Item C36BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: May 16,2012 Division: _OMB_
Bulk Item: No X Department: Grants
Staff Contact /Phone #: Lisa Tennyson x 4444
AGENDA ITEM WORDING: Authorization to submit grant adjustment to update the performance
objectives and measures to the RSAT subgrant, and to clear special conditions, and approval to amend
the MOU with provider to include revised content for RSAT subgrant, and authorization to execute
revised RSAT subgrant contract with FDLE.
on April 20,2012, the USDOJ issued a revision of the performance
objectives and measures that FDLE will be submitting on a quarterly basis. Therefore, the objectives
and performance measures pertaining to the RSAT contract with Guidance Care Center will be
changed. In addition, special conditions requiring follow-up documentation are ready to be cleared.
FDLE requires us to submit a grant adjustment to formalize these changes. Service provider, Guidance
Care Center, was notified of the changes.
PREVIOUS RELEVANT BOCC ACTION: The RSAT contract with FDLE and MOU with the
County were approved at the November 16, 2011 B OCC meeting, items #C34 and C3 5.
lows IM F411101"&330N
TOTAL COST: $' Z'l INDIRECT COST:BUDGETED: Yes X No
DIFFERENTIAL OF LOCAL PREFERENCE: NA
"COST TO COUNTY4L2'1 I �A_ - SOURCE OF FUNDS: NA
REVENUE PRODUCING: Yes ,INo X ATY O
A 7NT PER MONTH Year
APPROVE
,D BY: Comity Atty, OMB/Purchasing
Risk Management
DOCUMENTATION: Included
AGENDA ITEM #
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Clear special condition $19427 which requires executed contract.
Clear special condition S19457 which requires a drug testing policy.
Clear special condition S19456 which requires a uni -cost.
Request budget narrative approval.
By electronically submitting this adjustment, I hereby certify that I have reviewed the
changes and find them necessary for program activities. I am the signing authority or
have been delegated as such by the appropriate official. Information regarding the
signing authority is available for review.
Electronically Signed By:
Date 04/19/2012 Susan Adams
Authorized Official or Designated Representative
Application Ref # 2011-RSAT-71
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev. April 2Q05)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Performance Info:
Perfonnance Reporting Frequency: Quarterly
Federal Purpose Area: 0001 - Residential Substance Abuse Treatment
State Purpose Area: 0001 - Residential Substance Abuse Treatment
Activity Description
Activity: Cognitive Restructuring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: 12-Step
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Aftercare Services
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Application Ref # 2011-RSAT-71 Section #3 Page 1 of 10
Contract 2012-RSAT-MONR-1-D1-003
OUG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Drug Testing
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Educational Programs
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Job Placement
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Application Ref # 2011-RSAT-71 Section #3 Page 2 of 10
Contract 2012-RSAT-MONK-I-D1-003
OCJG-005 (rev. April 2005)
Activity:
Target Group:
Geographic Area
Location Type:
Address(es) :
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Group Counseling
Adult Males
State of Florida
Jail
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Impulse/Anger Control
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Leadership Training
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Individual Counseling
Target Group: Adult Males
Geographic Area: State of Florida
Application Ref # 2011-RSAT-71 Section #3 Page 3 of 10
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Mental Health Counseling
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Mentoring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity:
Target Group:
Geographic Area:
Location Type:
Address(es) :
Activity Description
Other Drug Treatment
Adult Males
State of Florida
Jail
Application Ref # 2011-RSAT-71 Section #3 Page 4 of 10
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Pharmacotherapy
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Parenting Training
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es):
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Work Activities
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Application Ref # 2011-RSAT-71 Section #3 Page 5 of 10
Contract 2012-RSAT-MONR-1-D1-003
OUG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Activity: Therapeutic Community
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) .
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Financial Management
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Objectives and Measures
Objective: 2012-01A - To report whether or not grant activity occurred during each reporting
period. Grant activity is defined as any proposed activity in the OCJG approved grant
application that is implemented or executed with RSAT funds. (Yes or No.)
Objective: 2012-02A - To report the number of RSAT participants added during each reporting
period.
Objective: 2012-03A - To report whether or not your RSAT program used evidence -based
treatment services during each reporting period(those demonstrated by the research
literature to be effective at reducing substance abuse among court -involved
individuals (see link at http://www.samhsa.gov/ebpwebguide/))
Objective: 2012-04A - To report the type of services provided to RSAT participants during each
reporting period.
Objective: 2012-05A - To report the number of custody & treatment staff who worked directly
with RSAT participants in the RSAT program during each reporting period. Staff
would be all custody and treatment employees including but not limited to program
managers, administrators, case managers, correctional officers and clinicians. Do
NOT include mentors, volunteers or intems.
Objective: 2012-06A - To report the number of custody and treatment staff who are cross -
trained in the RSAT program. (This should be based on the
Application Ref # 2011-RSAT-71 Section #3 Page 6 of 10
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev, Aprd 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
number of uniformed officers who received training in the implementation of
assessment instruments, motivational interviewing (MI) techniques, accountability
training, or addiction -related trainings, as well as the number of treatment staff who
will receive officer training and other security training sessions.
Objective: 2012-07A - To report the number of RSAT participants who will be administered a
risk and need assessment during the program period. (This refers to an instrument
used to identify factors that may lead a participant to re -offend; pinpointing needed
services to minimize those risks).
Objective: 2012-07B - To report number of RSAT participants listed in 7A who were identified
during the reporting period as high criminogenic risks, such as high substance abuse
treatment needs.
Objective: 2012-08A - To report the number of RSAT participants with an individualized
treatment plan. This number should be equal to or less than the number of
participants currently enrolled and should be based on an unduplicated count of
participants with treatment plans. Participants with updated treatment plans should
be counted only once.
Objective: 2012-09A - To report whether or not your RSAT program participated in a
correctional institution/community based partnership (during the reporting period) to
ensure that therapeutic services administered to participants are maintained after
their release into the community.
Objective: 2012-10A - To report the number of RSAT participants in the program during each
reporting period (including the number of RSAT participants carried over from the
previous reporting period and NOT new admissions during the reporting period.
Objective: 2012-11A - To report the number of new admissions during the reporting period.
Objective: 2012-12A - To report RSAT participants receiving RSAT funded treatment through
the following components: COGNITIVE SERVICES BEHAVIORAL
SERVICES
EMPLOYMENT SERVICES
HOUSING SERVICES EDUCATION SERVICES MENTAL HEALTH
SERVICES
MEDICAUDENTAL SERVICES
SUBSTANCE ABUSE SERVICES
OTHER SERVICES
EXPLAIN OTHER SERVICES
Objective: 2012-13A - To report the number of RSAT participants who SUCCESSFULLY
completed all requirements set forth in your RSAT grant application during the
reporting period.
Objective: 2012-13B - To report those listed in 13A who were released into the community
during the reporting period.
Application Ref # 2011-RSAT-71 Section #3 Page 7 of 10
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 2012-13C - To report the number of RSAT participants listed in 13B with a continuity
of care arrangement with aftercare providers. This number should be based on those
with active treatment plans that continue in the community and who receive referrals
for services after their release into the community.
Objective: 2012-14A - To report number of RSAT participants removed from the program during
the reporting period due to termination for a new charge.
Objective: 2012-14B - To report number of RSAT participants removed from the program during
the reporting period due to release or transfer to another correctional facility.
Objective: 2012-14C - To report number of RSAT participants removed from the program during
the reporting period due to death or serious illness.
Objective: 2012-14D - To report number of RSAT participants removed from the program during
the reporting period due to a lack of engagement (non -responsiveness).
Objective: 2012-14E - To report number of RSAT participants removed from the program during
the reporting period due to failure to meet program requirements.
Objective: 2012-14F - To report number of RSAT participants removed from the program during
the reporting period due to other reasons (please list other reasons.)
Objective: 2012-15A - To report the number of SUCCESSFUL completions in the program
within the following time frames (the sum of this answer should equal the number in
13A): 7-9 months
10-12 months
Objective: 2012-15B - To report the number of UNSUCCESSFUL completlons or terminations
who were in the program within the following time frames (the sum of this answer
should equal the total number in 14A-14F): 7-9 months
10-12 months
Objective: 2012-16A - To report the number of participants who were given a drug test before
admission into the RSAT program during this reporting period. (Subgrantees must
implement urinalysis or other proven reliable forms of testing including both random
and periodic testing (1) of a participant before they enter the program and during the
period in which they receivd treatment; and (2) of a participant released from an
RSAT program if they remain in the custody of the State.)
Objective: 2012-16B - To report the number of participants who were given a drug test after
successfully completing the RSAT program during the reporting period.
(Subgrantees must implement urinalysis or other proven reliable forms of testing
including both random and periodic testing (1) of a participant before they enter the
program and during the period in which they receivd treatment; and (2) of a
participant released
Application Ref # 2011-RSAT-71 Section #3 Page 8 of 10
Contract 2012-RSAT-MON R-1 -D 1 -003
OCJC-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
from an RSAT program if they remain in the custody of the State.)
Objective: 2012-16C - To report the total number of RSAT participants who were drug tested
DURING the RSAT program during the reporting period. The number entered
should be an unduplicated count only of participants tested for alcohol or illegal
substances and should be equal to or greater than the number of positive tests given
during the reporting period.
Objective: 2012-16D - To report the number of participants tested DURING the RSAT program
during the reporting period with a POSITIVE result. Include only an unduplicated
count only of participants (completions, non completions and current participants)
who tested positive for alcohol or illgal substances and should equal or be less than
the total.
Objective: 2012-17A - To report RSAT program accomplishments as set forth in the RSAT
grant application in January and July only and for the previous six months only.
Report should be a complete, informative and in narrative form.
Objective: 2012-17B - To report goals as they relate to the RSAT grant application. These
reports are to be submitted in January and July only and for the previous six months
only. Report should be complete, informative and in narrative form.
Objective: 2012-17C - To report in narrative form any problems or barriers encountered which
prevented goals and/or accomplishments from being reached during the reporting
period.
Objective: 2012-17D - To report any assistance that OCJG can provide to address any
problems or barriers identified in 17C.
Objective: 2012-17E - To report in narrative form whether or not the RSAT program is on track
to fiscally and programmatically complete as outlined in the RSAT grant application.
Objective: 2012-17F - To report major activities for the upcoming six months.
Objective: 2012-17G - To report any innovative programs/accomplishments that you would like
to share with OCJG (based on your knowledge of the criminal justice field.)
Application Ref # 2011-RSAT-71 Section #3 Page 9 of 10
Contract 2012-RSAT-MONR-I-DI-003
OCJG-005 (rev. April 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
t
Section Questions:
Question: What is the total number of beds (treatment and non -treatment) in the facility?
Answer: 554
Question: How many non RSAT-funded treatment beds are in this facility?
Answer: 15
Question: How many RSAT-funded treatment beds are in this facility?
Answer: 54
Question: How is aftercare treatment provided?
Answer: After care treatment is provided by the Guidance Care Center, Inc, at three facilities
throughout the County; in Key Largo, Marathon and Key West. (Letter of support is
attached.)
Question: What is the anticipated number of RSAT program completions during each quarterly
reporting period?
Answer: 25
Question: What goals do you plan to accomplish during the subgrant period?
Answer. To provide treatemtn services for 160 incarcerated males with a client -centered
approach in order to reduce relapse to AOD use, reduce recidivism, and improve the
quality of life in Monroe County.
Application Ref # 2011-RSAT-71 Section #3 Page 10 of 10
Contract 2012-RSAT-MONR-I-D1-003
OCJG-005 (rev. April 2005)
From- Adams, Susan <SusanAdams@fdle.state.fLus>
Sent: Friday, April 20, 2012 8:02 AM
To: dsapp@highlandssheriff.org; Tennyson -Lisa, Tracy.Swank@ocfl.net; Deloach, Fred
(FDeloach@polksheriff.org); bgrant@polksheriff.org; riley.kim@mail.dc.state.fl.us;
McLane, Ronald (McLane. Ronald@ mail.dc.state.fl.us)
Cc: McWilliams, Martha; Wilder, Clayton; Adams, Susan; Wooden, Deborah
Subject: RSAT changes
Attachments: 2012RSATMeasures.docx
Dear Subgrantees:
The USD0J has issued a revision of the performance objectives and measures that OCJG will be
submitting on a quarterly basis effective as of the April through June reporting period. As you know, the
performance reporting data submitted by your agencies'project directors are used to compile our own
report submitted to USDOJ (every three months.)
