Resolution 288-1994
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RESOLUTION NO. 288 - 1994
A RESOLUTION OF THE MONROE COUNTY BOARD OF COMMISSIONERS
AUTHORIZING THE EXECUTION OF A HAZARD MITIGATION FUNDING
AGREEMENT, UNDER FEMA-955-DR-FL, TO PROVIDE FUNDS FOR THE
HURRICANE SHUTTERS ON THE COUNTY ATTORNEYS OFFICE AND THE
MONROE COUNTY EMERGENCY OPERATIONS CENTER
WHEREAS, on September 29, 1993, at a regularly scheduled
meeting, the Monroe County Board of Commissioners authorized the
submission of a grant application to the Federal Emergency
Management Agency Hazard Mitigation Grant Program for financial
assistance to purchase hurricane shutters for certain county
facilities; and
WHEREAS, the State Hazard Mitigation Office has approved the
proposals for the County Attorney's Office and the Monroe County
Emergency Operations Center; and
WHEREAS, the State Hazard Mitigation Office has transmitted
the Hazard Mitigation Funding Agreement for execution by Monroe
County; now therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, THAT:
1. The Mayor of the Board is hereby authorized to execute
the Hazard Mitigation Funding Agreement for Hurricane Andrew;
under FEMA-955-DR-FL; and that
2. This resolution'shall become effective immediately upon
adoption by the Commission and execution by the Presiding Officer
and Clerk.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 22nd day of September, A.D. 1994.
Mayor London yes
Mayor ProTem Cheal yes
Commissioner Freeman yes
Commissioner Harvey yes
Commissioner Reich y~
BOARD~OUNTY
OF MO 0 COU
DAlmY L. ltO'h'fiAGE, 'CIe'flt By: . ',>-
(Seal) ~ ~
Attest: Ifl~ 'AU
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955
DCA AGREEMENT NO.95-DP-2M-11-54-01-003
FEMA PROJECT APPLICATION NO. 087-00000
HAZARD MITIGATION FUNDING AGREEMENT
This Agreement is between the State of Florida, Department
of Community Affairs (Grantee) and Monroe Count v (Subgrantee).
In support of the Agreement, the parties state:
WHEREAS, Hurricane Andrew produced disastrous weather
conditions which had a devastating impact upon South Florida;
and
WHEREAS, the severity of the damage loss resulted in the
declaration of a disaster emergency by the Governor; and
WHEREAS, The President of the United States has concurred
and has declared a major disaster emergency designated FEMA-DR-
955-FL; and
WHEREAS, the Federal Emergency Management Agency (FEMA), as
a result of the Presidential Declaration, has made available
federal funds for hazard mitigation grants; and
WHEREAS, the FEMA-State Agreement, defined herein below,
governing the use of those funds requires the subgrantee to share
in the total costs eligible for federal assistance; and
WHEREAS, Sections 252.35. 252.36, 252.37, and 252.38,
163.03, Florida Statutes, authorize the relationship described
herein.
NOW THEREFORE, the parties agree as follows:
1. DEFINITIONS: unless otherwise indicated, the following
terms shall be defined as stated herein.
a. "Allowable costs", as used in this Agreement, means
those costs authorized in the FEMA-State Agreement, as defined
herein below; Public Law 93-288, as amended by Public Law 100-707
(hereinafter the "Stafford Act"); and Title 44 CFR S 206.439.
b. "Project" shall be defined as indicated in 44 CFR
206.431 (f) .
c. "FEMA-State Agreement" shall mean that agreement
between FEMA and the State of Florida, dated on or about August
28, 1992, and all modifications thereto.
d. "Hazard Mitigation Plan" shall mean that plan
identified in 44 CFR 206.431(g)
e. "Administrative Plan" shall mean that plan
identified in 44 CFR 206.431(h)
f. "Application" shall mean that request for funding
described in 44 CFR S206.431(b).
