (c), OMB Circular A-133, as revised, and any
management letter issued by the auditor, to the Department at the following addresses:
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Department of Economic Opportunity
Office of the Inspector General
107 East Madison Street
- MSC 130
Tallahassee, Florida 32399-4120
And
Department of Economic Opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street
MSC 400
Tallahassee, Florida 32399-4120
(g) By the date due, send any reports, management lever, or other information required to be
submitted to the Department pursuant to this Agreement in accordance with OMB Circular A-133, Florida
Statutes, and Chapters 10.550 (local -governmental entities) or 10.650 (nonprofit and for -profit
organizations), Rules of the Auditor General, as applicable.
(h) Recipients should state the date that the reporting package was delivered to the Recipient
when submitting financial reporting packages to the Department for audits done in accordance with OMB
Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit
organizations), Rules of the Auditor General,
(i) If the audit shows that all or any portion of the funds disbursed were not spent in accordance
with the conditions of this Agreement, the Recipient shall be held liable for reimbursement to the
Department of all funds not spent in accordance with these applicable regulations and Agreement provisions
within thirty days after the Department has notified the Recipient of such non-compliance.
(j) The Recipient shall have all audits completed by an independent certified public accountant
(IPA), either a certified public accountant or a public accountant licensed under Chapter 473, Fla. Stat. The
IPA shall state that the audit complied with the applicable provisions noted above. The audit must be
received by the Department no later than nine months from the end of the Recipient's fiscal year.
(7) REPORTS
(a) The Recipient shall provide the Department with quarterly reports and aclose-out report.
These reports shall include the current status and progress by the Recipient and all subrecipients and
subcontractors in completing the work described in the Scope of Work and the expenditure of funds under
this Agreement, in addition to any other information requested by the Department.
(b) Quarterly reports are due to the Department no later than 21 days after the end of each
quarter of the program year and shall be sent each quarter until submission of the administrative close-out
M
report. The ending dates for each quarter of the program year are March 31, June 3 0, September 30 and
December 3 L
(c) The close-out report is due 45 days after termination of this Agreement or 45 days after
completion of the activities contained in this Agreement, whichever first occurs.
(d) If all required reports and copies are not sent to the Department or are not completed in a
manner acceptable to the Department, the Department may withhold further payments until they are
completed or may take other action as stated in Paragraph (11) REMEDIES. "Acceptable to the
Department" means that the work product was completed in accordance with the Budget and Scope of Work.
(e) The Recipient shall provide additional program updates or information that may be required
by the Department.
(f) The Recipient shall provide additional reports and information identified in
Attachm ent C .
(8) MONITORING
The Recipient shall monitor its performance under this Agreement, as well as that of its
subcontractors and/or consultants who are paid from funds provided under this Agreement, to ensure that the
Scope of work and other performance goals are being achieved. ' A review shall be done for each function
or activity in Attachment A to this Agreement, and reported in the quarterly report.
In addition to reviews of audits conducted in accordance with paragraph (6) above, monitoring
procedures may include, but not be limited to, on -site visits by Department staff, limited scope audits, and/or
other procedures. The Recipient agrees to comply and cooperate with any monitoring procedures/processes
deemed appropriate by the Department. In the event that the Department determines that a limited scope
audit of the Recipient is appropriate, the Recipient agrees to comply with any additional instructions
provided by the Department to the Recipient regarding such audit. The Recipient further agrees to comply
and cooperate with any inspections, reviews, investigations or audits deemed necessary by the Florida Chief
Financial Officer or Auditor General. In addition, the Department will monitor the performance and
financial management by the Recipient throughout the contract term to ensure timely completion of all tasks.
(9) LIABILITY
(a) Unless Recipient is a State agency or subdivision, as defined in Section 768.28, Fla. Stat.,
the Recipient is solely responsible to parties it deals with in carrying out the terms of this Agreement, and
shall hold the Department harmless against all claims of whatever nature by third parties arising from the
work performance under this Agreement. For purposes of this Agreement, Recipient agrees that it is not an
employee or agent of the Department, but is an independent contractor.
(b) Any Recipient which is a state agency or subdivision, as defined in Section 768.28, Fla.
Stat., agrees to be fully responsible for its negligent or tortious acts or omissions which result in claims or
suits against the Department, and agrees to be liable for any damages proximately caused by the acts or
omissions to the extent set forth in Section 768.28, Fla. Stat. Nothing herein is intended to serve as a waiver
of sovereign immunity by any Recipient to which sovereign immunity applies. Nothing herein shall be
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construed as consent by a state agency or subdivision of the State of Florida to be sued by third parties in
any matter arising out of any contract.
(10) DEFAULT
If any of the following events occur ("Events of Default"), all obligations on the part of the
Department to make further payment of funds shall, if the Department elects, terminate and the Department
has the option to exercise any of its remedies set forth in Paragraph (11). However, the Department may
make payments or partial payments after any Events of Default without waiving the right to exercise such
remedies, and without becoming liable to make any further payment:
(a) If any warranty or representation made by the Recipient in this Agreement or any previous
agreement with the Department is or becomes false or misleading in any respect, or if the Recipient fails to
keep or perform any of the obligations, terms or covenants in this Agreement or any previous agreement
with the Department and has not_ cured them in timely fashion, or is unable or unwilling to meet its
obligations under this Agreement;
(b) If material adverse changes occur in the financial condition of the Recipient at any time
during the term of this Agreement, and the Recipient fails to cure this adverse change within thirty days
from the date written notice is sent by the Department.
(c) If any reports required by this Agreement have not been submitted to the Department or
have been submitted with incorrect, incomplete or insufficient information;
P If the Recipient has failed to perform and complete in timely fashion any of its obligations
under this Agreement.
(11) REMEDIES
If an Event of Default occurs, then the Department may, upon thirty calendar days written notice
to the Recipient and upon the Recipient's failure to cure within those thirty days, exercise any one or more of
the following remedies, either concurrently or consecutively:
(a) Terminate this Agreement, provided that the Recipient is given at least thirty days prior
written notice of such termination. The notice shall be effective when placed in the- United States, first class
mail, postage prepaid, by registered or certified mail -return receipt requested, to the address set forth in
paragraph (13) herein;
(b) Begin an appropriate legal or equitable action to enforce performance of this Agreement;
(c) Withhold or suspend payment of all or any part of a request for payment;
(d) Require that the Recipient refund to the Department any monies used for ineligible purposes
under the laws, rules and regulations- governing the use of these funds.
(e) Exercise any corrective or remedial actions, to include but not be limited to:
l . request additional information from the Recipient to determine the reasons for or the
extent of non-compliance or lack of performance,
2. - issue a written warning to advise that more serious measures may be taken if the
situation is not corrected,
R
3. advise the Recipient to suspend, discontinue, or refrain from incurring costs for any
activities in question, or
4. require the Recipient to reimburse the Department for the amount, of costs incurred for
any items determined to be ineligible;
(f) Exercise any other rights or remedies which maybe otherwise available under law.
(g) Pursuing any of the above remedies will not keep the Department from pursuing any other
remedies in this Agreement or provided at law or in equity. If the Department waives any right or remedy in
this Agreement or fails to insist on strict performance by the Recipient, it will not affect, extend or waive
any other right or remedy of the Department, or affect the later exercise of the same. right or remedy by the
Department for any other default by the Recipient.
(12) TERMINATION
(a) The Department may terminate this Agreement for cause with thirty days written notice.
Cause can include misuse of funds, fraud, lack of compliance with applicable rules, laws and regulations,
failure to perform in a timely manner, and refusal by the Recipient to permit public access to any document,
paper, letter, or other material subject to disclosure under Chapter 119, Fla. Stat., as amended.
(b) The Department may terminate this Agreement for convenience or when it determines, in its
sole discretion, that continuing the Agreement would not produce beneficial results in line with the further
expenditure of funds, by providing the Recipient with thirty calendar days prior written notice.
(c) The parties may agree to terminate this Agreement for their mutual convenience through a
written amendment of this Agreement. The amendment shall state the effective date of the termination and
the procedures for proper closeout of the Agreement.
(d) In the event that this Agreement is terminated, the Recipient will not incur new obligations
for the terminated portion of the Agreement after the Recipient has received the notification of termination.
The Recipient will cancel as many outstanding obligations as possible. Costs incurred after receipt of the
termination notice will be disallowed. The Recipient shall not be relieved of liability to the Department
because of any breach of Agreement by the Recipient. The Department may, to the extent authorized by
law, withhold payments to the Recipient for the purpose of set-off until the exact amount of damages due the
Department from the Recipient is determined.
(13)
NOTICE AND CONTACT
(a) All notices provided under or pursuant to this Agreement shall be in writing, either by hand
delivery, or first class, certified mail, return receipt requested, to the representative identified below at the
address set forth below and said notification attached to the original of this Agreement.
II
(b) The name and address of the Division contract manager for this Agreement is:
Paula Lemmo, Community Program Manager
Department of Economic Opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street
MSC 400
Tallahassee, Florida 32399-4120
Email: paula.lemmo@deo.myflorida'.com
(c) The name and address of the Representative of the Recipient responsible for the
administration of this Agreement is stated in Attachment I, Recipient Information, of this Agreement.
(d) In the event that different representatives or addresses are designated by either party after
execution of this Agreement, notice of the name, title and address of the new representative will be provided
as stated in (13)(a) above.
(14) SUBCONTRACTS
If the Recipient subcontracts any of the work required under this Agreement, a copy of the
unsigned subcontract must be forwarded to the Department for review and approval before it is executed by
the Recipient. The Recipient agrees to include in the subcontract that (1) the subcontractor is bound by the
terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and
regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims
of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the
extent allowed and required by law. The Recipient shall document in the quarterly report the
subcontractor's progress in performing its work under this Agreement.
For each subcontract, the Recipient shall provide a written statement to the Department as to
whether that subcontractor is a minority vendor, as defined in Section 288.703, Fla. Stat.
(15) TERMS AND CONDITIONS
This Agreement contains all the terms and conditions agreed upon by the parties.
(16) ATTACHMENTS
(a) All attachments to this Agreement are incorporated as if set out fully.
(b) In the event of any inconsistencies or conflict between the language of this Agreement and
the attachments, the language of the attachments shall control, but only to the extent of the conflict or
inconsistency.
L•J
Monroe County Board of County Commissioners
(c) This Agreement has the following attachments (check all that are applicable):
® Exhibit 1 - Funding Sources
® Attachment A —Scope of work
® Attachment B — Program Statutes and Regulations
® Attachment C — Reports
® Attachment D -- Property Management and Procurement
® Attachment E — Statement of Assurances
®
Attachment F
— Special Conditions
®
Attachment G
— warranties and Representations
®
Attachment H
— Certification Regarding Debarment
®
Attachment I
— Recipient Information
®
Attachment J
Budget Summary and workplan
®
Attachment K
—Budget Detail
®
Attachment L
— Multi -County Fund Distribution
®
Attachment M
— Justification of Advance Payment
(17) FUNDING/CONSIDERATION
(a) This is acost-reimbursement Agreement. The Recipient shall be reimbursed for costs
incurred in the satisfactory performance of work hereunder in an amount not to exceed $181,3 40, subject to
the availability of funds and appropriate budget authority. The Recipient is authorized to incur costs in an
amount not to exceed $84,051 until further notification is received by the Department. As funds and budget
authority are available, changes to the costs the Recipient may incur will be accomplished by notice from the
Department to the Recipient, in the form of certified mail, return receipt requested, to the Recipient's contact
person identified in Attachment I, Recipient Information. The terms of the Agreement shall be considered to
have been modified to allow the Recipient to incur additional costs upon the Recipient's receipt of the
written notice from the Department.
(b) Any advance payment under this Agreement is subject to Section 216.181(16), F1a.Stat., and
is contingent upon the Recipient's acceptance of the rights of the Department under Paragraph (12)(b) of this
Agreement. The amount which may be advanced may not exceed the expected cash needs of the Recipient
within the first three (3) months of the contract term. Any advance payment is also subject to federal OMB
Circulars A-87, A-110, A-122 and the Cash Management Improvement Act of 1990. If an advance payment
is requested below, the budget data on which the request is based and a justification statement shall be
included in this Agreement as Attachment M. Attachment M will specify the amount of advance payment
needed and provide an explanation of the necessity for and proposed use of these funds.
(c) After the initial advance, if any, payment shall be made on a reimbursement basis as needed.
The Recipient agrees to expend funds in accordance with the Scope of work, Attachment A and Budget
Detail, Attachment K of this Agreement.
If the necessary funds are not available to fund this Agreement as a result of action by the
United States Congress, the federal office of Management and Budgeting, the State Chief Financial Officer,.
or under subparagraph (19)(h) of this Agreement, all obligations on the part of the Department to make any
further payment of funds shall terminate, and the Recipient shall submit its closeout report within thirty days
of receiving notice from the Department.
(18) REPAYMENTS
All refunds or repayments to be made to the Department under this Agreement are to be made
payable to the order of "Department of Economic opportunity" and mailed directly to the Department at the
following address:
Department of Economic opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street
MSC 400
Tallahassee, Florida 32399-4120
In accordance with Section 21534(2), Fla. Stat., if a check or other draft is returned to the
Department for collection, Recipient shall pay to the Department a service fee of Fifteen Dollars ($15.00) or
Five Percent (5%) of the face amount of the returned check or draft, whichever is greater.
(19) MANDATED CONDITIONS
(a) The validity of this Agreement is subject to the truth and accuracy of all the information,
representations, and materials submitted or provided by the Recipient in this Agreement, in any later
submission or response to a Department request, or in any submission or response to fulfill the requirements
of this Agreement. All of said information, representations, and materials are incorporated by reference.
The inaccuracy of the submissions or any material changes shall, at the option of the Department and with
thirty days written notice to the Recipient, cause the termination of this Agreement and the release of the
Department from all its obligations to the Recipient.