Subsequently, the objectives and performance measures in your reports will change as will the
deadline. Effective as of the April -June report the new data must be entered into your reports. The
reports will be due July 151h , 2012. All due dates hereafter are 15 days after the end of the reporting
period. Please verify that you are placing ALL of them into your grant and that ALL of them will be
addressed in every performance report.
No later than May 1, Please go into Simon and submit a grant adjustment request removing the old
objectives, goals and measures, then add the new ones as listed in the attachment provided.
`rhe new reports will be much more comprehensive. Please see attached for the new data.
Martha McWilliams
Planning Manager
Florida Department of Law Enforcement
Office of Criminal Justice Grants
2331 Phillips Road
Tallahassee, Florida 32308
850 617-1253
RESIDENTIAL SUBSTANCE ABUSE TREATMENT FUNDS AGREEMENT
THIS AGREEMENT is made and entered into this 16 th day of November 2011,
by and between MONROE COUNTY, a political subdivision of the State of Floridam.,
whose address is 1100 Simonton Street, Key West, FL 33040, hereinafter referred to
as "COUNTY," and the Guidance Care Center, hereinafter referred to as "AGENCY."
WITNESSETH
WHEREAS, the Florida Department of Law Enforcement has awarded a Sub -
grant of Residential Substance Abuse Treatment Funds to the COUNTY to implement a
program that provides residential substance abuse treatment services to offenders held
in local correctional facilities who have at least six months and no more than twelve
months of their sentence left to serve-, and
WHEREAS, the County is in need of an implementing agency to provide said
services under this Program; and
WHEREAS, the AGENCY is the sole provider of this program; and
WHEREAS, the COUNTY has agreed to disburse the Residential Substance
Abuse Treatment Funds to the AGENCY in accordance with the COUNTY'S application
for the Residential Substance Abuse Treatment Funds.
NOW THEREFORE, in consideration of the mutual understandings and
agreements set forth herein, the COUNTY and the AGENCY agree as follows:
1. TERM - The term of this Agreement is from September 1, 2011 through
August 31, 2012, the date of the signature by the parties notwithstanding, unless earlier
terminated as provided herein.
2. SERVICES - The AGENCY will Provide services as outlined in the
COUNTY'S Residential Substance Abuse Treatment Sub -grant Award, attached and
made a part hereof.
1 FUNDS - The total project budget to be expended by the AGENCY in
performance of the services set forth in Section 2 of this agreement shall be the total
sum of $66,667,00. The total sum represents federal grant/state Sub -grant support in
the amount of $50,000.00 and local matching funds in the amount of $16,667.00, which
amount shall be provided by the county through the grant matching funds account. All
funds shall be distributed and expended in accordance with the Project Budget
Narrative submitted as outlined in the grant agreement.
4INCORPORATION BY REFERENCE - The provisions of those certain
documents entitled "State of Florida Office of Criminal Justice Grants Florida
Department of Law Enforcement Sub -grant Award Certificate and Application" and all laws, rules and regulations relating thereto are incorporated by reference, (Attachment
C)
5. IMPLEMENTING AGENCY BOUND - The AGENCY is an implementing
agency under the COUNTY'S Residential Substance Abuse Treatment Program, and
shall be bound by all the provisions of the documents incorporated by reference in
Section 4 of this Agreement. Additionally, the AGENCY shall be bound by all laws,
rules, and regulations relating to the COUNTY'S performance under the Florida
Department of Law Enforcement Residential Substance Abuse Treatment Grant
Program,
(a) The AGENCY shall comply with the program and expenditure reporting
requirements for Byrne Grant funds. The AGENCY shall render to the COUNTY a
detailed a quarterly performance report not later than 7 days after the end of each
quarter. The quarterly performance reports must include a response to all objectives
included in your project, as described in the Performance section in the grant
agreement, A detailed narrative, reflecting on accomplishments, challenges, etc. is
required as part of this quarterly report. The AGENCY shall render to the COUNTY,
monthly itemized invoices, not later than 30 days after the end of each month,
properly dated, describing the services rendered, the cost of the services, and all other
information required. The original invoice shall be sent to:
Grants Administrator
1100 Simonton Street
Key West, FL 33040
(b) Payment shall be made after review and approval by the COUNTY within
thirty (30) days of receipt of the correct and proper invoice submitted by the AGENCY,
7. TERMINATION - This Agreement may be terminated by either party at
any time, with or without cause, upon not less than thirty (30) days written notice
delivered to the other party. The COUNTY shall not be obligated to pay for any
services provided by the AGENCY after the AGENCY has received notice of
termination. In the event there are any unused Residential Substance Abuse
Treatment Funds, the AGENCY shall promptly refund those funds to the COUNTY or
otherwise use such funds as the COUNTY directs.
8. ACCESS TO FINANCIAL RECORDS - The AGENCY shall maintain
appropriate financial records which shall be open to the public at reasonable times and
under reasonable conditions for inspection and examination and which comply with the
Agreement incorporated in Section 4 of this Agreement.
9, AUDIT - The AGENCY shall submit to the COUNTY an audit report
covering the term of this Agreement, within one -hundred twenty (120) days following
the Agreement's lapse or early termination and shall also comply with all provisions of
the Agreement incorporated in Section 4 of this Agreement.
10. NOTICES - Whenever either party desires to give notice unto the other, it
must be given by written notice, sent by registered United States mail, with return
receipt requested, and sent to:
FOR COUNTY: FOR PROVIDER:
Grants Administrator A.B. Maloy, Area Director
1100 Simonton Street Guidance Clinic/Care Center
Key West, FL 33040 1205 Fourth Street
Key West, FL 33040
Either of the parties may change, by written notice as provided above, the addresses or
persons for receipt of notices,
11. UNAVAILABILITY OF FUNDS - If the COUNTY shall learn that funding
from the Florida Department of Law Enforcement cannot be obtained or cannot be
continued at a level sufficient to allow for the services specified herein, this Agreement
may then be terminated immediately, at the option of the COUNTY, by written notice of
termination delivered in person or by mail to the AGENCY at its address specified
above. The COUNTY shall not be obligated to pay for any services provided by the
AGENCY after the AGENCY has received notice of termination.
12. COMPLIANCE WITH LAWS AND REGULATIONS - In providing all
services pursuant to this Agreement, the AGENCY shall abide by all statutes,
ordinances, rules, and regulations pertaining to, or regulating the provision of, such
services, including those now in effect and hereafter adopted, and particularly Article 1,
Section 3 of the Constitution of the State of Florida and Article 1 of the United States
Constitution, which provide that no revenue of the state or any Political subdivision shall
be utilized, directly or indirectly, in aid of any church, sect or religious denomination or
in aid of any sectarian institution. Any violation of said statutes, ordinances, rules, or
regulations shall constitute a material breach of this Agreement immediately upon
delivery of written notice of termination to the AGENCY. If the AGENCY receives notice
of material breach, it will have thirty days in order to cure the material breach of the
contract. If, after thirty (30) days, the breach has not been cured, the contract will
automatically be terminated.
13. ASSIGNMENTS AND SUBCONTRACTING - Neither party to this
Agreement shall assign this Agreement or any interest under this Agreement, or
subcontract any of its obligations under this Agreement, without the written consent of
the other.
14. EMPLOYEE STATUS — The AGENCY is an independent contractor.
Persons employed by the AGENCY in the performance of services and functions
pursuant to this Agreement shall have no claim to pension, worker's compensation,
unemployment compensation, civil service or other employee rights or privileges
granted to the COUNTY'S officers and employees either by operation of law or by the
COUNTY.
MAP
16. ENTIRE AGREEMENT
(a) It is understood and agreed that the entire Agreement of the parties is
contained herein and that this Agreement supersedes all oral agreements and
negotiations between the parties relating to the subject matter hereof as well as any
previous agreements presently in effect between the parties relating to the subject
matter hereof.
(b) Any alterations, amendments, deletions, or waivers of the provisions of
this Agreement shall be valid only when expressed in writing and duly signed by the
parties,
IN WITNESS WHEREOF, the parties to this Agreement have caused their
names to be affixed hereto by the proper officers thereof for the purposes herein
expressed at Monroe County, Florida, on the day and year first written above.
(SEAL) BOARD OF COUNTY
COMMISSIONERS
ATTEST: DANNY L. KOLHAGE, Clerk OF MONROE COUNTY, FLORIDA
By: By:
Deputy Clerk
Mayor/Chairman
Guidance Care Center
Witness By:
Title:
Witness
ATTACHMENT A
EXPENSE REIMBURSEMENT REQUIREMENTS
This document is intended to provide basic guidelines to Human Service Organizations,
county travelers, and contractual parties who have reimbursable expenses associated with
Monroe County business. These guidelines, as they relate to travel, are from Florida Statute
112,061.
A cover letter summarizing the major line items on the reimbursable expense request needs
to also contain a notarized certified statement such as:
"I certify that the attached expenses are accurate and in agreement with the records
of this organization. Furthermore, these expenses are in compliance with this organizations
contract with the Monroe County Board of County Commissioners."
Invoices should be billed to the contracting agency. Third party payments will not be
considered for reimbursement. Remember, the expense should be paid prior to requesting a
reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in accordance with the level of detail in the
contract. This document should not be considered all-inclusive. The Clerk's Finance
Department reserves the right to review reimbursement requests on an individual basis.
Any questions regarding these guidelines should be directed to 305-292-3534.
Data Processing, PC Time, etc.
The vendor Invoice is required for reimbursement. Inter -company allocations are not
considered reimbursable expenditures unless appropriate payroll journals for the charging
department are attached and certified.
Payroll
A certified statement verifying the accuracy and authenticity of the paid payroll expense is
needed. If a Payroll Journal is provided, it should include: dates, employee name, salary or
hourly rate, total hours worked, withholding information and paid payroll taxes, check
number and check amount. If a Payroll Journal is not provided, the following information
must be provided: check amount, check number, date, payee, support for applicable paid
payroll taxes.
Postage, Overnight Deliveries, Courier, etc.
A log of all postage expenses as they relate to the County contract Is required for
reimbursement. For overnight or express deliveries, the vendor invoice must be included.
Rents, leases, etc.
A copy of the rental or lease agreement is required. Deposits and advance payments are
not allowable expenses.
Reproductions, Copies, etc.
A log of copy expenses as they relate to the County contract is required for reimbursement.
The log must define the date, number of copies made, source document, purpose, and
recipient. A reasonable fee for copy expenses will be allowable. For vendor services, the
vendor invoice and a sample of the finished product are required.
Supplies, Services, etc.
For supplies or services ordered, a vendor invoice is required.
Fax, etc.
A fax log is required. The log must deOnethe sender, the Intended recipient, the date, the
number called, and the reason for sending the fax.
Telephone
A user log of pertinent information must be remitted including: the party called, the caller,
the telephone number, the date, and the purpose of the call.
TravwlExpenses
Travel expenses must besubmitted ona State of Florida Voucher for Reimbursement
^ofTrave Expenses. Travel must be submitted inaccordance with Florida Statute 112.061 .
Credit card statements are not acceptable documentation for reimbursement. If ~^^nd'n
g
a~"''e'r'ce or meeting a copy of the agenda is needed. Airfare reimbursement requires the
original passenger receipt portion ofthe airline ticket. Atravel itinerary ksappreciated tofacilitateic�t� the audit trail. Auto rental reimbursement requires the vendor invoice. Fue|purchasesshnu|dbedocunentedwithpa|dneceiptsTaxis are not reimbursed If taken toarrive at a departure point: for example, taking a taxi from one's residence to the airport for
a business trip is not nyinbunsab|e Parking Is considered a reimbursable travel expense atthe destination. Airport parking during a business trip
/s not.
