HomeMy WebLinkAboutSeminole County - Day Camp Provider Scholarship Agreement -2014 05 15DAY CAMP PROVIDER AGREEMENT
THIS AGREEMENT is made and entered into this 15th day of May ,
2014 , by and between SEMINOLE COUNTY, a political subdivision of the State of Florida,
whose address is Seminole County Services Building, 1101 East First Street, Sanford, Florida
32771, hereinafter referred to as "COUNTY ", and the CITY OF WINTER SPRINGS, a Florida
Municipal Corporation, whose address is 1126 East State Road 434, Winter Springs, Florida 32705,
hereinafter referred to as "DAY CAMP PROVIDER ".
WITNESSETH:
WHEREAS, COUNTY has received Community Services Block Grant fimding in the
amount of EIGHTY -EIGHT THOUSAND AND NO /100 DOLLARS ($55,000.00), hereinafter
referred to as the Grant, from the State of Florida Department of Economic Opportunity for day
camp scholarships for eligible individuals residing in Seminole County, Florida; and
WHEREAS, in response to the deeds of these individuals, COUNTY may issue vouchers
for day camp scholarships, hereinafter referred to as "Day Camp Scholarship Vouchers ", for income
eligible individuals residing in Seminole County, Florida, hereinafter referred to as "Camper ",
participating in a COUNTY program for payment of day camp tuition and other specified expenses
for short-tenn day camp services provided by DAY CAMP PROVIDER; and
WHEREAS, the purpose of this Agreement is to identify the COUNTY approved day camp
programs to be delivered by the DAY CAMP PROVIDER; establish the costs associated with the
approved day camp programs; describe the processes and procedures that will be followed if an
eligible Camper receives a Day Camp Scholarship Voucher from COUNTY for enrollment in one
of the DAY CAMP PROVIDER's approved day camp programs; and identify the operating
procedures governing payment for the day camp programs; and
Seminole County / City of Winter Springs
Day Camp Provider Agreement
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WHEREAS, COUNTY has statutory authority to disburse the Grant under this Agreement,
NOW, THEREFORE, in consideration of the mutual understandings and covenants set
forth herein, the receipt and sufficiency of which are hereby acknowledged, COUNTY and DAY
CAMP PROVIDER agree as follows:
Section 1. Term. This Agreement becomes effective upon execution by all parties and
terminates on September 30, 2014, unless otherwise terminated pursuant to the teens of this
Agreement.
Section 2. Responsibilities. COUNTY and DAY CAMP PROVIDER hereby specifically
agree to the following:
(a) COUNTY shall solely determine whether Seminole County residents interested in
day camp services are eligible for Day Camp Scholarship Vouchers in accordance with applicable
Federal and State ineorne eligibility and other program criteria, including the Scope of Services
attached hereto and incorporated herein as Exhibit A. Only those Campers determined eligible and
in need of day camp services by COUNTY shall be issued a Day Camp Scholarship Voucher for
day camp services; provided, however, sufficient funds are available, in COUNTY's determination,
to cover COUNTY's portion of the day camp costs. All terms and conditions of this Agreement are
subject to continued Grant fund availability.
(b) COUNTY shall not guarantee any referrals, set aside any day camp scholarships, or
budget any funds whatsoever for any day camp programs offered by the DAY CAMP PROVIDER.
All decisions regarding the issuance of a Day Camp Scholarship Voucher shall be made on a case
by case basis by COUNTY, taking into consideration the information available, including, but not
limited to the assessed needs of the Camper and any additional costs to the Camper. COUNTY
shall, in its sole discretion, determine whether to issue a Day Camp Scholarship Voucher for any
Seminole County / City of Winter Springs
Day Camp Provider Agreement
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approved day camp program offered by a particular DAY CAMP PROVIDER. A matrix of
approved day camp programs is attached hereto and incorporated herein as Exhibit B.
(c) DAY CAMP PROVIDER shall deliver the day camp program in accordance with
the day camp program description in effect at the time the Camper enrolls in the particular day camp
program.
(d) DAY CAMP PROVIDER shall immediately notify COUNTY in writing of any
changes in the approved day camp program, including but not limited to the day camp description
and program cost described in Exhibit F prior to the enrollment of any COUNTY sponsored
Camper.
(e) DAY CAMP PROVIDER agrees to accept the Day Camp Scholarship Voucher and
bill COUNTY for the agreed upon day camp costs at no more than the total of the Day Camp
Scholarship Voucher or the total published cost of the specific day camp services for municipal
residents, whichever is less. The amount of the Day Camp Scholarship Voucher shall be determined
by COUNTY up to a maximum amount of NINE HUNDRED NINETY AND NO /100 DOLLARS
($990.00) of the cost of day camp tuition per Camper to DAY CAMP PROVIDER. COUNTY shall
pay no other costs or fees that are not specified in this Agreement and included on the Day Camp
Scholarship Voucher. Payments for tuition and/or other approved costs will be made only for those
Campers receiving a valid signed COUNTY Day Camp Scholarship Voucher. The Camper must be
enrolled in and receiving day camp services designated on the Day Camp Scholarship Voucher
before the COUNTY Day Camp Scholarship Voucher is considered valid. If the Camper does not
begin day camp, DAY CAMP PROVIDER shall immediately return the Day Camp Scholarship
Voucher to COUNTY. COUNTY will not pay DAY CAMP PROVIDER. for a week in which the
Camper does not attend at least one (1) day.
Seminole County / City of Winter Springs
Day Camp Provider Agreement
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(f) The COUNTY Day Camp Scholarship Voucher shall be issued for a limited time
frame not to exceed a nine (9) week period.
(g) Campers receiving a Day Camp Scholarship Voucher from COUNTY shall be
enrolled by DAY CAMP PROVIDER only in. the approved day camp program for the designated
period of time specified on the COUNTY Day Camp Scholarship Voucher. At no time shall DAY
CAMP PROVIDER allow a COUNTY Camper to switch day camp programs or to extend his/her
day camp services at COUNTY's cost.
(h) DAY CAMP PROVIDER shall provide COUNTY a record of completion of the
day camp program by the Camper within ten (10) business days of said completion. This
information shall be released to COUNTY based on Camper's authorization as outlined on the Day
Camp Scholarship Voucher. DAY CAMP PROVIDER shall provide COUNTY a completed
Monthly Report within ten (10) days of the end of the month. A. copy of the Monthly Report is
attached hereto and incorporated herein as Exhibit C.
(i) DAY CAMP PROVIDER shall refer COUNTY Campers back to COUNTY in the
event that the Camper or DAY CAMP PROVIDER is unable to continue the day camp services
specified in the Day Camp Scholarship Voucher, DAY CAMP PROVIDER shall also notify
COUNTY in writing of this occurrence.
0) DAY CAMP PROVIDER agrees that each Camper receiving a Day Camp
Scholarship Voucher for day camp services shall be evaluated by the DAY CAMP PROVIDER for
all financial aid eligibility normally available to DAY CAMP PROVIDER's Campers. A Camper
eligible for assistance shall not be discriminated against in receipt of such financial aid solely due to
his/her receipt of a COUNTY Day Camp Scholarship Voucher.
Seminole County / City of Winter Springs
Day Camp Provider Agreement
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(k) It is the responsibility of DAY CAMP PROVIDER to provide sufficient oversight to
prevent misapplication of funds that results in double payment of any charges or the utilization of
Federal, State or COUNTY funds when other funds could have been used for the same purpose.
Section 3. Payment.
(a) DAY CAMP PROVIDER shall submit to COUNTY a written invoice in the fornl of
Exhibit E, Request for Payment, and all necessary supporting documentation for the approved day
camp tuition and other identified and included costs once a Camper possessing a valid signed Day
Camp Scholarship Voucher is enrolled in a day camp program. This invoice must be supported by a
copy of the COUNTY Day Camp Scholarship Voucher and any receipts, as applicable. Each
CAMPER shall be identified by name and costs associated with each Camper shall be itemized. The
Monthly Invoice, Exhibit E, is due to COUNTY by the 10th day of the following month. The
payment request shall. be addressed to:
Day Camp Provider Reimbursement Reques't'
t
Department of Community Services
Seminole County
534 West Lake Mary Boulevard
Sanford, Florida 32773
Invoices accepted for payment shall be paid within thirty (30) days of receipt. Invoices not
accepted for payment due to inconsistencies, errors, or failure to submit supporting documentation,
shall be returned to DAY CAMP PROVIDER for correction and resubmission.
(b) The COUNTY Day Camp Scholarship Voucher shall specify the expenses that will
be paid for with funds administered by COUNTY. DAY CAMP :PROVIDER shall adhere to the
plan of action established by the Day Camp Scholarship Voucher.
Section 4. Refunds.
(a) The DAY CAMP PROVIDER shall, in conformity with its established refund
policies, refund such monies for day camp tuition and fees paid by COUNTY for Campers who
Seminole County l City of Winter Springs
Day Camp Provider Agreement
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enroll in and begin a day camp program, but drop out of day camp. Refunds due for tuition and fees
paid under this Agreement shall. be trade payable to COUNTY at the address provided in Section 6
herein. DAY CAMP PROVIDER shall refund to COUNTY any Grant funds used for ineligible
purposes under the laws, rules and regulations governing the use of these Grant funds. A separate
email advising COUNTY that a refund is being mailed shall be sent by DAY CAMP PROVIDER
to COUNTY at ocarter ivseminolecountyfl.gov.
(b) In accordance with Section 215.34(2), Florida Statutes, if a check or other draft is
rettirned to COUNTY for collection, DAY CAMP PROVIDER shall pay to COUNTY a service fee
of FIFTEEN AND NO /100 DOLLARS ($15.00) or five percent (5 %) of the face amount of the
returned check or drag, whichever is greater.
Section 5. Access and Retention of Public Records.
(a) The parties shall comply with the public records laws of the State of Florida and the
non - confidential portions of all financial records; supporting documents, and any other documents
pertinent to this Agreement shall be available for inspection by any person in accordance with
Chapter 119, Florida Statutes. DAY CAMP PROVIDER shall comply with Federal and State law to
ensure the confidentiality of personal information including name, Social Security Number, Social
Security benefit data, date of birth, official State or government issued driver's license or
identification number, alien registration number, goverment passport number, employer or
taxpayer identification number, home address, phone number and medical information of each
Camper receiving a COUNTY Day Camp Scholarship Voucher.
(b) DAY CAMP PROVIDER shall have in place an official process for investigating
and reporting lost or stolen confidential information. Any infraction or potential infraction of State
and/or Federal laws related to the loss or theft of confidential information shall immediately be
reported to the COUNTY in writing.
Seminole County / City of Winter Springs
Day Camp Provider Agreement
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(c) The parties hereto shall retain all financial records, supporting documents, and any
other documents pertinent to this Agreement for a period of five (5) years after the termination or
expiration date, whichever is earlier, or such longer period as may be required by Federal or State
law.
Section 6. Notices. All notices, consents, approvals and required reports which any
party shall be required or shall desire to make or give pursuant to this Agreement, shall be given
in writing and delivered to the below designated persons by First Class United States mail or
facsimile transmission, proof of delivery and receipt retained by the sending party:
For COUNTY:
Seminole County
Department of Comnlunity Services
534 West Lake Mary Boulevard
Sanford, Florida 32773
For DAY CAMP PROVIDER:
City of Winter Springs
1126 East State Road 434
Winter Springs, Florida 32708
Either of the parties may change, by written notice as provided above, the person or
address for receipt of notice.
Section 7. Termination..
(a) This Agreement may be terminated for convenience at any time by either party with
thirty (30) days written notice. In the event of such termination, there shall be no interruption in
services for COUNTY sponsored Campers already enrolled in day camp through the period paid for
by the Day Camp Scholarship Voucher issued and paid. DAY CAMP PROVIDER has thirty (30)
days after the effective date of the termination for convenience to bill for any payments due. DAY
Seminole County f City of Winter Springs
Day Camp Provider Agreement
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CAMP PROVIDER shall be entitled to receive just and equitable compensation for any services
performed hereunder through the date of termination.
(b) Either party may terminate this Agreement in writing when it has been determined
that the other party has failed to comply with any of the terms specified herein or has violated any
stipulations of this Agreement. The obligation. of COUNTY to make all payments due under this
Agreement for all enrollments prior to the effective date of termination. of this Agreement shall
survive termination unless DAY CAMP PROVIDER fails to perform. If DAY CAMP PROVIDER
fails to perform, in whole or in part, COUNTY may serve a termination notice that shall be effective
as provided in Section 6 herein. In the event of such termination, COUNTY shall be liable for
payment only for services rendered prior to the effective date of termination. Final billing for
payment must be received by COUNTY within thirty (30) days of termination date. Refunds due for
any payments made for services that have not been provided must be received by COUNTY within
thirty (30) days of the termination date. The obligation of DAY CAMP PROVIDER to refund to
COUNTY any payments made for services that have not been provided shall survive termination of
this Agreement.
Section 8. Indemnification.
(a) Each party to this Agreement is responsible for all personal injury and property
damage attributable to the negligent acts or omissions arising out of this Agreement of that parry
and the officers, employees and agents thereof.
(b) The parties further agree that nothing contained herein. shall be construed or
interpreted as denying to any party any remedy or defense available to such parties under the
laws of the State of Florida, nor as a waiver of sovereign immunity of COUNTY and DAY
CAMP PROVIDER beyond the waiver provided for in Section 768.28, Florida Statutes.
Seminole County/ City of Winter Springs
Day Camp Provider Agreement
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(c) The waiver of a provision herein by either party shall not constitute the further
waiver of said provision or the waiver of any other provisions.
Section 9. Assignment and Third Party Beneficiaries. Assignment of this Agreement by
either parry is expressly prohibited. There are no third party beneficiaries to this Agreement.
Section 1.0. Mandated Conditions.
