FY1999 10/21/1998
AGREEMENT
This Agreement is made and entered into this .7-( day of C)c It 8>et-1!..-J 998, between
the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA. hereinafter referred to as
"Board" or "County," and the DOMESTIC ABUSE SHELTER, INC., hereinafter referred to as "Provider."
WHEREAS, a need exists in Monroe County to provide temporary shelter for battered spouses
and their dependents, and
WHEREAS. the Provider provides appropriate services to battered spouses in:MonroEU:):ouwY'
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WHEREAS. the services are provided free of charge and the Provider i~ ex~ns~ in
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connection with the rendering of such services, now, therefore, ~C")r:: :x ~
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IN CONSIDERATION of the mutual promises and covenants contained herin, ~s cJfreeJ:lbas
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follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of the Provider substantially
and satisfactorily performing and carrying out the duties of the Board as to providing shelter for
residents of Monroe County, Florida, shall pay to the Provider the sum of Twenty-two Thousand Eight
Hundred Ninety-one Dollars ($22,891.00) for fiscal year 1998-99.
2. TERM. This Agreement shall commence on October 1, 1998, and terminate September
30, 1999, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be paid periodically. but no more frequently than monthly as
hereinafter set forth. Reimbursement requests will be submitted to the Board via the Clerk's Finance
Office. The County shall only reimburse, subject to the funded amounts below, those reimbursable
expenses which are reviewed and approved as complying with Florida Statutes 112.061 and
Attachment A - Expense Reimbursement Requirements. Evidence of payment by the Provider shall
be in the form of a letter. summarizing the expenses, with supporting documentation attached. The
letter should contain a certification statement as well as a notary stamp and signature. An example
of a reimbursement request cover letter is included as Attachment B.
After the Clerk of the Board examines and approves the request for reimbursement. the Board
shall reimburse the Provider. However, the total of said reimbursement expense payments in the
aggregate sum shall not exceed the total amount of $22,891.00 during the term of this agreement.
4. SCOPE OF SERVICES. The Provider, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and carry out the duties of the Board
in providing shelter, counseling and other appropriate services to battered spouses living in Monroe
County, Florida. Said services shall include, but are not limited to, those services described in
Provider's Details of Specific Program for Which Funding is Requested, attached hereto as Exhibit C
and incorporated herein.
5. RECORDS. The Provider shall maintain appropriate records to insure a proper
accounting of all funds and expenditures, and shall provide a clear financial audit trail to allow for
full accountability of funds received from said Board. Access to these records shall be provided
during weekdays, 8 a.m. to 5 p.m" upon request of the Board, the State of Florida, or authorized
agents and representatives of the Board or State.
The Provider shall be responsible for repayment of any and all audit exceptions which are
identified by the Auditor General of the State of Florida, the Clerk of Court for Monroe County, an
independent auditor, or their agents and representatives. In the event of an audit exception, the
current fiscal year contract amount or subsequent fiscal year contract amounts shall be offset by the
amount of the audit exception. In the event this agreement is not renewed or continued in
subsequent years through new or amended contracts, the Provider shall be billed by the Board for
the amount of the audit exception and the Provider shall promptly repay any audit exception.
6. INDEMNIFICATION AND HOLD HARMLESS. The Provider covenants and agrees to
indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including property
owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees)
which arise out of, in connection with, or by reason of services provided by the
Provider occasioned by the negligence, errors, or other wrongful act or omission of the Provider's
employees, agents, or volunteers.
7. INDEPENDENT CONTRACTOR. At all and for all purposes hereunder, the Provider is an
independent contractor and not an employee of the Board. No statement contained in this
agreement shall be construed so as to find the Provider or any of its employees, contractors, servants
or agents to be employees of the Board.
8. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement. the
Provider shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating the
2
provision of such services, including those now in effect and hereinafter adopted. Any violation of
said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement
and shall entitle the Board to terminate this contract immediately upon delivery of written notice of
termination to the Provider.
9. COMPLIANCE WITH COUNTY GUIDELINES. The Provider demonstrate and sustain
compliance with:
(a) 501 (c)(3) Registration;
(b) Board of Directors of seven or more;
(c) Annual election of Officers and Director;
(d) Annual provision of annual report to County;
(e) Corporate Bylaws;
(f) Corporate Policies and Procedures Manual;
(g) Hiring policies for all staff;
(h) Cooperate with County monitoring visits; and
(I) Semi-annual performance reports to be presented to County.
10.. PROFESSIONAL RESPONSIBILITY AND LICENSING. The Provider shall assure that all
professionals have current and appropriate professional licenses and professional liability insurance
coverage. Funding by the Board is contingent upon retention of appropriate local, state and/or
federal certification and/or licensure of the Provider's program and staff.
11. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services and/or
reimbursement of services shall be amended by an agreement amendment, which must be
approved in writing by the Board.
12. NO ASSIGNMENT. The Provider shall not assign this agreement except in writing and
with the prior written approval of the Board, which approval shall be subject to such conditions and
provisions as the Board may deem necessary. This agreement shall be incorporated by reference
into any assignment and any assignee shall comply with all of the provisions herein. Unless expressly
provided for therein, such approval shall in no manner or event be deemed to impose any
obligation upon the Board in addition to the total agreed upon reimbursement amount for the
services of the Provider.
3
13. NON-DISCRIMINATION. The Provider shall not discriminate against any person on the
basis race, creed, color, national origin, sex or sexual orientation, age, physical handicap, or any
other characteristic or aspect which is not job-related in its recruiting, hiring, promoting, terminating
or any other area affecting employment under this agreement. At all times, the Provider shall
comply with all applicable laws and regulations with regard to employing the most qualified
person(s) for positions under this agreement. The Provider shall not discriminate against any person
on the basis of race, creed, color, national origin, sex or sexual orientation, age, physical handicap,
financial status or any characteristic or aspect in its providing of services.
14. AUTHORIZED SIGNATURES. The signatory for the Provider below, certifies and warrants
that:
(a) The Provider's name in this agreement is the full name as designated in its corporate
charter, if a corporation, or the full name under which the Provider is authorized to do business in the
State of Florida.
(b) He or she is empowered to act and contract for the Provider; and
(c) This agreement has been approved by the Board of Directors of the Provider if the
Provider is a corporation.
15.
NOTICE.
Any notice required or permitted under this agreement shall be in
writing and hand-delivered or mailed, postage pre-paid, by certified mail, return receipt requested,
to the other party as follows:
For Board:
Monroe County Attorney
310 Fleming Street
Key West, FL 33040
and
Louis LaTorre, Social Services Director
Public Service Building
5100 College Road
Key West, FL 33040
For Provider:
Domestic Abuse Shelter, Inc.
Post Office Box 2696
Marathon, FL 33052
16. CONSENT TO JURISDICTION. This agreement shall be construed by and governed
under the laws of the State of Florida and venue for any action arising under this agreement shall be
in Monroe County, Florida.
17. NON-WAIVER. Any waiver of any breach of covenants herein contained to be kept
and performed by the Provider shall not be deemed or considered as a continuing waiver and shall
4
not operate to bar or prevent the Board from declaring a forfeiture for any succeeding breach,
either of the same conditions or covenants or otherwise.
18.
AVAILABILITY OF FUNDS.
If funds cannot be obtained or cannot be continued at
a level sufficient to allow for continued reimbursement of expenditures for services specified herein,
this agreement may be terminated immediately at the option of the Board by written notice of
termination delivered to the Provider. The Board shall not be obligated to pay for any services or
goods provided by the Provider after the Provider has received written notice of termination, unless
otherwise required by law.
19. PURCHASE OF PROPERTY. All property, whether real or personal. purchased with
funds provided under this agreement, shall become the property of Monroe County and shall be
accounted for pursuant to statutory requirements.
20. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the parties
hereto with respect to the subject matter hereof and supersedes any and all prior agreements with
respect to such subject matter between the Provider and the Board.
" J~~r~ESS WHEREOF, the parties hereto have caused these presents to be executed as of
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ATTEST~ KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MO COUNTY, FLORIDA
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DOMESTIC ABUSE SHELTER, INC.
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By \&"'l-tcL~w.l\\.
Executive Director
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>ENCY NAME: Domcstic Abuse Sizelter, IIlC.
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1~. '''That other organizations do you network with to prevent a duplication of senices? Describe any
sharing of costs, referrals of clients, etc. We are looking for more detail than your membership in
Interagency Council. An example of an appropriate answer is "one of XYZ's employees works out of our
branch" or "we joint fund X position with ABC Agency."
. DAS works closely with other agencies to provide comprehensive services for victims of domestic violence.
DAS and the State Attorney's Office receive money each year from thc Victim of Crime Act (VOCA)
from the Attorney General's Office in Tallahassee. VOCA partially funds staff in the Upper and Lower
Keys Outreach offices for DAS. The State Attorney's Office receives funds from VOCA for the Victim
Witness and Victim Advocate program. This program provides crisis counseling seroices to victims of
any violent crime; the staff and volunteers frequently refer victims of domestic violence to DAS for more
in-depth seroices.