(b) This Agreement shall be construed under the laws of the State of Florida, and venue for any
actions arising out of this Agreement shall be in the Circuit Court of Leon County. If any provision of this
Agreement is in conflict with any applicable statute or rule, or is unenforceable, then the provision shall be
null and void to the extent of the conflict, and shall be severable, but shall not invalidate any other provision
of this Agreement.
(c) Any power of approval or disapproval granted to the Department under the terms of this
Agreement shall survive the term of this Agreement.
(d) This Agreement may be executed in any number- of counterparts, any one of which may be
taken as an original.
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(e) The Recipient agrees to comply with the Americans With Disabilities Act (Public Law
101-336, 42 U.S.C. Section 12101 et-) and the Florida Civil Rights and Fair Housing Acts (sections
760.01 — 760.3 75 Florida Statutes), which prohibit discrimination by public and private entities on the -basis
of disability in employment, public accommodations, transportation, state and local government services,
and telecommunications.
(f) A person or organization who has been placed on the convicted vendor list following a
conviction for a public entity crime or on the discriminatory vendor list 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 of a public building or public work, may not submit bids on leases of real property
to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant
under a contract with a public entity, and may not transact business with any public entity in excess of
$25,000.00 for a period of 36 months from the date of being placed on the convicted vendor list or on the.
discriminatory vendor list.
(or) Any Recipient which is not a local government or state agency, and which receives funds
under this Agreement from the federal government, certifies, to the best of its knowledge and belief, that it
and its principals:
1. are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by a federal department or agency;
2. have not, within a 3-year period preceding this proposal been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (federal, state or local) transaction or contract under public
transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. are not presently indicted or otherwise criminally or civilly charged by a governmental
entity (federal, state or local) with commission of any offenses enumerated in paragraph 19(g)2. of this
certification; and
4. have not within a 3-year period preceding this Agreement had one or more public
transactions (federal, state or local) terminated for cause or default.
If the Recipient is unable to certify to any of the statements in this certification, then the
Recipient shall attach an explanation to this Agreement.
In addition, the Recipient shall send to the Department (by email or by facsimile transmission)
the completed "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion" (Attachment H) for each intended subcontractor which Recipient plans to fund under this
Agreement. Such form must be received by the Department before the Recipient enters into a
contract with any subcontractor.
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(h) The State of Florida's performance and obligation to pay under this Agreement is contingent
upon an annual appropriation by the Legislature, and subject to any modification in accordance with Chapter
216, Fla. Stat. or the Florida Constitution.
(i) All bills for fees or other compensation for services or expenses shall be submitted in detail
sufficient for a proper preaudit and postaudit thereof.
Stat.
(j) Any bills for travel expenses shall be submitted in accordance with Section 112.061, Fla.
W The Department of Economic Opportunity reserves the right to unilaterally cancel this
Agreement if the Recipient refuses to allow public access to. all documents, papers, letters, or other material
subject to the provisions of Chapter 119, Fla. Stat., which the Recipient created or received under this
Agreement.
(1) If the Recipient is allowed to temporarily invest any advances of funds under this
Agreement, any interest income shall either be returned to the Department. or be applied against the
Department's obligation to pay the contract amount.
(m) The State of Florida will not intentionally award publicly -funded contracts to any contractor
who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions
contained in 8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act ("INA")].
The Department shall consider the employment by any contractor of unauthorized aliens a violation of
Section 274A(e) of the INA. Such violation by the Recipient of the employment provisions contained in
Section 274A(e) of the INA shall be grounds for unilateral cancellation of this Agreement by -the
Department.
(n) The Recipient is subject to Florida's Government in the Sunshine Law (Section 286.011,
Fla. Stat) with respect to the meetings of the Recipient's governing board or the meetings of any
subcommittee making recommendations to the governing board. All of these meetings shall be publicly
noticed, open to the public, and the minutes of all the meetings shall be public records, available to the
public in accordance with Chapter 119, Fla. Stat.
(o) All unmanufactured and manufactured articles, materials, and supplies which are acquired
for public use under this Agreement must have been produced in the United States as required under 41
U.S.C. 1 Da, unless it would not be in the public interest or unreasonable in cost.
(20) LOBBYING PROHIBITION
(a) No funds or other resources received from the Department under this Agreement may be
used directly or indirectly to influence legislation or any other official action by the Florida Legislature or
any state agency.
(b) The Recipient certifies, by its signature to this Agreement, that to the best of his or her
knowledge and belief:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
Recipient, to any person for influencing or attempting to influence an officer or employee of any agency, a
12
Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment or modification of any Federal contract, grant, loan or cooperative agreement.
Z. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
this Federal contract, grant, loan or cooperative agreement, the Recipient shall complete and submit
Standard Farm-LLL, "Disclosure Form to Report Lobbying."
3. The Recipient shall require that this certification be included in the award documents for
all subawards (including subcontracts, subgrants, and contracts under grants, loans, and cooperative
agreements) and that all subrecipients shall certify and disclose.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the
required certification shall be subject to a civil penalty of not less than $ 10,000 and not more than $10000
for each such failure.
(21) COPYRIGHT. PATENT AND TRADEMARK
ANY AND ALL PATENT RIGHTS ACCRUING UNDER OR IN CONNECTION WITH
THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY RESERVED TO THE STATE OF
FLORIDA. ANY AND ALL COPYRIGHTS ACCRUING UNDER OR IN CONNECTION WITH
THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY TRANSFERRED BY THE
RECIPIENT TO THE STATE OF FLORIDA.
(a) If the Recipient has apre-existing patent or copyright, the Recipient shall retain all rights
and entitlements to that pre-existing patent or copyright unless the Agreement provides otherwise.
(b) If any discovery or invention is developed in the course of or as a result of work or services
performed under this Agreement, or in any way connected with it, the Recipient shall refer the discovery or
invention to the Department for a determination whether the State of Florida will seek patent protection in its
name. Any patent rights accruing under or in connection with the performance of this Agreement are
reserved to the State of Florida. If any books, manuals, films, or other copyrightable material are produced,
the Recipient shall notify the Department. Any copyrights accruing under or in connection with the
performance under this Agreement are transferred by the Recipient to the State of Florida.
(c) Within thirty days of execution of this Agreement, the Recipient shall disclose all
intellectual properties relating to the performance of this Agreement which he or she knows or should know
could give rise to a patent or copyright. The Recipient shall retain all rights and entitlements to any pre-
existing intellectual property which is so disclosed. Failure to disclose will indicate that no such property
13
exists. The Department shall then, under Paragraph (b), have the right to all patents and copyrights which
accrue during performance of.the Agreement.
(22) LEGAL AUTHORIZATION
The Recipient certifies that it has the legal authority to receive the funds under this Agreement
and that its governing body has authorized the execution and acceptance of this Agreement. The Recipient
also certifies that the undersigned person has .the authority to legally execute and hind Recipient to the terms
of this Agreement.
(2-3) ASSURANCES
The Recipient shall comply with any Statement of Assurances incorporated as Attachment E.
14
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FEDERALLY FUNDED SUBGRANT AGREEMENT
SIGNATURE PAGE
IN WITNESS WHEREOF, the parties have executed this Agreement by their duly authorized
officers on the day, month and year set forth below.
RECIPIENT STATE OF FLORIDA
MONROE COUNTY BARD OF COUNTY COMMISSIONERS DEPARTMENT OF ECONOMIC OPPORTUNITY
(Type Legal Name of Recipient)
NO
DAVID RICE.. MAYOR
(Type Name and Title Here)
Date:
59-6000749
Federal Identification Number
07 3$7 �ol 51
DUNS" Number
-`Data [ 1411versal Numbering Y stem
Ken Reecy, Assistant Director
Division of Community Development
Date:
•, r r .� � � , i I �, r
R. RCADO
ASAyT Co Tl° ATTOR IEY
Date t Z..
15
EXHIBIT --1
THE FOLLOWING FEDERAL RESOURCES ARE AWARDED TO THE RECIPIENT UNDER
THIS AGREEMENT.
SEPARATELY LIST THE FOLLaWING INFORM4TION FOR EACH FEDERAL PROGR14MFROM
WHICH THE RESO URCES A WARDED TO THE RECIPIENT ORIG17VA TE.-
Federal Agency: U.S. Department of Health and Human Services
Catalog of Federal Domestic Assistance Title: Low Income Home Energy Assistance Program
Federal Award Identifier: G-1201 FLLIEA
Catalog of Federal Domestic Assistance #: 93.568
Recipient:
Contract #
Award Amount:
Monroe County Board of County Commissioners
12EA-0E-11-54-01-019
$1815340
THE FOLLOWING COMPLIANCE REQUIREMENTS APPLY TO THE FEDERAL RESOURCES
AWARDED UNDER THIS AGREEMENT:
Separately list each applicable compliance requirement (eligible activities, services, or commodities;
eligible recipients; etc.) and specify to which federal program each requirement applies:
Cam liance Requirements
Program: Low Income Home Energy Assistance Program
1. Purposes resources must be used for:
The Recipient will use the LIHEAP funds to provide energy payment assistance to low income
consumers. These. funds will be expended in accordance with the Scope of Work, Attachment A,
Program Statutes and Regulations, Attachment B, Budget Summary and Workplan, Attachment J,
and applicable OMB Circulars.
2. Eligibility requirements for recipients of the resources:
The Recipient will comply with applicable OMB Circulars and eligibility requirements as set forth
in U.S. Department of Health and Human Services regulations codified in: Title 45 of the Code
of Federal Regulations, Part 96 — Block Grants, and Title 31 of the Code of Federal Regulations,
Part 205 — Cash Management Improvement Act of 1990.
3. None of these funds will be used for research purposes.
NOTE: Section .400(d) of OMB Circular A-133, as revised, and Section 215.97(5)(a), Florida Statutes,
require that the information about Federal Programs and State Projects included in Exhibit 1 be
provided to the Recipient.
IVA
LIHEAP
ATTACHMENT A
SCOPE OF WORK
The Recipient shall, or will ensure through subcontracts that subcontractors shall:
A. Program Re uxrements
(1) Conduct outreach activities designed to ensure that eligible households, especially households
with elderly or disabled individuals, young children and those with the highest percentage of their
income required to pay for their home energy are made aware of the assistance available under
this Agreement.
(2) Make home visits to home --bound clients, especially the elderly or disabled, for completion of the
program application or eligibility determination when other assistance is not adequate.
(3) The Recipient will make payments to those applicants with the "highest home energy needs and
lowest household income," which will be determined by taking into account both the energy burden
and the unique situation of such households that results from having members of vulnerable
populations, including very young children, the disabled, and frail older individuals.
(4) The Recipient shall enter into a Memorandum of Understanding (MOU) with all
weatherization Assistance Programs (WAP) in their service area. The Memorandum of
Understanding shall detail cooperative efforts and shall describe the actions that will be taken
by both parties to assure coordination, partnership and referrals. The Recipient, in coordination
with the local wAP agency, shall develop a system by which LIHEAP recipients ;who have
received more than three LIHEAP benefits in the last 18 months and who are homeowners, are
referred to the wAP provider.
(5) Establish a Memorandum of Understanding (MOU) with service area Emergency Home Energy
.Assistance for the Elderly Program (EHEAP) providers. The Agreement will ensure
coordination of services, avoid duplication of assistance, and increase the quality of services
provided to elderly participants. The agreements shall detail how LIHEAP and Emergency
Horne Energy Assistance for the Elderly Program (EHEAP) records (for households with
elderly members) will be checked to avoid duplicate crisis assistance payments during the same
season.
(6) The Recipient will maintain a written policy and implement procedures to secure applicant's
social security number in order to protect their identity. At a minimum, this policy shall
address the handling of both paper and electronic records and files.
(7) Recipients serving multi -county areas must provide the Department with a description of how
direct client assistance funds will be allocated among the counties. The allocation methodology
must be based at least in part on the 150% of poverty population within each of the counties
served. This information must be reported in Attachment L to this Agreement.
17
(8) When LII3EAP funds are not available or are insufficient to meet the emergency home energy
needs of an applicant, the Recipient will assist the applicant to secure help through other
community resources.
(9) The Recipient shall agree to treat owners and renters equitably under the Agreement.
(10) The Recipient will develop and implement a written policy and procedure to assure that all
energy assistance payments are made to energy vendors comply with the requirements of
Attachment A, Section D of this agreement.
(11) The Recipient will define in a written policy what criteria and verification will be used to
determine if a household has a "home energy crisis" and is eligible for crisis assistance. The
policy must encourage households to seek assistance prior to incurring non -energy penalties
such as disconnect/reconnect fees, additional deposit, interest or late payment penalties.
(12) The Recipient will not charge applicants a fee or accept donations from an applicant to provide
LIHEAP benefits. This policy must be posted in a prominent place where it is visible to all
applicants and include the following language: No money, cash or checks, will be requested or
received from customers in a LMAP office. If an employee asks for money, report this to the
agency Executive Director or Department Head.
(13) The Recipient will be in a location and operate during hours available to clients.
(14) The Recipient will refund, with non-federal funds, to the Department, all funds incorrectly paid
on behalf of clients that cannot be collected from the client.
(15) The Recipient will have appropriate staff attend training sessions scheduled by the Department
to cover LIIHEAP policies and procedures.
(16) The Recipient will furnish training for all staff members assigned responsibilities within the
program.
(17) The Recipient will take applications when it has a signed Agreement and adequate funding, and
continue taking applications until the Agreement expires or funds are exhausted, whichever
comes first.
(18) The Recipient must have adequate procedures in place to ensure that LII3EAP funds are
appropriately budgeted and expended to sufficiently allow for energy assistance benefits in
both the heating and cooling seasons.
(19) The Recipient must comply with the Federal Financial Accountability and Transparancy Act
(FFATA). This includes securing a Dun and Bradstreet Numbering System (DUNS) number
(www.dnb.com) and maintaining an active and current profile in the Central Contractor Registration
(CCR) (www.cer.gov).