(a) Governing Law. This Agreement shall be governed by and construed in accordance
with the laws of the State of Florida and the parties consent to venue in the Circuit Court in and for
Seminole County, Florida, as to State actions and the United States District Court for the Middle
District of Florida as to Federal actions.
(b) Accuracy of Submittals. The validity of this Agreement is subject to the truth and
accuracy of all the information, representations, and materials submitted or provided by the DAY
CAMP PROVIDER in this Agreement, in any later submission or response to a COUNTY
request, or in any submission or response to fulfill the requirements of this Agreement. All of
said information, representations, and materials are incorporated by reference. The inaccuracy of
the submissions or any material changes shall, at the option of COUNTY and with thirty (30)
days written notice to DAY CAMP PROVIDER, cause the termination of this Agreement and
the release of COUNTY from all its obligations to DAY CAMP PROVIDER.
(c) Counterparts. This Agreement may be executed in any number of counterparts,
any one of which may be taken as an original.
(d) Other Regulations. DAY CAMP PROVIDER agrees to comply with the
Americans With Disabilities Act (Public Law 101 -336, 42 U.S.C. Section 12101 et seq.) and the
Florida Civil Rights and Fair Housing Acts (Sections 760.01- 760.37, Florida Statutes), which
prohibit discrimination by public and private entities on the basis of disability in employment,
Seminole County / City of Winter Springs
Day Camp Provider Agreement
Page 9 of 12
public accommodations, transportation, State and local government services, and
telecommunications.
(e) Unauthorized Workers. COUNTY will not intentionally award publicly- funded
contracts to any contractor who knowingly employs unauthorized alien workers, constituting a
violation of the employment provisions contained in 8 U.S.C. Section 1324a(e) [Section 274A(e)
of the Immigration and Nationality Act ( "INA ")]. COUNTY shall consider the employment by
any contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation
by DAY CAMP PROVIDER of the employment provisions contained in Section 274A.(e) of the
INA shall be grounds for unilateral cancellation of this Agreement by COUNTY.
(f) Lobbying Prohibition_
(1) No funds or other resources received from COUNTY under this
Agreement may be used directly or indirectly to =influence legislation or any other official action
by the Florida Legislature or any State agency.
(2) DAY CAMP PROVIDER. certifies, by its signature to this Agreement, that
to the best of his or her knowledge and belief.
(A) No Federal appropriated fiends have been paid or will be paid, by
or on behalf of DAY CAMP PROVIDER, 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 any 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.
(B) If any funds other than Federal appropriated fiends have been paid
or will be paid to any person for influencing or attempting to influence an officer or employee of
Seminole County / City of Winter Springs
Day Camp Provider Agreement
Page 10 of 12
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, DAY CAMP PROVIDER shall complete and submit Standard Form -LLL,
"Disclosure Form to Report Lobbying ".
(g) Incorporation of Laws, Rules, Regulations and Policies.
(1) DAY CAMP PROVIDER and COUNTY shall be governed by applicable
Federal and State laws, rules, regulations and policies.
(2) DAY CAMP PROVIDER shall comply with the State of Florida,
Department of Economic Opportunity Federally- Funded Subgrant Agreement, as amended,
attached hereto and incorporated herein as Exhibit D.
Section 11. Entire Agreement. This Agreement constitutes the entire agreement between
the parties hereto with respect to the specific matters contained herein and supersedes all provisions
discussions, understandings and agreements relating hereto and cannot be changed except in writing
signed by each of the parties to this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dates
set forth below the respective signatures.
CITY OF WINT -FEIt SPRINGS
By:
A ES LACETr, or
Date: April 14, 2014
[Balance of this page left, intentionally blank; signatures continued on page 12]
Seminole County / City of Winter Springs
Day Camp Provider Agreement
Page 11 of 12
ATTEST:
M .-.,.-. NNE .MORSE
Clerk to the Board of
County Commissioners of
Seminole County, Florida.
Date:
For the use and reliance As authorized for execution by the Board of County
of Seminole County only. Commissioners at its ���,20 S,
regular meeting.
Approved as to form and
legal sufficiency.
County ttorney - —
Attachments:
Exhibit A – Scope of Services
Exhibit B – Day Camp Program Matrix
Exhibit C – Monthly Report
Exhibit D – State of Florida, Department of Economic Opportunity Federally- Funded.
Subgrant Agreement Community Services Block Grant and Modification of
Agreement
Exhibit E – Request for Payment
Exhibit F – Day Camp Description and Program Cost
MCC /sjs
3/14/14
I \U.wn C..egal Secretary C'SA••.Conumnity 5erviees`Q?0 14 Agreements\ )ay Canrp Provider Agreement - Wimer sprir%s.dae
Seminole County / City of Winter Springs
Day Camp Provider Agreement
Page 12 of 12
EXHIBIT A
SCOPE OF SERVICES
Generally:
The Community Services Block Grant - (CSBG) includes a $411,271 appropriation for Seminole
County through the Department of Economic Opportunity (DEO). Of this funding $88,000.00
has been approved for a Day Camp Scholarship Program. The purpose of the Day Camp
Scholarship Program is to provide a safe environment for youth to enable working parents to
maintain employment during the summer months. Additionally, this program will enable youth to
avoid risk- taking behavior for a defined period of time.
The funds under the program are intended to target families that meet the following criteria:
• Household must reside in Seminole County; and
• Household's income must be at or below 125% of the Federal Poverty Limit (see chart
below);
In addition, the household's child(ren) must meet the following criteria to be determined eligible:
• Child(ren) must reside in Seminole County (at least 50% of the time); and
• Child(ren) must be between the ages of five (5) and fifteen (15).
125% of Federal Poverty Limit (Effective 41112014)
I Person
2 Persons
3 Persons
4 Persons
5 Persons
6 Persons
7 Persons
8 Persons'
$14,588
$19,633
$24,738
$29,813
$34,888
$39,963
$45,038
$50,113
Specific Obligations:
SUBRECIPIENT shall reserve at a minimum the amount of spaces for eligible campers
as specified in the Inter - Agency Day Camp Agreement, Exhibit B — Day Camp Provider
Matrix.
2. The SUBRECIPIENT will provide services listed by their agency as outlined in the Inter -
Agency Day Camp Agreement, Exhibit B - Day Camp Provider Matrix, for the equivalent
of a Day Camp Scholarship.
3. COUNTY shall ensure that the households receiving assistance meet all of the following
conditions:
a. Households receiving assistance meet the program eligibility as described
above.
b. Process invoiced payments within 30 days of receipt.
4. Administrative Costs. There will be no Administrative Cost reimbursements connected
to this agreement.
5. No SUBRECIPIENT board member, employee or any related family member of either
shall receive or obtain gain, profit, or benefit in the form of a commissions, fees, or
payment for any other related product or service funded under this Agreement.
6. SUBRECIPIENT shall submit completed monthly reports for the months of June, July
and August of 2014 in the form of Exhibit C to the Inter - Agency Agreement to the
COUNTY by the tenth (10`h) day of July, August and September for the previous month.
The following categories apply:
a. Number of jobs created or retained.
i. Tracks the jobs created or retained because of the receipt of CSBG
Day Camp Scholarships.
ii. Track the amount of hours each job (position) worked on a weekly
basis.
b. Number of campers receiving a Day Camp Scholarship for the month and
how many completed the program.
Measures program success in contributing to parent's maintaining
employment and youth avoiding risk- taking behavior for a defined
period of time.
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STATE OF FLORII)4
DEPARTMENT OF ECONOMIC OPPORTUNITY
CFDA #: 93.569 Contract Number :14SB- OD- 06 -69 -01 -025
FEDERALLY - FUNDED SUBGRANT AGREEMENT
THIS AGREEMENT is entered into by the State of Florida, Department of Economic Opportunity,
with headquarters in Tallahassee, Florida (hereinafter referred to as DEO), and Seminole oua!y. Florida,
(hereinafter referred to as the "Recipient ").
THIS AGREEMENT IS ENTERED INTO BASED ON THE FOLLODGTNG REPRESENTATIONS:
A. The Recipient represents that it is fully qualified and eligible to receive these grant funds to provide
the services identified herein; and
B. DEO has received these grant funds from the State of Florida, and has the authority to subgrant
these funds to the Recipient upon the terms and conditions below; and
'C. DEO has statutory authority to disburse the funds under this Agreement.
THEREFORE, DEO and the Recipient agree to the following.
(1) SCOPE OF WORK
The Recipient shall perform the work in accordance with the Attachment A and Attachments I -M
of this Agreement
(2) INCORPORATION OF LAWS RULES. REGULATIONS AND POLI IFS
The Recipient and DEC) shall be governed by applicable State and Federal laws, rules and
regulations, including those identified in Attachment B.
(3) PERIOD OF AGREEMENT
This Agreement shall begin upon execution by both parties or October 1. 2013 whichever is
earlier, and shall end September 30, 2014, unless terminated earlier in accordance with the provisions of
Paragraph (12) of this Agreement.
(4) MODIFICATION OF CONTRACT
Either party may request modification of the provisions of this Agreement. Changes which are
agreed upon shall be valid only when in writing, signed by each of the parties, and attached to the original of
this Agreement.
(5) RECORDKEEPING
(a) As applicable, Recipient's performance under this Agreement shall be subject to the federal
"Common Rule: Uniform Administrative Requirements for State and Local Governments" (53 Federal Register
8034) or OMB Circular No. A -110 (now 2 CFR Part 215), "Grants and Agreements with Institutions of Higher
Education, Hospitals, and Other Nonprofit Organizations," and either OMB Circular No. A -87 (now 2 CFR
Part 225), "Cost Principles for State and Local Governments," OA1B Circular No. A -21 (now 2 CFR Part 320),
"Cost Principles for Educational Institutions," or OMB Circular No. A -122 (now 2 CFR Part 230), "Cost
Principles for Nonprofit Organizations." If this Agreement is made with a commercial (for - profit) organization
- - -- -- - - --- --- _— .... - -- - -- - — ._., - -- - Page 1 - -- - --
on a cost - reimbursement basis, the Recipient shall be subject to Federal Acquisition Regulations 31.2 and
931.2.
(b) All records pertaining to this Agreement, including but not limited to, supporting
documentation and records sufficient to demonstrate compliance with the terms of the Agreement including
personnel and financial records and reports related to the jobs, wages, and cumulative investment required
under this Agreement, shall be retained by the Recipient for five fiscal years after completion of the project,
which includes satisfaction of all reporting requirements and receipt of all payments due under the Agreement,
provided applicable audits have been released, or five years after the date that an audit report is issued,
whichever is longer. The five year period may be extended for the following exceptions:
1. If any litigation, claim or audit is started before the five year period expires, and extends
beyond the five year period, the records shall be retained until all litigation, claims or audit findings involving
the records have been resolved.
2. Records for the disposition of non - expendable personal property valued at $5,000 or more
at the time it is acquired shall be retained for five years after final disposition.
3. Records relating to real property acquired shall be retained for five years after the closing
on the transfer of title.
(c) The Recipient shall maintain all records for the Recipient and for all subcontractors or
consultants to be paid from funds provided under this Agreement, including documentation of all program
costs, in a form sufficient to determine compliance with the requirements and objectives of the Budget and
Scope of Work and all other applicable laws and regulations.
(d) The Recipient, its employees or agents, including all subcontractors or consultants to be paid
from funds provided under this Agreement, shall allow access to its records at reasonable times to DEO, its
employees, and agents. "Reasonable" shall ordinarily mean during normal business hours of 8:00 a.m. to 5:00
p.rn., local time, on Monday through Friday. "Agents" shall include, but not be limited to, auditors retained by
DEC).
(e) The Recipient may, per Rule 1B- 24.003(9)(a), Florida Administrative Code, allow its public
records to be stored through electronic recordkeeping systems as substitutes for the original or paper copy.
0IMPOWNT10411MOM
(a) The Recipient agrees to maintain financial procedures and support documents, in accordance
with generally accepted accounting principles, to account for the receipt and expenditure of funds under this
Agreement.
(b) 'These records shall be available at reasonable times for inspection, review, or audit by state
personnel and other personnel authorized by DEO. "Reasonable' shall ordinarily mean normal business hours
of 8:00 a.m. to 5:00 p.m., local time, Monday through Friday.
(c) If the audit shows that all or any portion of the funds disbursed were not spent in accordance
with the conditions of this Agreement, the Recipient shall be held liable for reimbursement to DEO of all funds
not spent in accordance with these applicable regulations and Agreement provisions within thirty days after
DEO has notified the Recipient of such non - compliance.
Page 2
(d) The Recipient shall have all audits completed by an independent certified public accountant
(IPA), either a certified public accountant or a public accountant licensed under Chapter 473, Ek. j5tgt, The
IPA shall state that the audit complied with the applicable provisions noted above. The audit must be received
by DEO no later than nine months from the end of the Recipient's fiscal year.
(7) REPORTS
(a) The Recipient shall provide DEO with monthly reports, quarterly reports, a close -out report,
and the yearly Information System Survey report as set forth in Attachment C to this Agreement. These reports
shall include the current status and progress by the Recipient and all subrecipients and subcontractors in
completing the work described in the Scope of Work and the expenditure of funds under this Agreement, in
addition to any other information requested by DEO.
(b) Monthly reports are due to DEO no later than the twenty -fast day of each month following the
end of the reporting month in which funds were expended. In the event the twenty -first day of the month falls
on a weekend day or holiday, the monthly report shall be due no later than the next business day.
(c) Quarterly reports are due to DEO no later than twenty -one calendar days after the end of each
quarter of the program year and shall be sent each quarter until submission of the administrative close -out
report. The ending dates for each quarter of the program year are March 31, June 30, September 30 and
December 31. In the event the twenty -first day of the month falls on a weekend day or holiday, the quarterly
report shall be due no later than the next business day.