. DAS recently received funds from the Florida Coalition Against Domestic Violence (FCAD V) to pilot a
Superoised Visitation program in Monroe County. DAS will work in conjunction with the Florida Keys
Children's Shelter (FKCS) to provide this unique and needed service for families experiencing domestic
violence. DAS will provide a Project Manager to oversee the project, coordinate services between the
courts, the families, and the FKCS, and provide training to the staff of the FKCS. FKCS will provide the
facilities and the staff to provide the services.
. DAS relies heavily on local community agencies to refer clients for expanded services. DAS staffJuzve
developed solid working relationships with other agencies such as HRS, Monroe County Social Services,
local hospitals, local law enforcement, the State Attorney's Office, community mental health agencies, and
other non-profit agencies.
. DAS is also a member of various community groups such as the Shared Services Network of Monroe
County; HRS Family Preseroation Services Committee; the Middle Keys Interagency Council; the
Criminal Justice Subcommittee on Domestic Violence; and the SafePort Advisory Committee.
Additionally, DAS belongs to the Florida Coalition Against DOmestic Violence and the National
Coalition Against Domestic Violence.
17. Is your agency monitored by an outside agency? If yes, by who and how often?
If not, how does your agency document and measure its service performance and success rates?
. Each year, HRS staff and VDCA staff come to DAS to complete a program, financial, and administrative
monitoring. See Attachment P fur the most current monitoring Teports from HRS and VDCA.
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20.
Is your agency receiving any In-Kind Services i.e. free rent, utilities, maintenance, etc. from the County
or any other organization? If so, What is the fair market value?
. The coUnty provideS a small office space in the Upper Keys for outreach.services.The total in-kind value
has been set at $340 per month (including utilities) by real estate appraisers.
What is the percentage of total agency revenue that goes to the follo'wing:
Fundraising Expenses? 0% Administration Expenses 12%
Complete Attachment B - Agency Salary Detail Form.
. See Attachment K - Agency Salary Detail.
18.
19.
. ' . .. . . . .... . . . . -... . . . .. -.... .
DETAit.SO'l,t$r.~~..~I.Ft~.J'RRG.~FOR l'VHlCH FUNDING IS REQUESTED
21. Please give a one paragraph description of the agency program for which you are requesting funding.
. DAS is requesting county funds as partial local match for the Marriage License Fee TntSt Fund (MLFTF)
contrad through HRS. The MLFTF with the match dollars are used to support victim services. DAS is the only
agency in Monroe County that provides services for victims of domestic violence that include the following:
short term emergency shelter, counseling (both in-house and outreach), 24 hour toll free hotline; advocacy within
the criminal justice and human service systems; information and referrals for trictims; community education; and
professional training for medical staff and law enforcement. These comprehensive seroiccs are county-wide and
free of charge to victims of domestic violence.
6
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE CQUNTY. FLORIDA
ETHICS CLAUSE
l\~~\~"l \\~~ ~\~~\~\\.
warrants that he/it 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.1 0-1990. 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 fonner County officer or employee.
tl~l ~uLCJlw-~
(signature)
Date:
llJ - :t c\ -q ~
STATE OF
r: U) f?j {;lJt-
1
yJ70P ioc-
COUNTY OF
,
PERSONALL Y APPEARED BEFORE ME, the undersigned authority,
[fEll ITIr WVIV
who, after first being sworn by me, affixed his/her
signature (name nf individual S;1) in the space provided abnve nn this .;;2 f"C( day nf
r!;C/O~ ,19 '.
~ :t- ~.
~ PUBLIC
My commission expires:
8-~ 13~/7
. Q.'( P SHARYN L COLLETTE
~~"""#~COMMISSlON # CC 488029
~ EXPIRES AUG 13,1999
~ ~ BONDED THRU
'/jOJ. ATlrANTlC BONDING CO..INC.
.
OMB - MCP FORM #4
PUBLIC ENTITY CRIME STATEMENT
"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 list."
..
ATTACHMENT A
Expense Reimbursement Requirements
This document is intended to provide "basic" guidelines to Human Service Organizations, county
travellers, and contractual parties who have reimbursable expenses associated with Monroe
County business. These guidelines, as tlley relate to travel, are from Florida Statute 112.061,
which is attached for reference.
A cover letter summarizing the major line items on the reimbursable expense "'equest should also
contain a 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 organization's 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 hi 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 Stephanie Griffiths at 305-292-3528.
(
Payroll:
A certified statement verifying the accuracy and authenticity of the payroll expenses.