2. APPLICABLE STATUTES, RULES and AGREEMENTS: The parties
agree to be bound by all terms of the FEMA-State Agreement and
all applicable state and federal statutes and regulations,
including but not limited to:
(a) 44 CFR parts 10, 13, 14 and 206;
(b) Title VI of the civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color or
national origin;
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(c) Title IX of the Education Amendments of 1972, as amended
(20 D.S.C.: 1681-1683 and 1685-1686) which prohibits
discrimination on the basis of sex;
(d) Section 504 of the Rehabilitation Act of 1973, as
amended (29 D.S.C.: 794) which prohibits discrimination on the
basis of handicaps;
(e) the Age Discrimination Act of 1975, as amended (42
D.S.C.: 6101-6107) which prohibits discrimination on the basis of
age;
(f) the Drug Abuse Office and Treatment Act of 1972 (P.L.
91-616) as amended, relating to nondiscrimination on the basis of
drug abuse;
(g) the Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-
616) as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism;
(h) 523 and 527 of the Public Health Service Act of 1912 (42
D.S.C. 290 dd-3 and 290 ee-3), as amended, relating to
confidentiality of alcohol and drug abuse patient records;
(i) Title VIII of the Civil Rights Act of 1968 (42 D.S.C.:
3601 et seq.), as amended, relating to nondiscrimination in the
sale, rental or financing of housing, and any other
nondiscrimination provisions in the specific statute(s) under
which application for federal assistance is being made;
(j) Section 106 of the National Historic Preservation Act of
1966, as amended (16 D.S.C.: 470), EO 11593 (identification and
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preservation of historic properties), and the Archaeological and
Historic Preservation Act of 1974 (16 U.S.C.: 469a-1 et seq.);
(k) Lead-Based Paint Poisoning Act (42 U.S.C.: 4801) et
seq.) which prohibits the use of lead based paint in construction
of rehabilitation or residential structures;
(1) Titles II and III of the Uniform Relocation Assistance
and Real Property Acquisition Act of 1970 (P.L. 91-646) which
provides for fair and equitable treatment ?f persons displaced or
whose property is acquired as a result of federal and federally
assisted programs. (These requirements apply to all interests in
real property acquired for project purposes regardless of federal
participation in purchases.); and
(m) Energy Policy and Conservation Act (P.L. 94-163), and
the provisions of the state Energy Conservation Plan adopted
pursuant thereto.
3. FUNDING and INSURANCE: The Grantee shall provide funds to
the Subgrantee for up to 50% (the Federal share) of allowable
costs for eligible hazard mitigation projects, as approved by the
Grantee and the Federal Emergency Management Agency (FEMA) ,
specifically described in the Subgrantee's application. Allowable
costs shall be determined in accordance with the Robert T.
Stafford Disaster Relief and Emergency Assistance Act, 44 CFR
~206 and 44 CFR Part 13. The Subgrantee agrees to provide the
required matching funds. The State of Florida shall provide no
matching funds for the purposes of this agreement.
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Subgrantee agrees, as a condition of receipt of funding
pursuant to this Agreement, to obtain reasonably available,
adequate, and necessary insurance for the type or types of hazard
for which the major disaster was declared, in accordance with the
requirements of 44 CFR 206 subpart I.
4. DUPLICATION OF BENEFITS PROHIBITION: In accordance with
the provisions of Section 312 of the Stafford Act, duplication of
benefits is prohibited. The Subgrantee shall notify the Grantee,
as soon as practicable, of the existence of any insurance
coverage for the costs identified in the application and of any
entitlement or recovery to payments from another source for the
project costs. Allowable costs shall be reduced by the amount of
duplicate sources available. The Subgrantee shall be liable to
the Grantee to the extent that the Subgrantee receives duplicate
benefits from another source for the same purposes for which the
Subgrantee has received payment from the Grantee. The Subgrantee
shall immediately remit to the Grantee any duplication of
benefits payment received by the Subgrantee.