(d) 'Me close -out report is due to DEO no later than forty -five calendar days after termination of
this Agreement or forty -five calendar days after completion of the activities contained in this Agreement,
whichever first occurs. In the event the forty -fifth day falls on a weekend day or holiday, the close -out report
shall be due no later than the next business day.
(e) The year end activity report is due to DEO upon notification by DEO to the Recipient that the
required activity report is to be submitted.
(0 If all required reports and copies are not sent to DEO or are not completed in a manner
acceptable to DEO, DEO may withhold further payments until they are completed or may take other action as
stated in Paragraph (11) REMEDIES. "Acceptable to DEW means that the work product was completed in
accordance with the Budget and Scope of Work.
DEO.
(g) The Recipient shall provide additional program updates or information as may be required by
(h) The Recipient shall also provide the additional reports and information identified in Attachment C.
(8) MONITORING
The Recipient shall monitor its performance under this Agreement, as well as that of its
subcontractors and /or consultants who are paid from funds provided under this Agreement, to ensure that the
Scope of Work and other performance goals are being achieved. A review shall be done for each function or
activity in Attachment A to this Agreement.
In addition to reviews of audits conducted in accordance with Paragraph (6) above, monitoring
procedures may include, but not be limited to, on -site visits by Department staff, limited scope audits, and /or
Page 3
other procedures. The Recipient agrees to comply with the most recent monitoring, manual provided by DEO,
and cooperate with any monitoring procedures /processes deemed appropriate by DEO. In the event that
DEO determines that a limited scope review of the Recipient is appropriate, the Recipient agrees to comply
with any additional instructions provided by DEO to the Recipient regarding such review, The Recipient
further agrees to comply and cooperate with any inspections, reviews, investigations or audits deemed necessary
by the Florida Chief Financial Officer or Auditor General. In addition, DEO will monitor the performance
and financial management by the Recipient throughout the contract term to ensure timely completion of all
tasks.
(9) LIABILITY
(a) Unless the Recipient is a state agency or subdivision, as defined in Section 768.28, Fla. Stat., the
Recipient is solely responsible to parties it deals with in can*g out the terms of this Agreement, and shall hold
DEO harmless against all claims of whatever nature by third parties arising from the work performance under
this Agreement. For purposes of this Agreement, the Recipient agrees that it is not an employee or agent of
DEO, but is an independent contractor.
(b) Any Recipient which is a state agency or subdivision, as defined in Section 768.28, Fes,
agrees to be fully responsible for its negligent or tortious acts or omissions which result in claims or suits against
DEO, and agrees to be liable for any damages proximately caused by its acts or omissions to the extent set forth
in Section 768.28, Fla. Stat. Nothing herein is intended to serve as a waiver of sovereign immunity by any
Recipient to which sovereign immunity applies, Nothing herein shall be construed as consent by a state agency
or subdivision of the State of Florida to be sued by third parties in any matter arising out of any contract.
(10) DEFAULT
If any of the following events occur ("Events of Default'), all obligations on the part of DEO to
make further payment of funds shall, if DEO elects, terminate and DEO has the option to exercise any of its
remedies set forth in Paragraph (11). However, DEO may make payments or partial payments after any
Events of Default without waiving the right to exercise such remedies, and without becoruing liable to make any
further payment:
(a) If any warranty or representation made by the Recipient in this Agreement or any previous
agreement with DEO is or becomes false or misleading in any respect, or if the Recipient fails to keep or
perform any of the obligations, terms or covenants in this Agreement or any previous agreement with DEO
and has not cured them in timely fashion, or is unable or unwilling to meet its obligations under this Agreement;
(b) If material adverse changes occur in the financial condition of the Recipient at any time during
the term of this Agreement, and the Recipient fails to cure this adverse change within thirty calendar days from
the date written notice is sent by DEO.
(c) If any reports required by this Agreement have not been submitted to DEO or have been
submitted with incorrect, incomplete or insufficient information;
(d) If the Recipient has failed to perform and complete in timely fashion any of its obligations
under this Agreement.
Page 4
(11) REMEDIES
I£ an Event of Default occurs and DEO provides written notice to the Recipient, DEO may
exercise any one or more of the following remedies, either concurrently or consecutively;
(a) Terminate this Agreement if the Recipient has not cured the default within thirty calendar days
of receipt of written notice of an Event of Default;
(b) Begin an appropriate legal or equitable action to enforce performance of this Agreement;
(c) Withhold or suspend payment of all or any part of a request for payment,
(d) Exercise any corrective or remedial actions, to include but not ce limited to:
1. Request additional information from the Recipient to determine the reasons for or the
extent of non - compliance or lack of performance,
not corrected,
2. Issue a written warning to advise that more serious measures may be taken if the situation is
3. Advise the Recipient to suspend,, discontinue, or refrain from incurring costs for any
activities in question, or
4. Require the Recipient to reimburse DEC) for the amount of costs incurred for any items
determined to be ineligible.
(e) Exercise any other rights or remedies which may be otherwise available under law.
Pursuing any of the above remedies will not keep DEC) from pursuing any other remedies in
this Agreement or provided at law or in equity. If DEO waives any right or remedy in this Agreement or fails
to insist on strict performance by the Recipient, it will not affect, extend or waive any other right or remedy of
DEO, or affect the later exercise of the same right or remedy by DEO for any other default by the Recipient.
(12) TERMINATION
(a) DEO may terminate this Agreement for cause with thirty calendar days written notice. Cause
includes misuse of funds, fraud, lack of compliance with applicable rules, laws and regulations, failure to
perform in a timely manner, failure to cure an Event of Default within thirty calendar days from receipt of the
notice, or refusal by the Recipient to permit public access to any document, paper, letter, or other material
subject to disclosure under Chapter 119, Ea. Stat., as amended.
(b) DEO may terminate this Agreement for convenience or when it determines, in its sole
discretion, that continuing the Agreement would not produce beneficial results in line with the further
expenditure of funds, by providing the Recipient with thirty calendar days prior written notice.
(c) The parties may agree to terminate this Agreement for their mutual convenience through a
written amendment of this Agreement. The amendment shall state the effective date of the termination and the
procedures for proper closeout of the Agreement.
(d) If DEC) issues a notice of Event of Default, the Recipient shall not incur new obligations
during the thirty day cure period. If DEO determines that the Recipient has cured the event of Default within
the thirty day cure period, DEO will provide notice to the Recipient that it may resume incurring new
obligations. Costs incurred for new obligations after receipt of the notice of Event of Default will be disallowed.
The Recipient shall not be relieved of liability to DEO because of any breach of this Agreement by the
Page 5
Recipient. DEO shall, to the extent authorized by law, withhold payments to the Recipient for the purpose of
set -off until the exact amount of damages due DEO from the Recipient is deterrruned.
(13) NOTICE AND CONTACT
(a) All notices provided under or pursuant to this Agreement shall be in writing delivered, by
standard mail or electronic mail, to the representative identified below at the address set forth below and said
notification attached to the original of this Agreement.
(b) The name and address of the Division contract manager for this Agreement is:
Paula Lemmo, Bureau Chief
Department of Economic Opportunity
Division of Community Development
Bureau of Housing and Community Development
Community Assistance Section
107 East Madison Street, MSC -400
Tallahassee, Florida 32399 -4120
Email: paula.lemmo @deo.myflorida.com
(c) The name and address of the Representative of the Recipient responsible for the
administration of this Agreement is stated in Attachment H of this Agreement.
(d) In the event that different representatives or addresses are designated by either party after
execution of this Agreement, notice of the name, title and address of the new representative will be provided as
stated in (13)(a) above.
(14) SUBCONTRACTS
If the Recipient subcontracts any of the work required under this Agreement, a copy of the
unsigned subcontract must be forwarded to DEO for review and approval before it is executed by the
Recipient The Recipient agrees to include in the subcontract that (i) the subcontractor is bound by the terms
of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and
(iii) the subcontractor shall hold DEC) and Recipient hamniess against all claims of whatever nature arising out
of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law.
The Recipient shall document in the quarterly report the subcontractor's progress in performing its work under
this Agreement.
For each subcontract, the Recipient shall provide a written statement to DEO as to whether that
subcontractor is a minority vendor, as defined in Section 288.703, Fla. St at.
(15) TERMS AND CD ONDITIONS
This Agreement contains all the terms and conditions agreed upon by the parties.
(16) ATTACHMENTS
(a) All attachments to this Agreement are incorporated as if set out fully.
(b) In the event of any inconsistencies or conflict between the language of this Agreement and the
attachments, the language of the attachments shall control, but only to the extent of the conflict or
inconsistency.
Page 6
(c) This Agreement ha:
® Exhibit 1
® Exhibit 2
® Attachment A
® Attachment B
® Attachment C
® Attachment D
® Attachment E
Attachment F
® Attachment G
® Attachment H
® Attachment I
® Attachment j
® Attachment K
® Attachment 1L
® Attachment M
® Attachment N
Seminole County, b7orida
the following attachments (check all that are applicable):
Funding Resources
Special Audit Requirements
Scope of Work
Program Statutes and Regulations
Reports
Property Management and Procurement
Statement of Assurances
Warranties and Representations
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion
Recipient Information
Budget Summary
Subrecipient Information
Budget Detail
Secondary Administrative Expenses
2013 -2014 CSBG Community Action Workplan
justification of Advance Payment
(17) FUNDING /CONSIDERATION
(a) This is a cost reimbursement Agreement. The Recipient shall be reimbursed for costs incurred
in the satisfactory performance of work hereunder in an amount not to exceed $17 $2 , subject to the
availability of funds and appropriate budget authority. Until DEO provides further notice to the Recipient,
however, the Recipient is only authorized to incur costs in an amount not to exceed $125.282— As funds and
budget authority are available, changes to the costs the Recipient may incur will be accomplished by notice from
DEO to the Recipient by written notice to the Recipient's contact person identified in Attachment H. The terms
of the Agreement shall be considered to have been modified to allow the Recipient to incur additional costs upon
the Recipient's receipt of the written notice from DEC).
(b) Any advance payment under this Agreement is subject to Section 216.181(16), F .Star and is
contingent upon the Recipient's acceptance of the rights of DEO under Paragraph (12)(b) of this Agreement.
The amount which may be advanced may not exceed the expected cash needs of the Recipient within the first
three months of the contract term. Any advance payment is also subject to federal OMB Circulars A_87 (now 2
CFR Part 225), A -110 (now 2 CFR Part 215), A -122 (now 2 CFR Part 230) and the Cash Management
11 aaprovement Act of 1990. If an advance payment is requested, the budget data on which the request is based
and a justification statement shall be included in this Agreement as Attachment N. Attachment N will specify the
amount of advance payment needed and provide an explanation of the necessity for and proposed use of these
funds.
Page 7
(c) After the initial advance, if any, payment shall be made on a reimbursement basis. The
Recipient agrees to expend funds in accordance with Attachment I, Attachment K, and Attachment M of this
Agreement.
If the necessary funds are not available to fund this Agreement as a result of action by the United
States Congress, the federal Office of Management and Budgeting, the State Chief Financial Officer, oz under
Subparagraph (19)(h) of this Agreement, all obligations on the part of DEO to make any further payment of
funds shall terminate, and the Recipient shall submit its closeout report within forty-five calendar days of
receiving notice from DEO.
(18) REPAYMENTS
All refunds or repayments to be made to DEO under this Agreement are to be made payable to the
order of `Department of Economic Opportunity" and mailed directly to DEC) at the following address.
Department of Economic Opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street
MSC 400
Tallahassee, Florida 32399 -4120
In accordance with Section 215.34(2), Fla. Stat., if a check or other draft is returned to DEO for
collection, Recipient shall pay to DEO a service fee of Fifteen Dollars ($15.00) or Five Percent (5 %) of the face
amount of the returned check or draft, whichever is greater.
(19) MANDATED CONDITIONS
(a) The validity of this Agreement is subject to the truth and accuracy of all the information,
representations, and materials submitted or provided by the Recipient in this Agreement, in any later submission
or response to a Department request, or in any submission or response to fulfill the requirements of this
Agreement. All of said information, representations, and materials are incorporated by reference. The
inaccuracy of the submissions or any material changes shall, at the option of DEC) and with thirty days written
notice to the Recipient, cause the termination of this Agreement and the release of DEO from all its obligations
tc the Recipient.
(b) This Agreement shall be construed under the laws of the State of Florida, and venue for any
actions arising out of this Agreement shall be in the Circuit Court of Leon County. If any provision of this
Agreement is in conflict with any applicable statute or rule, or is unenforceable, then the provision shall be null
and void to the extent of the conflict, and shall be severable, but shall not invalidate any other provision of this
Agreement.
(c) Any power of approval or disapproval granted to DEO under the terms of this Agreement
shall survive the term of this Agreement.
(d) This Agreement may be executed in any number of counterparts, any one of which may be
taken as an original.
Page 8
(e) The Recipient agrees to comply with the Americans With Disabilities Act (Public Law 101-
336, 42 U.S.C. Section 12101 tg sew) and the Florida Civil Rights and Fair HousingActs sections 760.01
760.37, Florida Statutes, which prohibit discrimination by public and private entities on the
basis of disability in employment, public accommodations, transportation, state and local government services,
and telecommunications.
(0 A person or organization who has been placed on the convicted vendor list following a
conviction for a public entity crime or on the discriminatory vendor list may not submit a bid on a contract to
provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the
construction or repair of a public building or public work, may not submit bids on leases of real property to a
public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under
a contract with a public entity, and may not transact business with any public entity in excess of $25,000.00 for a
period of 36 months from the date of being placed on the convicted vendor list or on the discriminatory
vendor list.