If a Payroll Journal is provided, it should include:
Payroll Journal dates
employee name, salary, or hourly rate
hours worked during the payroll journal dates
withholdings where appropriate
check number and check amount
If a Payroll Journal is not provided the following must be listed:
check number, date, payee, check amount
support for applicable payroll taxes
Original vendor invoices must be submitted for Worker's Compensation ane :iability insurance
coverage.
Telephone expenses:
A user log of pertinent infonnation must be remitted: the party called, the caller, the telephone
number, the date, and the purpose of the call must be identified.
Telefax, fax, etc.:
A fax log is required. The log must define the sender, the intended recipient, the date, the number
called, and the reason for sending the fax.
Supplies, services, etc.:
For supplies or services ordered the County requires the original vendor invoice.
Rents, leases, etc.:
-
A copy of the rental agreement or lease is required. Deposits and advance p::~yments will not be
allowable expenses.
Postage, overnight deliveries, courier, etc.:
A log of all postage expenses as it relates to. the County contract is required for reimbursement.
For overnight or express deliveries, the original vendor invoice must be included.
. .
Reproductions, copies, etc.:
I
A log of copy expenseS' as it relates to the County contract is required for f( imbursement. The
log must define the date, number of copies made, source document, purpo;ie, and -ecipient. A
reasonable fee for copy expenses will be allowable. For vendor services, the original vendor
invoice is required and a sample of the finished product.
Travel expenses: please refer to Florida Statute 112.061.
Travel expenses must be submitted on a State of Florida Voucher for Reimr 'u'Sement of
Travel Expenses. Credit card statements are not acceptable documentation for f' .m. Ifsement.
Airfare reimbursement requires the original passenger receipt portion of the ainine Licket. A
travel itinerary is appreciated to facilitate the audit trail.
Auto rental reimbursement requires the original vendor invOIce. Fuel purchases should be
documented with original paid receipts.
Original taxi receipts should be provided. However, reasonable fares will be reimbl ~r~ed without
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for exa:. ole, taking a
taxi from one's residence to the airport for a business trip is not reimbursable.
I
ATTACHMENT 13
HUMAN SERVICE ORGANIZATION LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, Florida 33040
(Date)
The following is a summary of the expenses for (Human Service Organization name) for the time
period of _ to _ :
Check # Payee Reason
101 A Company
102 B Company
103 D Company
104 Person A
105 Person B
Amount
rent
utilities
phones
payroll
payroll
$xxxx.xx
$xxxx.X(
$xxxx.xx
$xx~-x.xx
$xx <x.xx
(A) Total
(B) Total prior:Payments
f
(C) Total requested and paid (A + B)
$xxxx.xx
$xxxx. xx
$XXXX.XX
(0) Total contract amount
(.
..f\XXxx.XX
Balance of contract (D - C)
$XXXX xx
I 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 01 her funding source.
,.
Executive Director
Attachments (supporting documentation)
Sworn and subscribed before me this _ day of
199_.
Notary Public
Notary stamp
Original toll receipl~ should be provided. However, reasonable tolls will be reimbursed without
receipts.
Parking is considered a reimbursable travel expense at the destination. Airport parking during a
business trip is not.
Lodging reimbursement requires a detail listing of charges. The original lodging invoice must be
submitted. The County will only reimburse the actual room and related bed tax. Room service,
movies, and personal telephone calls (see previous guidelines) are not allowable expenses. Per
diem lodging expenses may apply. Again, refer to Florida Statute 112.061.
Meal reimbursement is breakfast at $3.00, lunch at $6.00, and dinner at $12.00. Meal guidelines
are that travel must begin prior to 6 am for breakfast reimbursement, before noon and end after
2pm for lunch reimbursement, and before 6pm and end after 8 pm for dinner reimbursement.
\
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.
Mileage reimbursement is calculated at 20 cents per mile for personal auto mileage while on
county business. Effective October 1, 1994, mileage will be reimbursed at 25 cents per mile. An
odometer reading must be included on the state travel voucher for vicinity travel. A mileage map
is attached for reference to allowable miles from various Florida destinations.
Mileage is not allowed from a residence or office to a point of departure: for example, driving
from one's home to the airport for a business trip is not a reimbursable expense.
. .
Data processing, PC time, etc.:
I
The original vendor invoice is required for reimbursement. Intercompany allocations are not
considered reimbursable expenditures unless appropriate payroll journals for the charging
department (see Payroll above) are attached and certified.
The following expenses are not allowable for reimbursement:
penalties and fines
non-sufficient check charges
fundraising
contributions
capital outlay expenditures (unless specifically included in the contract)
depreciation expenses (unless specifically included in the contract)
SGRIFFITHS
WP51\PROCEDUR\EXP _REIM