18
S. Customer Services and Benefits
(1) Make LH-IEAP home energy non -crisis assistance payments based on astate-provided payment
matrix and worksheet. The payment amount is based on the household's income level as
compared to the national poverty guidelines. This takes into account both gross income and
family size.
(2) The following maximum benefits will be available to eligible households:
(a) One non -crisis benefit per 12 month period;
(b). One summer home energy crisis benefit between April 1 and September 30 each year; and
(c) One winter home energy crisis benefit between October 1 and March 31 each year.
(3) Based on local need for LII-HEAP services and other non-LII3EAP energy assistance resources in
their service area, the Subgrantee may limit crisis benefits to less than those stated in subsection (2)
above.
(4) Determine the correct amount of each crisis benefit based on the minimum necessary to resolve the
crisis, but not more than the maximum set by the Department. The maximum crisis benefit for this
contract period is $600.00 per household per season.
(5) When the applicant is not in a life threatening situation, take actions that will resolve the
emergency within 48 hours of the application approval for a crisis benefit.
(6) When the applicant is in a life threatening situation, take actions that will resolve the
emergency situation within 18 hours of the application approval for a crisis benefit.
(7) Make home energy payments within 30 days from the date the application is approved.
(8) The Recipient will, within 15 working days of receiving the client's application, furnish in
writing .to all applicants a Notice of Approval which includes: the type and amount of
assistance; the name of the energy vendor to be paid on their behalf; and the next date when the
applicant will be eligible to. apply for assistance.
(9) Recipients are required to have written applicant appeal procedures. within 15 working days
- of receiving the client's application, any applicant denied L.IHEAP services must be provided a
written notice of the denial. At a minimum, the written Notice of Denial and Appeals shall
contain: the reasons) for the denial; the appeal process; an explanation of under what
circumstances the client may reapply; what information or documentation is needed for the
person to reapply; the name and address to whom the re -application or appeal should be sent, and
the phone number of the Recipient. Appeal provisions must also be posted in a -prominent
place within the office where it is on view for all applicants.
(10) The recipient will compare LII3EAP records and Emergency Home Energy Assistance for the
Elderly Program (EIF]EAP) records for households with elderly members to avoid duplicate
crisis assistance payments during the same eligibility period.
19
(11) The Recipient will be responsible for maintaining and implementing written policies and
procedures for determining the eligibility of the clients applying for the LII-1EEAP program.
Client eligibility shall be based on the following factors:
(a) The Recipient may only assist households who are or were residing in their LMEAP service
area at the time the home energy costs were incurred.
(b) The client must complete an application and return all required information and verification to
the Recipient or subcontractor while funds remain available.
(c) The client must provide a fuel bill for home energy or provide other documentation verifying
an obligation to pay for home energy costs.
(d) The client must have a total gross household income of not more than 150% of the current
OMB federal poverty level for their household's size.
(e) For applicants receiving Supplimental Nutrition Assistance Program (SNAP) or Supplemental
Security Income (SSI), program qualification approvals or notifications may be used to
document household size and income. However, the household income eligibility and the
benefit levels are the same as other applicants.
(f) To receive crisis assistance, the applicant must have a verifiable home energy crisis.
(g) If the applicant lives in government subsidized housing, the Recipient must determine if all or
part of their utility costs are paid directly or indirectly by the government and take the
following actions:
1. The applicant is not eligible for assistance if their home heating and cooling costs are totally
included in their rent and they have no obligation to pay any portion of the costs.
2. For Crisis_ Assistance only: If the applicant receives an energy subsidy through Section 8 or
a Public Housing Authority, then the agency must subtract the amount of the subsidy
available to the applicant during the period covered by the utility bill from the allowable
LIHEAP crisis benefit calculated for the household.
3. The applicant is eligible for non -crisis, home energy assistance with no deductions at the
same level as other applicants.
(12) The client must not reside in a group living facility or a home where the cost of residency is at
least partially paid through any foster care or residential program administered by the state.
(13) The client must not be a student living in a dormitory.
C. Customer Records
The Recipient will maintain a separate client file for each LIHEAP client that includes at least
the following information:
(1) Clients name, address, sex, age;
(2) Names, ages and identification documentation of all household members;
(3) Documented Social Security Numbers for all household members (some exceptions may
apply and will be outlined by the Department);
O
(4) Income amount and method of verification far all household members;
(5) Income documentation to support eligibility.
(6) Statement of self -declaration of income if applicable;
(7) If the total household income is less than 50% of the current Federal Poverty Guidelines and
no one in the household is receiving SNAP assistance, include a signed statement of how
basic living expenses i.e., food, shelter and transportation are being provided.
(8) Copies of approval or denial letters provided to' the client;
(9) If preference is given due to a disability, documentation of disability income or physician's
statement.
(10) Documentation' of client's obligation to pay the energy bill for the residence in which they
reside.
(11) All LMEEAP assistance applications must be signed by the client and by the Recipient's
representative and supervisory/edit staff.
D. Enga Vendor Relations
The Recipient shall negotiate and maintain written agreements with home energy
suppliers which shall at a minimum include:
(1) The beginning and ending date of the agreement.
(2) The Vendor Agreement must include a process for identifying the Recipient's representatives
authorized to resolve a crisis situation and make a payment commitment on behalf of the
Recipeint.
(3) The Vendor Agreement must include a process for identifying the Vendor's representatives
authorized to resolve a crisis.
(4) A description of how energy payments will be made directly to the vendor on behalf of the
LII-1EAP eligible customer. In cases where no vendor -Recipient agreement exists, the
payment shall be made to the client in the form of a two-party check made payable to the
client and vendor. This procedure shall be used only in rare special circumstances, according
to the Recipient's purchasing policies and only with written approval of the Recipient's
management.
(5) Assurances from the home energy supplier that no household receiving LMEAP assistance
will be treated adversely because of such assistance under applicable provisions of state law
or public regulatory requirements.
(6) Assurances from the home energy supplier that they will not discriminate, either in the cost of
goods supplied or the services provided, against the eligible household on whose behalf
payments are made.
(7) An understanding that only energy related elements of a utility bill are to be paid. No water
or sewage charges may be paid except if required by the energy vendor to resolving the crisis
21
and no other resources to pay that portion of the bill can be secured by the customer or
Recipient.
(8) A statement that the Recipient may not pay for charges that result from illegal -activities such 'as a
bad check or meter tampering. A statement that the vendor is aware that those charges are the
responsibility of the customer.
(9) A statement that the vendor is aware that when the benefit amount does not pay for the complete
charges owed by a customer, that the customer is responsible for the remaining amount owed.
(10) Details on how the vendor will assist the Recipient in verifying the LMAP applicant's account
information and in the case of crisis assistance make timely commitments to resolve the crisis. A
process should be in place to verify the current amount owned and'the amount necessary to
resolve the crisis situation.
(11) The Recipient's commitment to make payment to the vendor within 3 0 days of the day of the
Recipient's promise to pay.
(12) This agreement will be reviewed by both parties at least every 2 years.
(13) Vendor agreements must be signed by upper level management of both the Recipient and the
vendor who has authority to enter into such commitments.
(14) A description of when LIHEAP payments made to the vendor cannot be applied to the
client's account, the funds will be returned to the Recipient or with the Recipient's
approval applied to another eligible customer's account.
(15) The energy vendor, with the exception of municipal providers, must be in "active" status
with the State of Florida: http://sunbiz.org/search.html and the vendor's name must be
checked on EPL S : hqps://www.e-pls.gov/. The business name on the vendor agreement
must match the legal business name on the State of Florida website.
NO
LIHEAP
ATTACHMENT B
PROGRAM STATUTES AND REGULATIONS
A. INCORPORATION OF LAWS, ULES, REGULATIONS AND POLICIES
The applicable documents governing service provision regulations are in the Common Rule, 45 CFR
Part 74 and 92, or OMB Circular No. A--1.10, "Grants and Agreements with Institutions of Higher
Education, Hospitals, and Other Nonprofit organizations," and either OMB Circular No. A-87, "Cost
Principles for State and Local Governments," OMB Circular No. A-21, "Cost Principles for
Educational Institutions," or OMB Circular No. A-122, "Cost Principles for Nonprofit
Organizations," and OMB Circular A-1331, "Audits of States, Local Governments, and Non -Profit
Organizations." If this Agreement is made with a commercial (for -profit) organization on a cost -
reimbursement basis, the Recipient shall be subject to Federal Acquisition Regulations 31.2 and
931.2. Low -Income Horne Energy Assistance Act of 1981 (Title XXVI of the Omnibus Budget
Reconciliation Act of 1981, Public Law 97-35)' as amended. The following Federal Department of
Health and Human Services regulations codified in Title 45 of the Code of Federal Regulations are
also applicable under this Agreement.
l . Past 16 -- Procedures of the Departmental Grant Appeals Board;
2. Part 30 - Claims Collection;
3. Part 80 - Nondiscrimination under programs receiving Federal assistance through the
3. Department of Health and Human Services (HHS), Effectuation of Title VI of the Civil
Rights Act of 1964;
4. Part 81 - Practice and procedure for hearings under Part 80 of this Title;
5: Part 84 — Nondiscrimination on the basis- of handicap in programs and activities
receiving Federal financial assistance.
6. Part 86 - Nondiscrimination on the basis of sex in education programs and activities
receiving Federal financial assistance.
7. Part 87 — Equal Treatment for Faith Based Organizations;
8. Part 91 - Nondiscrimination on the Basis of Age in HHS programs or activities receiving
Federal Financial Assistance;
9. Part 93 -- New restrictions on lobbying;
10. Part 96 - Block Grants;
11. Part 100 — Intergovernmental Review of Department of Health and Human Services
Programs and activities;
12. Executive Order 12549, Debarment and Suspension from Eligibility for Financial
Assistance (Non -procurement);
0
PM
LIHEAP
ATTACHMENT B
PROGRAM STATUTES AND. REGULATIONS
B. PROJECTS OR PROGRAMS FUNDED IN WHOLE OR PART WITH FEDERAL MONEY
The Recipient assures, as stated in Section 508 of Public Law 103-3331, that all statements,
press releases, requests for proposals, bid solicitations and other documents describing .projects or
programs funded in whole or in part with Federal money, all grantees receiving Federal funds,
including but not limited to State and local governments and recipients of Federal research
grants, shall clearly state:
(1) the percentage of the total costs of the program or project which will be financed with
Federal money,
(2) the dollar amount of Federal funds for the project or program, and
(3) percentage and dollar amount of the total costs of the project or program that will be
financed by non -governmental sources.
C. INTEREST FROM CASH ADVANCES
Recipients shall invest cash advances in compliance with section .21 (h) (2) (i) of the
Common Rule and section .22 of OMB Circular A-110 as revised. Recipients shall maintain
advances of Federal funds in interest -bearing accounts unless one of the following conditions
applies -
NON -PROFITS ONLY:
1. The Recipient or subcontractor receives less than $120,000 in total Federal awards per year.
2. The best reasonably available interest bearing account would not be expected to earn interest
in excess of $250 per year on all Federal cash balances.
3. The depository would require an average or minimum balance so high that it would not be
feasible within the expected Federal and non -Federal cash resource. Interest earned off cash
advances shall be reflected on the monthly financial status report and the close-out report.
LOCAL GOVERNMENTS ONLY:
Except for interest earned on advance of funds exempt under the inter -governmental Cooperation
Action (31 U.S.0 6501 et. seq.) and the Indian Self -Determination Act (23 U.S.C. 450), grantees and
sub -grantees shall promptly, but at least quarterly, remit interest earned on advances to the Federal
agency. The grantee or sub -grantee may keep interest amounts up to $100 per year for.
administrative expenses.
24
LIl3EAP
ATTACHMENT B
PROGRAM STATUTES AND REGULATIONS
D. PROGRAM INCOME
The Recipient may reapply program income for eligible program projects or objectives. The amount
of program income and its disposition must be reported to the Department at the time of submission
of the final close --out report.
E . MODIFICATIONS
(1) The Department shall not be obligated to reimburse the Recipient for outlays in excess of the
funded amount of this Agreement unless and until the Department officially approves such
expenditures by executing a written modification to the original Agreement.
(2) The line item budget, as given in Attachment J of this Agreement and reported on the
monthly financial status reports, may not be altered without a written budget modification
submitted in accordance with the terms below:
(a) The Recipient must use a Department approved Modification package.
(b) Only unobligated funds may be transferred from one line item to another line item.
(c) The Recipient may transfer unobligated budgeted line items within a budget category
as long as the budget category subtotal remains the same. For the purpose of
transferring funds, the following are considered budget categories: Administrative
Expenses, Outreach Expenses and Direct Client Assistance.
(d) Each modified line item must meet all contractual minimum and maximum
percentage budget requirements.
(e) All requests for modifications to increase or decrease any line item must be submitted to
the Department for approval thirty (30) days prior to the anticipated implementation date.
Failure to meet this time frame may result in reimbursement delays.
(f) A letter of explanation and a completed modification package (Budget Summary and
Workplan, Administrative and Outreach Budget Detail (if applicable) and Multi -County
Fund Distribution (if applicable) signed by the Recipient must be submitted to the
Department and approved priar to the submission of a financial status report in which the
changes are implemented.
(g) Upon approval, the Recipients budget detail will be revised in the Department's
electronic payment system.
(h) None of the budget transfers may violate this Agreement or OMB Circulars
A-110, Common Rule, A-121 or A-87. The budget revision(s) will be reviewed by the
Department for compliance with these circulars.
25
r- r
- '�
ATTACHMENT B
PROGRAM STATUTES AND REGULATIONS
F. BONDING
(1) Non -Profit Organizations: The Recipient agrees to purchase a blanket fidelity bond covering
all officers, employees and agents of the Recipient holding a position of trust and authorized
to handle funds received or disbursed under this Agreement. Individual bonds apart from the
blanket bond are not acceptable. The amount of the bond must cover each officer, employee -
and agent up to an amount equal to at least one-half of the total LIHEAP agreement amount.