(g) Any Recipient which is not a local government or state agency, and which receives funds under
this Agreement from the federal government, certifies, to the best of its knowledge and belief) that it and its
principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by a federal department or agency;
2. Have not, within a three -year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under
public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. Are not presently indicted or otherwise criminally or civilly charged by a governmental
entity (federal, state or local) with commission of any offenses enumerated in Paragraph 1902, of this
certification; and
4. Have not within a three -year period preceding this Agreement had one or more public
transactions (federal, state or local) terminated for cause or default.
If the Recipient is unable to certify to any of the statements in this certification, then the
Recipient shall attach an explanation to this Agreement.
In addition, the Recipient shall send to DEO (by standard mail or electronic methods) the completed
Attachment G for each intended subcontractor which the Recipient plans to fund under this Agreement. Such
form must be received by DEO before the Recipient enters into a contract with any subcontractor.
(h) The State of Florida's performance and obligation to pay under this Agreement is contingent
upon an annual appropriation by the Legislature, and subject to any modification in accordance with Chapter
216, Fla. at. or the Florida Constitution.
n All bills for fees or other compensation for services or expenses shall be submitted in detail
sufficient for a proper preaudit and postaudit thereof.
Page 9
()j Any bills for travel expenses shall be documented in accordance with Section 112.061, Fla. Stat.
(k) DEO reserves the right to unilaterally cancel this Agreement if the Recipient refuses to allow
public access to all documents, papers, letters, or other material subject to the provisions of Chapter 119, Fla
5.t&t., which the Recipient created or received under this Agreement.
0) If the Recipient is allowed to temporarily invest any advances of funds under this Agreement,
any interest income shall be returned to DEO.
(m) The State of Florida will not intentionally award publicly- funded contracts to any contractor
who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions
contained in 8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act ("INA,)].
DEO shall consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of
the INA. Such violation by the Recipient of the employment provisions contained in Section 274A(e) of the
INA shall be grounds for unilateral cancellation of this Agreement by DEO.
(n) The Recipient is subject to Florida's Government in the Sunshine Law (Section 286.011, Fla.
tS sue.) with respect to the meetings of the Recipient's governing board to discuss, receive recommendations, or
take action required pursuant to this Agreement or the meetings of any subcomnsittee waking
recommendations to the governing board regarding matters pursuant to this Agreement. All of these meetings
shall be publicly noticed, open to the public, and the minutes of all the meetings shall be public records,
available to the public in accordance with Chapter 119, Fla. Star.
(o) All unmanufactured and manufactured articles, materials, and supplies which are acquired for
public use under this Agreement must have been produced in the United States as required under 41 U.S.C. 10a,
unless it would not be in the public interest or unreasonable in cost.
(20) LOBBYING PRO IB�ON
(a) The use of funds under this Agreement for the purpose of lobbying the Legislature, the judicial
branch, or a state agency is prohibited pursuant to Section 216.347, F.S. Federal grant funds provided under
this Agreement may not be used by DEO or any Recipient or Subrecipient to support lobbying activities to
influence proposed or pending Federal or State legislation or appropriations. This prohibition is related to the
use of Federal grant funds and not intended to affect an individual's right or that of any organi2ation, to petition
Congress, or any other level of Government, through the use of other resources (See 45 CFR Part 93).
(b) The Recipient certifies, by the authorized representative's signature to this Agreement, that to
the best of its knowledge and belief:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
Recipient, 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 any
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,
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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 Recipient shall complete and submit Standard Form -Li-L,
"Disclosure Form to Report Lobbying."
3. The Recipient shall require that this certification be included in the award documents for
all subawards (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements)
and that all subrecipients shall certify and disclose.
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.
(21) COPYRIGHT. PATENT AND TRADEMARK
ANY AND ALL PATENT RIGHTS ACCRETING UNDER OR IN CONNECTION
WITH THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY RESERVED TO THE
STATE OF FLORIDA. ANY AND ALL COPYRIGHTS ACCRUING UNDER OR IN
CONNECTION WITH THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY
TRANSFERRED BY THE RECIPIENT TO THE STATE OF FLORIDA.
(a) If the Recipient has a pre - existing patent or copyright, the Recipient shall retain all rights and
entitlements to that pre - existing patent or copyright unless the Agreement provides otherwise.
(b) If any discovery or invention is developed in the course of or as a result of work or services
performed under this Agreement, or in any way connected with it the Recipient shall refer the discovery or
invention to DEO for a determination whether the State of Florida will seek patent protection in its name. Any
patent rights accruing under or in connection with the performance of this Agreement are reserved to the State
of Florida. If any books, manuals, films, or other copyrightable material are produced, the Recipient shall notify
DEO. Any copyrights accruing under or in connection with the performance under this Agreement are
transferred by the Recipient to the State of Florida.
(c) Within thirty calendar days of execution of this Agreement, the Recipient shall disclose all
intellectual properties relating to the performance of this Agreement which it knows or should know could give
rise to a patent or copyright. The Recipient shall retain all rights and entitlements to any pre - existing intellectual
property which is so disclosed. Failure to disclose will indicate that no such property exists. DEO shall then,
under Paragraph (b), have the right to all patents and copyrights which accrue during performance of the
Agreement.
(22) LEGAL AUTHORIZATION
The Recipient certifies that it has the legal authority to receive the funds under this Agreement and
that its governing body has authorised the execution and acceptance of this Agreement The Recipient also
certifies that the undersigned person has the authority to legally execute and bind Recipient to the terms of this
Agreement.
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(23) ASSURANCES
The Recipient shall comply with any Statement of Assurances incorporated as Attachment E,
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STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FEDERALLY FUNDED.SUBGRANT AGREEMENT
SIGNATURE PAGE
IN W 1 NESS WHEREOF, the parties have executed this Agreement by their duly authorized officers
on the day, month and year set forth below.
RECIPIENT STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OppORTUNITY
Seminole County Board of County Commissioners
(Type Legal f
B. B
T. :
y
William B. Killingsw rth, Director
Ebert Dallar i Chairman Division of Comm ty Development
(Type Name and Tide Here)
Date: 1 1 J Date:
596000556 Approved as to form and legal
Federal Identification Number sufficiency, subject only to full and
proper execution by the parties.
067834358
DUNS* Number Office of the General Counsel
Department of Economic Opportunity
*Data Universal Numbering System
Approved Date: Tl U f 11-2�-2z/3
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EXHHIBIT 1
FUNDING SOURCES
FEDERAL RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOLLOWING:
Federal Program: Community Services Block Grant Program
Federal Agency: U.S. Department of Health and Human Services
Federal Award Identifier: G- 12B2FLCOSR
Catalog of Federal Domestic Assistance Title: Communit}, Services Block Grant Program
Catalog of Federal Domestic Number: 93.569
Recipient: Seminole County, Florida
Award Amount: $175,282
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
Compliance Requirements
1. First afiphcable compliance requirement (e.g., elagabk activities, services or commodities)
The Recipient shall use the CSBG funds to provide a range of services and
activities having a measurable and potentially major impact on poverty in
the communities where poverty is a particularly acute problem. These
funds will be expended in accordance with Attachment A, Attachment B,
Attachments I -M, applicable OMB Circulars, and the FY 2013 - 2014
CSBG State Plan.
2, Second applicable compliance requirement (e-g., eligibility requirements for recipients of
federal rnourser)
The Recipient shall comply with applicable OMB Circulars and eligibility
requirements as set forth in the U.S. Department of Health and Human
Services regulations codified in Title 45 of the Code of Federal Regulations,
Part 96 — Block Grants, and Title 31 of the Code of Federal Regulations,
Part 205 — Cash Management Improvement Act of 1990.
Program
Community Services
Block Grant
Community Services
Block Grant
3. Third applicrtble compliance requirement (eg., none of there fundr mill be geed for Community Services
research purposes) Block Grant
NOTE: Section .400(d) of OMB Circular A -133, as revised, and Section
215.97(5), Florida Statutes, require that the information about Federal
Programs and State Projects included in Exhibit 1 be provided to the
Recipient.
STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOLLOWING: None
MATCHING RESOURCES FOR FEDERAL PROGRAMS: None
SUBJECT TO SECTION 215.97, FLORIDA STATUTES:
State Project: None
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED
PURSUANT" TO THIS AGREEMENT ARE AS FOLLOWS: None
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EXHIBIT 2
SPECIAL AUDIT REQUIREMENTS
The adnunistration of funds awarded by the Department of Economic Opportunity's Division of Community
Development (DEO) to the Recipient may be subject to audits and /or monitoring by DEO, as described in this
section.
mOwi0RING
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
DEC) 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 DEO. In the event DEO determines that a limited scope audit
of the Recipient is appropriate, the Recipient agrees to comply with any additional instructions provided by
DEO 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 Chief Financial Officer (CFO) or
Auditor General.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the Recipient is a State or local government or a nonprofit 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 Department of Health and Human Services 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 Department of Health and Human Services. 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 OMB Circular A -133, as revised, will meet the requirements of this part.
2. 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.
3. 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 the
Recipient resources obtained from other than Federal entities).
4. If not otherwise disclosed as required by section .310(b)(2) of OMB Circular A -133, as revised, the
schedule of expenditures of Federal awards shall identify expenditures by contract number for each
contract with the Department of Economic Opportunity in effect during the audit period.
5. A web site that provides links to several Federal Single Audit Act resources can be found at;
http://harvester.census.gov/sac/sainfo.htrnl.
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PART II: STATE FUNDED
This part is applicable if the Recipient is a nonstate entity as defined by Section 215.97(2), 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, the Recipient must have a State single or ptoj ect- specific audit for such
fiscal year in accordance with Section 215.97, Florida Statutes; applicable rules of the Department of
Financial Services; and, 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 DEO by this agreement. In determining the State financial
assistance expended in its fiscal year, the Recipient shall consider all state financial assistance; including
state financial assistance received from other state agencies and other nonstate entities. State financial
assistance does not include Federal direct or pass- through awards and resources received by a nonstate
entity for Federal program matching requirements.
2. In connection with the audit requirements in Part II, paragraph 1, the Recipient shall ensure that the
audit complies with the requirements of Section 215.97(8), Florida Statutes. This includes submission
of a financial reporting package as defined by Section 215.97(2), Florida Statutes, and Chapter 10.550
(local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor
General.
3. 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 nonstate entity's resources (i.e., the cost of such an audit
must be paid from the Recipient funds obtained from other than State entities).
4. The Recipient must include the record keeping requirements found herein in subrecipients' contracts
and subcontracts entered into by the Recipient for work required under terms of this Agreement. In
the executed subcontract, the Recipient shall provide each subrecipient of state financial assistance the
information needed by the subrecipient to comply with the requirements of the Single Audit Act,
Pursuant to Section 215.97(7), Florida Statutes, the Recipient shall review and monitor subrecipient
audit reports and perform other procedures as specified in the agreement with the subrecipient, which
may include onsite visits. The Recipient shall require subrecipients, as a condition of receiving state
financial assistance, to permit the independent auditor of the Recipient, the state awarding agency, the
Chief Financial Officer, the Chief Inspector General, and the Auditor General access to the
subrecipient's records and independent auditor's working papers as necessary to comply with the
requirements of the Single Audit Act.
5. For information regarding the Florida Single Audit Act, including the Florida Catalog of State Financial
Assistance (CSFA), the Recipient should access the website for the Florida Department of Financial
Services located at h1Ws: / /ap12s.fldfs.com /fsaa/ for assistance. In addition to the above website, the
following websites may be accessed for additional information: The Florida Legislature's website
h= : //www.JCg.state.fl.us/ and the Florida Auditor General's website h4-,zLv,,—ww—.st—it—c-LU—SLa-u-cieen.
6. The CSFA number for this project is: non - applicable.
PART III: OTHER AUDIT REQUIREMENTS: non - applicable.
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PART IV: REPORT SiJBMISSION
1. 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.
A. DEC) at the following address:
Ms. Paula Lemmo, Bureau Chief
Department of Economic Opportunity
Division of Community Development
Community Assistance Section
MSC 400 -107 East Madison Street
Tallahassee, Florida 32399
B. 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
C. Other Federal agencies and pass - through entities in accordance with Sections .320 (e) and (0, OMB
Circular A -133, as revised.
2. 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 DEO at each of the addresses in paragraph 3 below.
3. Copies of financial reporting packages required by PART II of this agreement shall be submitted by or
on behalf of the Recipient dtr' e�ctly to each of the following.
A. DEO at the following address:
Department of Economic Opportunity
Office of the Inspector General
Community Assistance Section
107 East Madison Street
MSC 130, Caldwell Building
Tallahassee, Florida 32399 -4120
B. The Auditor General's Office at the following address:
Auditor General's Office
Room 401, Pepper Building
111 West Madison Street
Tallahassee, Florida 32399 -1450
4. Any reports, management letter, or other information required to be submitted to DEO 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.
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5• The Recipient, when submitting financial reporting packages to DEO 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, the Recipient should indicate the date that the
reporting package was delivered to the Recipient in correspondence accompanying the reporting
package.
PART V: RECORD RETENTION
The Recipient shall retain sufficient records demonstrating its compliance with the terms of this agreement for a
period of five years from the date the audit report is issued, and shall allow DEO or its designee, CEO, or
Auditor General access to such records upon request. If any litigation, claim, negotiation, audit, or other action
involving the records has been started before the expiration of the five year period, the records shall be retained
until completion of the action and resolution of all issues which arise from it, or until the end of the five year
period, whichever is later. The Recipient shall ensure that audit working papers are made available to DEO, or
its designee, CFO, or Auditor General upon request for a period of five years from the date the audit report is
issued, unless extended in writing by DEO.
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FY2014 CSBG AGREEMENT
ATTACHMENT A
SCOPE OF WORK
A. DEFINITIONS
(1) "Community Services Block Grane, — CSBG
(2) "Federal Lav/' - unless otherwise speed, the Community Services Block Grant Act of 1981, Public
Law 97 -35, as amended and 45 C.F.R. Parts 16, 74 and 96.