5. COMPLIANCE WITH ENVIRONMENTAL, PLANNING AND PERMITTING
LAWS: The Subgrantee shall be responsible for implementation and
completion of the approved projects described in the
application(s) in a manner satisfactory to the Grantee, and in
accordance with applicable federal, state, and local statutes,
regulations, plans, and policies. Any development permit issued
by, or development activity undertaken by, the Subgrantee, and
any land use permitted by or engaged in by the Subgrantee, shall
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be consistent with the local comprehensive plan and land
development regulations prepared and adopted pursuant to Chapter
163, Part II, Florida Statutes. Funds shall be expended for, and
development activities and land uses authorized for, only those
uses which are permitted under the comprehensive plan and land
development regulations. The Subgrantee shall be responsible for
insuring that any development permit issued and any development
activity or land use undertaken is, where applicable, also
authorized by the Water Management District, the Florida
Department of Natural Resources, the Florida Department of
Environmental Protection, the Florida Department of Health and
Rehabilitative Services, and any local environmental or land use
permitting authority, where required.
Subgrantee agrees that any repair or construction shall be
in accordance with applicable standards of safety, decency and
sanitation, and in conformity with applicable codes,
specifications and standards.
In addition, Subgrantee shall comply with other federal and
state environmental regulations, including, but are not limited
to, the following:
(a) institution of environmental quality control measures
under the National Environmental Policy Act of 1969 (P.O. 91-190)
and Executive Order (EO) 11514;
(b) notification of violating facilities pursuant to EO
11738;
(c) protection of wetlands pursuant to EO 11990;
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(d) evaluation of flood hazards in floodplains in accordance
with EO 11988;
(e) assurance of project consistency with the approved state
management program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C.: 1451 et seq.);
(f) conformity of federal actions to State (Clean Air)
Implementation plans under Section 176(c) of the Clean Air Act of
1955, as amended (42 U.S.C.: 7401 et seq.);
(g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-
523) ;
(h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.O. 93-205); and
(i) the wild and Scenic Rivers Act of 1968 (16 U.S.C.: 1271
et seq.) related to protecting components or potential components
of the national wild and scenic rivers system.
Subgrantee further agrees to provide and maintain competent
and adequate engineering supervision at the construction site to
ensure that the complete work conforms with the approved plans
and specifications.
6. REQUIRED DOCUMENTATION; REVIEW/INSPECTION: The Subgrantee
shall create and maintain acceptable documentation of work
performed and costs incurred with respect to each project
identified in connection with an application. Failure to create
and maintain proper documentation will result in the disallowance
of Hazard Mitigation funding, and require the refund of funds
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previously reimbursed or advanced, including an interest penalty.
For all projects, the Subgrantee must submit information as
required by the Federal Emergency Management Agency or the
Grantee in order to evaluate and monitor projects. The Grantee
will schedule and perform the inspections on projects to ensure
that the work was performed within the scope of work delineated
on the approved application. Costs of any work not performed
within the approved scope of work shall not be eligible for
funding.
7. COST SHARING: The disaster relief funds for allowable
costs shall be shared in accordance with the cost sharing
provisions established in the Stafford Act and the FEMA-State
Agreement. The Federal share of allowable costs established in
the FEMA-State Agreement is 50% of allowable costs.
Administrative costs which according to the schedule are in
addition to and not part of the allowable costs, and are
otherwise eligible and involve no required match, will be funded
by FEMA. Subgrantee indirect costs are not separately eligible,
in accordance with 44 CFR ~206.439. The total Federal
contributions shall not exceed 10% of the estimated aggregate
amounts of specified Public Assistance made under Section 406 of
the Act for this disaster.
8. PAYMENT OF CLAIMS: The payments for approved projects
will be on a cost reimbursement basis and subject to receipt of
the following: (1) a Request For Advance or Reimbursement Form
(blank form attached hereto as Exhibit A) i and (2) a letter
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providing a brief synopsis of the request, and certifying that
the reported costs were incurred in the performance of eligible
work, that the approved work was completed, and that the
mitigation measure is in compliance with the provisions of the
FEMA-State Agreement. If a mitigation measure is not completed,
and there is not adequate justification for noncompletion, no
hazard mitigation funding shall be provided for that measure, and
funds previously provided or advanced, if any, shall be remitted
by the Subgrantee.