(2) Local Governments: The Recipient agrees to purchase a fidelity bond in accordance with
Section 113.07, Fla. Stat. The fidelity bond must cover all officers, employees and agents of
the Recipient holding a position of trust and authorized to handle funds received or disbursed
under this Agreement.
G. OTHER PROVISIONS
(1) The Recipient must budget a minimum of twenty-five (25) percent of the total Agreement
funds for Home Energy Assistance.
(2) The Recipient must budget a minimum of two (2) percent of the total Agreement funds for
Weather Related/Supply Shortage emergency assistance. These funds must be held in this
budget line item category until December 15 of the program year for use in response to a
possible disaster. These funds will only be used during state or federal emergencies declared
by the President, the Governor or the Secretary of the Department as he/she deems necessary.
In the event of an emergency being officially declared, if the Recipient or the Department
finds that two percent of the budget is not sufficient to meet the emergency, the Recipient
may draw on other Agreement categories, up to fifty percent (50%) of the total Agreement
budget, without additional written authorization. After December 15, if no emergency has
been declared, the Recipient may allocate these funds to the crisis or the home energy
category of the program without additional written authorization from the Department. When
,funds are distributed for aweather-related supply shortage emergency, the Department will
provide binding directives as to the allowable expenditures of the funds. The Recipient will
comply with these directives or agree that these funds will remain with the Department.
(2) In addition to the record keeping and audit requirements contained in Sections (5) and (6) of
this Agreement, the books, records, and documents required under this Agreement must also
be available for copying and mechanical reproduction on or off the premises of the
Recipient.
NO
LIHEAP
ATTAGI3MENT B
PROGRAM STATUTES AND REGULATIONS
(4) If the U.S. Department of Health and Human Services initiates a hearing regarding the
expenditure of funds provided under this Agreement, the Recipient shall cooperate with, .and
upon written request, participate with the Department in the hearing.
(5) All records, including supporting documentation of all program costs, shall be sufficient to
determine compliance with the requirements and objectives of the Scope of work,
Attachment A, and all other applicable laws and regulations.
W1
ATTACHMENT C
REPORTS
I . Annual reports
(a) within 45 days after the end of the Agreement the Recipient shall submit a LIHEAP Close-out
Report, including the LIHEAP Final Financial Report, a refund check for any unspent funds, and
the LIHEAP Final Program Report.
(b) Agencies that are below the $500,000 threshold of all Federal awards in its fiscal year and thus
are exempt from the federal single_ audit act requirements, shall submit with their contract proposal
a copy of their most recent IRS From 990:
2. (7uarterly Reports For each county the Recipient serves, the LII3EEAP Household Quarterly
Program Report must be provided to the Department no later than twenty-one (21) calendar days
following the end of the quarter. For the purposes of this contract, the ending dates of the quarters
are June 30, September 30, December 31 and March 31.
3. Monthly reports -The LII-IEAP Monthly Financial Status Report must be provided to the
Department by no later than the twenty-first (21 st day) of each month following the end of the reporting
month in which funds were expended.
4. Cost Allocation Plans
2 CFR .Part 215, Subpart C, Section 215.21(6) requires that Recipients have written financial
management systems procedures for determining the reasonableness, allocability, and allowability of
costs in accordance with the provisions of the applicable federal cost principles and terms and
conditions of the award. To document this, Recipients must submit copies of their written Cost
Allocation Plans to the Department with their contract proposal.
5. Upon reasonable notice, the Recipient shall provide such additional program updates or information
as may be required by the Department, including supporting or source documentation for any reports
identified above in this section.
The reports shall be submitted to:
Ms. Hilda Frazier, Manager
Florida Department of Economic Opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street - MSC 400
Tallahassee, FL 32399-4120
Fax: (850) 488-2488 -
F:
LAP
ATTACHMENT D
PROPERTY MANAGEMENT AND PROCUREMENT
A. All such property purchased under this Agreement shall be inventoried annually and an
inventory report shall be made available to the Department upon request.
B. All property purchased under this Agreement shall be listed on the property records of the
Recipient. Said listing shall include a description of the prop e�' , model number,
P
manufacturer's serial number, funding source, information needed to calculate the federal
and/or state share, date of acquisition, unit cost, property inventory number and information on
the location, use and condition, transfer, replacement or dispositi-on of the ro
P perty.
C. Title (Ownership) to all nonexpendable property acquired with funds from this Agreement shall
be vested in the Department upon completion or termination of the Agreement.
D. The Recipient agrees to comply with Section 507 of Public Law 103-333. As stated in
this section, it is the sense of Congress that, to the extent practicable, all equipment and
products purchased with funds made available in this Act should be American made.
29
L1_[11 A
ATTACHMENT E
STATEMENT OF ASSURANCES
A. Interest of Certain Federal Officials
No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall
be admitted to any share of part of this Agreement or to any benefit to arise from the same.
B. Interest of Members Officers, or Employees of Reci ient Members of Local Govern.in Body, or
Other Public Officials.
No member, officer, or employee of the Recipient, or its delegates or agents, no member of the
governing body of the locality in which the program is situated, and no other public official of such
locality or localities who exercises any functions or responsibilities with respect to the program
during his tenure or for one year thereafter, shall have any interest, direct or indirect, in any contract
or subcontract, or the proceeds thereof, for work to be performed in connection with the program
assisted under this Agreement. The Recipient shall incorporate or cause to be incorporated in all such
Agreements, a provision prohibiting such interest pursuant to the purposes of this subsection. No
board member, officer or employee will be permitted to receive any remuneration or gift in any
amount. Board members may receive travel expenses in accordance with s. 112.061, Florida Statutes.
C. Nepotism
The Recipient agrees to abide by the provisions of s. 112.3135, Fla. Stat., pertaining to nepotism in their
performance under this Agreement
D. LIHEAP Assurances
The Recipient hereby assures and certifies as a condition of receipt of Love Income Home Energy
Assistance Program funds, that it and its subcontractors will comply with the applicable
requirements of Federal and State laves, rules, regulations, and guidelines. As part of its
acceptance and use of LIHEAP .funds, the Recipient assures and certifies that:
(1) The Recipient possesses the legal authority to administer the program as approved by
the Recipienfs governing body, including all assurances contained herein.
(2) The Recipient possesses the sound controls and fund accounting procedures necessary to
adequately safeguard the assets of the agency, check the accuracy and reliability of
accounting data., promote operating efficiency and maintain compliance with prescribed
management policies of the agency.
(3) The Recipient will permit and cooperate with Federal and State investigations designed
to evaluate compliance with the law.
LIHEAP
ATTACHMENT E
STATEAIIENT OF ASSURANCES
(4) The Recipient will give the Department, the Auditor General or any authorized
representatives, complete access to examine all records, books, papers or documents
related to all program operations of the grant, including those of any sub -contractor.
(5) The Recipient will comply with non-discrimination provisions, in accordance with Florida
Statutes; Section 677 of P.L. 97--35; Titles VI and VII of the Civil Rights Act of 1964; and 45
C.F.R. Parts 84, 86 and 90.
(6) The Recipient will comply with sbction 680 of Public Law 97--3 5, as amended, which
prohibits use of LI EAP funds for purchase or improvement of land, or the purchase,
construction, or permanent improvement of any building or other facility.
(7) The LH- EAP application and all its' attachments, including budget data., are true and correct.
(8) The Recipient will prohibit any political activities in accordance with Section 678E b
of 42 USC 9918, as amended.
(9) Administration of this program has been approved by the Recipient's governing body
by official action, and the officer who signs it is duly authorized to sign this
Agreement.
(10) The Recipient agrees to comply with Public Law 103-227, Part C, Environmental
Tobacco Smoke, also known as the Pro -Children Act of 1994 (Act). This Act requires
that smoking not be permitted in any portion of any indoor facility owned or leased or
contracted for by an entity and used routinely or regularly for the provision of health, day
care, education, or library services to children under the age of 18, if the services are
funded by Federal programs either directly or through States or local governments.
Federal programs include grants, cooperative agreements, loans or loan guarantees, and
contracts. The law does not apply to children's services provided in private residences,
facilities funded solely by Medicare or. Medicaid funds, and portions of facilities used for
inpatient drug and alcohol treatment. The Recipient further agrees that the above
language will be included in any subawards which contain provisions for children's
services and that all subrecipients shall certify compliance accordingly. Failure to
comply with the provisions of this law may result in the imposition of a civil monetary
penalty of up to $1,000 per day.
(11) The Recipient will have a published and publicized local outreach office number when
the outreach office is open a minimum of 40 hours per week, or toll -free telephone
number.
31
LIHEAP
ATTACHMENT P
SPECIAL CONDITIONS
A. The Recipient and its subrecipients shall comply with the following; special conditions:
B. Failure of the Recipient or its subrecipients to comply with the special conditions under this .
Agreement shall be cause for the immediate suspension of payments, and may be cause for the
immediate termination of this Agreement.
32
L1[1GA
ATTACEMENT G
WARRANTIES AND REPRESIMATIONS
Financial Management
Recipient's financial management system must include the following:
(1) Accurate, current and complete disclosure of the financial results- of this projector program.
(2) Records that identify the source and use of funds for all activities. These records shall contain
information pertaining to grant awards, authorizations, obligations, un-obligated balances, assets,
outlays, income and interest.
(3) Effective control over and accountability for all funds, property and other assets. Recipient shall
safeguard all assets and assure that they are used solely for authorized purposes.
(4) Comparison of expenditures with budget amounts for each Request for Payment. Whenever
appropriate, financial information should be related to performance and unit cost data. -
(5) Written procedures for determining whether costs are allowed and reasonable under the provisions of
the applicable OMB cost principles and the terms and conditions of this Agreement.
(6) Cost accounting records that are supported by backup documentation.
Coin etition
All procurement transactions shall be done in a manner to provide open and free competition. The
Recipient shall be alert to conflicts of interest as well as noncompetitive practices among contractors that
may restrict or eliminate competition or otherwise restrain trade. In order to ensure excellent contractor
performance and eliminate unfair competitive advantage, contractors that develop or draft specifications,
requirements, statements of work, invitations for bids and/or requests for proposals shall be excluded
from competing for such procurements. Awards shall be made to the bidder. or offeror whose bid or offer
is responsive to the solicitation and is most advantageous to the Recipient, considering the price, quality
and other factors. Solicitations shall clearly set forth all requirements that the bidder or offeror must
fulfill in order for the bid or offer to be evaluated by the Recipient. Any and all bids or offers may be
rejected when it is in the Recipient's interest to do so.
Codes of Conduct
The Recipient shall maintain written standards of conduct governing the performance of its employees
engaged in the award and administration of contracts. No employee, officer, or agent shall participate in -
the selection, award, or administration of a contract supported by public grant funds if a real or apparent
conflict of interest would be involved. Such a conflict would arise when the employee, officer or agent,
any member of his or her immediate family, his or her partner, or an organization which employs or is
33
ATTACHMENT C
WARRANTIES AND REPRESENTADONS
about to employ any of the parties indicated, has a financial or other interest in the firm selected for an
award. The officers, employees, and agents of the Recipient shall neither solicit nor accept gratuities,
favors, or anything of monetary value from contractors, or parties to subcontracts. The
standards of conduct shall provide for disciplinary actions to be applied for violations of the standards by
officers, employees, or agents of the Recipient.
Pitch o,oc Wn-nre
The Recipient shall have its offices open for business, with the entrance door open to the public, and at
least one employee on site, from a : OO A M to 5,"00 FM _
Licensin and Permittin
All subcontractors or employees hired by the Recipient shall have all current licenses and permits required
for all of the particular Work for Which they are hired by the Recipient. .
34
LIHEAP
ATTACHMENT H
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION
(1) The prospective subcontractor of the Recipient,-
certifies, by submission of this document, that neither it nor its principals is presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation
in this transaction by any Federal department or agency.
(2) Where the Recipient's subcontractor is unable to certify to the above statement, the prospective
subcontractor shall attach an explanation to this form.
SUBCONTRACTOR:
By:
Signature
Name and Title
Street Address
City, State, Zip
Date
V o-k- �pl iCable.
Recipient's Dame
DEO Contract Number
35
ATTACHMENT
RECIPIENT INFORMATION
FEDERAL YEAR: 2012 CONTRACT PERIOD; Date of Signing through March 31, 2013
FOR DEO USE ONLY: RECEIVED REVISION(S)
Instructions: Complete the blanks highlighted in yellow. For item 11, put an "X" in whichever highlighted box applies to your agency.
2E 1 _ 4- :. 1
I. DEC CONTRACT NUMBER. 1 A OF 1 5 oy 9 CONTRACT AMOUNT. 181 34o 0 .
TOTAL DIRECT CLIENT ASSISTANCE:. 141383.8:00 LEVERAGE AMOUNT (if applicable);_..:
II. RECIPIENT CATEGORY: � Non -Profit ❑X Local Government El State Agency
..-.
.
Ill. COUNTY�IES� TO BE SERVED WITH THESE FUNDS. . .
IV. GENERAL ADMINISTRATIVE INFORMATION
.................................................................. . ..... .............................. ........ ............ ...
.
a. Recipient: MONROE:OQUNTY BOARD.OF CQUNTY OMMISSI NETS CountyLocation: FLORIDA
p
.. .. ............ ...... ....... .... ...........--.....
.. - -........
..... ....
.......
b. Executive Director or Chief Administrator: _ SHERYL GRAHAM-
Address::': 11 UU: SIMOIVTON STREET SUITE-257 Ci KEY WEST: FL Zipcode: 33U4Q
C. ty p
F9Teleph�2-45a x(W5) 254- Cell:.. Email: graham-shorvl@monroecounty-fl:Qov.::
.. ... ...... .... ....... ... ........ ..... .
d. Mailing Address::.::1100.SIMONTON STREET SUITE=-257: City: KEY WEST , FL Zipcode: 33�4�
e. Chief Elected Official (for local governments} or President/Chairman of the Board (for corporations):
. ... ...... .................... ............. ..... - -- -
.. ........... . .. . .......... .. .............................. ........ ..