Adetailed list cfcharges
isrequired pnthe lodging invoice. Balance due must be zero'Roon must be registered and paid for bytraveler. The County will only reimburse theac±ua| room and related bed tax' Room service, nov|oo"and personal te|ephoneoa||�arenotaUoxab|eexpenses_
Meal reimbursement shall beat the rates established by ARTICLE XXVI, TRAVEL, PER
DIE
M,
~
state thatcnave| must begin prior to Ga.m. e
MEALS, AND MILEAGE POLICY qfthe Monroe County Code o[Ondinances' Meal guide Unes
akfast nuns*nent' before noon and
end after p.n. for lunch reimbursement, and before p' ' and end after p.n. for
rreinUursenent.
Mileage reimbursement shall be at the rate established by #XVI TRAVEL PER
DIEM, MEALS, AND MILEAGE POLICY /�the Monroe [bun ' Code '
odometer reading must be included on the state travel County eofOrdinan�e�. �n
not allowed from residence or office to o point vo«�h�rh�r»|dni�y travel. Mileage |s
of For example, driving fromone\s home to the airport for business tri i p snot areimbursable expense.
Non -allowable Expenses
The following expenses are not allowable for reimbursement: capital �| d
(un|essspeciflco||y included /n the contract), contributions,~ ou outlay |�un�s
specifically |ndudedinthe contract) entertainment �epne�|a�ionexp�ns��(um|es�
check charges, penalties and fines. " na �n expenses, fundraising, non -sufficient
ATTACHMENT 8
ORGANIZATION
LETTERHEAD
Monroe County Board Of County Commissioners
Finance Department
500 Whitehead Street
Key West, FL 33040
ME
The following is a summary of the expenses for (Organizationname)for the time
period of to_.
Check # Payee Reason Amount
101 Company A Rent
102 Company B Utilities $ X'XXX.XX
104 Employee A P/R ending 05/14/01 XXX.XX
XXX.XX
105
Employee B P/R ending 05/28/01 XXX.XX
(A) Total
(B) Total prior payments $ X'XXX.XX
(C) Total requested and paid (A + B) $ XIXXX.XX
(D) Total contract amount $ X'XXX.XX
Balance of contract (D-C)
1 certify that the above checks have been submitted to the vendors as noted and
that the expenses are accurate and in agreement with the records of this
organization. Furthermore, these expenses are in compliance with this
organization's contract with the Monroe County Board of County Commissioners and
will not be submitted for reimbursement to any other funding source.
Executive Director
Attachments (supporting documentation)
Sworn to and subscribed before me this day of
by who is personallyknownto Me. 20
Notary Public Notary Stamp
Nal
"A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime 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 public entity, may not be awarded or perform work as a contractor,
supplier, subcontractor, or consultant under a contract with any public entity,
and may not transact business with any public entity in excess of the
threshold amount provided in Section 287.017, for CATEGORY TWO for a
period of 36 months from the date of being placed on the convicted vendor
91&
ETHICS CLAUSE
warrants that Wit has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
(signature)
Date:
'w'ERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this -- day of
NOTARY PUBLIC
My commission expires:
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
I,Ndrfle OT ousiness)
1. Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's policy
of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be imposed upon employees for
drug abuse violations.
3. Gives each employee engaged in providing the commodities or contractual services that
are under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will abide
by the terms of the statement and will notify the employer of any conviction of, or plea of guilty
or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community, or any employee
who is so convicted.
6. Makes a good faith effort to continue to maintain a drug -free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
(Signature of Respondent)
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Signailre in The space,=
2M
Notary Public MY commission expires:
In
Office of Criminal Justice Grants
Post Office Box 1489
Tallahassee, Florida 32302-1489
(850) 617-1250
vwVV-fdIe.state.fl,us
OCT 1 7 2011
The Honorable Heather Carruthers
Mayor
Monroe County Board Of Commissioners
530 Whitehead Street
Key West, FL 33040
Re., Contract No. 2012-RSAT-MONR-1-D1-003
Dear Mayor Carruthers:
E
Rick Scott, Governor
Pam Bondi, Attorney General
Jeff Atwater, Chief Financial Officer
Adam Putnam, Commissioner of Agriculture
The Florida Department of Law Enforcement is pleased to award a Residential
Substance Abuse Treatment for State Prisoners grant in the amount of $ 50,000,00 to
your unit of government.
A copy of the approved subgrant application with the referenced contract number is
enclosed for your file. All correspondence with the Department should always refer to
the Project number and title.
Your attention is directed to the Standard Conditions of the subgrant. These conditions
should be reviewed carefully by those persons responsible for project administration to
avoid delays in project completion and costs reimbursements.
The enclosed Certification of Acceptance should be completed and returned to the
Department within 30 calendar days from the date of award. This certificate constitutes
official acceptance of the award and must be received by the Department prior to the
reimbursement of any project expenditures.
Committed to
Service - Integrity • Respect • Quality
The Honorable Heather Carruthers
Page Two
We look forward to working with you on this project. If we can be of further assistance,
please contact Martha McWilliams at 850/617-1250.
Sincerely,
Clayton H. Wilder
Administrator
CHW/MKM/sa
H
E
State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
CERTIFICATION OF ACCEPTANCE OF SUBGRANT AWARD
The subgrantee, through its authorized representative, acknowledges receipt and
acceptance of subgrant award number 2012.RSAT-MONR-1 -D1 -003, in the amount
of $ 50,000.00, for a Project entitled, MONROE COUNTY JAIL INCARCERATION
PROGRAM, for the period of 09/01/2011 through 08131/2012, in accordance with the
statement of work contained in the subgrant application, and subject to the Florida
Department of Law Enforcement's Conditions of Agreement and any special
conditions governing this subgrant.
signature of Subgrantee's Authorized Official
Typed Name and Title of Official
Date of Acceptance
OCJG-01 2 (rev. October 2005)
I
E
State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
SUBGRANT AWARD CERTIFICATE
Subgrantee: Monroe County Board Of Commissioners
Date of Award:
Grant Period: From: 09/01/2011 TO: 08/31/2012
Project Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
Grant Number. 2012-RSAT-MONR-1-DI-003
Federal Funds: $ 50,000.00
Agency Match: $ 16,667.00
Total Project Cost: $ 66,667.00
Program Area. 0001 : Residential Substance Abuse Treatment
CFDA #: 16.593
Award is hereby made in the amount and for the period shown above of a grant
under Title IV of the Violent Crime Control and Law Enforcement Act of 1994, PI
103-322, as amended, to the above mentioned subgrantee and subject to any
attached standards or special conditions.
This award is subject to all applicable rules, regulations, and conditions as contained
in the Financial and Administrative Guide for Grants, Office of Justice Programs,
Common Rule for State and Local Governments and A-87, or OMB Circulars A-1 10
and A-21, in their entirety. It is also subject to such further rules, regulations and
Policies as may be reasonably prescribed by the State or Federal Government
consistent with the purposes and authorization of P.L. 103-322, as amended.
E
E
SUBGRANT AWARD CERTIFICATE (CONTINUED)
This grant shall become effective on the beginning date of the grant period provided
that within 30 days from the date of award, a properly executed Certification of
Acceptance/ Request for Payment is returned to the department.
Authorized Official
Clayton H. Wilder
Administrator
M
( ) This award is subject to special conditions (attached),
State of Florida
Office of Criminal Justice Grants
Florida Department of Law Enforcement
2331 Phillips Road
Tallahassee, Florida 32308
SPECIAL CONDITION(S)/GENERAL COMMENT(S)
Grantee,, Office of Criminal Justice Grants
Grant Number: 2012-RSAT-MONR-1-D1-003
Grant Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
In addition to the general conditions applicable to fiscal administration, the grant is
subject to the following Special Conditions)/General Comment(s):
Ref#S19427: Prior to drawdown of federal funding for substance abuse treatment,
the subgrantee must submit the agreement executed between the subgrantee and
the contractor who will provide services.
Ref#S19456: Prior to the drawdown of federal funds anew Budget Detail that is in
the Unit Cost format for services provided, must be submitted to and approved by the
Office of Criminal Justice Grants
Ref#S19457: Prior to the drawdown of federal funds a copy of your policy which
indicates that drug testing will be maintained for inmates involved in treatment must
be submitted to the Office of Criminal Justice Grants,
Apj�ilcation for Funding Assista e
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
W , ,
Organization Name: Monroe County Board of Commissioners
County: Monrw&
Chief Official
Name:
Heather Carruthers
Title:
Mayor
Address:
530 Whitehead Street
City:
Key West
State:
Fl, Zip: 33040
Phone:
305-292-3430 Ext:
Fax:
305-292-3577
Email:
carruthers-heather@monroecounty-fl.gov
Chief Financial Officer
Name:
Danny Kolhage
Title:
Clerk
Address:
500 Whitehead Street
City:
Key West
State:
FL Zip: 33040
Phone:
305-292-3550 Ext:
Fax:
305-295-3663
Email:
dkolhage@monroe-clerk.com
AUG 2 4 ZOIJ
M 11 11 L, 111 T-I 4 1 IM I IIII! VILT111 M
"1 4 p-
pii,
ica ion Ref I -RSAT-71 Section# I Pagel of 2
Contract -RSAT-MONR...
OCJG 005 (rev April 2005)
,MP'Acation for Funding Assistance
A
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Organization Name: Monroe County Board Of Commissioners
County: Monroe
Chief Official
Name:
Heather Carruthers
Tltfo:
Mayor
Address:
530 Whitehead Street
City:
Key West
State.
FL Zip: 33040
Phone:
305-292-3430 Ext:
Fax:
305-292-3577
Email: carruthers-heather@monroecounty-ft,gov
Project i?irector
Name:
Lisa Tennyson
Title:
Grants Administrator
Address:
1100 Simonton Street
Room 2-213
City:
Key West
State:
Ft. Zip: 33040
Phone:
305-292-4444 Ext:
Fax:
Email: Tennyson-Lisa@monroecounty-Fl.gov
Application Ref # 2011-RSAI-71
Contract RSAT-MONR---
OCJG-005 (rev April 2005)
AUG 2 4 2011
OFFICE OF
CRIMINAL)MCE GRAWS
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General Project Information
Project Title: MONROE COUNTY JAIL INCARCERATION PROGRAM
Subgrant Recipient: Monroe County Board of Commissioners
Implementing Agency: Monroe County Board of Commissioners
Project Start Date: 911/2011 End Date: 8/31/2012
Problem Identification
South Florida, in which the Keys are located, is a mecca for Illicit drug use and has a much higher
than national drug abuse prevalence. South Florida Is a designated high -density drug trafficking
area and a leading cocaine importation center. The Florida Department of Children and Families
(DCF) reported that in FY 2008-2009 there were an estimated 1,253,917 adults in the state with
substance abuse problems. Of those adults needing treatment in the state, only 129,698 (11%)
received services. In FY 2008-2009, A total of 11,599 adults (DCF Quick Facts) were served by
substance abuse treatment providers in DCF Circuits 11 and 16 (Miami -Dade and Monroe
Counties).
Within the Keys, data validates that substance abuse among the general Population, and
particularly among those arrested, is high. Local data reflects and/or exceeds national and state
statistics. Records of HELPLINE, a 24-hour crisis intervention, information and referral service in
Monroe County, report 728 substance abuse prevention calls just in the last year. In2009,there
were 6,801 arrests in Monroe County, Florida with over 1,200 being drug and alcohol related
arrests, The "Index for total crimes" increased by 7.7% in the County since 2006. During the same
period, nonviolent crime increased by 9.6%. From 2008 to 2009, there was a 5.6% increase in
violent crime, with a 40.6% increase In domestic violence offenses.
During 2009, the average daily census in the Monroe County Jails was 524 inmates. The
incarceration rate in Monroe County In 2009 was 6.7/1,000 residents, more than twice the State
rate. The Monroe County Detention center reports that approximately 80% of incarcerated
individuals have substance abuse problems.
There are not enough substance abuse treatment services in Monroe County to handle the needs
of those who return to our Criminal Justice System time after time, after time. Often these repeat
offenders are not appropriate for the outpatient services available in the community due to the
nature of the crimes they have committed, or the long-standing nature of their substance use
disorder, or the likelihood that they may also have a co-occurring mental health disorder, or a
combination of any of these three issues. In cases such as these, structured treatment in a
controlled environment provides the best opportunity for intervention to be effective and re-entry
successful, The dollars that fund residential treatment in the community have disappeared at an
alarmingly high rate: the funding from the Department of Corrections for community residential
treatment has dropped by over forty percent (40%) in Monroe County. The only community based
residential program (Keys to Recovery in Marathon) will no longer be
CO ly se
e in operation in Monroe
county as of September 30, 2011 further limiting the number of residential treatment beds
available to community residents.