The Subgrantee may be paid an advance of up to twenty-five
percent (25%), provided that the Subgrantee: (1) demonstrates and
maintains the willingness and ability to maintain procedures to
minimize the time elapsing between the transfer of funds and
their disbursement; (2) submits budget data on which the request
is based; (3) submits a justification statement explaining the
necessity for and proposed use of the funds, and specification of
the amount requested; and (4) submits a completed Request for
Advance or Reimbursement Form. After any advance, and in the
event no advance is provided, all payments shall be on a cost
reimbursement basis. All reimbursement shall be subject to the
availability of funds, as determined by the Department.
Subgrantees shall promptly, but at least quarterly, remit
interest earned on advances (if any) to the Grantee for
remittance to FEMA.
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Cost overruns shall be reported to the Grantee as soon as
possible by the Subgrantee. Cost overruns which can be met
without additional Federal funds, or which can be met by
offsetting cost underruns on other projects, need not be
submitted to the FEMA Regional Director for approval, so long as
the full scope of work on all affected projects can still be met.
Cost overruns which exceed Federal obligated funds and require
additional Federal funds shall be evaluated by the Grantee and
may be submitted to the FEMA Regional Director for approval.
Subgrantees shall submit a written request for such approval to
the Grantee with written justification for the additional costs
and other pertinent information. All requests not so justified
shall be denied. Requests may also be denied based upon the non-
availability of funds. In no case will the total amount
obligated for the Hazard Mitigation Grant Program exceed the
funding limits set by the Stafford Act and FEMA regulation. In
no case will funds authorized for a hazard mitigation project
exceed 50% of the total costs of the project.
Reimbursement of any cost in accordance with this agreement
shall not constitute a final decision about the eligibility and
allowability of such cost and shall not constitute a waiver of
any violation of the terms of this agreement. The Grantee shall
make a final determination of allowability and eligibility only
after an audit of the subgrant has been completed. If the
Grantee or FEMA determines that the Subgrantee's costs, or any
part thereof, are not eligible or allowable, then the Grantee or
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FEMA shall notify the Subgrantee stating the reasons therefor.
Grant closeout shall not alter the Subgrantee's obligation to
return any funds due to the Grantee or FEMA as a result of later
refunds, corrections, or other transactions or determinations.
Program closeout shall not alter either the Grantee's or FEMA's
right to disallow costs and recover funds on the basis of an
audit or other review.
9. FINAL PAYMENT: The final payment will be made only after
project completion, submission of all required documentation,
final inspection, and a request for final reimbursement.
10. RECORDS MAINTENANCE: The Subgrantee agrees to maintain
all records pertaining to the projects described in the
application(s) and the funds received under this Agreement until
all issues relating to the inspection and final audit have been
completed, and any action or resolution of outstanding issues
have been completed. In no event will such records be maintained
for a period of less than three (3) years from the date of the
final payment under this Agreement. Access to those records must
be provided at reasonable times to the Comptroller General of the
United States, the Grantee, its employees and agents, and to
FEMA, its employees and agents.
11. RECOVERY OF FUNDS: If the final inspection, audit or any
other review determines that payment(s) made under this Agreement
exceeds the amount of actual eligible costs, the Subgrantee
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shall, within forty-five (45) days of receipt of the
determination notice, repay the Grantee the amount determined to
be in excess of the actual costs.
12. AUDIT:
a. Subgrantees shall submit an Audit of Agreement
Compliance to the Grantee as provided herein. This audit will be
performed by an independent Certified Public Accountant or other
entity independent of the Subgrantee in accordance with the
standards of the Comptroller General as specified in the General
Accounting Office Standards for Audit of Governmental
Organizations, Programs, Activities and Functions, and generally
accepted auditing standards established by the American Institute
of Certified Public Accountants. The aqreement number of this
qrant must be identified with the audit submitted. Such audit
shall also comply with the requirements of Sections 11.45 and
216.349, Florida Statutes and Chapter 10.550, Rules of the
Auditor General, and, to the extent applicable, the Single Audit
Act of 1984, 31 USC 7501 through 7507, and OMB Circulars A-128
and A-133.
b. If the Subgrantee is a private non-profit
organization, it shall submit an organization-wide audit in
accordance with OMB Circular A-133. An organization-wide audit
from a private non-profit organization will be due seven (7)
months after the end of the organization's fiscal year.
