03/16/2005 Agreement No. 04148DANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DATE: April 13, 2005
TO: Timothy McGarry, Director
Growth Management Division
ATTN. Mayra Tezanos
Executive Assistant
FROM: Pamela G. Ha c
Deputy Cler
At the March 16, 2005, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a Contract between Monroe County and the Florida Fish &
Wildlife Commission (FWCC) to complete the Monroe County Public Water Access and Marine
Facilities Management Plan; approval requires waiver of policy that venue be in Monroe County.
Enclosed are four duplicate originals, executed on behalf of Monroe County, for your
handling. Please be sure to return the fully executed "Monroe County Clerk's Office
Original" and the "Monroe County Finance Department's Original" as soon as possible.
Should you have any questions please do not hesitate to contact this office.
cc: Finance w/o document
County Attorney
File ✓
FWC Contract No. 04148
FLORIDA BOATING IMPROVEMENT PROGRAM
GRANT AGREEMENT
THIS AGREEMENT is entered into by and between the FLORIDA FISH AND WILDLIFE
CONSERVATION COMMISSION, whose address is 620 South Meridian Street, Tallahassee, Florida
32399-1600, hereafter "COMMISSION," and the MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS whose address is 2798 Overseas Highway, Suite 420, Marathon, Florida 33050,
hereafter "GRANTEE" to conduct a project entitled Public Water Access and Marine Facilities
Management Plan, hereafter "Project," using funds from the Florida Boating Improvement Program,
hereafter "Program."
NOW THEREFORE, the COMMISSION and the GRANTEE, for the considerations hereafter set forth,
agree as follows:
SCOPE OF SERVICES
1. The GRANTEE shall implement its project proposal, as described in Attachment A, entitled Florida
Boating Improvement Program Grant Application No. 04-11D-002, attached hereto and made a part
hereof. All project activities must be completed during the time span provided herein for that portion
of the Agreement.
2. The GRANTEE shall commence work on the Project within 90 days of execution of the Agreement.
Failure by the GRANTEE to begin work shall constitute a breach of the Agreement and result in
termination of the Agreement by the COMMISSION.
3. If applicable, all engineering must be completed by a professional engineer or architect registered in
the State of Florida. All work must meet or exceed minimum design standards and guidelines
established by all applicable local, state and federal laws.
4. It is the GRANTEE's responsibility to contract, manage and inspect all aspects of the Project,
including any construction contract, materials purchase, engineering, master plan or force account
labor performed at any Project site.
5. The GRANTEE, at its expense, shall purchase, erect and maintain a permanent sign, not less than
four (4) feet by eight (8) feet in size, displaying the COMMISSION's official logo for launching
projects, or shall attach a permanent plaque for marine projects, or use some other manner of
acknowledgement for non -construction projects, approved by the COMMISSION, identifying the
COMMISSION as a funding source for the Project. Such acknowledgement shall be maintained for a
period of 20 years or the duration of the Agreement. Failure by the GRANTEE to maintain such
acknowledgement shall be considered a breach of the Agreement.
6. Upon completion of the project, the GRANTEE'S Project Manager, or other appropriate professional
for the GRANTEE, shall sign a Certification of Completion form, provided by the COMMISSION, that
certifies the Project was completed in accordance with the project proposal, Attachment A, and this
Agreement.
7. The GRANTEE shall submit to the COMMISSION monthly activity reports outlining the progress of
the Project, identifying any problems that may have arisen, and actions taken to correct such
problems. Such reports shall be submitted on the form provided by the COMMISSION and due to the
COMMISSION's Program Administrator by the 15th of each month until the Certification of Completion
is submitted.
8. Any study or brochure produced by the GRANTEE shall be provided to the COMMISSION for
approval prior to final printing and submission for payment. Further, at least 21 days prior to printing
Page 1 of 8
the COMMISSION shall review and approve all proposed publications that will be funded by this
Agreement to ensure that environmental and boating safety issues are effectively addressed. At its
discretion, the COMMISSION may elect to have its representative inspect printed material prior to its
release from the printing vendor. The GRANTEE agrees to inform the COMMISSION at the
completion of printing of any materials so that the COMMISSION may exercise this option.
9. The GRANTEE agrees to be responsible for the fulfillment of all work elements included in any
subcontract and agrees to be fully responsible for the payment of all monies due under any
subcontract. It is understood and agreed by the GRANTEE that the COMMISSION shall not be liable
to any sub -grantee (or subcontractor) for any expenses or liabilities incurred under the subcontract
and that the GRANTEE shall be solely liable to the subcontractor for all expenses and liabilities
incurred under the subcontract.
10. The GRANTEE shall forward one copy of the bid package to the COMMISSION's Program
Administrator for review prior to soliciting for quotations or commencing any work. The
COMMISSION's Program Administrator shall have 30 working days for review. This review shall
ensure that minimum guidelines for the Project's scope of work are adhered to.
11. The GRANTEE shall comply with all applicable federal, state, and local rules and regulations in
providing services to the COMMISSION under this Agreement. The GRANTEE acknowledges that
this requirement includes compliance with all applicable federal, state and local health and safety
rules and regulations. The GRANTEE further agrees to include this provision in all subcontracts
issued as a result of this Agreement.
GRANTEE ELIGIBILITY
12. The GRANTEE shall be licensed as necessary to perform under this Agreement as may be required
by law, rule, or regulation, and shall provide evidence of such compliance to the COMMISSION upon
request.
13. By acceptance of this Agreement, the GRANTEE warrants that it has the capability in all respects to
fully perform the contract requirements and the integrity and reliability that will assure good -faith
performance as a responsible recipient, and that the GRANTEE shall comport with Chapter 287, F.S.,
and all other applicable rules and laws.
TERM OF AGREEMENT
14. This Agreement shall begin upon execution by both parties and end December 31, 2005, inclusive.
The GRANTEE shall not be eligible for reimbursement for services rendered prior to the execution
date of this Agreement nor after the termination date of the Agreement.
15. The GRANTEE shall execute this Agreement within 90 days of formal COMMISSION approval.
Failure to execute this Agreement shall render the award of funds null and void, and shall result in
termination of this Agreement.
COMPENSATION
16. For satisfactory completion of the Project Public Water Access and Marine Facilities Management
Plan by the GRANTEE under the terms of this Agreement, the COMMISSION shall pay the
GRANTEE on a cost reimbursement basis in an amount not to exceed $ 37,500.00.