(3) "Recipient" - the qualified applicant that receives funding pursuant to this Agreement for an
approved program and operating budget for delivery of eligible services. Recipients include eligible
entities, migrant and seasonal farmworker organizations, and local governments as defined in the
following paragraphs (a) -(c), provided such Recipient is in good standing or has not been determined
ineligible.
(a) "Eligible entity" - any organization, public or nonprofit, officially designated as a
community action agency or a community action program under the Federal Legislative
provisions of Section 210 of the Economic Opportunity Act of 1964, for fiscal year 1981
or established after 1981 in compliance with federal law to serve areas not served by an
existing eligible entity. If such community action agency or community action program
lost its designation under Section 210 of such Act as a result of a failure to comply with the
provisions of said Act or who has been determined ineligible, a replacement community
action agency will be designated in accordance with provisions of Federal Law.
(b) "Migrant and seasonal farmworker organization" - an organization funded to provide
direct services to a target population of migrant and seasonal farmworkers under the
CSBG Program and having s Board of Directors composed of at least 51 percent
representatives of migrant and seasonal farmworkers.
(c) `Local government" or "local governing authority" - the governing body of a county or
municipality.
(4) "Administrative expense" - those costs that refer to central executive functions that do not directly
support a specific project or service. Costs that are incurred for common objectives that benefit
multiple programs administered by the Recipient. Administrative expenses relate to the general
management of the organization, such as strategic direction, board development, Executive Director
functions, accounting, budgeting, personnel, procurement, and legal services. (Information
Memorandum from the Office of Coummity Services for the United States Department of Health
and Human Services, IM -37 (March 12, 2013).
(5) "Program expense" program costs that can be specifically identified with delivery of a particular
project, service, or activity undertaken by the Recipient to achieve an outcome intended by the
funding program. Program expenses can include expenditures on some activities with administrative
qualities, including salaries and benefits of program staff and managers, equipment, training,
conferences, travel, and contracts that expressly relate to the delivery of an individual program or
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service funded by a specific grant source. (Information Memorandum from the Office of Coummity
Services for the United States Department of Health and Human Services, IM -37 (March 12, 2013).
(6) "Secondary administrative expense" - an administrative expense to support eligible activities as
defined in Paragraph (10) below, but whose program activities are directly funded or governed by a
source other than CSBG.
(7) "Community Action Plan" — the CSBG Community Action Workplan, Attachment M, of this
Agreement.
(8) "Household" - an individual or group of individuals living together as one economic unit.
(9) "Eligible participant" - those individuals whose total countable household income from all household
members does not exceed 125 percent of the current Office of Management and Budget Poverty
Guidelines.
(10) `bible activities" —include, but are not limited to, the following.
(a) A range of services and activities having a measurable and potentially major impact on
causes of poverty in the community or those areas of the community where poverty is a
particularly acute problem;
(b) Activities designed to assist eligible participants with low- income to:
1. Secure and retain meaningful employment;
2. Attain an adequate education;
3. Make better use of available income;
4. Obtain and maintain adequate housing and a suitable living environment;
5. Obtain emergency assistance to meet immediate and urgent individual and family needs,
including the need for health related assistance;
6. Remove obstacles and solve problems that block the achievement of self - sufficiency;
Achieve greater participation in the affairs of the community; and
8. Make more effective use of other programs related to the purposes of the Community
Services Block Grant Act.
(c) Provide, on an emergency basis, for the provision of such supplies and services, nutritious
food - stuffs, and related services, as may be necessary to counteract conditions of
starvation and malnutrition among individuals with low - income;
(d) Coordinate and establish linkages between governmental and other social services
programs to assure the effective delivery of such services to individuals with low - income;
(e) Encourage the use of entities in the private sector of the community in efforts to
ameliorate poverty in the community.
(fl Other activities which may be approved in writing by DEO.
(11) "Population" means total number of residents for each county, excluding inmates of institutions, as
extrapolated from the latest official State estimate of population by the University of Florida Bureau
of Economic Research and Development.. For limited purpose agencies as designated under tide Il
of the Economic Opportunity Act of 1964 for fiscal year 1981 which served the general purposes of
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a community action agency under title II of such Act, "population" means the total estimated
number of residents for each county or service area meeting the definition of that limited program.
Bo AGENCY BOARD EQUIIBEMENT'S
(1) In accordance with the requirements of 42 U.S.C. 9910(a), a community action agency or
nonprofit private organization receiving CSBG funds pursuant to this Agreement shall establish a
board so as to assure that:
(a) At least one -third of the members of the board are elected public officials, currently holding
office, or their representatives. Letters reaffirming the delegation, signed by the elected
officials, shall be required each year regardless of the number of years the terms run. Agencies
providing services in multi-county areas are required to submit to DEO a plan to ensure
representation of every county served. When an entity expands to include a new county into
its service area, the new county must be represented on the board by an elected public official
currently holding office, or their representative for the first two years.
(b) At least one -third of the members are persons chosen in accordance with democratic
selection procedures adequate to assure that they are representatives of individuals and
families with low - income in the area served. Each member selected to represent a spec
neighborhood within a community must reside in the neighborhood represented by the
member.
(c) The remainder of the members are officials or members of business, industry, labor, religious,
welfare, education, or other major groups and interests in the community. Interest groups are
organizations with nonprofit status, incorporated and registered with the office of the Florida
Secretary of State.
(2) In the case of a public organization receiving CSBG funds pursuant to this Agreement, such
organization shall establish a board meeting the requirements of 42 U.S.C. 9910(b).
(3) The Recipient shall demonstrate that the CSBG program is administered through a tripartite board
that meets the requirements of 42 U.S.C.9910(a) or (b) by maintaining documentation including,
but not limited to, the following-
(a) Board member application, resume, letter of intent to serve, background check or due diligence
documentation
(b) Minutes of the member's seating
(c) Appointment letter
(d) Yearly reaffirmation letters (for public sector members)
(e) Vacancy declaration
(f) Resignation letter or notification of term end
( Election selection documentation (for low- income sector members)(h) Excused /unexcused
absence documentation
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(4) The board of directors will fully participate in the development, planning, implementation, and
evaluation of the CSBG program to serve communities and individuals with low- income. Full
participation includes, but is not limited to, regular attendance at board meetings, participation on
Board committees, knowledge of the organization's mission and goals, and fiduciary duties.
(5) The Recipient will have a procedure which will allow individuals with low- income, community
organizations, and religious organizations to petition for adequate representation on the board if
they feel inadequately represented.
(6) All board of directors meetings and board committee meetings subject to Florida's Government in
the Sunshine Law (Section 286.011, Fla. Stat.), as stated in Paragraph (19)(n) of this Agreement,
shall be publicly noticed at least seven calendar days but not more than thirty calendar days prior to
the date on which the meeting is scheduled. Such notices must be given by publishing meeting
information by methods acceptable under the Florida Sunshine Law. If immediate danger to the
public health, safety or welfare occurs requiring emergency action by the board, a board meeting
may be scheduled by any procedure that is fair under the circumstances and necessary to protect
the public interest.
C. PROGRAM REQUIREMENTS
(1) The Recipient shall use the funds pursuant to this Agreement to carry out eligible activities that
include, but are not limited to:
(a) supporting activities that are designed to assist families and individuals with low income,
including families and individuals receiving assistance under Part A of Title IV of the Social
Security Act (42 U.S.C. 601 et seq), homeless families and individuals, migrant and seasonal farm
workers, and elderly individuals and families with low income.
(b) addressing the needs of youth in communities with low income through youth development
programs that support the primary role of the family.
(c) making effective use of and coordinating with other programs.
(2) The Recipient shall maintain written appeal procedures. Any applicant denied CSBG services must
be provided a written notice of denial which includes the appeals process and the reason(s) for the
denial. In cases where the denial is for lack of documentation, the agency trust explain what
specific documents are required in order for the applicant to reapply for services.
(3) In accordance with section 678(G)(a) of Public Law 97 -35, as amended, the Recipient may conduct
drug testing on CSBG program participants. If the Recipient does so, it must inform participants
who test positive and refer them to treatment facilities.
(4) All records, correspondence, employee time sheets, board minutes, board meeting notices and
other documents related to CSBG funded activities shall be available for public inspection during
normal business hours.
(5) The Recipient shall maintain documentation to demonstrate coordination and nonduplication of
services with other anti - poverty programs in each community served.
(6) In accordance with section 678G(b) of Public Law 97 -35, as amended, the Recipient
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assures that it will inform custodial parents in single parent homes who participate in CSBG -
funded programs about the availability of child- support services and refer them to the appropriate
state and local child support offices.
(7) If the Recipient administers a transportation program, it must comply with Chapter 427, Florida
Statutes, so that it will coordinate with the appropriate transportation provider(s).
(8) The Recipient's Attachment M to this Agreement must be consistent with the most recent
community needs assessment officially adopted by the Recipient's board of directors.
(9) The Recipient shall enter into a Memorandum of Understanding (MOU) with all Workforce
Florida, Incorporated boards in its service area. The MOU shall detail cooperative workforce
training and employment efforts and shall describe the actions that will be taken by both parties to
assure the coordination and partnership of the CSBG Program and Workforce Florida,
Incorporated "One- Stop" delivery system, services and information. The MOU shall be reviewed
and renewed every year.
(10) The Recipient shall maintain a written policy and implement procedures to secure applicants' social
security numbers in order to protect their identity. At a minimum, this policy shall address the
handling of both paper and electronic records and files.
(11) The Recipient shall, in collecting applicants' social security numbers, use the Notice Regarding
Collection of Social Security Numbers. The Notice shall be signed by the applicant and maintained
in the client file.
(12) The Recipient shall develop, implement and maintain written policies and procedures that shall
include, at a minimum, types of services provided, written appeal procedures, internal monitoring
processes, and family self sufficiency program guidelines.
(13) The Recipient shall develop and implement a Family Self - Sufficiency Program (FSSP). The FSSP
represents a community and neighborhood based approach to the organization and delivery of
locally available social services in order to help eligible families become self - reliant and independent
of all forms of public assistance. The program shall be designed to identify the needs of
participating families and to deliver a comprehensive and coordinated set of services to facilitate
the participant's efforts to achieve and maintain self- sufficiency.
D. CLIENT ELGIBILITY
(1) The Recipient shall certif} that each household receiving CSBG funded services is income eligible.
The sum of all countable income from all household members must be used in determining
eligibility. The total household income cannot exceed 125 percent of the current office of
Management and Budget Poverty Guidelines.
(2) The Recipient shall use income documentation of all household income sources that is no more
than one year old and maintain the documentation in the client file. In the event that the applicant
cannot provide income documentation, the Recipient shall require the applicant to provide a signed
self- declaration of income to attest to the applicant's verbal declaration of total household income.
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This self - declaration must specify the reasons that no current income documentation can be
supplied by the applicant and a statement of how the applicant is providing for his /her basic needs.
E. CLIENT RECORDS
The Recipient shall maintain a separate file for each CSBG applicant that includes at least the following
information:
(1) Appl'icant's name, address, sex, race, age;
(2) Names, ages and current identification (no more than one year expired) of all household members;
(3) Social Security Numbers and documentation of such numbers for all household members or the
citation to the applicable exemption;
(4) Income amount and method of verification for all household members;
(5) Income documentation to support eligibility;
(6) Statement of self - declaration of income, if applicable;
(7) Signed Notice Regarding Collection of Social Security Numbers;
(8) Date client was interviewed, services provided to the client and documentation of any denial of client
services;
(9) All CSBG assistance applications must be signed by the applicant and by the Recipient's
representative and supervisory staff.
(10) )X'hen providing rental or mortgage assistance with CSBG funds, the Recipient shall secure
documentation of either a rental /lease agreement or mortgage and place a copy of the documentation
in the client's file.
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FY2014 CSBG AGREEMENT
ATTACHMENT B
PROGRAM STATUTES AND REGUIATIONS
A. INCORPORATION OF LAWS RULES REGULATIONS AND POLICIES
Both the Recipient and DEO shall be governed by applicable laws and local rules,
including, but not limited to: (1) The Omnibus Budget Reconciliation Act of 1981, (Public Law 97 -35, as
amended),, and Title 45 C.F. R. Part 96; (2) The provisions of Public Law 105 -285, Title II — Community
Services Block Grant Program, Subtitle B — Community Services Block Grant Program of the Community
Services Block Grant Act, the provisions of the current approved Community Services Block Grant State
Plan, including all approved amendments or revisions; (3) Department of Health and Human Services
regulations codified in Title 45 of the Code of Federal Regulations are applicable:
1. Part 16, Procedures of the Departmental Grant Appeals Board;
2. Part 30, Claims Collection;
3. Part 73b, Debarment and Suspension from Eligibility for Financial Assistance (Non - procurement);
4. Part 80, Nondiscrimination Under Programs Receiving Federal Assistance through the Department of
Health and Human Services, Effectuation of Title VI of the Civil Rights Act of 1964;
5. Part 8, Practice and Procedure for Hearings under Part 80 of this Title;
6, Part 84, Nondiscrimination on the Basis of Handicap in Programs and Activities Receiving Federal
Financial Assistance;
7. Part 86, Nondiscrimination on the Basis of Sex in Education Programs and Activities Receiving or
Benefiting from Federal Financial Assistance;
8. Part 87, Equal Treatment for Faith -Based Organizations;
9. Part 91, Nondiscrimination on the Basis of Age in HHS Programs or Activities Receiving Federal
Financial Assistance;
10. Part 93, New Restrictions on Lobbying,
11. Part 96, Block Grants;
12. Part 97, Consolidation of Grants to the Insular Areas;
13. Part 100, Intergovernmental Review of Department of Health and Human Services Programs and
Activities.