The RSAT program is highly valued by the local Judges, Attorneys and the Monroe County
Sheriffs Office. This RSAT grant provides funding for approximately 50% of the program costs, in
the past, the Sheriffs office covered the remaining costs of the
Application Ref # 2011 -RSAT-71
Contract 2012-RSAT-MONR.l -D 1 -003
OCJG-005 (rev April 2005)
Section #2 Page 1 of 4
App (cation for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
program, but due to budget constraints those funds are no longer available. The balance of the
funding is being provided this year from Monroe County and other State Substance Abuse
funding, The financial status of the program remains precarious while other sources of funding
are actively sought on an on -going basis.
The County's RSAT program will provide services to approximately 160 male offenders this year,
and continues to enjoy excellent relationships with stakeholders through out the community all of
whom share a common goal of reducing substance abuse and recidivism in Monroe County.
Project Summary (Scope of Work) i
In 1997, The Jail Incarceration Program (JIP), as it was initially named, was developed in the
Monroe County Detention Center, and began providing substance abuse treatment services to the
inmates housed there. Today, most clients are court ordered by the Drug Court, Circuit Court, and
County Court Judges in Monroe County. The rest are volunteers who meet criteria for
drug/alcohol treatment and will be in the county jail a minimum of 182 days. The program has
established a positive reputation system wide, working closely with Judges, prosecutors, and
defense attorneys throughout the county. DCF audits for the past three years reported that this
program meets or exceeds Best Practice standards with 100% compliance. The Program received
accreditation by the Commission on Accreditation of Rehabilitative Facilities (CARF) in May 2010
for a period of three (3) years.
Client -centered individualized treatment plans are a cornerstone of gender -responsive treatment.
After developing these plans in partnership with the program participant, treatment plan reviews,
case management services to provide community linkages, and monthly self -reports of progress
continue to refine the plan. On -going program review occurs through monthly focus groups with
administrative staff and participants. The Global Assessment of Individual Needs (GAIN)
instrument provides a comprehensive assessment of client needs and assists In developing a
person -centered Wellness Plan that is updated with the participant every 30 days. Admission
policies are welcoming to individuals with co-occurring disorders, learning disabilities, illiteracy, as
well as Spanish speaking inmates. This allows access for all who might otherwise not receive
services.
For co-occurring clients, the program will make a referral to the Prison Health Services
Psychiatrist and the client will participate in RSAT services to address the substance use disorder
and criminal thinking and behavior. Appropriate referrals for continued treatment, if needed will be
made prior to program discharge and release from incarceration.
RSAT program Participants are housed in their own dorm, separated from the general population,
by sight and sound. Treatment is a minimum of six months, with the possibility of lasting one
year.
Aftercare services are encouraged as a part of re-entry planning and last up to six months. The
Guidance/Care Center Provides aftercare throughout the Florida Keys in community -based
facilities. Aftercare is given priority but will not be funded by the RSAT Grant funds, One hundred
and sixty (160) inmates will receive services from the program over the funding period.
The program staff as well as the corrections staff conduct drug testing (urine analysis)
Application kiii _4201 I --RSAT71
Section 42 Page 2 of 4
Contract 2012-RSAT-MONR-1-DI-003
OCJG-005 (rev April 2005)
ication for F�~° »��^����
'__'__—''~~
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
randomly and Positive tests result in30 days injudicialreviewof
the case, Tests used are the Reditest 10 panel dipsticks testing for amphetamine,
benzodiazepines, cocaine, opiates, synthetic opiates, THC, PCP, barbiturates, MDMA, and
methadone. The program also has a relationship with the local drug court to run tests on their
machine if test results are questionable.
The Center Inc. employs all program staff and has a strong background in
substance abuse counseling and mental health with appropriate certification. The program will
require 3 FT counselors to provide all core program services with administrative support to
conduct regular case staffing, collect and report data, and monitor program outcomes. One and
nine tenths (1 .9) of those positions will be funded through the RSAT grant. State funds for adult
substance abuse treatment and Monroe County funds will support the remaining one and one
tenth (I - 1) staff position.
Program services will be delivered using an evidence based practice Cogitative Behavioral
Therapy (CST) curriculum entitled "Substance Abuse and Criminal Conduct: Strategies for Self
Improvement and Change Pathways to responsible living" authored by Harvey Milkman and
Kenneth Wanberg. Throughout the treatment episode and aftercare, the curriculum uses a client
workbook that belongs to the client. The cost of that workbook is $22.00 per copy, Services will
be delivered in a Treatment Community (TC) setting and will also incorporate Trauma -Informed
and Trauma -Based Therapy Models and gender -responsive treatment to promote the healing and
teaching of the human spirit. These relational models will support the development of healthy
relationships with self, significant others and the community at large in order to reduce the risk of
relapse and recidivism. Staff will use individual and group formats to deliver core services. As
participants move through the program they will learn to facilitate group gatherings for such
activities as morning affirmations, Positive acknowledgement and recognition, positive slip groups
where participants share experiences of "catching" each other in random acts of kindness and
evening gratitude wrap ups.
The specific components of the treatment services will include:
-Education about addiction and the consequences oycriminal
' behavior through therapeutic
experiences.
Jeaching and learning about healthy ways of thinking, feeling, and acting in an atmosphere of
mutual respect.
-Trauma-informed mama, acknowledging the pain and violence inthe pmrmon^m past and offe i
healthy dhernmdnesfor the future.
/ng
-A range of informational, emotional, and behavioral options to shape safe and productive futures
-Emphasis onthe ability hofeel and express feelings that in turn, Increases asense mYma|Y+wodh
'panynUngnduoobonand improving abUiheo*ocope with
'the�children based onh��|th �
reiallonmhipmodels. y
-Physical and emotional wellness.
-Brother and Sisterhood and mmentork|g: Peers and staff collaborate to create hope and spiritual / it |
growth
ibymodeling hoabhyrelationships, learning �omeach other and movmgtoward clean and
sober l'AmParticipants advance through their individual program stages and begin toheal from within,
0d*shxthoi w n'
�keyL�k�on�noms�oin0remponu|b
peers,
rowm�ecova��paraonm/ch�n0eand�h��o��he|r
-Continuum ofcare supports participants byconnecting them with and coordinating aftercare i the community and though 12-shm�suppodgroup involvement.
n
��--� �-- �--�---�— --���
Application Ref �� 2011'RSAT-71 —� —
Section #2 Page 3cd^
Contract 2012-RGAT-MONR-1'D1{03
Apdcation for Funding Assist�"iillle
Flohda Department of Law Enforcement
Residential Substance Abuse Treatment
-Learning,
~~`°~p"g and beginning wimplement amalistic and hopeful life plan; and
-Treatment and education improvided across the issues:
oChemo� following
vC,vn/na Thinking and Destructive Behavior
oHealthy Relationships
oFinancial Management
oEmp|nymunt
0Physical and Mental Health
oRelapse Prevention
mFamily Dynamics and Domestic Relationships
o8p|nhua||ty
oParenting and Child Development
oCommunity Connectedness and Responsibility
As each client prepares for discharge from the program and release from incarceration, he will
work with program staff to develop an Individualized Recovery Blueprint to facilitate their transition
into the community. Staff will help provide linkages to aftercare services and other community
resources to support on -going recovery and decrease the likelihood of recidivism,
Specific program goals and outcomes include:
The program will serve one hundred sixty (160) inmates during the grant period.
-The number ofinmates expected hzcomplete the program isone hundred (100
'7O96oythe inma�mmenmydw0compde��anafte�me/program,
/�
9596oYthe inmates served inthe program will remain drug free -while participating.
70% of the inmates in the aftercare program will not test positive for drugs/alcohol.
-7O%o/the inmates will not violate probation while inaftercano
- 7O�� of the inmates who remain in Monroe County and nuoc---
-- huUy complete treatment and
aftercare will not return tojail during the first year post release.
Apv"__
^�vom�e � 2O11-RSAT-___71
Contract 2012-RSAT-MONR-1-Dl.003
noJG-onsve~ Apnl 2005
ApNcation for Funding Assistalce
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
t}bg . '..'"
General Performance Info:
Performance Reporting Frequency: Quarterly
Federal Purpose Area: 0001 - Residential Substance Abuse Treatment
State Purpose Area: 0001 - Residential Substance Abuse Treatment
Activity Description
Activity: Cognitive Restructuring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: 12-Step
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Aftercare Services
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Addresses) :
Application Ref # 2011-RSAT-71
Section #3 Page 1 of 10
Contract RSAT-MONR -
OC1G-005 (rev ADM 2005)
S
A; J*n ication for Fund •A
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
4-,4,44 .4741, t5
I i
5525 CoitTege Road
Key West, FL 33040
Activity Description
Activity: Drug Testing
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es):
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Educational Programs
Target Group-, Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
5525 College Road
Key West, FL 33040
- Activity Description
Activity: Job Placement
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
5525 College Road
Key West, FL 33040
Contract -RSAT-MONR---
Section �-3"Page 2 —of 10
OCJG-005 (rev Aor;l 2005)
Ap Ication for Funding Assista,Ice
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity DescrIptior
Activlty: Group Counseling
Target Group: Adult Mates
Geographic Area: State of Florida
Location Type: Jail
vvmw
5525 College Road
Key West, Fl. 33040
— Activity Description
Activity: Impulse/Anger Control
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, Ft. 33040
Activity Description
Activity: Leadership Training
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activlty: individual Counseling
Target Group: Adult Males
Geographic Area: State of Florida
Application Ref # 2411-RSAT-71 Contract RSAT-MONR� - - Section #3 Page 3 of 10
OCJG-005 (rev Aord 2005)
ApOication for Funding Assisti�ce
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
W fl
Address(es) :
5525 College Road
Key West, FL 33040
- Activity Description
Activity: Mental Health Counseling
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
MW
5525 College Road
Key West, FL 33040
- Activity Description
Activity: Mentoring
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Other Drug Treatment
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
ZME=
Contract Section #3 Page 4 of 10
RSAT•MONR---
0CJG005 (rev Aped 2005)
App� cation for Funding Assistice
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Monroe County Detention Cantor
5525 College Road
Key West, FL 33040
Activity Description
Activity: Pharmacotherapy
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es):
5525 College Road
Key West, Fl. 33040
Activity Description
Activity: Parenting Training
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
Address(es) :
5525 College Road
Key West, Fl. 33040
Activity Description
Activity: Work Activities
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
ME=
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Application Ref # 2011-RSAT-T1
Section #3 Page 5 of 10
Contract RSAT-MONR...
OCJG-005 (rev April 2005)
A
Application for Funding Assist .a
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Activity Description
Activity: Therapeutic Community
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: Jail
wsza=
Monroe County Detention Center
5525 College Road
Key West, FL 33040
Activity Description
Activity: Financial Management
Target Group: Adult Males
Geographic Area: State of Florida
Location Type: jail
Objectives and Measures
Objective: IA - To report contractor and/or employed salary amounts prorated inc
spent in RSAT, to include time
Measure: Part 1
Report contractor and/or employed salary amounts prorated to include time spent in
RSAT during the grant period.
Goal: 65,177
Objective: 18 - To report cost of additional residential material (special uniforms, classroom
I aids, pharmaceuticals, etc.)
Measure: Part 1
Report the cost of additional residential material (special uniforms, classroom aids,
pharmaceuticals, etc.),
Goal: 1,490
Objective: I C - To report number of participants enrolled in the program (including drop -outs,
terminations or removals).
Measure: Part 1
Report the number of participants enrolled in the program (including drop -outs,
terminations or removals) during the grant period.
Goal: 160
Application Ref # 2011-RSAT-71 Section 03 Page 6 of 10
Contract RSAT-MONR...
()CJG-005 (rev April 2005)
Ap'Icatlon for Funding AsMstance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 2A - To report number Of days between program entry and exit for those completing
the RSAT program during the reporting period.
Measure: Part I
How many days will there be between program entry and exit for those completing
the RSAT program during the grant period?
Goal: Minimum of 182 days or more, up to 364 days,
Objective: 28 - To report number of offenders to successfully complete the residential program
during the reporting period.