PAYMENTS
17. The COMMISSION shall pay the GRANTEE for satisfactory service upon submission of a final
invoice, accompanied by required reports or deliverables, and after acceptance of services and
deliverables in writing by the Commission's Grant Manager. The invoice must be submitted within
Page 2 of 8
30 days after completion of the Project. The invoice shall include the FWC Contract Number and
the Grantee's Federal Employer Identification (FEID) Number. An original and two (2) copies of the
invoice shall be submitted. The COMMISSION shall not provide advance payment. All bills for
amounts due under this Agreement shall be submitted in detail sufficient for a proper pre -audit and
post -audit thereof.
18. Program funds shall be disbursed to the GRANTEE only after pre -approved phase or final completion
of the Project occurs and work is verified by COMMISSION staff. Payment will be made only for
documented and verified costs. The COMMISSION will not pre -approve or disburse any Program
funds in advance. Failure to complete the Project and make final payment request to the
COMMISSION within the stipulated period shall result in termination of this Agreement. Any
funds not disbursed or expended by the end of the stipulated period are subject to the
provisions of Chapter 216.301, Florida Statutes.
19. No travel expenses are authorized under the terms of this Agreement.
20. The GRANTEE shall be reimbursed on a cost reimbursement basis in accordance with Comptroller
Contract Payment Requirements as shown in the Department of Financial Services, Bureau of
Accounting and Auditing, Voucher Processing Handbook, Chapter 4., C., I., attached hereto and
made a part hereof as Attachment B.
21. The COMMISSION shall have 30 working days to inspect and approve goods and services.
22. Any Project deficiencies, as noted in the final Project inspection, shall be corrected by the GRANTEE
prior to final Project acceptance and payment by the COMMISSION. The COMMISSION may restrict
any or all payment of Program funds pending correction of such deficiencies.
23. For contracts whose term extends beyond the State fiscal year in which encumbered funds were
appropriated, the State of Florida's performance and obligation to pay is contingent upon an annual
appropriation by the Legislature.
24. In order to make best use of the agency's resources, the COMMISSION reserves the right to utilize
Federal funds for payments under this Agreement. In the event Federal funds become available for
such use, and subject to the mutual agreement of the parties hereto, the Agreement shall be
amended to include applicable Federal Requirements.
25. Invoices, including backup documentation, shall be submitted to:
Florida Fish and Wildlife Conservation Commission
Division of Law Enforcement
Boating and Waterways Section
Florida Boating Improvement Program
620 South Meridian Street
Tallahassee, FL 32399-1600
TERMINATION
26. This Agreement shall terminate immediately upon the COMMISSION giving written notice to the
GRANTEE in the event of fraud, willful misconduct, or breach of this Agreement.
27. Upon termination of this Agreement, the GRANTEE shall promptly render to the COMMISSION all
property belonging to the COMMISSION. For the purposes of this section, property belonging to the
COMMISSION shall include, but shall not be limited to, all books and records kept on behalf of the
COMMISSION.
Page 3 of 8
TAXES
28. The GRANTEE recognizes that the State of Florida, by virtue of its sovereignty, is not required to
pay any taxes on the services or goods purchased under the terms of this Agreement.
NOTICE
29. Unless a notice of change of address is given, any and all notices shall be delivered to the parties at
the following addresses:
GRANTEE
Monroe County
Board of County Commissioners
2798 Overseas Highway
Marathon, Florida 33050
Phone: (305) 289-2507
Fax: (305) 289-2536
Attn: Rich Jones, Project Manager
AMENDMENT OR MODIFICATION
COMMISSION
Fish and Wildlife Conservation Commission
Division of Law Enforcement
Boating and Waterways Section
620 South Meridian Street
Tallahassee, FL 32399-1600
Phone: (850) 487-3755
Fax: (850) 488-9284
Attn: Patricia Harrell, Program Administrator
30. No waiver or modification of this Agreement or of any covenant, condition, or limitation herein
contained shall be valid unless in writing and lawfully executed by the parties.
31. The COMMISSION may at any time, by written order designated to be a Modification, make any
change in the work within the general scope of this Agreement (e.g., specifications, schedules,
method or manner of performance, requirements, etc.). However, all Modifications are subject to
the mutual agreement of both parties as evidenced in writing. Any Modification that causes an
increase or decrease in the GRANTEE's cost or the term of the Agreement shall require a formal
amendment.
RELATIONSHIP OF THE PARTIES
32. The GRANTEE shall perform as an independent agent and not as an agent, representative, or
employee of the COMMISSION.
33. The GRANTEE covenants that it presently has no interest and shall not acquire any interest that
would conflict in any manner or degree with the performance of services required.
34. The parties agree that there is no conflict of interest or any other prohibited relationship between the
GRANTEE and the COMMISSION.
INSURANCE REQUIREMENTS
35. To the extent required by law, the GRANTEE will either be self -insured for Worker's Compensation
claims, or will secure and maintain during the life of this Agreement, Workers' Compensation
Insurance for all of its employees connected with the work of this project. If any work is
subcontracted, the GRANTEE shall require the subcontractor similarly to provide Workers'
Compensation Insurance for all of the latter's employees unless such employees are covered by the
protection afforded by the GRANTEE. Such self-insurance program or insurance coverage shall
comply fully with the Florida Workers' Compensation law. In case any class of employees engaged in
hazardous work under this Agreement is not protected under Workers' Compensation statutes, the
GRANTEE shall provide, and cause each subcontractor to provide, adequate insurance satisfactory
to the COMMISSION, for the protection of his employees not otherwise protected.
Page 4 of 8
36. Employers who have employees who are engaged in work in Florida must use Florida rates, rules,
and classifications for those employees. In the construction industry, only corporate officers of a
corporation or any group of affiliated corporations may elect to be exempt from workers'
compensation coverage requirements. Such exemptions are limited to a maximum of three per
corporation and each exemption holder must own at least 10% of the corporation. Independent
contractors, sole proprietors and partners in the construction industry cannot elect to be exempt and
must maintain workers' compensation insurance.
37. The GRANTEE warrants and represents that it is self -funded for liability insurance, appropriate and
allowable under Florida law, and that such self-insurance offers protection applicable to the
GRANTEE's officers, employees, servants and agents while acting within the scope of their
employment with the GRANTEE.