B. FUNDING AVAILABILITY FOR EXPENDITURE
Funds are available for expenditure in accordance with Title VI of Public Law 97 -35 as amended by P.L.
105 -277, 45 CFR Part 96. For States, local governments and Indian Tribes follow OMB Circular A -87 for
cost principles (Relocated to 2 CFR, Part 225), OMB Circular 102 for administrative requirements and
OMB Circular A -133 for audit requirements and the laws and procedures applicable to the CSBG Program.
For nonprofit organizations, follow OMB Circular 1 -122 for cost principles (Relocated to 2 CFR, Part 230),
OMB Circular A -110 for administrative requirements, (Relocated to 2 CFR, Part 215) and OMB Circular A-
133 for audit requirements and the laws and procedures applicable to the CSBG Program. The CSBG
Program is authorized and funded through the United States Department of Health and Human Services.
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25
C. FUNDS DISTRIBUTION
(1) Funding of eligible entities shall be awarded based on an allocation plan designed to facilitate statewide
expansion of the community action network and a gradual equalization ®f funding based in part on the
percentage of the poverty population fox the service area.
(2) Pursuant to H.R. 3061, the Department of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act of 2002, CSBG funds shall be distributed by DEO to eligible
entities in accordance with the requirement in Section 675(C)(a)(1) of the CSBG pact which requires
that, to the extent CSBG funds are distributed as grants by a State to eligible entities provided under the
Act, and have not been expended by such entity, the funds shall remain with such entity for carryover
into the next fiscal year for program activities consistent with the CSBG Program. However, prior to
carryover of unexpended funds, at the time of close -out, these monies must be returned to DEO. All
carryover funds must be expended within the next fiscal year or be returned to the federal funding
agency.
D. PROJECTS OR PROGRAMS FUNDED IN WHOLE OR PART WTM FEDE ni MONEy
The Recipient assures, as required by Section 508 of Public Law 103 -333, that all statements, press releases,
requests for proposals, bid solicitations and other documents describing projects or programs funded in
whole or in part with Federal money shall clearly state:
(1) the percentage of the total costs of the program or project which will be financed with Federal money,
(2) the dollar amount of Federal funds for the project or program, and
(3) the percentage and dollar amount of the total costs of the project or program that will be financed by
non - governmental sources.
E. PROGRAM INCOME
Program income is gross income received that is directly generated by the federally - funded project during the
grant period. The recipient may reapply program income, excluding interest income, to carry out eligible
program activities. The amount of program income and its disposition must be reported to DEO on the
monthly financial status reports and at the time of submission of the final close -out report.
F. INTEREST FROM CASH ADVANCES
Recipients shall invest cash advances in compliance with section .21 (h) (2) n of the Common Rule and
section .22 of OMB Circular A -110 (now 2 CFR 215). Recipients shall maintain advances of Federal
funds in interest- bearing accounts unless one of the following conditions applies:
NONPROFITS ONLY:
1. The Recipient or subcontractor receives less than $120,000 in total Federal awards per year.
2. The best reasonably available interest bearing account would not be expected to earn interest in excess
of $250 per year on all Federal cash balances.
3. The depository would require an average or minimum balance so high that it would not be feasible
within the expected Federal and non - Federal cash resource. Interest earned off cash advances shall be
reflected on the monthly financial status report and the close -out report.
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26
LOCAL GOVERNMENTS ONLY-
Except for interest earned on advance of funds exempt under the inter - governmental Cooperation Action
(31 U.S.0 6501 et seq) and the Indian Self- Detemiination Act (23 U.S.C. 450), recipients and subrecipients
shall promptly, but at least quarterly, remit interest earned on advances to the Federal agency. The recipient
or subrecipient may keep interest amounts up to $100 per year for administrative expenses.
G. MODIFICAMNS
(1) DEO shall not be obligated to reimburse the Recipient for outlays in excess of the funded amount of
this Agreement unless and until DEO officially approves such expenditures by executing a written modification
to the original Agreement.
(2) Budget changes must not result in over expenditure of the amounts stated in section (17) (a) of this
agreement, not the limits set for administrative or secondary administrative expenses.
(3) Attachments I -M of this Agreement may not be altered without a written budget modification submitted
in accordance with the terms below:
(a) The Recipient must use a Department approved Modification package.
(b) Only unobligated funds may be transferred from one line item to another line item.
(c) The Recipient may transfer unobligated budgeted line items within a budget category as long as
the budget category subtotal remains the same. For the purpose of transferring funds, the
following are considered budget categories: Administrative Expenses, Program Expenses and
Secondary Administrative Expenses.
(d) Each modified line item must meet all contractual minimum and maximum percentage budget
requirements.
(e) All requests for modifications to increase or decrease any line item must be submitted to DEO for
approval thirty calendar days prior to the anticipated implementation date. Failure to meet this time
frame may result in reimbursement delays.
(f) A letter of explanation and a completed modification package (Budget Summary, Subrecipient
Information (if applicable), Budget Detail, Secondary Administrative Expenses (if applicable) and
Community Action Plan (if applicable), signed by the Recipient, must be submitted to DEO and
approved prior to the submission of a financial status report in which the changes are
implemented.
(g) Upon approval, the Recipient's budget detail will be revised in DSO's electronic payment system.
(h) None of the budget transfers may - 6olate this Agreement or 2 CFR 215 (previously OMB Circular
A -110), 2 CFR 225 (previously OMB Circular A -87), 2 CFR 220, (previously OMB Circular A -21)
and 2 CFR 230 (previously OMB Circular A -122). The budget revision(s) will be reviewed by DEO
for compliance with these circulars.
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27
H. MONITORINQ
(1) DEO shall conduct a full onsite review of each eligible entity at least once during each three -year
period. The Recipient shall allow DEO to carry out monitoring, evaluation and technical assistance, and shall
ensure the cooperation of its employees, and of any subrecipients with whom the Recipient contracts to carry
out program activities.
(2) Training and technical assistance shall be provided by DEO, within limits of staff time and budget,
upon request by the Recipient and /or upon determination by DEO of Recipient need.
(3) DEO shall conduct follow -up reviews including prompt return visits to eligible entities and its
programs that fail to meet the goals, standards, and requirements established by the State and federal funding
agency.
I. BONDING
(1) NonProfit Organizations: The Recipient agrees to purchase a blanket fidelity bond covering all
officers, employees and agents of the Recipient holding a position of trust and authorized to handle funds
received or disbursed under this Agreement. Individual bonds apart from the blanket bond are not acceptable.
The amount of the bond must cover each officer, employee and agent up to an amount which is equal to at
least one -half of the total CSBG contract amount.
(2) Local Governments; The Recipient agrees to purchase a fidelity bond in accordance with
Section113.07, Fla. Stat and /or Section 624.4622 Fla, Stat. The fidelity bond must cover all officers, employees
and agents of the Recipient holding a position of trust and authorized to handle funds received or disbursed
under this Agreement
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FY2014 CSBG AGREEMENT
ATTACHMENT C
REPORTS
A. Annual reports
(1) Close -out Report: The CSBG Close -out Report is due forty -five calendar days after terYnination of the
Agreement or forty -five calendar days after completion of the activities contained in the Agreement,
whichever occurs first. If the forty -fifth day falls on a weekend day or holiday, the Close -out Report shall be
due no later than the next business day. The Recipient shall submit original signed documents to DEO that
include, at a minimum, the Close -out Cover Sheet, the CSBG Final Financial Status Report, property
inventory and accrual report, report on interest bearing accounts, a refund check for any unspent funds, and
a refund check for any interest earned on advances.
(2) CSBG Information System Survey: Recipients will complete and submit the CSBG Information System
Survey on an annual basis. The Recipient will be notified in writing of the due date and submission
requirements.
(3) IRS Form 990: A Recipient that is below the $500,000 threshold for all Federal awards in its fiscal year
and thus is exempt from the federal single audit act requirements, shall submit with its contract proposal a
copy of its most recent IRS Form 990.
B. Quarterly Reports : The CSBG Quarterly Florida Outcomes for Community Action Systems ( FOCAS)
Report shall be provided to DEO no later than twenty -one calendar days following of the end of the
quarter. For the purposes of this Agreement, the ending dates of the quarters are December 31, March 31,
June 30 and September 30. In the event the twenty -first day of the month falls on a weekend day or holiday,
the Quarterly FOCAS Report shall be due no later than the next business day.
C. Monthly reports: The CSBG Monthly Financial Status Report shall be provided to DEO no later than the
twenty -first day of each month following the end of the reporting month in which funds were expended.
The report shall be provided regardless of whether or not funds were expended. Reimbursement of
expenditures shall be based on this report. Only with prior approval by DEO will more than one
reimbursement be processed for any calendar month. The Monthly Financial Status Report shall be
submitted in DSO's current electronic financial management system and a signed copy submitted via
facsimile or electronic mail by the twenty -first day. In the event the twenty -first day of the month falls on a
weekend day or holiday, the Monthly Financial Status Report shall be due no later than the next business
day.
D. Board Minutes. Copies of minutes of board meetings, draft or signed, shall be provided to DEO no later
than thirty calendar days from the date of the meeting. If the thirtieth day falls on a weekend day or holiday,
the minutes shall be due no later than the next business day.
E. Monitoring Report Responses: The Recipient shall provide a written response to DEO for aII monitoring
report findings and/or concerns no later than thirty -five calendar days from the date of the original
monitoring report. DEO shall notify the Recipient of the due date for any subsequent monitoring report
responses as may be required. If the thirty -fifth day falls on a weekend day or holiday, the response to the
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29
original report shall be due no later than the next business day. The Recipient may request an extension in
writing for DSO's review and approval.
F. Cost Allocation Plans: 2 CFR Part 215, Subpart C, Section 215.21(6) requires that Recipients have written
financial management system procedures for determining the reasonableness, allocability, and allowabiEty
of costs in accordance with the provisions of the applicable federal cost principles and terms and conditions
of the award. To document this, the Recipient must submit copies of its written cost allocation plan to
DEO with its contract proposal, The cost allocation plan must be approved by the Recipient's Board of
Directors.
G. Other reports: Upon reasonable notice, the Recipient shall provide additional program updates or
information as may be required by DEO, including supporting or source documentation for any reports
identified in this section
H. The reports shall be submitted to:
Ms. jean Amison, Manager
Department of Economic Opportunity
Division of Community Development
Office of Housing and Community Development
Community Assistance Section
107 East Madison Street
MSC 400
Tallahassee, Florida 323994120
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FY2014 CSBG AGREEMENT
ATTACHMENT D
PROPERTY MANAGEMENT ANB PROCUREMENT
The Recipient shall comply with property management standards for non - expendable property equivalent, at a
minimum, to OMB Circular A -102, revised or OMB Circular A -110, revised, Subpart C, Post Award
Requirements, and the -awarding federal agency's "Common Rule."
A. All property purchased under this Agreement shall be inventoried annually and an inventory report
shall be made available to DEO upon request.
B. All property purchased under this Agreement shall be listed on the property records of the Recipient.
Said listing shall include a description of the property, model number, manufacturer's serial number,
funding source, information needed to calculate the federal and /or state share, date of acquisition, unit
cost, property inventory number and information on the location, use and condition, transfer,
replacement or disposition of the property.
C. Tide (Ownership) to all non - expendable property acquired with funds from this Agreement shall be
vested in DEO upon completion or termination of the Agreement.
D. The Recipient agrees to comply with Section 507 of Public Law 103 -333. As stated in this section, it is
the sense of Congress that, to the extent practicable, all equipment and products purchased with funds
made available in this Act should be American made.
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31
FY2014 CSBG AGREEMENT
ATTACHMENT E
STA'T'EMENT OF ASSURANCES
A. Interest of Certain Federal Officials
No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be
admitted to any share or part of this Agreement or to any benefit to arise from the same.
B. Interest of Members Officers or Employees of Recipient Members of Local Govem;.,o odv- or her
Public Offdals
No member, officer, or employee of the Recipient, or its delegates or agents, no member of the governing
body of the locality in which the program is situated, and no other public official of such locality or localities
who exercises any functions or responsibilities with respect to the program during his tenure or for one year
thereafter, shall have any interest direct or indirect, in any contract, subrecipient agreement or subcontract, or
the proceeds thereof, for work to be performed in connection with the program assisted under this Agreement.
The Recipient shall incorporate or cause to be incorporated in all such Agreements, a provision prohibiting such
interest pursuant to the purposes of this subsection. No board member, officer or employee will be permitted
to receive any remuneration or gift in any amount. Board members may receive travel expenses in accordance
with s. 112.061, Florida Statutes.
C. Nepotism
The Recipient agrees to abide by the provisions of s.112.3135, Florida Statutes_ pertaining to nepotism in
their performance under this Agreement.
D. CSBG Assurances
The Recipient hereby assures and certifies as a condition of receipt of CSBG funds, that it and its
subrecipients will comply with the applicable requirements of Federal and State laws, rules, regulations, and
guidelines. As part of its acceptance and use of CSBG funds, the Recpient assures and certifies that:
(1) The Recipient possesses the legal authority to apply for the grant, and that the contract proposal has
been approved by the Recipient's governing body, including all assurances contained herein.
(2) The Recipient will use CSBG funds to provide services and activities having measurable and
potentially major impact on causes of poverty in the community. Funds not used during the contract period
well be returned to DEO with the close -out report on or before the due date.
(3) The Recipient will provide for coordination among anti - poverty programs in each community.
(4) The Recipient possesses the sound fiscal controls and fund accounting procedures necessary to
adequately safeguard the assets of the agency, check the accuracy and reliability of accounting data, promote
operating efficiency and maintain compliance with audit procedures and prescribed management policies of the
agency.