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c. If the Subgrantee is a local government, it shall
submit an audit in accordance with OMB Circular A-128, pursuant
to the Single Audit Act of 1984, Public Law 98-502. The audit
will be submitted not later than seven (7) months after the end
of the local fiscal year, in accordance with the requirements of
Section 11.45 (3) (a), Florida Statutes.
d. The Grantee may require the Subgrantee to undertake
such further or additional audits as determined necessary or
appropriate including, but not limited to, past and current
organization-wide audits. Such audits may be necessary
to determine the adequacy, accuracy, and reliability of the
Subgrantee's internal controls, fiscal data, and management
systems established to safeguard the Subgrantee's assets and to
ensure compliance with this Agreement.
e. If this Agreement is closed out without an audit,
the Grantee reserves the right to recover any disallowed costs
identified in an audit after such close-out.
13. NONCOMPLIANCE: If the Subgrantee violates any of the
conditions of disaster relief assistance under the Robert T.
Stafford Act of 1988, Public Law 93-288 as amended by Public Law
100-707, the FEMA-State Agreement, applicable state law or
applicable state or federal regulations, including those noted
herein, additional financial assistance for the project in which
the violation occurred will be withheld until such violation has
been corrected or the Grantee may take other action that is
legally available.
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14. NONDISCRIMINATION: The Subgrantee shall maintain an
active program of nondiscrimination in disaster assistance as
outlined in 44 CFR, Parts 7 and 16, and 44 CFR Section 206.11.
The Subgrantee shall comply with federal regulations concerning
the General Services Administrative Consolidated List of
Debarred, Suspended and Ineligible Contractors, as provided in 44
CFR Part 17.
15. MODIFICATION: Either party may request modifications
to this Agreement, including work to be completed on the
projects(s) and the time performance period. Such modifications
MUST be proposed in writing by either party and become effective
only upon execution by both parties.
16. CONTRACTS WITH OTHERS: If a Subgrantee contracts with
any other entity (herein after "contractor") for performance of
any of the work required under this Agreement, the Subgrantee
agrees to include in the contract that the contractor is bound by
the terms and conditions of this Agreement with the Grantee, and
to provide the contractor with a copy of this Agreement. The
Subgrantee further agrees to include in the contract that the
contractor shall hold the Subgrantee and the Grantee harmless
against all claims of whatever nature arising out of the
performance of the work by the contractor under the contract.
To the extent that the Subgrantee has outstanding, uncompleted,
contracts for work for which reimbursement will be requested
under this Agreement, Subgrantee agrees to use its best efforts
to modify said contracts in accordance with this paragraph.
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17. TERMINATION: Either party may request termination of
this Agreement, in writing, delivered in person, or by certified
mail, to the party's representative who executes this Agreement.
Said termination may be accomplished by mutual agreement of the
parties, effective thirty (30) days after an executed
modification to effect termination.
18. HOLD HARMLESS/INDEMNIFICATION: To the extent permitted
by law, any nongovernmental Subgrantee shall hold and save the
Grantee harmless against all liability claims of whatever nature,
and shall indemnify the Grantee against any claims arising from
work performed pursuant to this Agreement.
19. REPORTS: The Subgrantee shall provide quarterly
progress reports to the Grantee. The first report is due three
(3) months after the date of execution of this Agreement and
quarterly thereafter until the work has been completed and
approved through final inspection. Reports shall indicate the
status and completion date for each project funded, any problems
or circumstances affecting completion dates, or the scope of
work, or the project costs, and any other factors reasonably
anticipated to result in noncompliance with the terms of the
grant award. All reports should be provided using the attached
Quarterly Report Form. Interim inspections shall be scheduled by
the Subgrantee prior to the final inspection and may be requested
by the Grantee based on information supplied in the quarterly
reports. The Grantee may require additional reports as needed.
The Subgrantee shall, as soon as possible, provide any additional
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reports requested by the Grantee. The Grantee contact will be
the state hazard mitigation officer for all reports and requests
for reimbursement.