CANCELLATION UNDER CHAPTER 119, FLORIDA STATUTES
38. This Agreement may be unilaterally canceled by the COMMISSION for refusal by the GRANTEE 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 GRANTEE in conjunction with this
Agreement.
RECORD KEEPING REQUIREMENTS
39. The GRANTEE shall maintain accurate books, records, documents and other evidence that
sufficiently and properly reflect all direct and indirect costs of any nature expended in the
performance of this Agreement, in accordance with generally accepted accounting principals. The
GRANTEE shall allow the COMMISSION, the State, or other authorized representatives, access to
periodically inspect, review or audit such documents as books, vouchers, records, reports, canceled
checks and any and all similar material. Such audit may include examination and review of the
source and application of all funds whether from the state, local or federal government, private
sources or otherwise. These records shall be maintained for five (5) years following the close of this
Agreement. In the event any work is subcontracted, the GRANTEE shall require each subcontractor
to similarly maintain and allow access to such records for audit purposes.
LIABILITY
40. Each party hereto agrees that it shall be solely responsible for the negligent or wrongful acts of its
employees and agents. However, nothing contained herein shall constitute a waiver by either party of
its sovereign immunity or the provisions of Section 768.28, Florida Statutes.
NON-DISCRIMINATION
41. No person, on the grounds of race, creed, color, national origin, age, sex, or disability, shall be
excluded from participation in, be denied the proceeds or benefits of, or be otherwise subjected to
discrimination in performance of this Agreement.
PROHIBITION OF DISCRIMINATORY VENDORS
42. In accordance with Section 287.134, Florida Statutes, an entity or affiliate who has been placed on
the discriminatory vendor list may not submit a bid, proposal, or reply on a contract to provide any
goods or services to a public entity; may not submit a bid, proposal or reply on a contract with a
public entity for the construction or repair of a public building or public work; may not submit bids,
proposals, or replies on leases of real property to a public entity; may not be awarded or perform
work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity;
and may not transact business with any public entity.
Page 5 of 8
NON -ASSIGNMENT
43. This Agreement is an exclusive contract for services and may not be assigned in whole or in part
without the written approval of the COMMISSION.
PERFORMANCE AND REMEDIES
44. The GRANTEE shall perform the services in a proper and satisfactory manner as determined by the
COMMISSION.
45. It is understood by the parties that remedies for damages or any other remedies provided for herein
shall be construed to be cumulative and not exclusive of any other remedy otherwise available under
law.
SEVERABILITY AND CHOICE OF VENUE
46. This Agreement has been delivered in the State of Florida and shall be construed in accordance with
the laws of Florida. Wherever possible, each provision of this Agreement shall be interpreted in such
manner as to be effective and valid under applicable law, but if any provision of this Agreement shall
be prohibited or invalid under applicable law, such provision shall be ineffective to the extent of such
prohibition or invalidity, without invalidating the remainder of such provision or the remaining
provisions of this Agreement. Any action in connection herewith, in law or equity, shall be brought in
Leon County, Florida.
NO THIRD PARTY RIGHTS
47. The parties hereto do not intend nor shall this Agreement be construed to grant any rights, privileges
or interest to any third party.
JURY TRIAL WAIVER
48. As consideration of this Agreement, the parties hereby waive trial by jury in any action or proceeding
brought by any party against any other party pertaining to any matter whatsoever arising out of or in
any way connected with this Agreement.
PROPERTY/EQUIPMENT
49. The GRANTEE is not authorized to use funds provided herein for the purchase of any
non -expendable equipment or personal property valued at $1,000 or more for performance under this
Agreement.
FEDERAL/FLORIDA SINGLE AUDIT ACTS REQUIREMENTS
50. In accordance with section 215.97, Florida Statutes, the Florida Single Audit Act requires all non -
State organizations that are recipients of State financial assistance to comply with the audit
requirements of the Act. In addition, recipients and subrecipients of federal financial assistance must
comply with the Federal Single Audit Act requirements of OMB Circular A-133. Therefore, the
GRANTEE shall be required to comply with the audit requirements outlined in Attachment C, titled
Requirements of the Federal and Florida Single Audit Acts, attached hereto and made a part of the
Agreement, as applicable.
51. In accordance with section 216.347, Florida Statutes, the GRANTEE is hereby prohibited from using
funds provided by this Agreement for the purpose of lobbying the Legislature, the judicial branch or a
state agency.
Page 6 of 8
RIGHTS IN PROPERTY, COPYRIGHTS, AND INVENTIONS
52. All items, materials or products, of any description, produced or developed by the GRANTEE on
behalf of the COMMISSION in connection with this Agreement shall be the exclusive property of the
COMMISSION and may be copyrighted, patented, or otherwise restricted by the COMMISSION as
provided by Florida law. Neither the GRANTEE nor any of its subcontractors shall have any
proprietary interest in the products and materials developed under this Agreement.
53. The COMMISSION reserves the right to determine the disposition of title and rights to any inventions
and/or processes that may result from any experimental or developmental research performed under
this Agreement. If Federal funding is involved in support of this Agreement, the Federal Government
may reserve ultimate jurisdiction over title and right privileges.
54. Regardless of title or ownership of the products and materials developed under this Agreement, the
COMMISSION and the State of Florida shall reserve a royalty -free, nonexclusive, irrevocable right to
reproduce, publish, or otherwise use said work for governmental purposes. If Federal funding is
involved in support of this Agreement, the Federal Government shall also reserve a royalty -free,
nonexclusive, irrevocable right to reproduce, publish, or otherwise use said work for governmental
purposes.
ENTIRE AGREEMENT
55. This Agreement with all incorporated attachments and exhibits represents the entire agreement of the
parties. Any alterations, variations, changes, modifications or waivers of provisions of this Agreement
shall only be valid when they have been reduced to writing, and duly signed by each of the parties
hereto, unless otherwise provided herein.
(Remainder of page intentionally left blank.)
Page 7 of 8
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed through
their duly authorized signatories on the day and year last written below.