. .... .. .................... ............ ... .....
.......... .... . ... ...........
Name: DAVID RICE Title: MAYOR
. .
a e
Enter home or business address, telephone numbers and email other than the Recipient's
... ..... ...... ........ ........
. ...................... ....
. .. ..... ...... ......... .........--.. ......... .. ..... ..........
. .. ....... ......... ......
Address: 94flQ: VEf�SEAS -... . # 2-i U City: MARATHON.:, FL Zipcode:: 33050-
- --
Tele hone: 3B5 28.9-b0�B Fax: Email:
P ( . .... . .. .. .
..... ... ... ..
h. Person(s) authorized to sign reports:
i. Agency's FEI D Number:
:59-6000749
..... . ....... .
Title: CLERK OF THE COURT
City: KEY WEST.-............, FL Zipcode: 3304U-
...... ..........
Title: SOCIAL SERVICES DIRECTOR
City: KEY WEST. , FL Zipcode: .33040
Fax: 5) 544 5
Title: CLERK OF THE -COURT:
City: KEY WEST , FL Zipcode: 33040
Fax: (305) 295-3560:
.................... ....................----- ---
Agency's DUNS Number: 73875
•
V. AUDIT DUE DATE: Audit(s) are due by the end of the Ninth month following the end of the agency's fiscal year.
Recipient Fiscal Year: October i 2011.thru September 3Q,- 20Audit Due to DEO: June 3Q 2413
36
ATTACHMENT J
BUDGET SUMMARY AND WORKPLAN
RECIPIENT: MONROB COUNTY BOARD OF COUNTY COMMISSIONER5 CONTRACT:
Instructions. Enter the appropriate figures in the boxes highlighted in yellow only.
I. BUDGET SUMMARY
12EA-OF-11-54-01-019
' >F � f , � �/ +£)Yk\,\ 'n�.`A .. , •ems �xt`E # „ '� `C � �
A O < r
� �
E
4 .n
,,,, �,
,,��
LIHEAP FUNDS No Leveraging Funds 1 { )
9 9
i 81 3ao.00
,
_-_ -ram'
- •- ..� - - - ��-: �:-�\-� --., ����� -S'"x-, `.�..}---izr.:n<<-3Ai:_:-;:-;:-is%=:'--'r-'
2
Salaries including Fringe, Rent, Utilities, Travel, Other (Total cannot exceed 8.5°IC of Line 1 }
.... .. . ....
i5:4�3:Oo.
Maximum Administrative Expense:
$15,413.90
�:::>::::;x:>�:::
`
Salaries including Fringe, Rent, Utilities, Travel, Other (Total cannot exceed 16% of the difference
3
between Line 1 & Line 2 {Line 1 minus Line 2 times .15})
. . . . ......
.. .........24,$89.00. .......
Maximum Outreach Expense: $24,889.fl5
i-t`- ::::x , -- ::A':=: ' i y, •'''ii; Vic;.. �..
e- e- - f,
-
4
Home Energy Assistance {Must be at least 251% of Line 1.)
45:5ov:oo
25°Io Minimum Calculation: $45,335.00
5
Crisis Assistance
9i;688.0�
Weather Related J Supply Shortage 1 Disaster (Must be at least 2% of line 1.)
6
3850.00
2% Minimum Calculation: $3,626.8fl
7
TOTAL DIRECT CLIENT ASSISTANCE (Lines 4 + 5 + 6)
141,038.00
j
,,�'r Fir F
8
LEVERAGE FUNDS
:-r:=� '.--.-=_------�'-y-�-::�w<<-`i
9
Home Energy Assistance
10
Crisis Assistance
11
TOTAL LEVERAGING Lines 8 + 9
-:>->---> > ::: .<-:<-----_:=:<=_ _> 3
.12 G RAND TOTAL ALL EXPENSES (Lines 2 + 3 + 7 + 10)
181,340.00
11_ DIRECT CLIENT ASSISTANCE PLAN
Estimated # of
Estimated
Estimated
Type of Assistance
Benefits to
Cost Per
Expenditures •"
be Provided
Benefit
(Col. 2 x Col. 3)
Home Energy
. 182 :
250:
45,500.00
Crisis
. .
2..... 59 : - ::::........
. .....
. .. 354 01
91,688.59
Weather Related/Supply Shortage
14:
275,00
3,850.00
Leveraging -Home Energy
L verag€n9-Cris€s
ry
'
» ---
x
----- ---- -- ----------
-- ----------------------------
TOT
Pz-
141 038.59
If less than 8.5% of Line 1 is budgeted for Administrative Expenses, the Recipient may increase the Outreach Expenses. The total Administrative tenses
plus the total Outreach Expenses may not exceed the sum of the original maximum allowed for each of these line items.
Total of Line 2 plus Line 3 may not exceed: =$40,:302.95 Line 2 + line 3 = $40,302.00
i.- Estimated Expenditues given in the Assistance Plan, must agree with the corresponding values on Lines 4-7.
EiINT >'LIHEAP F i ds: rri stbe;:eriterecl'orr= z
Rec" ievoVrfsh`eetundert,Eortfact=ArrtantF''
Recipient:
ATTACHMENT K
ADMINISTRATIVE AND OUTREACH EXPENSE BUDGET DETAIL (Lines 2-3)
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Contract: 12EA-OF-11-54-01-019
Instructions: On the form below, enter the detail of the figures listed on the Budget Summary. If more space is needed, copy this form
copy this form to another tab and name the new tabs "Budget Detail 1 "Budget Detail 2" etc.
38
ATTACHMENT L
MULTI -COUNTY FUND DISTRIBUTION
Agency: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Contract: 12-EA-OF-11-54-01-019
Number of Counties to be Served with this agreement: 1
If the Recipient will serve more than one county with the this agreement, complete the form below. describe
how you will equitably allocate LIHEAP resources to each of the counties you serve. This plan must be in part
based on the 150% poverty population of each county.
Instructions: Enter appropriate data only in the cells below that are highlighted in yellow. Percentages will
automatically populate when the total direct client assistance amount and all three columns for each county
Poverty Population Data Souce: Provide the U. S. Census data source for the 150% of poverty population
used including the year of the data. If any other data or factors are used in allocating the funds, describe and
give the source.
V
o
U N
o
0
TOTAL DIRECT % OF AGENCY'S
COUNTY'S % CLIENT DIRECT CLIENT
COUNTY 150% POVERTY OF POVERTY ASSISTANCE ASSISTANCE
POPULATION*' POPULATION IN $141,038.00 DOLLARS
SERVICE AREA COUNTY ALLOCATED TO
ALLOCATION THIS COUNTY
MONROE 141,038.00 100.0%
Total Budgeted Dirt ° 141,038.00 100.0
Client Assistance*: 0 0 �° °I°
Allocation must be equal to Attachment J, Budget Summary and Workplan, Line 7.
39
ATTACHMENT M
JUSTIFICATION OF ADVANCE PAYMENT
RECIPIENT: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT NUMBER:
12EA-O F-11-54-01-019
Any advance payment under this Agreement is subject to s. 216.181 (16)(a)(b), Florida Statutes and Attachment D, Section D of this Agreement.
The Recipient shall invest cash advances in compliance with •section .21 (h) (2) (1) of the Common Rule, section .22 of OMB Circular A-11O
as revised -and Attachment B, subsection D of this Agreement. Check the applicable box below (check only one).
�NO ADVANCE REQUESTED
No advance payment is being requested.
Payment will be made solely on a
reimbursement basis. No additional
information is required.
ADVANCE REQUESTED
Advance payment of:: y 4: >:::> _ x is requested. Balance of payments will
------------ ------------
be made on a reimbursement basis. These funds are needed to pay staff, award
benefits to clients, duplicate forms and purchase start-up supplies and equipment.
We would not be able to operate the program without this advance.
ADVANCE REQUEST WORKSHEET If an advance is requested, complete the following worksheet by filling in the cells highlighted in yellow.
(A)
(B)
(C)
(D)
DESCRIPTION
FFY 2009
FFY 2010
FFY 2011
Total
ITIAL CONTRACT ALLOCATION
0.00.
0.00
0.00.
0.00
EAVERAGE
RST Two MONTHS OF CONTRACT
0.00
0.00
0.00
0.00
EXPENDITURES
.. ..
PERCENT EXPENDED IN FIRST
!
#DIV10.WO
#DIVIO!
#DIVIO!
#DIVIO!
MONTHS (Divide line 2 by line 1 )
1 The first two months in which expenditures were reported need to be provided for the years you received a LIHEAP contract. If you do not
have this information, call your financial specialist and they will assist you.
The Recipient may request an amount up to the historical percent of expenditures for the first 2 months of the agreement OR 17% of the
award, whichever is less.
HISTORICAL PERCENT FOR FIRST 2 MONTHS:
17 % CALCULATION:
#DIV10! x $ 181,340.00 Cell D3 LIHEAP Award
1819340.00 x 0.17
LIHEAP Award
#DIVIO!
Historical Advance
3%827.80
Maximum Advance
REQUEST FOR WAIVER OF CALCULATED MAXIMUM Check the applicable statement, then complete the Estimated Expenses Chart.
Recipient has no previous history with LIHEAP contracts. Recipient has exceptional circumstances that require an advance greater
than average first two months expenditures of the previous three years.
ESTIMATED EXPENSES FOR FIRST TWO MONTHS
BUDGET
CATEGORY
ANTICIPATED
EXPENDITURES
FOR FIRST 2
MONTHS
EXPLANATION OF CIRCUMSTANCES
Administrative
Outreach
Direct Assistance
Total Expenses
0
40
MONROE COUNTY BOARD OF COUNTY CONIlMISSIONERS
SUPPORTING DOCUMENTATION
ATTACHMENTS.0
N. CERTIFICATE OF CORPORATE RESOLUTION
O. FIDELITY BOND DOCUMENTATION
P. UTILITY VENDOR AGREEMENTS
Q. COPY OF WAP MOU
R. COPY OF EHEAP MOU
S. OUTREACH OFFICES
T. WRITTEN COST ALLOCATION PLAN
U. CENTRAL CONTRACTOR REGISTRATION
_►.m
I,
ATTACHMENT N
CERTIFICATE OF CORPORATE RESOLUTION
NOTAPPLICABLE
, as Secretary of
,a
Florida nonprofit Corporation ("Corporation's), hereby certify that the following is a full,
true and accurate copy of the resolution of the Board of Directors of the Corporation,
duly and regularly passed and adopted at a meeting of the Board duly called and held in
all respects as required by lave and by the bylaws of the Corporation on
, at which meeting a quorum of the Board was present, and that
the resolution remains in full force and effect and has not been modified or repealed.
WHEREAS, it is in the best interest of the Corporation to enter into a grant agreement
with the Florida Department of Community Affairs for the Fiscal Year 2008-2009 Low
Income Home Energy Assistance Program.
RESOLVED, that
as the
of the Corporation is hereby authorized and empowered
on behalf of the Corporation to negotiate the terms for and to enter into and execute the
above described agreement with the Florida Department of Community Affairs, and to negotiate
the terms for and to execute any and all related documents which are necessary to
effectuate
the terms of said agreement.
Executed by me as Secretary of the Corporation on
President
EA
Secretary
(Corporate Seal)
ATTACHMENT O
FIDELITY BOND
The following page (page 44) is a copy the Monroe County Board of County
Commissioners' Fidelity Bond Agreement.
43
Wilkes -Kim
From:
Slavik-Maria
Sent:
Friday, January 27, 2012 3:50 PM
To:
Wilkes -Kim
Subject:
RE: updated Fidelity Bond for property insurance
Kim,
1_ `ave req uested the current 1, :1 �v111 folwar�f t� you as=�seon as !race►ve ►tw
From: Wilkes -Kim
Sent: Friday, January 27, 2012 11:20 AM
To: Slavik-Maria; Diaz -Monique
Cc: steckley-marlene; Graham -Sheryl
Subject: updated Fidelity Bond for property insurance
Importance: High
Maria,
So sorry to bother you, l have a strong feeling you already gave me an updated copy, but I can't seem to put my hands
on it and trying to put together a new contract package, could you please send me an updated version of the attached,
would greatly appreciate,
Thank you,
Kim Wilkes Wean
Social Services
Sr. Grants Coordinator
Historic Gato Building
1100 Simonton Street
Suite 190
Key West, Florida 33040
305-292-4588-phone
305-295-4376-fax
wilkes-kim@monroecounty-fl.gov
HELP US HELP YOU!
Please take a moment to complete our Customer Satisfaction Survey:
hqp:llmonroecofl.virtualtownhall.net/Pages/MonroeCoFL WebDocslcss Your feedback is important to us!
Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County
business are public record, available to the public and media upon request. Your e-mail communication may be subject to public
disclosure.
1
ACORD CERTIFICATE OF PROPERTY INSURANCE- DATE (MMID�IYY)
02/02/2011
PRODUCER 1-561-995-6706
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher Risk Management services, Inc:
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2255 Glades Road
Suite 400$
COMPANIES AFFORDING COVERAGE
-- _
Boca Raton, FL 33431
COMPANY
A Travelers Cas Surety Co
INSURED
' COMPANY
Monroe County Board of County Commissioners
B
COMPANY
C
1100 Simonton Street, Room 42-274-
COMPANY
D
Key West, FL 33040
COVERAGE'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Co
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DD/YY)
COVERED PROPERTY
LIMITS
PROPERTY
BUILDING
? S
CAUSES OF LOSS
PERSONAL PROPERTY
Is
S
BASIC
BUSINESS INCOME
$
BROAD
EXTRA EXPENSE
S
SPECIAL
BLANKET BUILDING
S
EARTHQUAKE
BLANKET PERS PROP
$
FLOOD
BLANKET BLDG S PP
:g
S
INLAND MARINE
I
I S
TYPE
OF POLICY
S
Is
CAUSES
OF LOSS
S
NAMED PERILS
$
OTHER
I S
A
X i CRIME
103909055
10/01/10
1 10/01/11
X
CVG FORM Q S 500,000
TYPE OF POLICY
S
PUBLIC EMP DIS
;S
BOILER 6 MACHINERY
$
i
!