20. STANDARD CONDITIONS: The Subgrantee further agrees to
be bound by the following standard conditions:
a. The State of Florida's performance and obligation
to pay under this Agreement is contingent upon an annual
appropriation by the Legislature, or the provision of funding to
the Grantee pursuant to Section 252.37, Florida Statutes.
b. If otherwise allowed under this Agreement, any
extension shall be in writing and shall be subject to the same
terms and conditions set forth in the initial Agreement. There
shall be only one extension of the Agreement unless the failure
to meet the criteria for completion is due to events beyond the
control of the Subgrantee.
c. Bills for fees or other compensation for services
or expenses must be submitted in detail sufficient for a proper
pre and post audit thereof.
d. The Grantee may unilaterally cancel this Agreement
for refusal by the Subgrantee or its contractors to allow public
access to all documents, papers, letters or other material
subject to the provisions of Chapter 119, Florida Statutes, and
made or received by the Subgrantee or its subcontractor in
conjunction with this Agreement. It is expressly understood that
substantial evidence of the Subgrantee's or their contractor's
refusal to comply with this provision shall constitute a breach
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of contract, and constitute grounds for termination.
e. Pursuant to Section 216.347, Florida Statutes, and
applicable federal law, the Subgrantee agrees that no funds from
this Agreement will be expended for the purpose of lobbying the
Legislature, state agency employees, Members of Congress,
officers or employees of Congress, or an employee of a Member of
Congress in connection with the awarding of this Agreement or any
amendments or modifications of this Agreement.
f. The Subgrantee certifies with respect to this
Agreement that it possesses the legal authority to receive the
funds.
g. The Subgrantee shall comply with any attached
Statement of Assurance incorporated herein. The Subgrantee
acknowledges that the responsibility for complying with the
approved subgrant award rests with the recipient Subgrantee and
acknowledges that failure to do so constitutes grounds for the
recision or suspension of this subgrant and may influence future
subgrant awards.
21. TERM: This Agreement shall be effective upon execution
and terminate upon completion of, and final payment for, all
approved projects, subject to any modification in accordance with
paragraph 15, above. As noted above, final closeout shall not
alter the right of the Grantee or FEMA to disallow costs and
recover funds on the basis of an audit or other review.
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22. NOTICE AND CONTACT: All notices under this Agreement
shall be in writing, delivered either by hand delivery or
certified mail to the representative and address below:
FOR THE GRANTEE:
FOR THE SUBGRANTEE:
Dan Evans, SHMO
X Deanna S. L10vd
J
X Grants Program Coordinator
X Public Service Building
X 5100 College Road
X Stock Island. FL 33040
State Hazard Mitigation
Disaster Field Office
P.O. Box 4022
Miami, Florida 33159-4022
23. The Subgrantee hereby authorizes X Deanna Sa Lloyd
X as its designated Agent, to execute Requests
for Reimbursement, necessary certifications, and other
supplementary documentation.
IN WITNESS HEREOF, the Grantee and Subgrantee have executed
this Agreement;
FOR THE SUBGRANTEE:
FOR THE GRANTEE:
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
X ATrEST: DA..~ L. KDIlIAGE, CLERK
X
Deputy Clerk
By:X
By:X
x6hairman. l1onroe County
Board of Title Commissioners
Governor's Authorized Rep.
Title
X Septerrber 22, 1994
Date
Date
X 59-60007t~9
Subgrantee's Federal
Employer Identification No.
CATALOGUE OF FEDERAL DOMESTIC
ASSISTANCE NUMBER: 83.516 DISASTER ASSISTANCE
I1I'PROV~i~j~~ FORl.t
'" ANKLJCC1ENCY.
Att.')f'nf'Y'$ OffiCI!
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FLORIDA DEPARTMENT OF COMMUNITY AffAIRS
.DIVISION OF EMERGENCY MANAGEMENT
REQUEST FOR ADVANCE OR REIMBURSEMENT
OF HAZARD MITIGATION GRANT PROGRAM FUNDS
5UBGRANTEE :
ADDRESS:
CITY, 5T ATE, ZIP CODE:
DCA AGREEMENT NUMBER:
PROJECT NUMBER:
DISASTER NUMBER:
P.A. 10 NUMBER:
SUPPLEMENT NUMBER:
PAYMENT NUMBER:
PROJECT LINE PREVIOUS CURRENT DCA USE ONLY,
ITEM AMOU NT PAYMENTS REQUEST. APPROVED AMOUNTS/NOTES
TOTAL CURRENT REQUEST:
., certify that to thp. best of my knowledge and belief the above amounts are correct and
that all disbursements were made in accordance with all conditions of the DCA
Agreement and payment is due and has not been previously requested for these
amounts.