MONROE COUNTY BOARD
OF COUNTY COMMISSIONERS
/ � 41
A'14e;
�ar-tJ
Chairman /Mayor
3/16/2005
Date
DIXIE M. SPEHAR
Name (Print)
Monroe County Board of County Commissioners
Grantee Name
2798 Overseas Highway. Suite 420
Address
Marathon Florida 33050
City, State, and Zip Code
59-6000749
Federal Employer Identification Number (FEID)
Approved to form and legality:
s"
a r L 5`
u ty/Municipality Attorney
FLORIDA FISH AND WILDLIFE
CONSERVATION COMMISSION
�19
F Kenneth D. Haddad, Executive Director
Date
Approved as jo fprm and legality:
FWC
List of attachments/exhibits included as part of this Agreement:
Attachment A:
FBIP Grant Application #04-IID-002
Attachment B:
Comptroller Cost Reimbursement Requirements
Attachment C:
Federal/Florida Single Audit Act Requirements
Exhibit 1:
Funds awarded pursuant to agreement
Attachment D:
Certification of Completion form
Attachment E:
Monthly progress report form
L
Y�
DEP TY CLERK
a
T
Qr
-.
n. r'
on'
a
�'•
-R
� g
m. ,
v
CM
Page 8 of 8
FWC Contract No. 04148
ATTACHMENT A
Florida Boating Improvement Program
Grant Application # 04 - IID - 002
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION
FLORIDA BOATING IMPROVEMENT PROGRAM
GRANT APPLICATION
FOR OFFICE USE ONLY Grant Application Number:
11Fiscal Year: 2004-2005 1 Date Received: SEP 10 2004 104-ILD- 002.
Fill in all sections that apply - Leave all other sections blank
I - APPLICANT INFORMATION
County/Municipality Name:
Monroe County
Federal Empl2yment Id. No.: 59-6000749
Telephone No.: Fax No.: Suncom No.:
Applicant Name:
Monroe County Board of County Commissioners
(305 ) 289-2507 (305) 289-2536
Applicant Title:
e-mail:
James L. Roberts, County Administrator
Garrett-George@monroecounty-fl.gov
Applicant Mailing Address:
City: Zip Code:
2798 Overseas Hwy., Suite 420
Marathon 33050
Project Manager Name:
Title:
George Garrett
Director, Department of Marine Resources
II - PROJECT LOCATION Latitude: N °
Longitude: W °
Facility Name:
County: Waterbody:
The Florida Keys
Monroe all coastal waters
District Numbers
US Congress: 20 State House: 40
State Senate: 120 County Commission:
Facility Street Address or Location:
see below
T - PROJECT SUMMARY
rpe of Application: ® New (never considered before) ❑ Reconsideration []Phased Continuation- Phase No.:
TIER -I TIER -II
❑ I- Recreational Channel Marking ❑ I- Boat Ramps
Type of Project: ❑ II- Public Launching Facilities ❑ II- Piers and Docks
❑ 11I- Aquatic Plant Control ❑ III- Boater Education
❑ IV- Other Local Boating Related Activities ® IV- Economic Development Initiatives
Project Description:
Development of a Public Water Access and Marine Facilities Management Plan: Monroe County is faced with escalating waterfront property
values, and subsequently the redevelopment of many boating facilities. Monroe is rapidly losing boat yards and recreational boating facilites to
mega -yacht marinas and dockomiuniums. The Department of Marine Resources is tasked with procuring consulting services to prepare a public
water access and marine facilities management plan (the Plan) for Monroe County. The Plan will entail: 1) providing a current marine facilties
database; 2) determining the economic impact of these facilities, concentrating on boat yards and marinas; 3) evaluating the recent loss of
facilities and potential impacts; and 4) developing recommendations for the preservation and enhancement of such facilities. Evaluations and
recommendations will be used to protect and preserve the working waterfront and recreational boating facilities. The Plan will complement the
interim study being conducted by the State (FWC), providing more detailed and site specific information and recommendations. (more attached)
coin /TT r. �c� mcinn�
Project Description (cont.)
The Department of Marine Resources is preparing a Request for Proposals to be
sent to qualified consulting firms to conduct the Public Water Access and Marine
Facilities Management Plan. Because this is not an engineering or construction project
there is no engineering cost estimate. Monroe County has approved the expenditure of
$75,000 for the study. This project clearly falls under the category of economic
development initiatives. Due to the type of project, numerous items on the application
have been left blank, as they do not apply to the project.
The scope of the study is for the entire County (Florida Keys). All marine
facilities will be surveyed, data entered into a GIS database, and the information
evaluated for economic impact, as well as the negative impacts foreseen from losses of
facilities as well as the socioeconomic impacts from the potential changes in uses of
waterfront properties and facilities.
This is the only grant application the County is submitting to FFWCC. Monroe
County has a population of under 100,000 people and much of the use of public
waterfront facilities. is from other counties. Monroe County estimates that administrative
contributions to the project will be approximately $5000. The County is asking the
FFWCC BIP grant program to provide half of the anticipated $75,000 cost of the project.
We are asking for $37,500 in funding. Implementation of the recommendations
developed from the plan should help preserve current marine facilities and most
importantly preserve the historic uses of the Keys' working waterfronts.
IV - GENERAL FACILITY INFORMATION
Type of Facility:
Upland Ownership:
❑ Primitive
❑Public- Fee Simple
❑ Small (1 lane ramp)
❑ Public - Lease
❑ Medium (2 lane ramp)
❑ Number of Years Remaining in Lease
❑ Large Regional (3+ lane ramp)
Name of Owner
ElTie-up/Ovemight/Moorage/Marina
not applicable
❑ Other: not applicable
Is this facility open to the general public? ❑ Yes
[]No
Estimate Percent (%) Use of Launching Facility: Motorboats/Sailboats Non -Motorboats
Day Use, Parking or Launch Fee Amount: $
Tie-up/Overnight Moorage: $
Names of adjacent boating facilities, public and private (ramps, tie-up
facilities/marinas) within a 10-mile radius.