OTHER
#
S
}
$
LOCATION OF PREMISESIDESCRIPTION OF PROPERTY
Public Employee Dishonesty policy covers dishonest acts of officers and Employees as defined by the
olicy and subject to terms and conditions of coverage form.
SPECIAL CONDITIONS/OTHER COVERAGES
CERTIFICATE HOLDER
CANCELLATION *10 days for non-payment of premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County Board ❑ f County Commissioners
Attn: :Maria Slavik
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
* 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1100 Simonton Street, Itm#2-274
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Key W9at FL 33040
AUTHORIZED REPRESENTATIVE
•-
USA��'
ACORD 24 (1/95) aimbel
O ACORD CORPORATION 1995
19616989
ATrA c H-rin E n1T' 0 A - 4
ATTACHMENT P
UTILITY VENDOR AGREEMENTS
The following pages (pages 46 and 55) are copies of pending DRAFT
Documents of revised "Utility Vendor Agreements" that are currently being
reviewed for Legal Sufficiency by our County Attorney s office.
Until DRAFT Documents are finalized and approved, existing Utility
Vendor Agreements are included.
45
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
SOCIAL SERVICES
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP)
VENDOR PAYMENT AGREEMENT
FOR THE
LOIN I N CO M E H O M E E N E RGY ASSIST►4N CE:.P ROG RAM
WHEREAS Vendor a re - _:::acc - :::the funds from LIHEAP to assist love income consumers with
g .....:..:....p._
of their energy bi`V, THEREFORE,
---
payment gY _ ..
In consideration of the covenants and conditions herein and for other good and Valuable consideration,
each to the other, receipt of which is hereby acknowledged by all parties, County an d Vendor hereby
agree as follows:
AM A c tv (YI 6 r,,S-r P I PGr. 4 G
Vendor's Responsibilities and Duties.
The Vendor agrees to:
1) Accept the LIHEAP funds from County's LIHEAP office as either full or partial payment of energy
bills for eligible low income consumers.
2) Charge eligible low income consumers, through Vendor's normal billing process, the actual
unpaid difference between the vendor payment made through the program and the actual
remaining unpaid cost of the home energy.
-----------------------
3) Eligible consumers receiving assistance under this program �nrili not be treated adversely
.x:
ece t because of r of this assistance. p
4 Eligible consumers on whose behalf a vend a ment is receivedtner in cost of goods
� g � ;P Y
will n'�t}::b. discriminated a ainst
supplied or in the services providede g
,.-,.
�fir;;::}":� . ::: .r:}�:�k;;:i:��::�'`
5} Adhere to and abide by the rules1 regulations andg;u�de}rye-s of the LIHEAP program.
5 Notify Count 's LIHEAP office of an h:Co a ments n received b Vendor, for whatever
i f Y Y :Y : Y p Y Y
:.: .
reason after the thirtydanotice ofntthas Bred and furnish a co of the
Y p Y pcopy
:::
,.:.-
,.
rn meat ua a tee: :::::::.:::::::::.:::..
Y g ..-------
7} Agree to not `f&-urinate se es after n'ot
g
..........
that payment of : 'e.ligible recipient,s utl
::
County Responsibilities and Duties.
The County agrees to:
ation from --,Monroe County Social Services
tv bill will be made from LIHEAP funds.
1) Determine the eligibility of energy customers to participate in the LIHEAP program.
2) Provide LIHEAP funds to either partially or fully satisfy payment of energy bills for eligible low
income consumers.
3) Render payments to Vendor within thirty (30) days of County providing Vendor with notice of
intent to pay. Payment to Vendor shall be made to:
Name: Florida Keys Electric Cooperative
Address: 91605 Overseas Highway
PO Box: PO Box 377
City/state/ zip: Tavernier, Florida 33070-0377
4) Provide Vendor with a resolution of guaranteed payments within five (5) working days of
notification from Vendor of any payments not received within the thirty (30) day notice of
intent to pay.
5) Provide Vendor with the rules, regulations and guidelines of the LIHEAP program, and
specifically those outlined in the LIHEAP sub grant agreement, between Monroe County Board
of County Commissioners and The State of Florida, Department of Community Affairs, DCA.
6} Agree to pay only energy related elements of an elig: l ecipient's utility bill. In no
-- ------------------
instance may water, sewerage or other non-ene_r�g` xrelated charges be paid expect if
required by the vendor to meet the requirem"e,, srlof ri-ving the crisis. Any additional
charges of this nature are the responsibility of the client � hen the benefit paid by the
-------------
Monroe County Social Services on behalf of the eligible recipient does not pay the
complete charges owed, the eligible recibient will be solelv res "on ible for the
Terms
The te'rr f this Agree men-""' be ft u on execution b bothparties, and shall continue until
g g p Y
........... Ho tthis N.
q .,
pnt can be terminated by either party at any time, with or without
111"NA
cause, upon no less than ��f en (15) days notice in writing to the other party. This Agreement
may also be termrate:dte Count Administrator upon such notice as the Count
Y Y p Y
Administrator deemspropriate under the circumstances in the event the county
Administrator determines that termination is necessary to protect the public health or safety.
ps . 48
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and date first
written above in four (4) counterparts, each of which shall, without proof or accounting for the other
counterparts, be deemed an original contract.
(SEAL)
Attest: DANNY L. KOLHAGE, CLERK
By:
Deputy Clerk
Date:
By.
Name Printed:
By:
Name Printed:
BOARD OF COUNTY COMMISSIONERS
OF MO N RO E COUNTY, FL
MDA
By.
Florida Keys Electric Cooperative
By.
Title:
Telephone:
Fax:
this day of 12012
�9 , 49
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
SOCIAL SERVICES
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP)
VENDOR PAYMENT AGREEMENT
FORTH E
LOW INCOME HOME ENERGY ASS UAN:CEP ROG RAM
P m deb:::_=Monroent Board of Count Commissioners Social
...
WHEREAS theIHEA ad nste.re. ,
>>;
n Residents consumers
ServicesDe artment ;v�des undin to asssl-o Ercome County es
p g Y i
")
--------------------
F- f
with O:V*nt of their en rgy costs --:and
..........
p
1:
----------
•
WHEREAS 'dor provide en::er Y to l`�ncome consumers; and
x.:::::: g
F.
WHEREAS, County tees to pa ' endor funds from LIHEAP to assist low income consumers
------ ------------
n f h r and
with payment e gY�►
WHEREAS, Vendor agrees`ccept the funds from LIHEAP to assist low income consumers with
payment of their energy bills; NOW, THEREFORE,
In consideration of the covenants and conditions herein and for other good and valuable
consideration, each to the other, receipt of which is hereby acknowledged by all parties, County
and Vendor hereby agree as follows:
p9 0 50
Vendor's Responsibilities and Duties.
The Vendor agrees to:
1) Accept the LIHEAP funds from County's LIHEAP office as either full or partial payment of
energy bills for eligible low income consumers.
4 Eligible able consumers on whose behalf a vend� ...- a: n `n is received either in cast of
?y::
goods supplied or in the serv[40s ,rovided will nifte discriminated against.
County Responsibilities and Duties.
The County agrees to:
1) Determine the eligibility of energy customers to participate in the LIHEAP program.
2) Provide LIHEAP funds to either partially or fully satisfy payment of energy bills for
eligible low income consumers.
Pq . 51
3) Render payments to Vendor within thirty (30) days of County providing Vendor with
notice of intent to pay. Payment to Vendor shall be made to:
Name: Keys Energy Services
Address: 1001 James Street
Po Box:
City/state/ zip: Key West, Florida 33040
4) Provide Vendor with a resolution of guaranteed payniifi.8 within five (5) working days
Om::.:
of notification from Vendor of any payments not r v e d within the thirty (30) day
notice of intent to pay.
----------------------
--------------
charges of th"ature ar(
Monroe County Social Se
compete ChargesJ C
rarfn nce.
Terms of Contract:
e res on's;bl ,of the clret: When the benefit aid b the
p ...-:_Y p Y
s on behalf"f the eligible recipient does not pay the
---------------
lb:�,e reci IW will be solely responsible for the
g.::: r-:::.:� p :::.:.:.:., Y p
The term of this Agreement shall begin upon execution by both parties, and shall
continue until ........... However, this Agreement can be terminated by either party at any
time, with or without cause, upon no less than fifteen (15) days notice in writing to the
other party. This Agreement may also be terminated by the County Administrator upon
such notice as the County Administrator deems appropriate under the circumstances in
the event the County Administrator determines that termination is necessary to protect
the public health or safety.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and date
first written above in four (4) counterparts, each of which shall, without proof or accounting for
the other counterparts, be deemed an original contract.
(SEAL) BOARD OF COUNTY COMMISSIONERS
OF MONROE CO"W'FLORIDA
Attest: DAN NY L. KOLHAG E, CLERK
032
Deputy Clerk
Date:
Name Printed:
---------------- -
By.
Name Printed:
. ..... .....................
By:
Title:
Telephone:
Fax:
this
Y SERVICE
day of 12012
LOW INCOME HOME ENERGY ASSISTANCE PROGRAinvi
UTILITY VENDOR PAYNMENT AGREEMENT
The undersigned home energy supplier herebya to meet agrees �' t the following Conditions in
order to receive vendor payments to the home energyassistance • lance and cnsis assistance
categories of the Low Income Horne Energy Assistance Program tha...
l
1. Eligible households will only be charged,
. g � through the company's normal
billing process, the actual unpaid difference between- the vendor payment
made through the program and the actual remauun unpaid
g p d cost of home
energy.
2. Households receiving assistance under the ro ' program will not be treated
adversely because of receipt of this assistance.
3. Eligible households on whose behalf a vendor a •
. payment is received, either in
the cost of goods supplied or u� the services provided, will
disc led P not be
against.
4. only electric utility bills for energy consumption are .
. P eligible for payment,
except when notified by the agency making the payment that it is a ,
payment.
Ym crisis
5. when the benefit to the client does not a the complete
client thatpay p to charges owed by the
the client is responsible for the remaining owed.
6. The local LMA P provider will render within payment I4 days of Client's
initial
appointment with LIHEAP. The vendor will notify LIIIMAP Director
within 5 days after the expiration of the above stated period if
not been made. P Payment has
Keys Energy Services
Company Name
(305) 295-1000
Company (Area Code) and Telephone Number
1001 James Street
Street Address or Post Office Box
Key West Florida
33040
city State
Zip Code
Lynne E. Tejeda, General ,Manager & CEO
MOM
Warne and Title of Authorizing Company Official
•_`• 1 Z�C ���r.� ..ram r• J�• •' / 7
Signature of Authorising Company Official
Date
�22;U-3,40 -0,3Wf7
Mane died Title of Authorizing Agency (Mulu-oe C• '
f uullty� Official
Signature of Author* zing Agency (lMonroe County) Offici a 1 Date
Attachment - P , Page154
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM
UTILITY VENDOR PAYMENT AGREEMENT
The undersigned home energy supplier herebya t •
agrees $ o meet the following conditions In
order
to receive vendor payments to the home energyassistance crisis '
categories of the and cns;s assistance
g e Low Income Home Energy Assistance Program:
. That g eligible households will onlybe charged, =
, through the company s
normal billing process, the actual unpaid difference betwe
en een the vendor
payment made through the program and the actual remauung unpaid `d cost of
home energy,
2. That households receiving assistance under the program will not be treated
adversely because of receipt of this assistance.
3. That eligible households on whose behalf a vend . or payment is received,
either in the cost of goods supplied or in the services
provided, wi
ll not be
discriminated against.
4. That only electric utility bills for energy consumption are eligib
le for
payment, except when notified by the agency making the that it
crisis payment. payment is a
S. That when the benefit to the client does not a the
b the client, P Y complete charges owed
y that the client is responsible for the remaining owed.
Florida Keys Electric Cooperative Association Inc.
Company Name
(305) 852-2431
Company (Area Code) and Telephone Number
91605 Overseas Highway PO Boa 377
Street Address or Post Office Box
Tavernier Florida
""nnn'nn -
33o7o-Q377
City State Zip p Code
Scott Newberry, Chief Executive officer
Name and Title of Authorizing Co any 0fficial
Signature of Authorizin�mpO"�
�y Official
r
Name and Title of Authorizing Agency M
y
ohr oe County) Official
r -Z,
ate
Signature of Authorizing A
g Agency y (.Monroe County) Official Date
Attachment - P) Page ��
ATTACHMENT Q
WEATHERIZATION ASSISTANCE PROGRAM
Monroe County Social Services is the current provider for Weatherization
Assistance in Monroe County. Our current Working Agreement contract
began in March 2010. The current allocation for Monroe County is
$424,517.19 for ARRA funds. However, Monroe County Social Services
will be awarded in the future with regular WAP funds and will continue to
weatherize homes in Monroe County.
The WAP agreement requires that at least 10% of weatherized dwellings are
LIHEAP referral clients. We currently have met this goal and continue to
receive referrals from our current LIHEAP clients.
56
ATTACHMENT R
COPY OF THE MEMORANDUMS OF AGREEMENT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND
THE EMERGENCY HOME ENERGY ASSISTANCE FOR THE
ELDERLY PROGRAM (EHEAP) PROVIDER.
The following pages (58-64) are copies of the Memorandums of Agreement
(MOA) between the Monroe County Board of County Commissioners AND
the Emergency Home Energy Assistance for the Elderly Program (EHEAP)
Provider, the Alliance for Aging, Inc. Also included are three (3) EHEAP
Intake Center Referral Agreements (one each for Upper, Middle and Lower
Keys).