Measure: Part I
How many participants will successfully complete the residential program during the
grant Period?
Goal- 100
Objective: 3A - To report number of RSAT participants at end of reporting period.
Measure: Part 1
Report the number of RSAT participants at end of each reporting period.
Goal: 50
Objective: 38 - To report number of RSAT participants at beginning of reporting period.
Measure: Part i
TO report the number of RSAT participants at beginning of each reporting period.
Goal: 50
Objective: 4A - To report number of RSAT participants who completed the program and passed
drug testing.
Measure: Part I
Report the total number of RSAT participants who completed the program and
Passed drug testing during the grant period,
Goal: Approximately 95%.
Objective: 48 - To report number of RSAT Participants who Completed the Program and passed
drug testing during the reporting period.
Measure: Part I
Report the number of RSAT participants who completed the program and passed
drug testing during each reporting period.
Goal: 25
,Akpplicalion Ref # 2011-R AT-71 Section #3 Page 7 of 10
Contract -RSAT-MONK...
OCJG-005 (Iev April 2005)
Ap
P Ication for Funding Assista�' cue
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Objective: 5A - To report the number of RSAT participants.
Measure: Part I
Report the number of RSAT participants during grant period.
Goal: 160
Objective: 58 - To report the number of residential program participants,
Measure: Part I
Report the number of residential program participants.
Goal: 160
Objective: 6A - To report the total number of RSAT beds created as a result of the current
award.
Measure: Part I
Report the total number of RSAT beds created as a result of the current award.
Objective: 6B - To report the total number of RSAT beds.
Measure: Part I
Report the total number of RSAT beds available.
Goal: 54
Objective: 7A - To report number of beds funded with non-RSAT funds.
Measure: Part 1
Report number of beds funded with non-RSAT funds.
Goal: 0
Objective: 78 - To report total number of beds in facility,
Measure: Part 1
Report total number of beds in facility,
Goal: 500
Objective: 8A - To report total number of residential service days,
Measure: Part I
Report the total number of residential service days.
Goal: 182 clays. Monday -Friday, for 52 weeks per year, exclusive of 9 holidays.
CSection #3 Page 8 of 10
Contract RSAT-MONR. - -
OCJG-005 (rev ADM 2005)
Application for Funding Assistal", ce
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
E 44
MIM �;IMT: 1 =7-
Objective: 88 - To report number of offenders to receive residential Service (RSAT and non-
RSAT).
Report number of individuals to receive residential service (RSAT and non-RSAT).
Goal: 160 RSAT particpants; no non-RSAT participants.
Objective: 9A - To report the number of RSAT completions that remained drug -free during the
residential program.
Measure: Part I
Report the number of RSAT completions that remained drug -free during the
residential program.
Goal: 95
Objectiv*: 9B - To report the number of residential program completions who remained drug
free.
Measure: Part 1
Report the number of residential program completions who remained drug free.
Goal: 73
Application Ref # 2011-RSAT-71
Section #3 Page 9 of 10
Contract RSAT-MONR.,
OCJG-005 troy APM 2005)
ApOi ication for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: What is the total number of beds (treatment and non -treatment) in the facility?
Answer: 554
Question: Now many non RSAT-funded treatment beds are in this facility?
Answer: 15
Question: Now many RSAT-funded treatment beds are in this facility?
Answer: 54
Question* Now is aftercare treatment provided?
Answer: After care treatment is provided by the Guidance Care Center, Inc. at three facilities
throughout the County; in Key Largo, Marathon and Key West, (Letter of support is
attached.)
Question: What is the anticipated number of RSAT program completions during each quarterly
reporting period?
Answer: 25
Question: What goals do you plan to accomplish during the subgrant period?
Answer: To provide treatemtn services for 160 incarcerated males with a client -centered
approach in order to reduce relapse to AOD use, reduce recidivism, and improve the
quality of life in Monroe County.
pplication Ref # 20_1'1_-_RS_A'_T._7l
Section 43 Page 10 of 1
Contract -RSAT-MOLAR-
()CJG-005 (rev April 2005)
Apt for Funding Assista"nLe
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
General
---
Note: All financial remittances will be sent to the Chief Financial Officer
of the Subgrantee Organization.
FInanclal Reporting Frequency for this Subgrant: Quarterly
Is the subgrantse a state agency?: No
FLAIR I Vendor Number: 596000749
!!udget.
Budget Category
Federal
Match
Total
Salaries and Benefits
$0.00
MOO
$0-00
Contractual Services
$50,000,00
$16,667,00
$66,66T00
Expenses
$0,00
$0.00
$0.00
Operating Capital
Outlay
$0.00
$0.00
$0.00
Indirect Costs
$0.00
MOO
$0.00
-- Totals — $50,000.00 $16,667.00 $66,667.00
Percentage 74.9996 25.0003 100.0
Project Generated Income:
Will the project earn Project generated Income (PGI) ? No
Application Ref # 2g11•RSAT-71 Contract RSAT-MONR... Section #4 Page I of 3
OCJG-005 (rev APH 2005)
Application for Funding Assistance
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
®udget Narrative:
Budget Narrative:
Total Budget: Contractual Services $66,677.00
Budget Sub -Category:
Salaries and Benefits:
Substance Abuse Counselors,
approximately 1,9 FTE @ $31.990 per FTE: $ 60.781
FICA $ 4,396
Sub -total Salaries and Benefits: $65,177
Budget Sub -Category
Supplies:
SSC client workbooks: 45 (off $22 per copy $ 990
Reditest drug test: $ Soo
Sub -total Supplies S 1,491,
Application Ref # 2411-RSAT-lt CSection #4 Page 2 of 3
Contract RSAT-MONR---
OCJG-005 irev April 2005)
Appilcation for Funding Assista ce
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
Section Questions:
Question: Identify specific sources of matching funds,
Answer: Monroe County.
Question: Indicate the Operating Capital Outlay (OCO) dollar threshold established by the
subgrantee.
Answer: 1000
Question: Are indirect costs included in the budget? If so, has a copy of the subgrantee's
Indirect Cost Plan approved by the cognizant federal agency, been submitted to the
OCJG?
Answer: NA
Question: If a contract for contractuai services will be executed by the subgrantee, has a copy
been received by the OCJG?
Answer: An executed copy of the agreement with contracted provider will be sent to FDLE.
Question: If salaries and benefits are included in the budget, is there a net increase in
personnel?
Answer: No
Question: Will the project earn Program Generated Income?
Answer: No
Question: Will the applicant be requesting an advance of federal funds?
Answer. No
CSection 04 Page 3 of 3
Contract -RSAT-MONR...
OCJG-005 (rev APM 2005)
, t "A,
mj�mjt
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
,'insert Standard CondItIons Page herQ
Application Ref 4-- Section #5 Page I of I
Contract RSAT-MONR---
OCJC005 (rev APM 2001)
Florida Department of taw Enforcement
Residential Substance Abuse Treatment Program
Conditions of agreement requiring compliance by units of local government (subgrant recipients),
implementing agencies and state agencies upon signed acceptance of the subgrant award appear in this
section and will become binding upon approval of this subgrant. Failure to comply with provisions of this
agreement will result in required corrective action up to and including project costs being disallowed.
All persons involved in or having administrative responsibility for the subgrant must read these conditions.
This section must be returned as part of the completed application.
Definitions:
"OCJG", unless otherwise stated, refers to the Florida Department of Law Enforcement, Office of Criminal
Justice Grants.
"Recipient" refers to the governing body of a county that performs criminal justice functions as determined by
the U. S. Secretary of the Interior, and includes an "Implementing Agency" which is a subordinate agency of a
county or an agency under the direction of an elected official (for example, Sheriff).
1. Reports
A. Project Progress Reports:
Regardless of whether project activities occur or not, the recipient must submit Quarterly
Project Progress Reports to the Office of Criminal Justice Grants (OCJG) by February 1, May
1, August 1, and November 1 covering subgrant activities occurring during the previous
calendar quarter, In addition, if the subgrant award period is extended beyond the "original"
project period, additional Quarterly Project Progress Reports shall be submitted.
13. Financial Reports:
I. The recipient shall have the choice of submitting either Monthly or Quarterly
Reimbursement Requests to the OCJG. All Reimbursement Requests are due thirty-one
(31) days after the end of the reporting period. A final Reimbursement Request and a
Criminal Justice Contract (Financial) Closeout Package shall be submitted to the OCJG
within forty-five (45) days of the subgrant end date. Such Reimbursement Requests
shall be distinctly identified as "final".
2. Regardless of whether costs are incurred or not, all claims for reimbursement of
recipient costs shall be submitted on the Reimbursement Request forms prescribed and
provided by the OCJG. A recipient shall submit either monthly or quarterly
reimbursement requests in order to report current project costs. Reports are to be
submitted even when no reimbursement is being requested.
3. Before the "final" Reimbursement Request will be processed, the recipient must submit
to the OCJG all outstanding project performance reports and must have satisfied all
special conditions. Failure to comply with the above provisions shall result in forfeiture
of reimbursement.
4. The recipient shall submit Quarterly Project Generated Income Reports to the OCJG by
February 1, May 1, August 1, and November 1, covering subgrant project generated
income and expenditures occurring during the previous quarter
C. Other Reports:
The recipient shall submit other reports as may be reasonably required by the OCJG.
2. Fiscal Control and Fund Accounting Procedures
A. The recipient shall establish fiscal control and fund accounting procedures that assure proper
disbursement and accounting of subgrant funds and required non-federal expenditures. All
Section 5 Page 1
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
funds spent on this project shall be disbursed according to provisions of the project budget as
approved by the OCJG.
S. All expenditures and cost accounting of funds shall conform to the requirements of the Office of
Justice Programs' Financial Guide, U,S. Department of Justice Common Rule for State and
Local Governments, and those specified in the federal Office of Management and Budget (OMB)
Circulars A-21, A-87, A- 110 or A-1 02, as applicable, in their entirety.
C. All funds not spent according to this agreement shall be subject to repayment by the recipient,
3. Compliance with "Consultant's Competitive Negotiation Act"
The recipient, when applicable, agrees to satisfy all requirements provided in Section 287 055, F S_
known as the "Consultant's Competitive Negotiation Act",
4. Approval of Consultant Contracts
The OCJG shall review and approve in writing all consultant contracts prior to employment of a
consultant, Approval shall be based upon the contract's compliance with requirements found in the
Office of Justice Programs' Financial Guide and in applicable state statutes. OCJG approval of the
recipient agreement does not constitute approval of consultant contracts,
S. Allowable Costs
Allowance for costs incurred under the subgrant shall be determined according to "General
Principles of Allowability and Standards for Selected Cost Items" set forth in the Office of Justice
Program's Financial Guide and federal OMB's Circular No. A-87, "Cost Principles for State and Local
Governments", or OMB's Circular No. A-21, "Cost Principles for Educational Institutions",
All procedures employed in the use of federal funds to procure services, supplies or equipment, shall
be according to U.S. OMB's Common Rule for State and Local Governments, or OMB Circular No.
A-110 or A-102 as applicable and Florida Law to be eligible for reimbursement.
6. Delegation of Signature Authority
When a chief officer or elected official of a subgrant recipient designates some other staff person
signature authority that chief officer or elected official must submit a letter or resolution indicating the
staff person given signature authority to the OCJG. The letter indicating delegation of signature
authority must be signed by the chief officer or elected official and the person receiving signature
authority,
7. Personnel Changes
In the event of a change in Chief Executive Officers for the Subgrantee or Implementing Agency,
Project Director, or Contact Person, the OCJG must be notified in writing with documentation to
include appropriate signatures.
8. Travel and Training
A. All travel reimbursement for out-of-state or out -of -grant -specified work area shall be based upon
written approval of the OCJG prior to commencement of actual travel. Recipients shall obtain
written approval from the OCJG for reimbursement of training costs and related travel prior to
commencement of training, if the specific training was not listed in the approved budget.
S. The cost of all travel shall be reimbursed according to local regulations, but not in excess of
provisions in Section 112 061, F S
Section 5 Page 2
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
C. All bills for any travel expenses shall be submitted according to provisions in Section 112.061,
F S.