Name Distance
Name Distance
1
6
2
7
3
g
4
9
5
10
V - FACILITY COMPONENTS AND USE - EXISTING CONDITIONS
Number of Launch Lanes:
Length of Boarding Docks:
Ft
Type of Ramp: ❑ Asphalt
❑ Concrete
[]Other
Type of Dock:
❑ Wood
❑ Aluminum El Other
Condition: El Poor
[]Average
[]Good
Condition:
❑Poor
❑Average ❑Good
Number of Boat Trailer Parking Spaces:
Length of Tie-up Dock or Moorage: Ft or Slips
Type of Parking:[] Asphalt
❑ Concrete
[]Other
Type:
❑ Slip
❑ Broadside
Condition: ❑ Poor
❑ Average
❑Good
Condition:
❑ Poor
❑Average ❑Good
Other Facility Attributes:
Pump out or Dump Station:
❑ Yes
[]No
Restroom:
❑ Yes
❑No
FWC/DLE-252 (05/04)
VI - PROJECT NEED
List Primary Need for Project:
❑ Safety ❑ High Demand by Users
❑ Age -end of Useful Life ❑ Recommended by FWC Staff
❑ Environmental Needs of the Area ❑ Lack of In-house Capability
® Other: preserve the working waterfront
Known Public Support: (Name)
❑ Adjacent Land Owners
® Users Groups Vessel owners
❑ Neighborhood Assoc.
® Local/State/Federal Government Monroe County; Florida FWC; Florida Sea Grant
❑ Legislature
❑ Other
Known Public Opposition: (Name)
❑ Adjacent Land Owners
❑ Users Groups
❑ Neighborhood Assoc.
❑ Local/State/Federal Government
❑ Legislature
❑ Other
VII - PROJECT ENGINEERING AND CONSTRUCTION
Who is or will be completing project design/engineering? Level of engineering completed at time of application:
❑ Applicant Own Staff ® None
❑ Consulting Engineers ❑ Conceptual (Master Plan Phase)
❑ N/A (Materials or Equipment Purchase) ❑ Preliminary
® Other: Planning Consultants ❑ Final (Ready to Bid)
Has a preliminary or final engineer's cost estimate been developed for this project at time of application?
❑ Yes ®No
If yes, please attach a copy of detailed engineers cost estimate to application.
Preferred period of construction (based on user activity, weather and water level):
[]Winter ❑ Spring ❑ Summer ❑ Fall ® Anytime of the Year
FWC/DLE-252 (05/04)
VIH - PROJECT COST - SOFT (NON CASH) FUNDS (TIER -I)
Cost Item
Project Type
Applicant
Other (List in Sec. XII
Do Not Use This Colum
TOTAL
Channel Marking
$
$
$
Administration
Public Launching
$
$
$
Aquatic Plant Control
$
$
Other Boating Activities
$
$
Channel Marking
$
$
In -kind Engineering/
Construction
Public Launching
$
$
Management
Aquatic Plant Control
$
_
$
$
Other Boating Activities
$
$
$
i
Channel Marking
$
$
In -kind Labor
Public Launching
$
$
Aquatic Plant Control
$
$
$
Other Boating Activities
$
$
$
Channel Marking
$
$
$
In -kind Materials
Public Launching
$
$�`'
z
$
Aquatic Plant Control
$
$
$
Other Boating Activities
$
$
$
Channel Marking
$
$
$
In -kind Equipment
Public Launching
$
$
$
Aquatic Plant Control
$
$
$
Other Boating Activities
Total Soft Funds (Tier -I)
$
$
$
IX - PROJECT COST - HARD (CASH) FUNDS (TIER -I)
Cost Item
Project Type
Applicant
Other (List in Sec. XII)
FBIP Grant
TOTAL
Channel Marking
$
$
$
$
Planning/Engineering
Public Launching
$
$
$
$
Aquatic Plant Control
$
$
$
$
Other Boating Activities
$
$
$
$
Channel Marking
$
$
$
$
Implementing/Construction
Public Launching
$
$
$
$
Aquatic Plant Control
$
$
$
$
Other Boating Activities
$
$
$
$
Channel Marking
$
$
$
$
Other
Public Launching
$
$
$
$
Aquatic Plant Control
$
$
$
$
Other Boating Activities
$
$
$
$
Total Hard Funds (Tier -I)
$
$
$
$
TOTAL FUNDS TIER -I
1
X - PROJECT COST - SOFT (NON CASH) FUNDS (TIER -II)
Cost Item
Project Type
Applicant
Other (List in Sec. XII) Po Not Use This Column
TOTAL
Administration
Boat Ramps
$
$
$
Piers and Docks
$
$
$
Boater Education
$
$
$
Economic Development
$ 5,000.00
$
$ 5,000.00
In -kind Engineering/
Construction
Management
Boat Ramps
$
$
$
Piers and Docks
$
$
$
Boater Education
$
$
$
Economic Development
$
$
$
In -kind Labor
Boat Ramps
$
$
$
Piers and Docks
$
$
$
Boater Education
$
$
$
Economic Development
$
$
$
In -kind Materials
Boat Ramps
$
$
$
Piers and Docks
$
$
—
$
$
Boater Education
$
Economic Development
$
$
$
In -kind Equipment
Boat Ramps
$
$
Piers and Docks
$
$
-
$
Boater Education
$
$ i
�
Economic Development
$
$
Total Soft Funds (Tier -II)
$ 5,000.00
$
$ 5,000.00
XI - PROJECT COST - HARD (CASH) FUNDS (TIER -II)
Cost Item
Project Type
Applicant
Other (List in Sec. XII)
FBIP Grant
TOTAL
Planning/Engineering
Boat Ramps
$
$
$
$
Piers and Docks
$
$
$
$
Boater Education
$
$
$
$
Economic Development
$
$
$
$
Implementing/Construction
Boat Ramps
$
$
$
$
Piers and Docks
$
$
$
$
Boater Education
$
$
$
$
Economic Development
$
$
$
$
Planning
Other
Boat Ramps
$
$
$
$
Piers and Docks
$
$
$
$
Boater Education
$
$
$
$
Economic Development
$ 37,500.00
$
$ 37,500.00
$ 75,000.00
Total Hard Funds (Tier -II)
$ 37,500.00
$
$ 37,500.00
$ 75,000.00
F$80,000.00
TOTAL FUNDS TIER -II $42,500.00 $ $37,500.00
XH - OTHER SOURCE OF FUNDS
STATUS
❑ Federal
Grant Name:
❑ State/Local
❑Loan
Agency:
Approval Status:
[]Approved
❑Pending
❑Intend to Apply, Date:
❑ Federal
Grant Name:
❑ State/Local
[]Loan
Agency:
Approval Status:
❑ Approved
❑ Pending
[]Intend to Apply, Date:
❑Federal
Grant Name:
❑State/Local
[]Loan
Agency:
Approval Status:
❑Approved
❑Pending
❑Intend to Apply, Date:
❑Federal
Grant Name:
❑State/Local
❑Loan
Agency:
Approval Status:
❑Approved
❑ Pending
❑Intend to Apply, Date:
XIII - PERMIT STATUS Note: Construction Projects Only.