(5) The Recipient will permit and cooperate with Federal and State investigations designed to evaluate
compliance with the law. The Recipient will notify DEO in writing immediately of any allegations or acts
pertaining to fraud or the misuse of CSBG funds.
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32
(6) The Recipient will give DEO, the Auditor General or any authorized representative complete
access to examine all records, books, papers or documents related to all fiscal and program operations of the
grant, including those of any subrecipient.
(7) The Recipient will comply with non - discrimination provisions, in accordance with Florida Statutes;
section 678(F�(c)(1) of Public Law 97 -35, as amended; Titles VI and VII of the Civil Rights Act of 1964; and 45
C.F.R. Parts 84, 86 and 90.
(8) The Recipient will comply with section 678F(a)(1) of Public Law 97 -35, as amended, which
prohibits use of CSBG funds for purchase or improvement of land, or the purchase, construction, or
permanent improvement of any building or other facility.
(9) CSBG administrative expenses shall not exceed 15 percent of the total final CSBG expenditures at
close out. Any amount in excess of this limit shall be refunded to DEO at time of contract close out.
(10) Secondary Administrative Expenses:
If secondary administrative expenses are requested, the following conditions must be suet:
(a) Attachment K, and Attachment M, must document how these expenses will be used to
support eligible CSBG activities.
(b) The administrative expenses of the secondary grant source must be fully utilized prior to
using CSBG funds for secondary administrative expenses.
(c) CSBG funds may not be used to increase administrative expenses for a
secondary grant source above 15 percent of the secondary grant source's total grant amount.
(d) Only the Recipient is eligible for these funds. Secondary administration may not be
claimed or used by subrecipients.
(e) All contracts and fiscal expense documentation related to the grant sources for which
secondary administration is claimed must be made available to DEO upon request.
expenses.
(f) Audit costs, travel and association dues are not allowable secondary administrative
(g) Under no circumstances shall secondary administrative expenses be approved for costs
already covered by the secondary grant source, nor for any other administrative costs exceeding the total of 15
percent of the total secondary grant source budget
(11) This contract proposal and all its attachments, including budget data, are true and correct.
(12) In accordance with section 678F(b)(1)(2) of Public Law 97 -35, as amended, the Recipient will
prohibit any political activities by the Recipient or employees in accordance with the Hatch Act restrictions on
political activity.
(13) In accordance with section 676(b)(11) and section 676(b)(3) of Public Law 97 -35, as amended, the
Recipient must provide DEO with a Community Action Plan as provided in Attachment M of this Agreement.
The Community Action Plan must be supported by a community needs assessment for the community or
communities served. The community needs assessment must at a minimum include the following:
(a) Agency mission statement;
(b) Agency service delivery system,
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33
(c) Linkages and funding coordination;
(d) Case management system; and
(e) List of services and programs, including National Performance Indicators
(14) The Recipient agrees to adhere to a provision of section 675C(a)(1) of Public Law 97 -35, as
amended, and the FFY 2013 through FFY 2014 CSBG State Plan regarding the recapture of unobligated funds.
Funds allocated in this contract and not obligated by the Recipient during the contract period, will be returned
to DEO at the time of close out. Any unobligated funds will be reallocated to the Recipient during the next
fiscal year.
(15) Each Recipient receiving an allotment for a fiscal year shall adhere to the Application and Plan
assurances set forth in section 676 of Public Law 97 -35, as amended.
(16) The Recipient assures that this Agreement has been approved by the Recipient's governing body by
official action, and the signatory is duly authorized to sign the Agreement.
(17) The Recipient shall have appropriate staff attend training sessions as determined by DEO to cover
CSBG policies and procedures.
(18) The Recipient shall comply with Public Law 103 -227, Part C, Environmental Tobacco Smoke, also
known as the Pro - Children Act of 1994 (Act). This Act requires that smoking not be permitted in any portion
of any indoor facility owned or leased or contracted by an entity and used routinely or regularly for the
provision of health, day care, education, or library services to children under the age of 18, if the services are
funded by Federal programs either directly or through State or local governments. Federal programs include
grants, cooperative agreements, loans or loan guarantees, and contracts. The law does not apply to children's
services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of
facilities used for in- patient drug and alcohol treatment. The Recipient further agrees that this language will be
included in any subawards which contain provisions for children's services and that all subrecipients shall certify
compliance accordingly. Failure to comply with the provisions of this law may result in the imposition of a civil
monetary penalty of up to $1000 per day.
(19) Direct Federal grants, subawards, or contracts funded through CSBG shall not be used to support
inherently religious activities such as religious instruction, worship, or proselytization. Recipients must take
steps to separate, in time or location, their inherently religious activities from the services funded under the
CSBG program. Regulations pertaining to the prohibition of Federal funds for inherently religious activities
can be found on the HHS website at: hqp:/ /www os dhbs goy /fbci /wisgatg2l p. f.
(20) This award is subject to the requirements of Section 106(8) of the Trafficking Victims Protection
Act of 2000, as amended (22 U.S.C. 7104). The use of Federal funds from this Agreement constitutes the
Recipient's acceptance of these terms and conditions.
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34
FY2014 CSBG AGREEMENT
ATTACHMENT 1F
WARRANTIES AND REPRESENTATIONS
A. Financial Mana eg ment
Recipient warrants that its financial management system shall provide the following:
(1) Accurate, current and complete disclosure of the financial results of this project or program
(2) Records that identify the source and use of funds for all activities. These records shall contain
information pertaining to grant awards, authorizations, obligations, un- obligated balances, assets,
outlays, income and interest.
(3) Effective control over and accountability for all funds, property and other assets. Recipient shall
safeguard all assets and assure that they are used solely for authorized purposes.
(4) Comparison of expenditures with budget amounts for each Request for Payment. Whenever appropriate,
financial information shall be related to performance and unit cost data.
(5) Written procedures for determining whether costs are allowed and reasonable under the provisions of
the applicable OMB cost principles and the terms and conditions of this Agreement.
(6) Cost accounting records that are supported by backup documentation.
B. Competition
Recipient warrants the following:
(1) All procurement transactions shall be done in a manner to provide open and free competition.
(2) The Recipient shall be alert to conflicts of interest as well as noncompetitive practices among
contractors that may restrict or eliminate competition or otherwise restrain trade. In order to ensure
excellent contractor performance and eliminate unfair competitive advantage, contractors that develop
or draft specifications, requirements, statements of work, invitations for bids and /or requests for
proposals shall be excluded from competing for such procurements.
(3) Awards shall be made to the bidder or offeror whose bid or offer is responsive to the solicitation and
is most advantageous to the Recipient, considering the price, quality and other factors.
(4) Solicitations shall clearly set forth all requixements that the bidder or offeror must fulfill in order for
the bid or offer to be evaluated by the Recipient. Any and all bids or offers may be rejected when it is
in the Recipient's interest to do so.
C. Codes of Conduct
Recipient warrants the following:
(1) Recipient shall maintain written standards of conduct governing the performance of its employees
engaged in the award and administration of contracts.
(2) No employee, officer, or agent shall participate in the selection, award, or administration of a contract
supported by public grant funds if a real or apparent conflict of interest would be involved. Such a
conflict would arise when the employee, officer, or agent, any member of his or her immediate family,
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35
his or her partner, or an organisation which employs or is about to employ any of the parties indicated,
has a financial or other interest in the firm selected for an award.
(3) The officers, employees, and agents of the Recipient shall neither solicit nor accept gratuities, favors, or
anything of monetary value from contractors, or parties to subcontracts.
(4) The standards of conduct shall provide for disciplinary actions to be applied for violations of the
standards by officers, employees, or agents of the Recipient.
D. Business Hours
The Recipient warrants that it shall have its offices open for business, with the entrance door open to the
public, and at least one employee on site, Monday through Friday, from 8:00 am to 5:00 pm.
E. Licensing and Per_mittinng
Recipient warrants that all subcontractors or employees hired by Recipient shall have all current licenses and
permits required for all of the particular work for which they are hired by Recipient.
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FY2014 CSBG AGREEMENT
ATTACHMENT G
CERTIFICATION REGARDING DEBARMENT, SUSPENSION
INELIGIBILITY AND VOLUNTARY EXCLUSION
NOTE: Prior to issuing subawards or subcontracts under this agreement, the Recipient must consult the
Excluded Parties List System (EPIS) to ensure that organizadons under funding consideration are not
ineligible. The list is available on the Web at https: / /Nvanv.sam.gol> /portal /public /SANE /.
(1) The prospective subcontractor of the Recipient, certifies, by
submission of this document, that neither it nor its principals is presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this transaction by am Federal
department or agency.
(2) Where the Recipient's subcontractor is unable to certify to the above statement, the prospective
subcontractor shall attach an explanation to this form.
S UBCONTRA,CTOR-
(I'ype Name) Recipient's Name
B3'
Signature
Name & Title DEO Contract Number
Street Address
City, State, Zip
Date
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37
FY2014 CSBGAGREEMENT
ATTACHMENT H
RECIPIENT INFORMATION
FEDERAL FISCAL YEAR: 2014 CONTRACT PERIOD: October 1, 2013 through September 30, 2014
Instructions: Complete the blanks highlighted in yellow. For item 11, put an "X" in whichever highlighted box applies to your agency.
I. RECIPIENT: Seminole County Government CONTRACT #: 14S13- 013- 06 -69 -01 -025
II. RECIPIENT CATEGORY El Lai r"Local Government
III. COUNTY(IES) TO BE SERVED WITH THESE FUNDS. Seminole County
IV, GENERAL ADMINISTRATIVE INFORMATION
a, Executive Director or Chief Administrator. Valmarie H. Tamer, Director, Seminole County Community Services
Address: 534 W. Lake Mary Boulevard
City:
Sanford , FL Zipcode: 32773
Telephone: 407 - 665 -2301
Fax:
407 -665 -2309
Cell:
Emall
eminoleco,,. +>Fl aov
Mailingaddrus yarerent f om above
Shirley Davis -Boyce
407- 665 -2358
Mailing Address:
City:
, FL Zipcode:
b. Chief Elected Official for Local Governments or President /Chair of the Board for Nonprofits:
Name: Robert Dal3ari
Title:
Chairman, Seminole County Board of County Commisionen
Address *: 1101 E. 1st Street
City:
Sanford , FL Zipcode: 32771
Telephone: 407 -665 -7215 Fax:
407 -665 -7958
Email: f aacdcnaid(@qe.yinolgcoa — --
-*Enterbome or brprnerf addnrr, telephone nraaberr and email other than the Reepierrt'r
534 W. Lake May Boulevard
c. For Public Agencies: Chair of Community Action Board
407- 665 -2393
Name: N/A
Title:
f. Person(s) authorized to sign reports:
Address*:
City:
, FL Zipcode:
Telephone: Fax:
Email:
*Enterbome ar bariaesr addntr, telepbane numbers and emailotbrr than the Rrc pient'f
Tamara Johnson
d. Official to Receive State Warrant:
Name:
Division Manager, Seminole County Community Assistance
Maryanne Morse
Address:
Fax
PO Box 8099
e. Recipient Contacts
Title:
Financial Business Administrator, SC Community Services
1. Prgrameram:
Name:
Shirley Davis -Boyce
407- 665 -2358
Address
534 W. Lake Mary Boulevard
Telephone:
407- 665 -2363
Cell:
2. ) jBcIL
Name:
Jeff Aldridge
Address:
534 W. Lake May Boulevard
Telephone-
407- 665 -2393
Cell:
f. Person(s) authorized to sign reports:
Name:
Valmarie H. Turner
Name:
Shirley Davis-Boyce
Name:
Tamara Johnson
g. Agency's FEID Number. 596000856
Title: Clerk of the Circuit Court, Seminole County Clerk of the Courts
City: Sanford , FL Zipcode: 32772-8099
Title:
Division Manager, Seminole County Community Assistance
City:
Sanford , FL Zipcode 32773
Fax
407 -665 -2309
Email: sboyce@seminolecountyfl gov
Title:
Financial Business Administrator, SC Community Services
City:
Sanford , FL Zipcode: 32773
Fax:
407- 665 -2358
Email•
Title: Director, Seminole County Community Services
Title: Division Manager, Seminole County Community Assistance
Tide: Program Manager, Seminole County Community Assistance
h, Agency's DUNS Number: 067834358'
V. AUDIT DUE DATE: Audit(s) are due by the end of the Ninth month following the end of the agency's fiscal year.
Recipient Fiscal Year: October 1, 2013 thin September 30, 2014 Audit Due to DEO- June 30, 2015
Page 38
FY2014 CSBG AGREEMENT
ATTACHMENT
BUDGET SUMMARY
RECIPIENT: Seminole County Government CONTRACT: 14SB -0D- 06 -69 -01 -025
lnstruc6ons. Enter the appropriate figures in the boxes highlighted in yellow. Use only whole dollar amounts; no cents. Round all figures up to
nearest whole dollar.
CSBG FUNDED PROGRAMS ONLY
- EXPENSE CATEGORY BUDGETED AMOUNT
1 JCSBG FUNDS
14 1 GRAND TOTAL EXPENSE (Line 4 + Line 12 + Line 13) ' $175,282„00
Page 39
(Salaries /Fringe, Rent, Utilities, Travel, Other)
$13,349.00
RECIPIENT (Salaries / Fange, Rent, Utilities, Travel, Other)
RIPIENT
AL ADMINISTRATIVE EXPENSES (Line 2 + Line 3)
$13,349.00
MINISTRATIVE EXPENSE PERCENT: (lane 4 divided by Line 1) May
xceed 15% of the total funds listed on Line I
7.616%
6
RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES
$157,396.00
7
RECIPIENT OTHER EXPENSE (Salaries /Fringe, Rent, Utilities,Travel, Other)
$4$37.00
g
SUBTOTAL RECIPIENT PROGRAM EXPENSE (Line 6 + Line 7)
$161,933.00
9
SUBRECIPIENT DIRECT CLIENT A.SSISTANCE EXPENSES
10
SUBRECIPIENT OTHER PROGRAM EXPENSE (Salaries /Fringe, Rent, Utilities, Other)
11
SUBTOTAL SUBRECIPIENT PROGRAM EXPENSE (Line 9 + Line 10)
$0.00
12
TOTAL PROGRAM EXPENSE (Line S + Line 11)
$161,933.00
13
SECONDARY ADMINISTRATIVE EXPENSE
14 1 GRAND TOTAL EXPENSE (Line 4 + Line 12 + Line 13) ' $175,282„00
Page 39
FY2014 CSBG AGREEMENT
ATTACHMENT J
SUBRECIPIENT INFORMATION AND BUDGET SUMMARY
(Complete this page for each subrecipientby providing information in the yellow- highlighted fields.)
