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Item C22MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: May 21, 2008 Division: Budget and Finance Bulk Item: Yes ❑ No ® Department: Grants Staff Contact Person: David P. Owens AGENDA ITEM WORDING: Approval of inter -local agreement between Monroe County and the School Board of Monroe County to cooperate in support of services formerly offered by the PACE Center for Girls, Inc. for County fiscal year 2008, with option to renew. ITEM BACKGROUND: PACE provided services to disadvantaged children, such as classroom instruction, career training, group and family counseling transitional services, referral, community service and case management for at -risk girls age twelve through eighteen in Monroe County. Effective March 31 2008, the PACE Center for Girls eliminated funding for its program in Monroe County. The School Board has agreed to help support the program. PREVIOUS RELEVANT BOCC ACTION: Approval of PACE contract for FY 2008 at October 2007 meeting. CONTRACT/AGREEMENT CHANGES: new contract: change in provider; amount represents unused balance from PACE contract STAFF RECOMMENDATION: Approval TOTAL COST: $to be determined COST TO COUNTY: $to be determined BUDGETED: Yes X No SOURCE OF FUNDS: Ad Valorem Taxes REVENUE PRODUCING: Yes ❑ No ® AMOUNT PER MONTH YEAR APPROVED BY: COUNTY ATTY ❑ OMB/PURCHASING ❑ RISK MANAGEMENT ❑ DOCUMENTATION: INCLUDED: ❑ NOT REQUIRED: ❑ DISPOSITION: AGENDA ITEM #: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Contract with: School Board of Monroe County CONTRACT SUMMARY Contract # Effective Date: 04/01/08 Expiration Date: 09/30/08 Contract Purpose/Description: Provides funding for the services formerly offered by the PACE Center for Girls in Monroe County. Contract Manager: David P. Owens 4482 OMB/Grants (Name) (Ext.) (Department) for BOCC meeting on a Deadline: CONTRACT COSTS Total Dollar Value of Contract: $TBD Current Year Portion: $TBD Budgeted? Yes X No ❑ Account Codes: 001-XXXXXX-530340- - Grant: $ - - - - County Match: $ - - - - ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc. CONTRACT REVIEW Changes Date Out Date Needed Reviewer In Division Director Yes❑ No[:] Risk Management Yes❑ No[:] OMB/Purchasing Yes❑ No[:] County Attorney Yes❑ No❑ Comments: OMB Form Revised 9/11/95 MCP #2 INTERLOCAL AGREEMENT BETWEEN THE SCHOOL BOARD OF MONROE COUNTY AND THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS This Agreement (Agreement) is made and entered into this 215t day of May, 2008 by MONROE COUNTY (COUNTY), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, FL 33040, and the SCHOOL BOARD OF MONROE COUNTY (SCHOOL BOARD), as the contracting agent for the School District of Monroe County, a public agency of the State of Florida, whose address is 241 Trumbo Road, Key West, FL 33040. WITNESSETH: WHEREAS, the PACE Center for Girls, Inc., provides essential services, including classroom instruction, career training, group and family counseling, transitional services, referral, community service, and case management for at -risk girls age twelve through eighteen in Monroe County; and WHEREAS, effective October 1, 2007, the COUNTY entered into a contract with the PACE Center for Girls, Inc., which provided funding for these services for County fiscal year 2008; and WHEREAS, the funding for the PACE Center for Girls has been eliminated for its program in Monroe County effective March 31, 2008; and WHEREAS, SCHOOL BOARD has agreed to provide facilities for these services and employment for former PACE employees; and WHEREAS, COUNTY wishes to continue supporting these services; and WHEREAS, the parties are authorized by Section 163.01(4), Florida Statutes, to enter into an interlocal agreement to carry out their independent powers; and NOW THEREFORE, IN CONSIDERATION OF the mutual promises and conditions contained herein, the parties agree as follows: 1. SCOPE. The Parties shall cooperate in support of the above -mentioned services as follows: A. COUNTY RESPONSIBILITY. COUNTY shall provide SCHOOL BOARD up to a maximum of to be determined no/100 dollars ($TBD) in funding for fiscal year 2008 according to the terms of payment in Paragraph 3. B. SCHOOL BOARD RESPONSIBILITY. SCHOOL BOARD shall ensure that services previously performed by PACE will continue throughout the term of this agreement, including, but not limited to, classroom instruction, career training, group and family counseling, transitional services, referral, community service, and case management for at -risk girls age twelve through eighteen in Monroe County. 2. TERM. A. Subject to and upon the terms and conditions set forth herein, this Agreement shall be effective retroactively to April 1, 2008, and end on September 30, 2008. B. The parties may extend this agreement after the expiration of the term described herein according to such terms and conditions as may be agreed to at the time of extension. 3. PAYMENT. Reimbursement requests will be submitted to the Board via the Clerk's Finance Office. The COUNTY shall only reimburse, subject to the funded amounts, those reimbursable expenses which are reviewed and approved as complying with this Agreement. Evidence of payment by the SCHOOL BOARD shall be in the form of a letter, summarizing the expenses, with supporting documentation attached. The letter should contain a certification statement. An example of a reimbursement request cover letter is included as Attachment B. The SCHOOL BOARD'S final invoice must be received within sixty days after the termination date of this contract shown in Article 2 above. After the Clerk of the Board of County Commissioners examines and approves the request for reimbursement, the COUNTY shall reimburse the SCHOOL BOARD. However, the total of said reimbursement expense payments in the aggregate sum shall not exceed the total amount shown in Article 1, above. 