Submitted
Approved
Florida Department of Environmental Protection?
❑
❑
U.S. Army Corps of Engineers
❑
❑
Local and Others (If needed):
❑
❑
FWC/DLE-252 (05/04)
XV - REQUIRED APPLICATION ATTACHMENTS CHECK LIST
®
1. An adopted Resolution, by the Governing Body, authorizing that the Project Manager has the authority to apply for and
administer the grant on behalf of the applicant.
❑
2. Boundary map of the project area. The map must provide a description and sketch of the project area boundaries, displaying
known easements, and legally sufficient to identify the program area.
❑
3. Site control documentation (e.g. deed, lease, results of title search, etc ... ) for the project site. If the Applicant is applying on
behalf of another public entity, then a Memorandum Of Understanding between the Applicant and the public entity must also
be submitted.
❑
4. Existing Condition Photographs sufficient to depict the physical characteristics of the project area.
❑
5. Aerial Photographs marked with the approximate boundaries of the project site.
❑
6. If applicable, an 8.5"xl1" photocopy (project site vicinity only) of a current NOAA North American Datum 83 nautical
chart (provide the NOAA chart name and number) indicating the precise location of the project site. NOAA charts may be
obtained from: Distribution Branch (N/CG33), NOAA-National Ocean Service, 6501 Lafayette Avenue, Riverdale,
Maryland 20737.
❑
7. Photocopies of necessary project permit(s) or permit application(s).
❑
8. Detailed Cost Estimate in the form of a formal bid, written quote from proposed vendor or an engineer's cost estimate.
❑
9. Preliminary Design/Engineering Plans (if completed).
®
10. Application transmittal cover letter (Identify priority rank with multiple applications).
®
11. One (1) original application.
®
12. Five (5) copies of the application.
APPLICANT SIGNATURE
Application is hereby made for the activities described herein. I certify that I am familiar with the information contained in the
application, and, to the best of my knowledge and belief, this information is true, complete, and accurate. I further certify that I possess
the authority including the necessary requisite property interests to undertake the proposed activities.
I also certify that the Applicants governing body is aware of and has authorized the Project Manager as the official representative of the
Applicant to act in connection with this application and subsequent project as well as to provide additional information as may be required.
By signature below the Applicant agrees to comply with all applicable federal, state, and local laws in conjunction with this proposal and
resulting project so approved.
James L. is
Print/T �Ne
Ap cant Signature ACT!NG C011`— "r�MINISTRATOR
Monroe County Administrator
Title
9/7/04
Date
STATE OF FLORIDA, COUNTY OF
Personally appeared before me this day of 20d, Ji�P ",o. and swore to
the above instrument in my presence. 1 w•yMy G.
�n2ird cc c Ems` °S,� ZoaS
Notary Public Name: � My commission e /
�i ama►-a Lund ram
NOTE: Instruction and further information regarding this application and the Florida Boating Improvement Program can be found in the
Florida Boating Improvement Program Procedure Guide or you may contact the Program Administrator, Florida Fish and Wildlife
Conservation Commission, 620 South Meridian Street, FL 32399-1600. Telephone (850) 487-3755.
FWC/DLE-252 (05/04)
Marine Resources
RESOLUTION NO. 191— 2002
A RESOLUTION OF THE MONROE COUNTY BOARD OF
COMMISSIONERS AUTHORIZING THE COUNTY ADMINISTRATOR OR
HIS DESIGNEE TO SIGN GRANT APPLICATIONS FOR APPLICATIONS
APPROVED FOR SUBMITTAL BY THE BOARD.
WHEREAS, Board of County Commissioners approved submission of a grant to the
FBIP to assist in making improvements to boat ramps in Monroe County; and
WHEREAS, many grant programs, including the FBIP grant program require a resolution
authorizing the individual signing the grant to be specifically authorized' for signature by the
legally authorized governmental body, in this case the Board of County Commissioners; and
WHEREAS, the Board generally supports receipt of FBIP and other grant funds for
specified marine projects and purposes approved by the Board.
THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS, MONROE COUNTY, FLORIDA THAT:
The County Administrator or his designee is authorized to sign grant applications approved by
the Board.
PASSED AND ADOPTED by the Board of County Commissioners, Monroe County,
Florida at a regular meeting of said Board held on the 1 S`h day of May . A.D., 2002.
Mayor Charles "Sonny" McCoy YES
Mayor Pro Tern Dixie Spehar YES
Commissioner George Neugent YES_
Commissioner Nora Williams =A t
Commissioner Murray Nelson YES
_ BOARD OF COUNTY MISSIONERS
MONROE COUNTY, DA
BY:
yet 1 MAYOR/CHAIR PERSON
(SEAL)
ATTEST: DANNY 1. KOLHAGE. CLERK
B Y :
DEPUTY CLERK r
IAPPROVED AS TO FORM
G L- SLTFfi CY
Uct 29 U4 09:58a James L Roberts Cc Rdmin 305-292-4544 jo.2
OWM
9ayor MurRY E. Nelson, District SS
YNTY oMONROE Mayor Pro Tern David P. Rice, District 4
OCKWEST FLORIDA 33040 Dixie M Spehar, District 1
isosl 294 a5ai George Neugent, District 2
Charles "Sonny" McCoy, District 3
Monroe County
Board of County Commissioners
Office of the County Administrator
The Historic Gato Cigar Factory
1100 Simonton Street, Suite 205
Key West, FL 33040
(305) 292-4441 — phone
(305) 292-4544 - Pax
A
MEMORANDUM
TO:
Danny L. Kolhage
Clerk of the Circuit Courts
FROM.
James L. Roberts
County Administrator
SUBJECT:
Absence of County Administrator
DATE.