9. Written Approval of Changes In this Approved Agreement
Subgrantees must provide written requests signed by the Chief Official, of any significant changes to the
subgrant. OCGJ approval of any grant amendment request must be received prior to the incorporation of
said amendment, These include, but are not limited to: Changes in project activities, designs or research
plans set forth in the approved agreement, Budget deviations that do not meet the following criterion,
That is, a recipient may transfer funds between budget categories as long as the total amount of transfer
does not exceed ten (10) percent of the total approved budget and the transfer is made to an approved
budget line item; or,
A. Transfers of funds above the ten (10) percent cap shall be made only if the Department
approves a revised budget,
B. Under no circumstances can transfers of funds increase the total budgeted award. Transfers do
not allow for increasing the quantitative number of items documented in any approved budget
line item. (For example, equipment items in Operating Capital Outlay or Expense categories or
staff positions in the Salaries and Benefits category.)
10. Reimbursement Subject to Available Funds
The obligation of the State of Florida to reimburse recipients for incurred costs is subject to the
availability of federal funds authorized under the Residential Substance Abuse Treatment for State
Prisoners Formula Grant Program.
11. Procedures for Reimbursement Request
All requests for reimbursement of recipient costs shall be submitted on the form prescribed and
provided by the Department. A recipient shall submit reimbursement requests on a monthly or
quarterly basis, as specified in order to report project costs incurred during the specified reporting
period. All requests for reimbursement shall be submitted in sufficient detail for proper pre -audit and
post -audit,
12. Advance Funding
Advance funding is authorized up to twenty-five (25) percent of the federal award for each project
according to Section 216.181(15)(b), F S. and the Office of Justice Programs' Financial Guide.
Advance funding shall be provided to a recipient upon a written request to the Department justifying
the need for such funds.
13. Commencement of Project
If a project has not begun within sixty (60) days after acceptance of the subgrant award, the recipient
shall send a letter to the OCJG requesting approval of a new project starting date. The letter must
outline steps to initiate the project, explain reasons for delay, and specify an anticipated project
starting date.
If a project has not begun within ninety (90) days after acceptance of the subgrant award, the
recipient shall send another letter to the OCJG, again explaining reasons for delay and requesting
approval of a revised project starting date.
Upon receipt of the ninety (90) day letter, the OCJG shall determine if the reason for delay isjustified
or shall, at its discretion, unilaterally terminate this agreement and re -obligate subgrant funds to
other Projects approved by the Department. If warranted by extenuating circumstances, the
Department may extend the starting date of the project beyond the ninety (90) day period, but only
Section 5 Page 3
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
by execution of a formal written amendment to this agreement.
14. Extension of a Contract for Contractual Services
Extension of a contract for contractual services between the subgrantee and a contractor (which
includes all project budget categories) shall be in writing for a period not to exceed six (6) months
and is subject to the same terms and conditions set forth in the initial contract. Only one extension
of the contract shall be acceptable, unless failure to complete the contract is due to events beyond
the control of the contractor.
15. Excusable Delays
Except with respect to defaults of consultants, the recipient shall not be in default by reason of any
failure in performance of this agreement according to its terms (including any failure by the recipient
to make progress in the execution of work hereunder which endangers such performance) if such
failure arises out of causes beyond the control and without the fault or negligence of the recipient.
Such causes include but are not limited to acts of God or of the public enemy, acts of the
government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine
restrictions, strikes, freight embargoes, and unusually severe weather, but in every case the failure
to perform shall be beyond the control and without the fault or negligence of the recipient.
It failure to perform is caused by failure of a consultant to perform or make progress, and if such
failure arises out of causes beyond the control of recipient and consultant, and without fault or
negligence of either of them, the recipient shall not be deemed in default, unless:
A. Supplies or services to be furnished by the consultant were obtainable from other sources,
8. The Department ordered the recipient in writing to procure such supplies or services from other
sources, and
C. The recipient failed to reasonably comply with such order.
Upon request of the recipient, the OCJG shall ascertain the facts and the extent of such failure, and
if the OCJG determines that any failure to perform was occasioned by one or more said causes, the
delivery schedule shall be revised accordingly.
16. Obligation of Recipient Funds
Recipient funds shall not under any circumstances be obligated prior to the effective date or
subsequent to the termination date of the grant period. Only project costs incurred on or after the
effective date and on or prior to the termination date of the recipient's project are eligible for
reimbursement. A cost is incurred when the recipient's employee or consultant performs required
services, or when the recipient receives goods, notwithstanding the date of order
17. Program Income (also known as Project Generated income)
The term "program income" or "project generated income" means the gross income earned by the
recipient during the subgrant period, as a direct result of the subgrant award. Program income shall
be handled according to the Office of Justice Programs' Financial Guide and the U S Department of
Justice's Common Rule for State and Local Governments.
18. Performance of Agreement Provisions
In the event of default, non-compliance or violation of any provision of this agreement by the
recipient, the recipient's consultants and suppliers, or both, the Department shall impose sanctions it
deems appropriate including withholding payments and cancellation, termination or suspension of
the agreement in whole or in part. In such event, the Department shall notify the recipient of its
decision thirty (30) days in advance of the effective date of such sanction The recipient shall be
Section 5 Page 4
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
paid only for those services satisfactorily performed prior to the effective date of such sanction,
19. Retention of Records
The recipient shall maintain all records and documents for a minimum of five (5) years from the date
of the project completion as provided by the Florida Department of State, General Schedule for
Local Government GSI-L, and be available for audit and public disclosure upon request of duly
authorized persons.
20. Access To Records
The Florida Department of Law Enforcement, Auditor General of the State of Florida, the U.S.
Department of Justice, the U.S, Comptroller General or any of their duly authorized representatives,
shall have access to books, documents, papers and records of the recipient, Implementing Agency
and contractors for the purpose of audit and examination according to the Office of Justice
Program's Financial Guide,
The Department reserves the right to unilaterally terminate this agreement if the recipient,
Implementing Agency or contractor refuses to allow public access to all documents, papers, letters,
or other materials subject to provisions of Chapter 119, F.S., and made or received by the recipient
or its contractor in conjunction with this agreement.
21. Audit
A. Subgrant recipients that expend $500,000 or more in a year in Federal awards shall have a single or
program -specific audit conducted for that year, The audit shall be performed in accordance with the
federal OMB's CircularA-133 and other applicable federal law. The contract for this agreement shall
be identified with the subject audit in The Schedule of Federal Financial Assistance. The contract
shall be identified as federal funds passed -through the Florida Department of Law Enforcement and
include the contract number, CFDA number, award amount, contract period, funds received and
disbursed. When applicable, the subgrant recipient shall submit an annual financial audit which
meets the requirements of Chapters 1 1. 45 and 215.97, Florida Statutes; and, Chapters 10.550 and
10. 600, Rules of the Florida Auditor General.
B. A complete audit report which covers any portion of the effective dates of this agreement must be
submitted within 30 days after its completion, but no later than nine (9) months after the audit period.
In order to be complete, the submitted report shall include any management letters Issued separately
and management's written response to all findings, both audit report and management letter findings.
incomplete audit reports will not be accepted by the Department and will be returned to the subgrant
recipient.
C. The subgrant recipient shall have all audits completed by an independent public accountant (IPA).
The IPA shall be either a Certified Public Accountant or a Licensed Public Accountant. The subgrant
recipient shall take appropriate corrective action within six (6) months of the issue date of the audit
report in instances of noncompliance with federal laws and regulations.
D. The subgrant recipient shall ensure that audit working papers are made available to the De I partment,
or its designee, upon request for a period of three (3) years from the date the audit report is issued,
unless extended in writing by the Department.
E. Subgrant recipients that expend less than $500.000 in Federal awards during a fiscal year are exempt
from the audit requirements of OMB Circular A-133 for that fiscal year. In this case, written
notification shall be provided to the Department by the Chief Financial Officer, or designee, that the
subgrant recipient is exempt. This notice shall be provided to OCJG no later than March I following
the end of the fiscal year.
F. If this agreement is closed out without an audit, the Department reserves the right to recover any
Section 5 Page 5
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
disallowed costs identified in an audit completed after such closeout.
G. The completed audit reports should be sent to the following address:
Florida Department of Law Enforcement
Office of Criminal Justice Grants
2331 Phillips Road
Tallahassee, Florida 32308
22. Ownership of Data and Creative Material
Ownership of material, discoveries, inventions, and results developed, produced, or discovered
subordinate to this agreement is governed by the terms of the Office of Justice Program's Financial
Guide and the federal OMB Circular A-1 10 or A-102, as applicable.
23. Property Accountability
The recipient agrees to use all non -expendable property for criminal justice purposes during its
useful life or request Department disposition.
The recipient shall establish and administer a system to protect, preserve, use, maintain and
dispose of any property furnished to it by the Department or purchased pursuant to this agreement
according to federal property management standards set forth in the Office of Justice Programs'
Financial Guide and the federal OMB Circular A-1 10 or A- 102, as applicable. This obligation
continues as long as the recipient retains the property, notwithstanding expiration of this
agreement.
24. Disputes and Appeals
The Department shall make its decision in writing when responding to any disputes, disagreements
or questions of fact arising under this agreement and shall distribute its response to all concerned
parties, The recipient shall proceed diligently with the performance of this agreement according to
the Department's decision.
If the recipient appeals the Department's decision, it also shall be made in writing within twenty-one
(21) calendar days to the Department's agency clerk. The recipient's right to appeal the
Department's decision is contained in Chapter 120, F S., and in procedures set forth in Chapters
28-5 and 9-5, F.A.C. Failure to appeal within this time frame constitutes a waiver of proceedings
under Chapter 120, F S.
25. Conferences and Inspection of Work
Conferences may be held at the request of any party to this agreement. At any time, a
representative of the Bureau, of the U.S Department of Justice's Bureau of Justice Assistance or
both have the privilege of visiting the project site to monitor, inspect and assess work performed
under this agreement.
26. Publication or Printing of Reports
The recipient shall submit one copy of all reports and proposed publications resulting from the
agreement twenty (20) days prior to public release. Any publications (written, visual, or sound),
whether published at the recipient's or government's expense, shall contain the following statement:
(NOTE. This excludes press releases, newsletters, and issue analysis.)
'This project was supported by Grant No 2001-RT-BX-0044 awarded by the Bureau of Justice
Assistance, Office of Justice Programs, U S. Department of Justice. Points of view in this
Section 5 Page 6
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
document are those of the author and do not necessarily represent the official position of policies of
the U.S. Department of Justice.*
27. Equal Employment Opportunity (EEO)
A. Federal laws prohibit recipients of financial assistance from discriminating on the basis of race,
color, national origin, religion, sex, disability, or age in funded programs or activities. All subgrant
recipients and implementing agencies must comply with any applicable statutorily -imposed
nondiscrimination requirements, which may include the Omnibus Crime Control and Safe Streets
Act of 1968 (42 U.S.C, § 3789d); the Victims of Crime Act (42 U.S.C. § 10604(e)); The Juvenile
Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of
1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C, § 7 94); the Americans with
Disabilities Act of 1990 (42 U.S.C. § 12131-34); the Education Amendments of 1972 (20 U.S.C.
§§1681, 1683, 1685-86); the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); and
Department of Justice Non -Discrimination Regulations 28 CFR Part 42; see Ex. Order 13279
(equal protection of the laws for faith -based and community organizations).
B. A subgrant recipient or implementing agency must develop an EEO Plan if it has 50 or more
employees and it has received any single award of $25,000 or more from the Department of
Justice. The plan must be prepared using the on-line short form at
must be retained by the subgrant recipient
or implementing agency, and must be available for review or audit. The organization must also
submit an EEO Certification to FDLE.
C. If the subgrant recipient or implementing agency is required to prepare an EEO Plan and has
received any single award of $500,000 or more from the Department of Justice, it must submit its
plan to the Department of Justice for approval. A copy of the Department of Justice approval
letter must be submitted to FOLE. The approval letter expires two years from the date of the
letter.
D. A subgrant recipient or implementing agency is exempt from the EEO Plan requirement if it is has
fewer than 50 employees or if it does not receive any single award of $25,000 or more from the
Department of Justice or if it is a nonprofit organization, a medical or educational institution, or an
Indian Tribe. If an organization is exempt from the EEO Plan requirement, it must submit an EEO
Certification to FDLE.