Subgrantee Signature:
Date:
Name and Title:
TO BE COMPLETED BY TH~ DEPARTMENT OF COMMUNITY AfFAIRS
Approved Project Total:
Approved for Payment:
Administrative Fee:
GOVERNOR'S AUTHORIZED
REPRESENT A riVE
A vances requIre
Agreement.
,"",1lft1lM 1/9.
FLORIDA DEPARTMENT OF COMMUNITY AFfAIRS
DIVISION OF EMERGENCY MANAGEMENT
SUMMARY OF DOCUMENTATION IN SUPPORT OF AMOUNT CLAIMED
FOR ELIGIBLE WORK UNDER THE HAZARD MITIGATION GRANT PROGRAM
Applicant
Disaster No. FEMA-9SS-DR-FL
DCA Agreement No.
Project No.
QOCUMENT A TlON
Applicant'. reference no. Date of delivery list documentation (applicant'. payroll, Amount of
(warrant, voucher, claim of artlc:leti, performance m~t.r~1 out of applicant', ttock, appJlcant applicant"
or schedule no.) of lel'Vices or completion owMd equipment and name of vendor 0' ~i.ible
ofw~. contractor) by cate.ory and line item in cCHll
the approved project application Ind live I
brief description of the articles or _rvk:...
TOTAL
Prepare.. RfYrate form for each project.
wlp:ReviNd 1194
Ui Ii I.:,HVI'" Vi L'nLn.....LI"'''-1 Inr\. ,n.VIL......... '. i
'SUBGRANTfE HAZARD MITIGATION
QUARTERLY REPORT FORM
Subgrantee:
Project Number:
Project Location:
DCA Number:
Disaster Number: FEMA-9SS-DR-FL
Quarter: December 31
Percentage of Work Completed (may be confirmed by state inspectors): - %
, Project Proceeding on Schedule: [ ) Yes [ ) No
Describe milestones achieved during this quarter:
Provide a schedule for the remtlinder of work to project completion:
Describe problems or circumstances affecting completion dtltes, milestones, scope of
work, and cost.
[ ) Cost Unchanged
Additional Comments/Elaboration:
[ ] Under Budget
[ ] Over Budget
Cost Status:
'NOT(: ~a~t ot Community Affairs <DCA) st.aH Il~V 1I(,rform I"l.,i", i."~liun. .aud/ur ..uLllll ..I ....,. lim_. I_~. .~y IIL&;U' bottw""
qlarttrly reports which haw '''"IOcanl IMp.a(t upon your projtct(S). such IS anticipll~d ov~rrUM. chitn'ft in .co~ of work. etc. Plou conUct
DCA IS tOOl\ a. thet. condilions btcomekno\l<n. olhe,w~e v"u may b~ 'oUlld non-compliant with your sub,rant award. '
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EXHIBIT C
CERTIFICATION FOR CONTRACTS. GRANTS. LOANS.
AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and
belief, that:
1. No federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, 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 the awarding of any federal contract, the making of any
federal grant, the making of a federal loan, the entering into
of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any federal contract,
grant, loan or cooperative agreement.
2. If any funds other than federal appropriated funds have been
paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency,
a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL,
II Disclosure Form to Report Lobbying, II in accordance with
instructions.
3. The undersigned shall require that the language of this
certification be included in the award document for all
subawards at all tiers (including subcontracts, subgrants, and
contracts under grants, loans, and cooperative agreements) and
that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by Section 1352, Title 31,
U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
X
9/22/94
Date
iI~. .~AS to FeW:'-
ft"~~Al~~7~
~--RJIt'
Applicant's Agent
lliyor / Chairman
ATI'EST: DANNY L. KOIRAGE. CLERK
By
Deputy Clerk
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