57
1106
r • ..
`femorandt; m of A(2reement
Between
Emergency Home Energy Assistance for the
Elderly' Program �EHE:�Ep
and )
Low-income Energy Assistance Program g m (LIHE:%P)
The undersigned providers of ever � assistance.
programs agree to coordinate services for
house gy
holds containing a member of 60 years a y f age or o� der. This coordination will
prevent duplicate crisis assistance payments Burin the g same heating and cooing seasons.
Client records will be maintained b both agencies,
rnested � g ie5, which. include the type of assistance
requested,, , the date requested, the disposition of the a licat'
amount of payment to the'vendor.
Pp ion and �f approved, the
p ndor.
All parties will work together to increase the quality ity of services provided i
to seniors n
need of this service in Monroe County.
a: -i . 3 fJ r
S igndture of Authorizing CompanyOfficial
Date
for the EH EAEP Program/Title
Alliance for Aging, Inc"'.'
yl Qyor'
Signature of Authorizing Company Official
Date -
for the ;Monroe County LIHEAP Program. -Title Date
• . ....•.'sk
NU49MCLM
oNAOE
f {I COUNTY ATTORNEY
--r---- � RPKOV E D AS
SJJZANNE Af HUTTON
:0UNTY .4TTr:- ,V�Y
ate
Fort,ii Pre[-)ared �v--AI!iar���� �
E.dcr He►pile
_
�. Dadelaid Blvd. Sure - 440
NIL"m. FL 3 156
% It
EMERGENCY HOME ENERGY
GY ASSISTANCE FOR
THE
ELDERLY PROGRAM
ENE1NiAKE CENTER REFERRAL AGREEMENT AEP
This Deferral Agreement between
Plann�n an the Alliance for A In Ln
9 d Service Area (PSA) I 1 and c•: the Area Agency on A in
the intake Center, shall g g (AAA) far
begin on the date the agreement r
later. This referral agreement is in g ant has been signed b both e s
effect for a period of time that• y parties, whichever is
enrollment period in the ENEAEP is aqua! to the Intake
program. one purpose Center's voluntary
development of a coordinated Servicep of this agreement i
delivery system to meet thes to promote the
purpose of this agreement is to enable energy needs of the
convenient his a eligible elderly participants t aged. Another
manner by going to the intake center n a access the EHEAEP program '
to and will treat each participant � Barest to their place of residen g m in a
A with dignity and respect. residence. Both parties agree
1. Objectives
A. To maintain a climate of coo
achieve maxim peration and consultation with and
um efficiency and effectiveness between agencies, in order t
B. To promote programs and activities.
elders and designed to prevr:nt the
disabled adults. a premature �nst�tutronalization
C. To require the parties of this of
other o Agreement to provide technical
n matters assistance and consultation to each
duplication Pertaining to EHEAEP benefits
may not ❑ccur, and share appropriate informa '
D. To establish an effective ton so
e working relationship between the
initial assessment and Yerificatio Intake Center responsible
and oversight of n of need, and the AAA that is for th e
the EHEAEP program. responsible for management
g
If. Under this Agreement, the Intake Center agrees to the follow
ing:
A. To accept referrals at large
ever e g from any elderly individuals
energy emergency crisis and in need of assistance.
in the community experiencing
B. To provide quality services stance. g an
C. To { to the EHEAEP applicant.
obtain all documentation required
energy crisis axis g d under EHEAEP guidelines i is and that the applicant meets al n order to establish that an
D. To maintain the EHEAEP applicant's l pertinent eligibility requirements.
pplicant s confidentialityaccord' Y301.
E. To forward all information Ong to 4� CFI 4
on obtained and an required 3 � . 3o
Coordinator at the Alliance for A y q red documentation to
G. To adhere to gang Elder Helpline For case a the EHEAEP
the requirements and the Policies approval and processing,
manual. la cues and procedures outlined in
the EHEAEP
Ill. Under this Agreement, the Are
a Agency on Aging agrees to the following:
A.f
'� . Y
�3SS Start.e '^c+ .,
i
a
F,..a� .Var�...e 3i ;J ►ral ld �n ti►4i a1 Vi �J ��� �er�
C. D u0m,����c np.�� �l'Pri alagreement's:9 to Serv-:ce P^o-� dens.
gnea t)� all par;+es a
s acnrr%^r ate.
t
IV. Termination
In the event this agreement is terminated, the intake Center agrees t
to terminate is delivered, a plan which 9 o submit, at the time '
�dent�iies procedures to ensure nonce of intent
interrupted or suspended b the term' a services to
Y termination. Iran. consumers will not be
A. Termination at Will
This agreement may be terrninat
notice tivi ed by any party upon no le
without cause, unless a lesser time less than thirty (30) calendar d
Said notice shall be delivered a is mutually agreed upon b both a ,aye
d by certified mall, return revel y parties, in writing.
of delivery. receipt requested, or in person .p with proof
R. Termination for Breach
Unless a breach is waived b the
within the timeY area agency in writing, or the a specified by the area agency th parties fail to cure the breach
parties, terminate the agreement ent u y, a area agency may, by written n
shall be delivered g upon no less than twent -four once to the
eyed by certified mail, return revel y ���) hours notice. Said notice
receipt requested, or in person with proof of of delivery.
In witness whereof, the parties have c •
officials as duly author' caused this page agreement to be
y zed, executed by their enders i ned
9
Area Agency on Aging
�0
s+gnatuto
print name
#itte � •
' tale
ata
MWLINAn"+ K� 66
Intake center
Signature
e o; or,,
print name
I 1100 Simonton Street, Key West, FL
33040
C.a
date
MONROE COUNTY WTORNEY
APRROVEO AS i0 FOR
• ■ f
UZANNE A. hU TTON
, OU► TY AT-'-%Pfk EY
N
•
EMERGENCY HOME ENERGY ASSISTANCE FOR THE ELDERLY P
.--: INTAKE E CENTER REFERRAL PROGRAM {EHEAEP
�- AGREEMENT
�
NT
This Referral Agreement between the Alliance for A in
g . Ser�rice Area ( PSA I I an Inc.,h a Area A erg
the Intake Center,i and. � 9 cy on Agin
snail begin on the9 {AAA} far
later. This referral date the agreement has ' a agreement is in effect for been signed by bath �
enrollment period in the a period of time that is equal parties, ��hichever is
level EHEAEP program. One gal to the Intake Center's
development of a coordinated service purpose of this agreement voluntary
purpose of this agreement delivery system to meet g en# �s to promote t
g eernent �s to enable eligible t the energy needs of the he
convenient manner by going
g e elderly participants to access a aged. Another
g g to the in to k e center nearer Cass the EH EA Ep
to and will treat each participant w' t #4 their place of r � program in a
P with dignity and respect. residence
Both parties a
gree
I. Objectives
A. TO maintain a climate of
cooperation and consultation with
achieve maximum efficient an and between .
Y d effectiveness. n agencres, in order to
S. To promote programs an
eiders a d activities designed to r
and disabled adults, prevent the premature instit .
C. To require the parties of this institutionalization of
other on �s Agreement to provide technical matters pertaining to EHEAEP Kcal assistance and cansulta '
duplication may not occur. �' benefits and share a tlan to each
D. To establish an elf ppropriate information so
active working relationship be
initial assessment and verification P tween the intake Can ation of need, and the AAA ter responsible for the
and oversight o f the EHEAEP r that is responsible
program.
� sable for management
ll. Under this Agreement the intake Center agrees to the fotlovying;
A. To accept referrals at large From any elderly individua
energy emergency crisis and in need Is in the communit
B. To Provide qualityservice(s) of assistance. Y experiencing an
C. To obtain ce{s} to the EHEAEP applicant,
a�n all documentation required pp ant.
energy crisis exists a Q d under EHEAEP guidelines
' and that the applicant meets al es in order to establish t
D. To maintain the EHEAEPl pertinent eligibility • that an
applicant's confidentiality 9 b�l�ty requirements, `
E• To forward all inform Y according to 4
information obtained and an g 2 CFR 3 j.3g .
Coordinator at the Alliance f Y required docurnen
G. To adhere t or Aging Elder Helpline for c tat�vn e the EHEAEP
o the requirements and the are approval and processir�
manual Policies and procedures o 9'
outlined in the EHEAEP
tinder this Agreement, the Area Agency on Aging g g agrees to the follawin
g
A. �" _ .7r� .�.
- - -3
T"
C.
T ram+ _ .� .,
V 1 .3 �r� i �`• '� .il i .,�' 3
a �.'� referral 3yr�nrr- erg
-; t s a;l pa► - as
A+�d&tiMAf 6, 6i
IV. Termination
In the event this agreement is termi
nated, the intake Center agrees
to terminate is delivered, a Plan which • g s to submit, at the ' p c +dent�f�es procedures toe time notice of intent
interrupted or suspended b the t ensure services t
Y erminat;on, o consumers will not be
A. Termination at tiVill
This agreement may be terminated
notice Y by any part upon n .
without cause, unless a less y p o less than thEr#(30)cSaid n er time is mutuall a Y afendar days
once shall be delivered by certified Y greed upon by both parties in
of delivery. marl, return receipt requested, � writing.
or in person with proof
B. Termination for Breach
Unless a breach is waived b th
within the time Y e area agency in writing, or the .
specified by the area agent the parties Fail to cure the breach
parties, terminate the agreement u Y� a area agency may, b written notice
pon no less than tweet .fv(24)y , n aid to the
shall be delivered by certified marl Y ur hours notice. .
return receipt requested, or in person Ce. Said notice
p son with proof of delivery.
In witness whereof, the parties have
caused this 2 page agreement to b
a executed
by their undersigned
officials as duly authorized.
Area Agency on Agin
'lf I
i
signature �
Oft .' . 1
01
print ram*
' �Op
title
fate
Intake Center
t
signature ,
Print name
dale
l4()' OE COUN r I rlT l-
AppRO�1ED �N�LY
'•Oe
dr
er I
tJZAly A HUTTOIN
LCUtiTY.A 7, T-;A REV
J
4_40ChMet4 iL)2—
L 33050
EMERGENCY HOME ENERGY ASSISTANCE F� INTAKR THE ELDERLY P
- CENTER REFERRAL A GGRAM M(EHEAEP)
-w AGREEMENT i
This Referral Agreement betweenPlanning the Alliance for A In
g Service Area (PSA) I I an Inc., the areaA erthe Intake C der g cy an Agin
Center, shall begin on the g (AAA) from
Later. This referral date the agreement has ervf�es C' er Key R
agreement is in effect far been signed by bath .-s
enrollment period �n the a period of tune that is equal parties, whichever rs
development EHEAEP program. �n q al to the Intake Center'
pment of a coordinated serviced a Purpose of this a9reern s voluntary
purpose of this agreement slivery system t❑ meet the agreement is to promote the
g en t is to enable eligible elderly energy needs of the ag
ed.the access Another
9 e intake center nearest to their s the EHEAEP program
to and will treat each participant � err place of r in a
p t with dignity and respect. eSrdence. Both parties
p s agree
I. Objectives
A. To maintain a climate of
cooperation and consultation with
achieve maximum efficiency an and between .
8, To Y d effectiveness. n agencies, in Order to
promote programs and activities de •
eiders and disabled adults. signed to prevent the premature
C. To require the art( a institutionalisation of
other parties of this Agreement to Provide •
on matters pertaining to technrcal assistance and
duplication may no 9 EHEAEP benefits and consultation to each
Y t occur. hare appropriate information
Do, To establish an effect' matron so
initial assess working relationship between t
meet and verification of need, he Intake tenter responsible
and oversight of the EHEAEP ed� and the AAA that is responsibleanfor the
Program.
for management
1!. Under this Agreement the Intake Center agrees to the following:
A. To accept referrals at large from any elderly individuals
energy emergency crisis and in nee is in the communi
B. To provide qualityse d of assistance. ty experiencing an
C. Too is
to the EHEAEP applicant.
obtain all documentation required Pp cant.
energy crisis exists qurred under EHEAEP uideli
and that the applicant meets 9 nes in order to establish
D. To maintain the EHEAEP is all pertinent ell h that an
EP applicant's confidentiality fi eligibility requirements.
E, Ta fo+tivard all information ty according to
rnation obtained and an 9 42 CFt 43 t . 3g? .
Coordinator at the Alliance f Y required datum
To adhere to °r Aging Elder Helpline for case entatIon to the EHEAEP
the requirements and the se approval and Processir�
manual. palic�es and procedures a � the
outlined �� she EHEAEP
1l1. Under this Agreement, the Area Agency on Aging agrees to the iollawin
g
E? P
V. +�` ► y, -� 135 ✓5 3'!�
..�' 3' J .� �.i l�. �1
�^�' 1 r1
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W. Termination
In the event this agreement '
to terms g t �s termir�ated, the Intake Center agrees
interrupted or s A i�hich identifies roc to subrni#, at the tirn ►-
uspended by tt�e termination.p educes to assure se a nccrce of In tent
rvices to consumers
i�t11 r?Qt t;o
A. Termination at Wilt
This agreement may Y be terminated by
an
e, without cause, unless Y party upon no less
Said notice sh s a lesser time is mutual than thirty �30 cola
all be delivered b mutually agreed u radar days
of delivery. y certified mail, return upon by both parties iwriting.y
ry. receipt requested, n
or ►n person with proof
$. Term'
na Lion for Breach
Unless a breach is waived by the area agency i . .
e #irt�e speci fled b the g Y n wr�t�ng, or the .
parties, terminate y area agency, the are partleS fail to Care the
the agreement upon no a agency may! b breach
shall be delivered b certified less than #went -f Y written notice to t
Y ified malt, return receipt Y our per) hours nvti he
pt requested, or in ice. Said notice
person with proof of delivery.