E. The subgrant recipient and implementing agency acknowledge that failure to comply with EEO
Requirements within 60 days of the project start date may result in suspension or termination of
funding, until such time as it is in compliance.
F. In the event a Federal or State court of Federal or State administrative agency makes a finding of
discrimination after a due process hearing on the grounds of race, color, religion, national origin,
sex, or disability against a recipient of funds, the recipient will forward a copy of the finding to the
Office for Civil Rights, Office of Justice Programs.
28. Payment Contingent on Appropriation
The State of Florida's performance and obligation to pay under this agreement is contingent upon
an annual appropriation by the Florida Legislature,
29. Certifications Regarding Lobbying; Debarment, Suspension and other Responsibility Matters;
and Drug -Free Workplace Requirements
Applicants should refer to the regulations cited below to determine the certification to which they are
required to attest. Applicants should also review the instructions for certification Included in the
regulations before completing this form. Signature of this form provides for compliance with certification
Section 5 Page 7
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
requirements under 28 CFR Part 69, "New Restrictions on Lobbying" and 28 CFR Part 67, "Government -
wide Debarment and Suspension (Nonpro-curement) and Govemment-wide Requirements for Drug -
Free Workplace (Grants)," The certifications shall be treated as a material representation of fact upon
which reliance will be placed when the Department of Justice determines to award the covered
transaction, grant, or cooperative agreement.
A. LOBBYING As required by Section 1352, Title 31 of the U,S. Code, and implemented at 28 CFR Part
69, for persons entering into a grantor cooperative agreement over $100,000, as defined at 28 CFR
Part 69, the applicant certifies that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for in-fluencing 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 con-nection with the making of any Federal grant, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal grant 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 grant or cooperative agreement, the undersigned
shall complete and submit Standard Form - LLL, "Disclosure of Lobbying Activities," in
accordance with its instructlons;
3. The undersigned shall require that the language of this cer-tification be included in the award
documents for all subawards at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all sub -recipients shall certify and
disclose accordingly,
B. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT
RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR
Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part
67, Section 67.510
1. The applicant certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily
excluded from covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this application 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 a 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;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding
this application had one or more public transactions (Federal, State, or local) terminated
for cause or default: and
I Where the applicant is unable to certify to any of the statements in this certification, he or she
shall attach an explanation to this application.
Section 5 Page 8
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
C. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 67,
Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67,615 and 67 620
1, The applicant certifies that it will or will continue to provide a drug -free workplace by:
a. Publishing a statement notifying employees that the un►awful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
b. Establishing an on -going drug -free awareness program to inform employees about
1. The dangers of drug abuse in the workplace;
2. The grantee's policy of maintaining a drug -free workplace:
3, Any available drug counseling, rehabilitation, and employee assistance programs;
and
4. The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
c. Making it a requirement that each employee to be engaged in the performance of the
grant be given a copy of the statement required by paragraph (a);
d, Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will
1. Abide by the terms of the statement; and
2. Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such
conviction;
e. Notifying the agency, in writing, within 10 calendar days after receiving notice under
subparagraph (d)(2) from an employee or otherwise receiving actual notice of such
convic-tion. Employers of convicted employees must provide notice, including position
title, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 633
Indiana Avenue, N.W., Washington, D.C. 20531, Notice shall include the identification
numberi(s) of each affected grant;
f Taking one of the following actions, within 30 calendar days of receiving notice under
subparagraph (d)(2), with respect to any employee who is so convicted
1 Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
2. Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local
health, law enforcement, or other appropriate agency;
g Making a good faith effort to continue to maintain a drug -free workplace through
implementation of paragraphs (a), (b), (c), (d), (e), and (0
Section 5 Page 9
Revised July 22, 2009
5)
3
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply
with the above certifications.
If a state agency, the recipient agrees to comply with Section 319 of Public Law 101-121 set forth in
"New Restrictions on Lobbying; interim Final Rule," published in the February 26, 1990, Federal
Register. Each person shall file the most current edition of this Certification And Disclosure Form,
if applicable, with each submission that initiates agency consideration of such person for award of
federal contract, grant, or cooperative agreement of $ 100,000 or more; or federal loan of $150,000
or more. This certification is a material representation of fact upon which reliance was placed when
this agreement was made. Submission of this certification Is a prerequisite to entering into this
agreement subject to conditions and penalties imposed by Section 1352, Title 31, U.S.C. Any
person who fails to file the required certification is subject to a civil penalty of not less than $10,000
and not more than $100,000 for each failure to file.
The undersigned certifies, to the best of his or her knowledge and belief, that:
0. No federally appropriated funds have been paid or shall be paid to any person for influencing or
attempting to influence an officer or employee of any federal agency, a 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 loan, the entering into of any renewal, amendment, or modification of
any federal contract, grant, loan or cooperative agreement.
E. It any non-federal funds have been paid or shall be paid to any person for influencing or
attempting to influence 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
undersigned shall complete and submit the standard form, Disclosure of Lobbying Activities,
according to its instructions.
F. The undersigned shall require that the language of this certification be included in award
documents for all subgrant awards at all tiers and that all recipients shall certify and disclose
accordingly.
30. Stat* Restrictions on Lobbying
In addition to the provisions contained herein, the expenditure of funds for the purpose of lobbying
the legislature or a state agency is prohibited under this contract.
Project funds which have been properly obligated by the end of the subgrant funding period will
have forty-five 45) days in which to be liquidated (expended). Any funds not liquidated at the end of
the 45-day period will lapse and revert to the Department. A subgrant-funded project will not be
closed out until the recipient has satisfied all closeout requirements in one final subgrant closeout
package.
All refunds or repayments to be made to the Department under this Agreement are to be made
payable to the order of "Florida Department of Law Enforcement", and mailed directly to the
Department at the following address:
Florida Department of Law
Enforcement
Office of Criminal Justice Grants
2331 Phillips Road
Tallahassee, FL 32308
Section 5 Page 10
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
32. Background Check
It is strongly recommended that all programs targeting juveniles, implemented by other than a
sworn law enforcement officer or program licensed by the Department of Children and Family
Services, conduct background checks on all personnel providing direct services,
33. Purchase of American -Made Equipment and Products
To the greatest extent practicable, all equipment and products purchased with program funds
should be American -made.
34. Eligibility for Employment in the United States
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.
35. National Environmental Policy Act (NEPA)
A. The subgrantee agrees to assist FOLE in complying with the NEPA and other related federal
environmental impact analyses requirements in the use of subgrant funds by the subgrantee.
This applies to the following new activities whether or not they are being specifically funded with
these subgrant funds. That is, it applies as long as the activity is being conducted by the
subgrantee or any third party and the activity needs to be undertaken in order to use these
subgrant funds,
1. New construction;
2. Minor renovation or remodeling of a property either (a) listed on or eligible for listing on the
National Register of Historic Places or (b) located within a 100-year flood plain;
3 A renovation, lease, or any other proposed use of a building or facility that will either (a)
result in a change in its basic prior use or (b) significantly change its size; and,
4 Implementation of a new program involving the use of chemicals other than chemicals that
are (a) purchased as an incidental component of a funded activity and (b) traditionally used,
for example, in office, household, recreational, or educational environments,
B. For any of a subgrantee's existing programs or activities that will be funded by these subgrant,
the subgrantee, upon specific request from the Department and the Bureau of Justice
Assistance (BJA), agrees to cooperate with BJA in any preparation by BJA of a national or
program environmental assessment of that funded program or activity.
36. Assurance of Political Activities Limitations
The subgrantee assures that it will Comply with provisions of Federal law which limit certain political
activities of State or local government employees whose principal employment is in Connection with
an activity financed in whole or part by Federal grants (5USc 1501, et seq.)
A. Environmental Protection Agency's (EPA) list of Violating Facilities
The subgrantee assures that the facilities under its ownership, lease or supervision which shall
be utilized in the accomplishment of the Program Purpose are not listed on the EPA's list of
Violating Facilities and that it will notify the FOLE of the receipt of any communication from the
Director of the EPA Office of Federal Activities indicating that a facility to be used in the project
is under consideration for listing by the EPA.
13333• . R
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
B. Flood Disaster Protection Act
The subgrantee will comply with Section 102(a) of the Flood Disaster Protection Act of 1973, Public
Law 93-234, 87 Stat. 975, requiring that the purchase of flood insurance in communities where such
insurance is available as a condition of the receipt of any federal financial assistance for
construction or acquisition purposes for use in any area that has been identified as an area having
special flood hazards.
C. National Historic Preservation Act
The subgrantee will assist the FOLE in its compliance with Section 106 of the National Historic
Preservation Act of 1966 as amended (16 USC 470), Executive Order 11593, and the Archeological
and Historical Preservation Act of 1966 (16 USC 569a-1 et seq.) by (a) consulting with the State
Historic Preservation Officer as necessary, to identify properties listed in or eligible for inclusion in
the National Register of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8)
by the activity, and notifying the FOLE of the existence of any such properties and by (b) complying
with all requirements established by the Federal grantor agency to avoid or mitigate adverse effects upon
such properties.
37. The Coastal Barrier Resources Act
The subgrantee will comply and assure the compliance of all contractors with the provisions of the Coastal
Barrier Resources Act (P.L. 97-348) dated October 19, 1982 (16 USC 3501 et seq.) which prohibit the
expenditure of most new Federal funds within the units of the Coastal Barrier Resources System,
38. "Pay to Stay"
The subrecipient agrees that funds provided under this award may not be used to operate a "pay -to -stay"
program in any local jail. The subrecipient further agrees not to subaward funds to local jails which
operate "pay -to -stay' programs.
39. If a Governmental Entity:
it will comply with the requirements of the Uniform Relocation Assistance and Real property
Acquisitions Act of 1970 (42 U. S.G. § 4601 et seq,), which govern the treatment of persons displaced
as a result of federal and federally -assisted programs; and it will comply with requirements of 5 U.&C.
5§ 1501-08 and J§ 7324-28, which limit certain political activities of State or local government
employees whose principal employment is in connection with an activity financed in whole or in part by
federal assistance,
40. Americans with Disabilities Act
Subgrant recipients Must comply with the requirements of the Americans with Disabilities Act (ADA),
Public Law 101-336, which prohibits discrimination by public and private entities on the basis of
disability and requires certain accommodations be made with regard to employment (Title 1), state and
iocal government services and transportation (Title 11), public accommodations (Title 111), and
telecommunications (Title IV).
41. Immigration and Nationality Act
No public funds will intentionally be awarded 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 subgrant recipient of the employment provisions contained in Section
Section 5 Page 12
Revised July 22, 2009
Florida Department of Law Enforcement
Residential Substance Abuse Treatment Program
274A(e) of the INA shall be grounds for unilateral cancellation of this contract by the Department,
42. Limited English Proficiency (LEP)
In accordance with Department of Justice Guidance pertaining to Title V1 of the Civil Rights Act of
1964, 42 U S.C. § 2000d, recipients of Federal financial assistance must take reasonable steps to
provide meaningful access to their programs and activities for persons with LEP. For more
information on the civil rights responsibilities that recipients have in providing language services to
LEP individuals, please see the website at httpJ1www.Ie13,gov,
43. Equal Treatment for Faith Based Organizations
The grantee agrees to comply with the applicable requirements of 28 C.F.R. Part 38, the Department
of Justice regulation governing "Equal Treatment for Faith Based Organizations" (the "Equal
Treatment Regulation"), The Equal Treatment Regulation provides in part that Department of Justice
grant awards of direct funding may not be used to fund any inherently religious activities, such as
worship, religious instruction, or proselytization. Recipients of direct grants may still engage in
inherently religious activities, but such activities must be separate in time or place from the
Department of Justice funded program, and participation in such activities by individuals receiving
services from the grantee or a sub -grantee must be voluntary, The Equal Treatment Regulation also
makes clear that organizations participating in programs directly funded by the Department of Justice
are not permitted to discriminate in the provision of services on the basis of a beneficiary's religion.
Notwithstanding any other special condition of this award, faith based organizations may, in some
circumstances, consider religion as a basis for employment See
qg2,/—Iw—w—w—oW_Iov/abou—t/ocr/egLuaI fbo him.
44. Certification for Employees Working Solely on a Single Federal Award
Any project staff that are fully funded by the grant must certify that they worked solely on the grant.