August 25, 2004
1 will be out of town from 11:00 A.M. Friday, August 27, 2004, through 6:00 P.M. Tuesday,
September 7, 2004. During the period of August 27 — August 29, Dent Pierce will have full authority
to act on my behalf including approval of all fiscal documents and during the period of August 30 —
September 7, Reggie Paros will have full authority to act on my behalf including approval of all fiscal
documents.
Very truly yours
James L. Roberts
County Administrator
JLR: dlf
cc: Mayor Nelson
All Commissioners
Richard Collins
Division Directors
Finance
Purchasing
ATTACHMENT B
Comptroller Contract Payment Requirements
Department of Financial Services, Bureau of Accounting and Auditing,
Voucher Processing Handbook (10/07/97)
Cost Reimbursement Contracts
Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by
category (salary, travel, expenses, etc.) Supporting documentation must be provided for each amount for
which reimbursement is being claimed indicating that the item has been paid. Check numbers may be
provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates
of service. Only expenditures for categories in the approved contract budget should be reimbursed.
Listed below are examples of types of documentation representing the minimum requirements:
(1) Salaries: A payroll register or similar documentation should be submitted. The payroll
register should show gross salary charges, fringe benefits, other deductions and
net pay. If an individual for whom reimbursement is being claimed is paid by the
hour, a document reflecting the hours worked times the rate of pay will be
acceptable.
(2) Fringe Benefits: Fringe Benefits should be supported by invoices showing the amount paid on
behalf of the employee (e.g., insurance premiums paid). If the contract
specifically states that fringe benefits will be based on a specified percentage
rather than the actual cost of fringe benefits, then the calculation for the fringe
benefits amount must be shown.
Exception: Governmental entities are not required to provide check numbers or
copies of checks for fringe benefits.
(3) Travel: Reimbursement for travel must be in accordance with Section 112.061, Florida
Statutes, which includes submission of the claim on the approved State travel
voucher or electronic means.
(4) Other direct costs: Reimbursement will be made based on paid invoices/receipts. If nonexpendable
property is purchased using State funds, the contract should include a provision
for the transfer of the property to the State when services are terminated.
Documentation must be provided to show compliance with Department of
Management Services Rule 60A-1.017, Florida Administrative Code, regarding
the requirements for contracts which include services and that provide for the
contractor to purchase tangible personal property as defined in Section 273.02,
Florida Statutes, for subsequent transfer to the State.
(5) In-house charges: Charges which may be of an internal nature (e.g., postage, copies, etc.) may be
reimbursed on a usage log which shows the units times the rate being charged.
The rates must be reasonable.
(6) Indirect costs: If the contract specifies that indirect costs will be paid based on a specified rate,
then the calculation should be shown.
Pursuant to 216.346, Florida Statutes, a contract between state agencies
including any contract involving the State University system or the State
Community College system, the agency receiving the contract or grant moneys
shall charge no more than 5 percent of the total cost of the contract or grant for
overhead or indirect cost or any other cost not required for the payment of direct
costs.
ATTACHMENT C
REQUIREMENTS OF THE FLORIDA AND FEDERAL SINGLE AUDIT ACTS
The administration of resources awarded by the Florida Fish and Wildlife Conservation Commission (Commission)
to the Contractor/Grantee (recipient) may be subject to audits and/or monitoring by the Commission as described in
this section.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A-133 and Section 215.97, F.S., as
revised (see "AUDITS" below), monitoring procedures may include, but not be limited to, on -site visits by
Commission staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By
entering into this agreement, the recipient agrees to comply and cooperate with any monitoring procedures/processes
deemed appropriate by the Commission. In the event the Commission determines that a limited scope audit of the
recipient is appropriate, the recipient agrees to comply with any additional instructions provided by the Commission
staff to the recipient regarding such audit. The recipient further agrees to comply and cooperate with any
inspections, reviews, investigations, or audits deemed necessary by the Comptroller or Auditor General.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the recipient is a State or local government or a non-profit organization as defined in OMB
Circular A-133, as revised.
In the event that the recipient expends $500,000 or more in Federal awards in its fiscal year, the recipient must have
a single or program -specific audit conducted in accordance with the provisions of OMB Circular A-133, as revised.
EXHIBIT 1 to this agreement indicates Federal resources awarded through the Commission by this agreement. In
determining the Federal awards expended in its fiscal year, the recipient shall consider all sources of Federal awards,
including Federal resources received from the Commission. The determination of amounts of Federal awards
expended should be in accordance with the guidelines established by OMB Circular A-133, as revised. An audit of
the recipient conducted by the Auditor General in accordance with the provisions of OMB Circular A-133, as
revised, will meet the requirements of this part.
In connection with the audit requirements addressed in Part I, paragraph 1., the recipient shall fulfill the
requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular A-133, as revised.
If the recipient expends less than $500,000 in Federal awards in its fiscal year, an audit conducted in accordance
with the provisions of OMB Circular A-133, as revised, is not required. In the event that the recipient expends less
than $500,000 in Federal awards in its fiscal year and elects to have an audit conducted in accordance with the
provisions of OMB Circular A-133, as revised, the cost of the audit must be paid from non -Federal resources (i.e.,
the cost of such an audit must be paid from recipient resources obtained from other than Federal entities).
PART II: STATE FUNDED
This part is applicable if the recipient is a non -state entity as defined by Section 215.97(2)(1), Florida Statutes.
In the event that the recipient expends a total amount of state financial assistance equal to or in excess of $500,000
in any fiscal year of such recipient, the recipient must have a State single or project -specific audit for such fiscal
year in accordance with Section 215.97, Florida Statutes; applicable rules of the Executive Office of the Governor
and the Comptroller; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit
organizations), Rules of the Auditor General. EXHIBIT 1 to this agreement indicates state financial assistance
awarded through the Commission by this agreement. In determining the state financial assistance expended in its
fiscal year, the recipient shall consider all sources of state financial assistance, including state financial assistance
received from the Commission, other state agencies, and other non -state entities. State financial assistance does not
Page 1 of 3
include Federal direct or pass -through awards and resources received by a non -state entity for Federal program
matching requirements.
In connection with the audit requirements addressed in Part II, paragraph 1, the recipient shall ensure that the audit
complies with the requirements of Section 215.97(7), Florida Statutes. This includes submission of a financial
reporting package as defined by Section 215.97(2)(d), Florida Statutes, and Chapters 10.550 (local governmental
entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General.