In witness whereof, the a ry'
officials as duty parties have caused this 2
Y aUthar�zed, page agreemen# to be executed by their undersigned
� ed
Area Agency on Aging
sipnature .
pits# name
1
•
title
t, lie
da to
Intake Center
Signature
• 1� �w 1 Q
print name
7
. hwa ulf Plant
anon Keys FL
33070
• � C. 4�
date
MnA4F?Ce COUNT
A pp� Y ,4�'TpR1�iEY
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A A4.
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mcnF�� I�g.(o/}
ATTACHMENT S
OUTREACH OFFICES
The following Outreach Offices provide LIHEAP services:
Lower Kevs
The Historic Gato Cigar Factory
1100 Simonton Street, Suite 1-200
Key West, Florida 33040
305-292-4408 (phone)
305-295-4376 (fax)
County Served: Monroe County
Current staff: Full time Case Manager
Middle Keys
Marathon Government Annex
490 63rd Street Ocean, Suite 190
Marathon, Florida 33050
305-289-6016 (phone)
305-289-6317 (fax)
County Served: Monroe County
Current staff: Staff Assistant
Upper Keys
Plantation Key Government Center
88770 Overseas Highway, Suite #1
Tavernier, Florida 33070
305-852-7125 (phone)
305-852-7159 (fax)
County Served: Monroe County
Current staff: Staff Assistant
W,
ATTACHMIENT T
WRITTEN COST ALLOCATION PLAN
Attached please find Monroe County Social Services Written Cost
Allocation Plan for the administering of the Low Income Home Energy
Assistance Program (LIHEAP).
Z61
Monroe County Social Services Witten Allocation Plan
Below is a detailed explanation of Monroe County Social Services Cost
Allocation Plan for the LIHEAP Contract Year 2012-2013.
Administrative Expenses: (Salaries and fringe benefits)
These expenses consist of salaries of the Social Services Director and Sr.
Grants Coordinator. The budgeted allocations are based on an employee's
Personnel Action Form (PAF) which specifies the percentage of time each
employee spends performing the work of a particular grant or program. Each
employee also completes a "Personal Activity Sheet" each week which
reflects the number of hours the employee dedicates to different programs.
The Director and Grants Coordinator are not 100% dedicated to LIHEAP,
but spread across different grants and revenue funds.
These percentages allocated to LIHEAP were developed utilizing a cost
analysis, historical data, recurring Unit Cost Methodologies and taking into
account program requirements.
Salary expenses which includes fringe benefits total: $11,058.00
Other Administrative Expenses: (travel, phone, postage, printing, Xerox,
Maintenance agreement for LIHEAP database software and office supplies)
These expenses are based on prior actual historical cost of the items utilized
to run the program efficiently.
Other Administrative Expenses total; $4,355.00
Total Administrative Expenses: $ 15,413.00
Outreach Expenses: (Salaries and fringe benefits)
These expenses consist of salaries for a full time Case Manager spending
20% of their time performing outreach, intake and eligibility determination.
The Case Manager is a full time employee with full benefits. The other 80%
of their time is dedicated to Welfare and paid out of the General Revenue
Fund.
Salary expenses for case manager total: $12,048.00
67
Other outreach expenses consist of two staff assistants in two separate
outreach offices. These individuals work 40 hours per week will full
Benefits, but only expend 15% of their time performing LIHEAP outreach
duties. These duties would include setting up appointments, intake,,
applications and referrals. These budgeted allocations are also based on an
employee's Personnel Action Form (PAF) which specifies the percentage of
time each'employee spends performing the work of a particular grant or
program. Each employee also completes a "Personal Activity Sheet" each
week which reflects the number of hours the employee dedicates to different
programs.
The Staff Assistants are not 100% dedicated to LIHEAP and work the
remaining 85% under the General Revenue Funds in the department of
Welfare.
These percentages were developed utilizing a cost analysis, historical data,
recurring Unit Cost Methodologies and taking into account program
requirements.
Outreach salary expenses for 2 staff assistants total: $12,380.00
Additional outreach expenses consist of travel performed by the case
manager and staff assistants for needed home visits for eligible clients.
Travel expenses total: $461.00
Total Outreach expenses: $24,889-00
ATTACHMENT U
CENTRAL CONTRACTOR REGISTRATION
The following pages (70-76) contain the print screen of the CCR
Registration for Monroe County Board of County Commissioners.
Met
Wilkes -Kim
From: Graham -Sheryl
Sent: Friday, January 27, 2012 3:47 PM
To: Wilkes -Kim
Subject: FW: Emailing: CCR Registration and DUNS
Sheryl Graham, Director
Monroe County Social Services
1100 Simonton Street 2-257
Key West, FL 33040
305.292.4510 (Office)
305.295.4359 (Fax)
graham-shervl@monroecounty-fl.gov
HELP US HELP YOU!
Please take a moment to complete our Customer Satisfaction Survey:
httn:llmonroecofl.virtualtownhall.net/Pages/MonroeCoFL WebDocslcss Your feedback is important to us!
Please note: Florida has a very broad public records law. Most written communications to or from the County regarding County
business are public record, available to the public and media upon request. Your e-mail communication may be subject to public
disclosure.
From: Tennyson -Lisa
Sent: Monday, September 19, 2011 2:52 PM
To: Graham -Sheryl
Subject: Emailing: CCR Registration and DUNS
CCR Horne CCR Search Federal Agency Registration News Release Notes Request Data Access Help
New Registration Manage Registrations Edit User Information Change Password Log out
CCR Registration
Not to be used as certifications and representations. See ORCA for official certification.
Send To Printer
A-9 ACRftEPT U
Registration Status:
DUNS:
DUNS PLUS4:
CAGE/NCAGE:
Legal Business Name:
Doing Business As (DBA):
TIN/EIN:
S SN:
Division Name:
Division Number:
Company URL:
Physical Street Address 1:
Physical Street Address 2:
Physical City:
Physical State:
Physical Foreign Province:
Physical Zip/Postal Code:
Physical Country:
Mailing Name:
Mailing Street Address 1:
Mailing Street Address 2:
Mailing City:
Mailing State:
Mailing Foreign Province:
Mailing Zip/Postal Code:
Mailing Country:
Business Start Date:
Delinquent Federal Debt:
Fiscal Year End Date:
Number of Employees for This Location:
Number of Employees for All Affiliates:
Annual Receipts for This Location:
Annual Receipts for All Affiliates:
Company Security Level:
Highest Employee Security Level:
Active in CCR; Registration valid until 04/20/2012.
073876757
3C1Z4
COUNTY OF MONROE
596000749
DIVISION OF FINANCE AND BUDGET
http://www.monroecounty-fl. gov
1100 SIMONTON ST RM 2-205
KEY NEST
FL
3 3 040-3110
USA
M ONROE, COUNTY OF
1100 SIN40NTON STREET
ROOM 2-205
KEY WEST
FL
3 3 040-3110
USA
07/02/1823
No
09/30
390
390
$225,887,665
$2250705
This information comes from Dun & Bradstreet and is not editable by CCR users.
You may contact D&B Customer Service at 1-866-705-5711 (U.S. only) or govt dnb.com (US and
International) to verify your company name, physical address, or parent information in their system.
DUNS:
Linkage Info Date:
Headquarters Parent POC
DUNS:
073876757
Name:
COUNTY OF MONROE
1100 SIN40NTON ST RM 2-
Address:
205
City:
KEY WEST
State:
FL
Zip/Postal Code:
33040-3110
Country:
USA
Phone:
Domestic Ultimate POC
DUNS:
073 876757
Name:
COUNTY OF MONROE
1100 SIMONTON ST RM 2--
Address-,
205
City:
KEY WEST
State:
FL
Foreign Province:
Zip/Postal Code: 3 3 040-3110
Country: USA
CORPORATE INFORMATION
Type of Organization
Business Types/Grants
073876757
04/27/2011
Global Ultimate POC
DUNS:
Name:
Address:
City:
State:
Zip/Postal Code:
Country:
U.S. Government Entity
12 - U.S. Local Government
VW - Contracts and Grants
TR - Airport Authority
KM - Planning Commission
073876757
COUNTY OF MONROE
1100 SI 40NTON ST RM 2-
205
KEY WEST
FL
3 3 040-3110
USA
Pg.`1Z
Tw - Transit Authority
C7 - County
8B - Housing Authorities Public/Tribal
DISASTER RESPONSE INFORMATION
Bonding Levels
Construction Bonding Level, Per Contract (dollars):
Construction Bonding Level, Aggregate (dollars):
Service Bonding Level, Per Contract (dollars):
Service Bonding Level, Aggregate (dollars):
Geographic Areas Served
No geographic areas specified
GOODS / SERVICES
North American Industry Classification System (NAICS)
921110 -- Executive Offices
921120 - Legislative Bodies
921130 - Public Finance Activities
921140 - Executive and Legislative Offices, Combined
921190 - other General Government Support
Product Service Codes (PSQ
Federal Supply Classification (FSC)
SMALL BUSINESS TYPES
SDB, 8A and Hubzone certifications come from the Small Business Administration and are not editable by
CCR vendors.
Business Types Expiration Date
North American Industry Classification System (NAICS)
The small business size status is derived from the receipts, number of employees, assets, barrels of oil, and/or
megawatt hours entered by the vendor during the registration process.
NAICS Description
Code
Small Business
Emerging Small
Business
921110
Executive Offices
No
No
921120
Legislative Bodies
No
No
921130
Public Finance Activities
No
No
921140
Executive and Legislative offices, Combined
No
No
921190
other general government Support
No
No
FINANCIAL INFORMATION
Electronic Funds Transfer (EFT)
Automated Clearing House (ACH)
Financial Institution:
TIB BANK OF THE KEYS
U.S. Phone:
305-292-4444
ABA Routing
Number:
067009280
Non-U.S. Phone:
Account Number:
60803208418
Fax:
Account Type:
Checking
Email Address:
eservice@tibbank.com
Lockbox Number:
Authorization Date:
04/21/2011
Remittance Information
Accounts Receivable POC
MONROE COUNTY
Name:
FINANCE DEPARTMENT
Name:
CHERYL MORGAN
Address Line 1:
500 WHITEHEAD STREET
Email Address:
emorgan@monroe-clerk.com
Address Line 2:
U.S. Phone:
305-295-3649
City:
KEY WEST
Non-U.S. Phone:
State:
FL
Fax:
305-295-3660
Foreign Province:
Zip/Postal Code:
33040-6581
Country:
USA
Accepts credit cards as a method of payment: No
CCR POINTS OF CONTACT
CCR Primary POC (Registrant Name)
Name: LISA TENNYSON
Email Address: tennyson-Lisa@monroecounty-
fl.gov
U.S. Phone: 305-292-4444
Non-U.S. Phone:
Fax: 305-292-4515
Government Business Primary POC
Name: LISA TENNYSON
CCR Alternate P O C
Name:
Email Address:
U.S. Phone:
Non-U.S. Phone:
Fax:
TINA BORN
boan-tina@monroecounty-fl.gov
305-292--4472
Government Business Alternate POC
Name: TINA BORN
Email Address..
tennyson-lisamonroecounty-
Email Address.
boan-tina c@monroecounty-fl.gov
fl. gov
Address Line 1:
1100 SIN40NTON ST.
Address Line 1:
1100 SIMONTON ST.
Address Line 2:
ROOM 2-210
Address Line 2:
ROOM 2-210
City:
KEY VLTEST
City:
KEY WEST
State:
FL
State:
FL
Foreign Province:
Foreign Province:
Zip/Postal Code:
33040-3110
Zip/Postal Code:
33040-3110
Country:
USA
Country:
USA
U.S. Phone:
305--292-4444
U.S. Phone:
305-292-4472
Non-U.S. Phone:
Non-U.S. Phone:
Fax:
305-292-4515
Fax:
305-292.4515
Past Performance Primary POC
Name:
Email Address:
Address Line 1:
Address Line 2:
City:
State:
Foreign Province:
Zip/Postal Code:
Country:
U.S. Phone:
Non-U.S. Phone:
Fax:
Electronic Business Primary POC
Name:
LISA TENNYSON
tennyson-Lisa@monroecounty-
Email Address:
fl.gov
Address Line 1:
1100 SIMONTON STREET
Address Line 2:
ROOM 2-210
City:
KEY WEST
State:
FL
Foreign Province:
Zip/Postal Code:
Country:
U.S. Phone:
Non-U.S. Phone:
Fax :
3 3 040-3110
USA
3 05 -292-4444
3 05 -292-4515
Past Performance Alternate POC
Name:
Email Address:
Address Line 1:
Address Line 2:
City:
State:
Foreign Province,-
Zip/Postal Code:
Country:
U.S. Phone:
Non-U.S. Phone:
Fax:
Electronic Business Alternate POC
Name: TINA BORN
Em ai 1 Address:
Address Line 1:
Address Line 2:
City.
State:
Foreign Province:
Zip/Postal Code:
Country:
U.S. Phone:
Non-U.S. Phone:
Fax:
boan-tina@monroecounty-fl.gov
1100 S IMONT ON STREET
ROOM 2-210
KEY NEST
FL
33040-3110
USA
305-292-4472
305-292-4515
Previous Business Name
Name:
Address Line 1:
Address Line 2:
City:
State:
Foreign Province:
Zip/Postal Code:
Country:
Corporate POC
Name. -
Email Address:
U.S. Phone:
Non-U.S. Phone. -
Fax:
EDI
Value Added Network:
Interchange ID (ISA) Qualifier:
Interchange Sender ID (ISA) Qualifier:
Functional Group (GS02) Identifier:
EDI POC
Name:
Email Address:
U.S. Phone:
Non-U.S. Phone:
Fax
Government Parent
Name:
Address Line 1:
Address Line 2 :
City:
State:
Foreign Province:
Zip/Postal Code:
Country. -
Marketing Partner Identification Number(MPIN)
MPIN: monroectl
Receive Remittance Advice Notices (8201s) through their VAN provider: ---
CCR Version 4.11.1