4. 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 COUNTY by written notice of termination delivered to the SCHOOL BOARD. The COUNTY shall not be obligated to pay for any services or goods provided by the SCHOOL BOARD after the SCHOOL BOARD has received written notice of termination, unless otherwise required by law. S. CLAIMS FOR FEDERAL OR STATE AID. SCHOOL BOARD and COUNTY agree that each shall be, and is, empowered to apply for, seek, and obtain federal and state funds to further the purpose of this Agreement; provided that all applications, requests, grant proposals, and funding solicitations shall be approved by each party prior to submission. 6. AUTHORITY. Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary County and corporate action, as required by law. RECORDKEEPING 7. RECORDS. SCHOOL BOARD shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the Agreement and for four years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to SCHOOL BOARD pursuant to this Agreement were spent for purposes not authorized by this Agreement, the SCHOOL BOARD shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to SCHOOL BOARD. S. PUBLIC ACCESS. The COUNTY and SCHOOL BOARD shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the COUNTY and SCHOOL BOARD in conjunction with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by SCHOOL BOARD. OTHER RESPONSIBILITIES 9. ATTESTATIONS. SCHOOL BOARD agrees to execute such documents as the COUNTY may reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -Free Workplace Statement. 10. ATTORNEY'S FEES AND COSTS. The COUNTY and SCHOOL BOARD agree that in the event any cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses, as an award against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the circuit court of Monroe County. 11. BINDING EFFECT. The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the COUNTY and SCHOOL BOARD and their respective legal representatives, successors, and assigns. 12. CODE OF ETHICS. County agrees that officers and employees of the County recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. . 13. NO SOLICITATION/PAYMENT. The COUNTY and SCHOOL BOARD warrant that, in respect to itself, it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the SCHOOL BOARD agrees that the County shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. 14. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the SCHOOL BOARD is an independent contractor and not an employee of the COUNTY. No statement contained in this agreement shall be construed so as to find the SCHOOL BOARD or any of its employees, contractors, servants or agents to be employees of the COUNTY. COMPLIANCE ISSUES 15. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the COUNTY and SCHOOL BOARD agree that each shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating the 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 COUNTY or SCHOOL BOARD to terminate this contract immediately upon delivery of written notice of termination to the other. 16. PROFESSIONAL RESPONSIBILITY AND LICENSING. The SCHOOL BOARD shall assure that all professionals have current and appropriate professional licenses and professional liability insurance coverage. Funding by the COUNTY is contingent upon retention of appropriate local, state and/or federal certification and/or licensure of the SCHOOL BOARD's program and staff. 17. DISCRIMINATION. COUNTY and SCHOOL BOARD agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. COUNTY or SCHOOL BOARD agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education, Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. AMENDMENTS, CHANGES, AND DISPUTES 18. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services and/or reimbursement of services shall be accomplished by an amendment, which must be approved in writing by the COUNTY and SCHOOL BOARD. 19. ADJUDICATION OF DISPUTES OR DISAGREEMENTS. COUNTY and SCHOOL BOARD agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If no resolution can be agreed upon within 30 days after the first meet and confer session, the issue or issues shall be discussed at a public meeting of the Board of County Commissioners. If the issue or issues are still not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. 20. COOPERATION. In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach of this Agreement, COUNTY and SCHOOL BOARD agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the substance of this Agreement or provision of the services under this Agreement. COUNTY and SCHOOL BOARD specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. 21. TERMINATION. This Agreement may be terminated by either party upon forty-five (45) days written notice to the other party. ASSURANCES 22. COVENANT OF NO INTEREST. COUNTY and SCHOOL BOARD covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. 23. NO ASSIGNMENT. The SCHOOL BOARD shall not assign this agreement except in writing and with the prior written approval of the COUNTY, which approval shall be subject to such conditions and provisions as the COUNTY 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 COUNTY in addition to the total agreed upon reimbursement amount for the services of the SCHOOL BOARD. 24. NON -WAIVER OF IMMUNITY. Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of the COUNTY and the SCHOOL BOARD in this Agreement and the acquisition of any commercial liability insurance coverage, self-insurance coverage, or local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any contract entered into by the COUNTY be required to contain any provision for waiver. INDEMNITY ISSUES 25. INDEMNIFICATION AND HOLD HARMLESS. To the extent allowed by law, the SCHOOL BOARD 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 SCHOOL BOARD occasioned by the negligence, errors, or other wrongful act or omission of the SCHOOL BOARD's employees, agents, or volunteers. 26. PRIVILEGES AND IMMUNITIES. All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the COUNTY, when performing their respective functions under this Agreement within the territorial limits of the County shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the County. 27. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution of this Agreement. 28. LEGAL OBLIGATIONS AND RESPONSIBILITIES: Non -Delegation of Constitutional or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of the COUNTY, except to the extent permitted by the Florida constitution, state statute, and case law. 29. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or program contemplated hereunder, and the COUNTY and the SCHOOL BOARD agree that neither the COUNTY nor the SCHOOL BOARD or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. 30. EXECUTION IN COUNTERPARTS. This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. 31. 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 COUNTY: David P. Owens, Grants Administrator and Gato Building 1100 Simonton Street Key West, FL 33040 For SCHOOL BOARD and Chairman Monroe County School Board 241 Trumbo Road Key West, FI 33040 Monroe County Attorney PO Box 1026 Key West, FL 33041 Superintendent of Schools 241 Trumbo Road Key West, FI 33040 32. CONSENT TO JURISDICTION. Governing Law, Venue, Interpretation, Costs, and Fees: This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to contracts made and to be performed entirely in the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the COUNTY and SCHOOL BOARD agree that venue will lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. 33. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept and performed by the SCHOOL BOARD shall not be deemed or considered as a continuing waiver and shall not operate to bar or prevent the COUNTY from declaring a forfeiture for any succeeding breach, either of the same conditions or covenants or otherwise. 34. SEVERABILITY. If any term, covenant, condition or provision of this Agreement (or the application thereof to any circumstance or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement of the remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The COUNTY and SCHOOL BOARD agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. 35. 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 SCHOOL BOARD and the COUNTY. IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as of the day and year first written above. SEAL MONROE COUNTY BOARD OF DANNY KOLHAGE, CLERK COUNTY COMMISSIONERS Deputy Clerk Mayor ATTEST MONROE COUNTY SCHOOL BOARD CHAIRMAN 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 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 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 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 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 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. 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. Telephone Expenses 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. Travel Expenses Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel Expenses. Travel must be submitted in accordance with Florida Statute 112.061. Credit card statements are not acceptable documentation for reimbursement. If attending a conference or meeting a copy of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental reimbursement requires the vendor invoice. Fuel purchases should be documented with paid receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Parking is considered a reimbursable travel expense at the destination. Airport parking during a business trip is not. A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room must be registered and paid for by traveler. The County will only reimburse the actual room and related bed tax. Room service, movies, and personal telephone calls are not allowable expenses. Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2 p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement. Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a residence or office to a point of departure. For example, driving form one's home to the airport for a business trip is not a reimbursable expense. Non -allowable Expenses The following expenses are not allowable for reimbursement: capital outlay expenditures (unless specifically included in the contract), contributions, depreciation expenses (unless specifically included in the contract), entertainment expenses, fundraising, non -sufficient check charges, penalties and fines. ATTACHMENT B (ORGANIZATION LETTERHEAD) Monroe County Board of County Commissioners Finance Department 500 Whitehead Street Key West, FL 33040 Date The following is a summary of the expenses for (Organization name) for the time period of to Check # Payee Reason Amount 101 Company A Rent $ X,XXX.XX 102 Company B Utilities XXX.XX 104 Employee A P/R ending 05/14/01 XXX.XX 105 Employee B P/R ending 05/28/01 XXX.XX (A) Total $$ X,XXX.XX (B) Total prior payments $ X,XXX.XX (C) Total requested and paid (A + B) $ X,XXX.XX (D) Total contract amount $ X,XXX.XX Balance of contract (D-C) $$ X,XXX.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 organizations_ 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 2008 by who is personally known to me. Notary Public Notary Stamp