If the recipient expends less than $500,000 in state financial assistance in its fiscal year, an audit conducted in
accordance with the provisions of Section 215.97, Florida Statutes, is not required. In the event that the recipient
expends less than $500,000 in state financial assistance in its fiscal year and elects to have an audit conducted in
accordance with the provisions of Section 215.97, Florida Statutes, the cost of the audit must be paid from the non -
state entity's resources (i.e., the cost of such an audit must be paid from the recipient's resources obtained from
other than State entities).
PART III: OTHER AUDIT REQUIREMENTS
There are no other audit requirements.
PART IV: REPORT SUBMISSION
Copies of reporting packages for audits conducted in accordance with OMB Circular A-133, as revised, and required
by PART I of this agreement shall be submitted, when required by Section .320 (d), OMB Circular A-133, as
revised, by or on behalf of the recipient directly to each of the following:
The Commission at the following address:
Audit Director
Florida Fish and Wildlife Conservation Commission
Bryant Building, Room 170
620 S. Meridian St.
Tallahassee, FL 32399-1600
The Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of copies required by
Sections .320 (d)(1) and (2), OMB Circular A-133, as revised, should be submitted to the Federal Audit
Clearinghouse), at the following address:
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10th Street
Jeffersonville, IN 47132
Other Federal agencies and pass -through entities in accordance with Sections .320 (e) and (f), OMB Circular A-133,
as revised.
Pursuant to Section .320 (f), OMB Circular A-133, as revised, the recipient shall submit a copy of the reporting
package described in Section .320 (c), OMB Circular A-133, as revised, and any management letter issued by the
auditor, to the Commission at the following address:
Audit Director
Florida Fish and Wildlife Conservation Commission
Bryant Building, Room 170
620 S. Meridian St.
Tallahassee, FL 32399-1600
Page 2 of 3
Copies of financial reporting packages required by PART H of this agreement shall be submitted by or on behalf of
the recipient directly to each of the following:
The Commission at the following address:
Audit Director
Florida Fish and Wildlife Conservation Commission
Bryant Building, Room 170
620 S. Meridian St.
Tallahassee, FL 32399-1600
The Auditor General's Office at the following address:
Auditor General's Office
G74 Claude Pepper Building
111 West Madison Street
Tallahassee, FL 32399-1450
Copies of reports or the management letter required by PART III of this agreement shall be submitted by or on
behalf of the recipient directly to:
The Commission the following address:
Audit Director
Florida Fish and Wildlife Conservation Commission
Bryant Building, Room 170
620 S. Meridian St.
Tallahassee, FL 32399-1600
Any reports, management letter, or other information required to be submitted to the Commission pursuant to this
agreement shall be submitted timely in accordance with OMB Circular A-133, Florida Statutes, and Chapters 10.550
(local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General, as
applicable.
Recipients, when submitting financial reporting packages to the Commission for audits done in accordance with
OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit
organizations), Rules of the Auditor General, should indicate the date that the reporting package was delivered to the
recipient in correspondence accompanying the reporting package.
Contact the Commission's Audit Director by phone at (850) 488-6068.
PART V: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance with the terms of this Agreement for a
period of five (5) years from the date the audit report is issued, and shall allow the Commission or its designee,
Comptroller, or Auditor General access to such records upon request. The recipient shall ensure that audit working
papers are made available to the Commission or its designee, Comptroller, or Auditor General upon request for a
period of five (5) years from the date the audit report is issued, unless extended in writing by the Commission.
Page 3 of 3
EXHIBIT —1
FEDERAL RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOLLOWING:
None.
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
None.
STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST
OF THE FOLLOWING:
MATCHING RESOURCES FOR FEDERAL PROGRAMS:
None.
SUBJECT TO SECTION 215.97, FLORIDA STATUTES:
State Agency: Florida Fish and Wildlife Conservation Commission
State Program: Florida Boating Improvement Program
CSFA No.: 77.006
Recipient: Monroe County Board of County Commissioners
Amount: $37,500.00
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO
THIS AGREEMENT ARE AS FOLLOWS:
1. Project activities must occur on public lands owned outright or managed under agreement with
another party with lease terms exceeding 20 years.
2. Project activities must not create a boating safety hazard and/or increase the potential for damage to
natural resources.
3. Recipient must comply with the Policies and Guidelines (Interim) of the Florida Boating Improvement
Program.
4. Recipient must comply with all Commission rules, policies and procedures as well as all other state
and federal rules.
NOTE: Section .400(d) of OMB Circular A-133, as revised, and Section 215.97(5)(a), Florida
Statutes, require that the information about Federal Programs and State Projects included in
Exhibit 1 be provided to the recipient.
Page 1 of 1
ATTACHMENT D
I,
representing
FLORIDA FISH AND WILDLIFE
CONSERVATION COMMISSION
FLORIDA BOATING IMPROVEMENT PROGRAM
CERTIFICATION OF COMPLETION STATEMENT
(Print Name and Title)
(Name of Local Government)
do hereby certify under penalties of periury per s. 216.349, Florida Statutes, that the Florida
Boating Improvement Program project funded by FWC Contract No.
has been completed in compliance with all terms and conditions of said Agreement; that all
amounts payable for materials, labor and other charges against the project have been paid; and
that no liens have been attached against the project.
(Signature) (Date)
STATE OF FLORIDA, COUNTY OF (
Personally appeared before me this day of , 200_, who
subscribed and swore to the above instrument in my presence.
Notary Public Name:
My commission expires: (SEAL)
CERTIFICATE BY COMMISSION
I certify: That, to the best of my knowledge and belief, the work on the above -named
project has been satisfactorily completed under the terms of the Agreement.
Division:
By:
Name:
Title:
Date:
ATTACHMENT E
FLORIDA BOATING IMPROVEMENT PROGRAM
PROJECT PROGRESS REPORT
Mail to FWC at 620 South Meridian Street, Tallahassee, FL 32399-1600 or fax to (850) 488-9284.
Due by the 15`h of each month
FWC Contract #
Project Title:
1. Describe tasks completed this month:
2. List deliverables provided to FWC this month:
Month/Year:
3. List tasks scheduled to be completed during next month:
4. Is project currently on schedule for completion by December 31, 2005? YES NO
(If No, please explain any problems encountered and/or possible delays)
Project Manager
Date
Page 1 of 1