The certification must be prepared at least semi annually and must be signed by the employee and by
a supervisory official having first hand knowledge of the work performed by the employee.
Section 5 Page 13
Revised July 22, 2009
CERTIFICATION FARM
R dent Name and Address: Monroe County
t ant Title: Re8• Subs,Abuse Treatment
Grant Number. 2011—RSAT-71Award Amount:50,000
:ontact Person Name and Title: Lisa Tennyo(YA s Grants Admin. phone Ntunb�^ t'°o 1 29Z-4444
�...all
Federal _—
regulations require recipients of r.�---vl a,,m&nee from the 01'rlco ofJustice Programs (01P), its comp one ins_�.�
Office of Comp _;-7 ai 1enreo Policing Servtces (%:OPS) to prepare, m�jtn...__ �!_ ,� ,.....__..._....�anvti l#�plement ►e FQUYI
Employment Opportunity Plan (EEOP) in accordance with 29 C.FB-s8 42.301..308. The regulations exempt some recipients from all of
the ESOP requirements. Other recipients, according to the —gulations, must prepare, maintain on file and implement an ESOP, but they
do not need to Submit the EEOP to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must
complete Section A below. Recipients that claim the limited exemption from the submission requirement, must complete Section B
below. A recipient should complete elther Section A or Section 8, aot both. If a recipient receives multiple OJP or COPS grants,
Please complete a form for each grant, ensuring that any EEOP recipient certifies as completed and on file (if applicable) has been
prepared within two years of the latest grant. Please send the completed form(s) to the Offce for Civil Rights, Office of Justice Programs,
U.S. Department of Justice, 810 7"' Street, N.W., Washington, D.C. 20531. For assistance in completing this form, please call (202)307-
0690 or TTY (202) 307-2027.
Section A- Declaration Claiming Complete Exemption from the EEOP Requirement. Please check all the boxes (hat
app(v,
❑ Recipient has less than 50 employees, ❑ Recipient is an Indian tribe,
a Recipient is a non-profit organization, ❑ Recipient is an educational institution, or
❑ Recipient is a medical institution, ❑ Recipient is receiving an award less than S25,000
l(responsible oMcisd], certify that
[recipient] is not required to
prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R §42,302. 1 further certify that
[recipient] will comply with applicable Federal civil rights
laws that prohibit discrimination in employment and in the delivery of services.
Print or type Name and Title Signature Date
Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
ESOP is on File for Review.
if it recipient agency has 50 or more employees and is receiving a single award or subaward for S25,000 or more, but less than S500,000,
then the recipient agency does not have to submit an EEOP to O1P for review as long as it certifies the following (42 C.F.R. f 42.305):
1 Roman Gastesi, County Administrator
(responsibleofticittij, certify that
the Monroe County (recipientl,which has 50 or more
employees and is receiving a single award or subaward for S25,000 or more, but less than S500,000, has formulated an
EEOP in accordance with 28 CFR §42.301, et seq., subpart E. I further certify that the EEOP has been formulated and
signed into effect within the past two years byy the proper authority and that it is available for review. The ESOP is on file in
the office of: Calvin Allen, EEO Of Eicer, Monroe County jorganizallonj,
at I loo Simonton Ave, Kay wear, Ft 3301A1? laddressl,for review by the public and
cmployees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
Justice Programs, U. S. Department of Justice, as required by relevant I rndulations.
Roman Gastesi, Count AdministratorT
Print or type Name and Title Signature Da e
t )ht8 1ppro%rl No 1111 0140 r%piranon naw 1 2.11 12
)813YING; (DEBARMENT, SUSPENSION, AND ®Till
AND DRUG -FREE WORKPLACE REQUIREMENT81
Florida Department of Law Enforcement
Residendlal Substance Abuse Treatment Pro(
Firm :. by the U.S. DEPARTMENT OF OFFICE OF r
OFFICE OF • •
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing this
forum Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying' and 28 CFR Part 67, "Government -wide Debarment and Suspension (Non -procurement) and
Government -wide Requirements for Chug -Free Workplace (Grants)". The certifications shall be treated as a material
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement,
e:� r
As required by Section 1352, Title 31 of the U S Coda, and implemented at 29
CFR Part 69, for persons entering into a grant or cooperative agreement over
$100o00, as defined st 28 CFR Part 69. the applicant candles that:
(0) No fed" appropriated funds nave been paid or wig be paid, by or on bond#
of the undersigned, to Any, person for influencing or attempting to Influence an
officer of employee of any agency. a member of Congress, an officer or employee
Of Congress, ar an employee of a Member at Congress In connection with the
making of any federal grant, the entering into of any Cooperative agreement, and
the extension, continuation, renewal, amendment, or modification of any federal
grant o cooperative agreement;
(a) if any funds other than federal appropriated funds have been paid or will be
paid to any person influencing or attempting to influence an officer or employee of
any agency, a member of Congress, an officer or an employee of Congress, or an
employee of a member of Congress in connection with this federal grant or
roaperative agreement, the undersigned shalt complete and submit Standard
Form - LLL, `Dlsclosurs of Lobbying Activ4W, in accordant* wdh its instructions;
(c) The undersigned shalt require that the language of this certification be
,included In the award documents for 86 subawards at as flan (Including subgrants,
contracts under grunts and cooperative agreements, and subcontracts) and that all
subrecIP00ts shalt C014+and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Osbarment and Suspension. and
rmptementod at 28 CFR Part 67, for prospective participants in primary covered
trarsadhalls, as derhod at 28 CFR Part 67, Section 87 510
A. The appliwnt Coddles that it and its principals.
(a) Are not presently debarred, suspended. proposed for dabsmiI declared
ineligiblesentenced to a denial of federal txsnafitf by a State or Federal court,
voluntarily excluded from covered IrensaCtions by any federal department or
agency
(b) Have net within a three-year period precedlae tier* applkation
boon aanvicttto of of had a evil judgement rendered against them for
Commission of fraud or a criminal ~so in connection with
obtaining, attampNng to oblstn, of performing a public (Fed". State,
or 14t01) transaction or contract under a public transaction; violation of
Falderal at State antitrust s1011,4es or com missiolin of embezzlement.
theR largely, ertbery, falsification or destruction of records, making
falee statements, or receiving ttolon property;
(t) Are not presently indicted for or Cttrerwtes criminally or civilly
Charged by a governmental aridity (Federal, State, or (owl) with
commission of any of the oRonsas enumerated in paragraph (1) tin) of
this carbftudion; and
(d) He" not within a throe -year period preceding this application
had one Or more public transactions (Federal, State, or local)
terminated Pon causo or default; and
$, yilnera the applicant Is unable to certify to any of the staterrronls in
this cemRcation, he or she shalt attach an explanation to this
application.
3. DRUG -FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Frey wbrkptace Act of 1488, and
implemented at 28 CFR pall 67, Subpart F, for grantees, as defined
at 28 CFR Part 67 Sections 47 615 and 87 820-
A. The applicant candies that it will or win continue to provide a drug -
free workplace by.
(a) Publishing a slatemard notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlbd substance is prohibited in the grantee's workplace and
speclrying the actions that WIN be taken against omployess for
violation of such prohitMion,
(b) Establishing an on -going drug -free awareness program to ,nformh
employees about.
(1) The dangers of drug abuse ,n the wesrkplacs,
(2) The grantee's policy of maintaining a drug4ree workplace
(3) Any available drug counseling, rehabilitation, and employes
assistance programs, and
(4) The penalties that may be Imposed upon employees for drug
abuse violations occurring in the workplace,
MATTERS; AND tWORKPLACE
Florida Department of Law Enlibmement
0,1 Making d s requirement that Bach employee to be engaged in the padcnnanca
of the grant be given a COPY Of the statement required by paragraph (a):
id) Notifying the employee In the statement required by paragraph (a) that, as a
condition Of emplOymont under the grant, the employee wnil-
(1) Abide by she terms of the statement, and
(2) Notify the employer ,n writing of his or her conviction for a vwtatien of a Check here _, If there are warkplocos on file that are not ,denttfled
criminal drug statute Omumng in this workplace no later Irish rive calendar days Mora.
after the conviction;
Sectton 67 630 Of the regulations pfovides that a grantee that Is a
(a) Notifying the agency, in writing, an" 10 calendar days after receiving notice State may 0*0 to make one certification in each Federal fiscak yaw
under subparsgtnPh to) (2) from an employee or otherwise receiving actual notice A copy of which should be Inetuded with each application for
of such conviction Employers of convicted employe" must provide nottice Department of Justice funding, States and State agencies may elect
Including positron title, to Dapartrrront of Justice, OfPtce old Justice Programs, to use OJP Form 406it7
ATTN Control Desk, 633 Indiana Avenue, N W , Washington, 0.0 20531 Notice
snail include the idonhll&alion number( s) of esch attracted grant; Chock here — If the State has elected to complete OJP Form
406rt7
(f) Taking one of the following actions, within 30 colander days of receiving notka
under subparagraph (d) (2), with respect to any employse who Is so convicted-
(1) Taking apprbprtat• personnel action against such an employee, up to and DRUG -FREE WORKPLACE
including termknallorn, consistent with the requirements of the Rehabilitatlon Act of (GRANTEES WHO ARE INDIVIDUALS)
1973, as amendod; or
r
(2) Requiring such employee to participate satisfactorily in a drug abuse As equired city the Drug -Free Workplace Act of 1966, and implemented at 28 CFR Part $7, Subpart F, for grantees, as defined
aaslstence or rahabiinstlOn program approved for such purposes by a Federal, at 28 CFR Part 67, Sections 67 6115 and 67 620.
State, or local health, law enforcement, or other approprlata agency:
(g) Mekong 190011 Psnh ePfdd to continue, to maintain a dru Prise workplace A. As s condition of the grant, I certify that I will not engage in the
through implementation g P unlawful manufacture, distribution, dispensing, possession, or use of
4 plementation of paragraphs (at, (b): (c), (d), (a). and (f) a controlled substance in conducting any activity with the grant; and
a. The grantee may insert in ins space provided below the sites) for the a. if convicted of a criminal drug offense resulting from a violation
Performance at wok dons in connection with the specific: grant: Occurring during the conduct Of any
grant addlvily, t wiiN upon the
Pace of Padormanre (Street add rasa, city. County, state. tip code) conviction, in writing, within 10 calendar days of the conviction, to:
Oepsrtment of Juslk C Of i of Justice Programs, ATTN, Control
Desk, 633 Indiana Avenue, N.W. Washington, 0 C 20531
As the duly authorized representative or the applicant, I hereby certify, that the applicant will comply With the above
cartiftcation&
t, Grantee Name and Address: Monroe County Board of County Commissioners
2. Project Name: Residential. Substance Abuse Treatment -Jail In -}louse Program
3 Typed Name and Title ofAuthonzed Representative. Roman Castesi. County .Administration
4 Signature 5 Date /
DL E r7SA 7 Slant A lacaitcsn Parka e L#bbrrn C3abemrarlf Sit entiOn, and Drug Free Wtlrkpface Cerr(Ficarton
Fags 2pe 2
Appirication for Funding Assistatirde
Florida Department of Law Enforcement
Residential Substance Abuse Treatment
In witness whereof, the parties affirm they each have read and agree to the conditions set
forth in this agreement, have read and understand the agreement in its entirety and have
executed this agreement by their duty authorized officers on the date, month and year set
out below.
Corrections on this page, including Strikeovers,
whiteout, etc. are not acceptable.
State of Florida
09partment of Law Enfbrcament
OffIce of Criminal Justice, Granta
Signature:
Typed Name and Title: �WN 4AMN. WUW1 COWM* ftW= A*Wnistriu t,
Date:
Subgrant Recipient
Authorizing Official of Governmental Unit
(Comm"on Chairman, Mayor, or Designated Representative)
Typed Name of Subgr�,a ,Vcit: Monroe County Board of County Commissioners
Typed Name and Title: Roman -Castes-i-A-C-0—un—ty Administrator
Date:
Implementing Agency
Official, Administrator or Designated Representative
Typed Name of Imp tin 'gAgency: Monroe County Board of County Commissioners
Signature:
Typed Name and Title: Roman Gastesi, County Administrator
Date: I . !, ". : I /
Application '"�
()CJG 005 (rev April 2005)