RECIPIENT: CONTRACT:
Seminole County Government 14SB- OD- 06- 69 -01 -025
SUBRECIPIENT INFORMATION
SUBRECIPIENT NAME: N /.1
MAILING ADDRESS:
,FL ZIP
STREET ADDRESS (IF DIFFERENT).
,FL ZIP
CONTACT PERSON'S NAME AND TITLE:
PHONE:
FAX:
SUBRECEIPIENT BUDGET SUMMARY
lnstnrrtians: T'Ge jalloniqg /ire item (3, 9, 1 D and ! 1) mo r! wmrpond Jo Atiaa /imen/ 1, Bridget SHnlrna.y. Ijtherr is snore than one nrbre,YP., it i r Ibe
Recipient i rnponribjh4, to ensurr 1hal /be total of all subrerotenl budget. add Correctly. I -,,penditutrs ntns/ be detailed in ,ilttocl)ment K
CSBG FUNDED PROGRAMS ONLY
EXPENSE CATEGORY
CSBG FUNDS
SUBRECIPMNT ADMINISTRATME EXPENSES:
13.
SUBRECIPIENT
(Sa 'arier /Fringe, Rent, Udlitief, Tram Other)
$0.00
SUBRECIPIENT PROGRAM EXPENSES:
9. SUBRFCIPIEN'f DIRECT CLIENT ASSISTANCE
EXPANSES
$0.00
10. SUBRECIPIENT OTHER PROGK -kAl EXPENSE
(Salaries /Fringe, Rea. t filities, Tra:e4 Oher)
$0.00
11. SUBTO'I'.kL SUBRBCIPIENT PROGR�Nf
EXPENSES (Line 9 + Line 10)
$0,00
TOTAL SUBRECIPIENT EXPENSES: (Line 3 t
Lrne 11)
$0.00
The Recipient must have a written agreement with all subrecipients. The agreement must meet the requirements of Section 14 of this
agreement. A copy of the unsigned agreement with the subrecipient must be forwarded to DEO for review and approval along with this
agreement. See OMB Circular A- 133?10, SubReeipient Vendor Determination, for further clarification.
Page 40
FY2014 CSBG AGREEMENT
ATTACHMENT K
BUDGET DETAIL
RECIPIENT: Semirx)Ie County Government
CONTRACT: 14SB- OD- 06 -69 -01 -025
BUDGET
NAI?()NaI
�snLE,N—' t7RF D1aTa1?.
AMOUNT OF
SUM •tARI'
PERP()RifANCE
CSBG I UNW
LINE
INDICATOPS
Round UP line item totals to dollars.
BUDGETED
ITEM
(Direct Client
Do NOT use cents and decimals in totals.
NiIAIBER
Assistance onh
PA
2
G
7
ravel:
employee to attend ROMA training: Per Diem: 200 miles @ .445 per mile = $8S
employees to attend FACA Conference:
Aging: $300 x 2 = $600
er Diem: $450 miles @ .445 per mile= $201
DTAL TRAVEL: $890
Dperating Supplies (Toner, Ink Cartridges): $900
Office Supplies (Paper, Folders): $400
rransporation - Postage: $80
3uilding Lease: $3091
:Iorida Association for Community Action (FACA) membership: $1200
ROMA Training Registration: $200
=ACA Conference Registration: $200 x 2 = $400
Employee Training: (Case Management) _ $300
:ommunity Needs Assessment: $3,642
4dvertisement /Newpaper. CSBG Board meetings and
Progra m Advertisements$378 x 8= $2,646
TOTAL RECIPIENT ADMIN EXPENSES
N.P.I. 1.2(11) Approximately 31 customers will receive training scholarshipsto obtain skills
competencies required to attain, maintain, or increase employment.
Vocational Training: 21 x $3,750 (avg) = $78,780 ABE /GED:10 x $30 (avg) = $300
N.P.I. 1.2(D) Approximately 39 customerswill receive Scholarshipsto fund Registration, Extended Day
12 (E), 63 (B3), before and after school, and /or Summer Camp programs. 39X$2014 = $78,546
6.4 (.A)
TOTAL RECIPIENT DIRECT CLIENT AssisTANCE $157,596
RECIPIENT OTHER PROGRAM EXPENSES
Case Management database Maintenance Reports: Maintenance fees for the database
TOTAL RECIPIENT OTHER PROGRAM EXPENSES 4,337
TOTAL:
Page 41
890
900
400
80
3,091
1,200
200
400
300
3,242
2,646
13,349
79,05
78,54
4,33
175,28:
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FY2014 CSBG AGREEMENT
ATTACHMENT M
CSBG COMMUNITY ACTION WORKPLAN
CONTACT: Shirley Davis -Boyce PHONE: 407- 665.2363
RECIPIENT: Seminole County Government
s 6yc.e pscmo no Ie
EMAIL:'SW C.OUr7 +�i
CONTRACT: 14SB -0DA±9 -Ot -025
A. 8
C
P! OUTCOME
Units Expected
To Be
Achieved
A.
• • and oblalned a job
inemployed
10
B.
Fm to ed and maintained a job for at least 90 days.
C.
Em io d and obtained an Increase In a to ent income and/or benefits
h�_
i7.
Achieved "fiv n wa e' em i end and 1 or benefits
,_r
th
.obtained tenciesre uiredforem b ent
31
B.
1COMpleted ABEIGED and received certification or diploma
6
C.
Corn sled post-secondary educatian ram and obtained certificate or diploma
25
D.
Enrolled children to before or after school rams
39
E.
Obtained care for child or other dependent
39
F.
Obtain access to reliable transportation and/or drivers license
0
G.
Obtained health care services for themselves or family member
0
H.
Obtained safe and affordable housing
1.
ObWIned food assistance
0
0
J.
Obtained non-emergency UHEAP ens assistance
0
K.
Obtained non -ems WX en assistance
0
L.
rn
Obtained other non-emergency en assistance tstatenoeali rivete ever pro rams. Do Not Incrude !.+HEAP or w 25
M.
Obtained identification or work permit documentation for em o ent social Mgurjtw card, work rrnit, etc. 0
.. we
'In i�c.rLeasL,,i;nfi�anc,i;3CI'ass�.1,1, and/or fin3n.cial skills Ds oresullof CommunityAclion assistance and 1he aggregated
, ,
f1
A. P articipants in tax preparation programs who qualified for any type of Federal or State tax credit. 0
0
8. Participants obtainin court - ordered child support payments.
0
0
C. Number enrolled in telephone lifeline andlor one discounts with agen assistance.
0
0
D.
Participants demonstrating ability to complete and maintain a budget for over 9D days0
E.
Participants o enin an individual Development Account IDA) or other savin account
0
F.
Participants who increased their savings thro h IDA or other savin s account
'tai' "
0
0
G.
Number ca a small business with accumulated savin
0
0
H.
Number rsul post-seconclary education with savin s
0
0
I.
Number urchasI Mir with accumulated savings
0
0
J.
Number urchO other assets with aacumulated savings
0
0
tCc)mmqnJty Impr,.ovementar)dRevitalizalion safeguarding of, .....
.-pojects/mitiativesor advocacy with other public andprivale agenciesas .. followin
A. Jobs created, or saved, from reduction or elimination in the community
0
•
0
B. Accessible livin wa e'obs created or saved from reduction or ellminatlon in the community
0
0
C. Saf 3ing units created in the community
t
13
D. Safe, affordable housing units in the community reserved or improved through Community Action or advocac y
31
62
E, Accessible, sate and affordable health care servicesltacilitles for low - Income people created or saved.
0
0
F. Accessible, safe & affordable child care/child development placement opportunities created or saved.
0
0
G. Accessible before/after school program placement opportunities for low- income families created or saved.
0
0
H. Accessible new/preservedlexpanded transportation resources available to low- income people ub0 rivate
0
0
1. Axessible newlareservedrincreased educational and trainin lacement opportunities for tow- income =Is
0
0
..
MONSOON
A. Increase in community assets due to a change in law/reaulation/pollcy, resulting in better quality of life
0
0
B. increase availabilityffireservation of comlrnun' y facilities schools libraries community centers, etc.
0
0
C. Increase in the availability or preservation of community services to improve public health and safety
0
D. Increase in the availability or reservation of commercial services within low- income neighborhoods
0
0
E. Increase in or reservation of neighborhood uali -of -life resources
0
0
For each entry, provide a description of what asset, service, or facility is being reported on the EXPLANATION TAB
2012 - 2013CSSG Work Plan ATTACHMENT C 1 off;
RECIPIENT: Seminole County Govemment CONTRACT: 14SB- OD- 06- 69 -01 -025
2012 - 2013 CSBG Work Plan ATTACHMENT C 2 of 6
RECIPIENT: Seminole County Government CONTRACT: 14SB -0D -06 -69. 01.025
A. B
C
Units Expected
MPi OUTCOME To Be
- Achieved
iaWe i. _ fhe Ei oW4M Bass
A. Communi Services Block Grant CSBG 175,282
S. Federal Government Resources — Other than CSBG
e Weatherization Assistance program funded b DOE through DCA
0
b UHEAP - Fuel Assistance (HHS)
0
c LIHEAP - Weetherization HHS
0
d Head Start HHS
0
e Early Head Start (HHS)0
Older Americans Act HHS
0
SSBG (HHS)
0
h Medicare/Medicaid HHS
0
i Temporary Assistance to NWd-y Families ANF)
0
Child Care Development Block Grant from CCDBG
0
Other HHS Resources (List in order of size. Give the name of the source and the CFDA number. Do not use
k) abbreviations. All HHS CFDAs start with '93.*)
0
1 0
0
2 0
0
3 0
0
4 0
0
1 Women, infant and Children WIC USDA
0
rn USDA non -food programs e.. rural devel ment
0
n All other USDA Food Programs
0
o CDBG federal, state or local
Housingfrograms fundedb HUD
0
1) Section 8
0
2) Section 202
0
3) Home tenant based assistance
0
4) HOPE for Homeowners Program 11-14H
0
5) Emergency Shelter Grant Program ESGP
123,876
6) Continuum of Care CofC
254,111
All other HUD programs Including homeless erograms
534 330
r Employment and Training P rams US DOL
0
s Other US DOL programs
0
t Corporation for National and Community Service CNCS rams
0
u) FEMA
0
Y) Tran lion US DO
0
W) Department of Education EDU
0
x Department of Justice DOJ
0
Department -of Treasury
0
z Other Federal Sources: List by name of funding source and the CFDA Number. Do not use abbreviations.
0
1 0
0
2 0
0
3 0
0
4 0
0
TOTAL: NON.CSBG FEDERAL RESOURCES
2,673 686
C. State Resources Non - federal, it—at"pproprialted funds
a) State appropriated funds used for the same purpose as federal CSBG funds
0
b) State Housing and Homeless Programs (including housing tax credits)
695,450
c) State Nutrition Programs
0
d) State Day Care and Early Childhood Programs
0
e Slate Energy Programs
0
State Health Programs
0
State Youth Davalenmant Pmn rams
0
h) State Em loyment and Training P rams
0
i State Head Start Programs
0
State Senior Services
0
k State Transportation Programs
0
State Education Programs
0
M State Communi ,Aural and Ecronomic Devei menY Pro rams
0
L�1)
n Stat e Fami Develo menf
Other State Funded programs: List by name of funding source. Do not use abbreviations.
0
1 0
0
2) 0
0
3 0
0
4) 0
0
TOTAL: STATE RESOURCES
695,450
2012 - 2013 CSBG Work Plan ATTACHMENT C 3 of 6
RECIPIENT: Seminole County Government CONTRACT: 14SB- OD -06 -09- 01-025
A.
NP/
e
OUTCOME
C
Units Expected
To Be
Achieved
D. Local Government Resources
a Amount of unrestricted funds appropriated b local govemment
6 179 112
b Amount of restricted hinds appropriated b local government
766 000
c Value of Contract Services
0
d) Value of in -kind goods/services received from local govemment
0
e Other Local Government Resources: Give description or name of program. Do NOT abbreviate.
1) 0
0
2) 0
0
3) 0
0
4) 0
0
TOTAL: LOCAL GOVERNMENT RESOURCES
6,965 112
E. lFrivateSector Resources
a Funds from Foundations, Corporations, United Way, other non -profits
0
b Other donated funds
0
c Value of donated Items, food, clothing, fumiture, etc.
0
d Value of in -kind services received from businesses
0
e Payments by clients for services
0
Payments by rivate entities for goods or services for low- income clients or communities
0
Other Private Sector Resources
0
1 0
0
2 0
0
3 0
0
ANTE
0
TOTAL: PRIVATE SECTOR RESOURCES
0
TOTAL
NON CSBG RESOURCES Federal+State+Locai Governmen4Private Sector
TO 260
TOTAL
CSBG Funds
175 82
TOTAL
AGENCY BUDGET
10 509 2
>is U0 5a to Acftievs 010* 1b; TratnY
; r
i.
A.
Staff who work with customers in self-sufficiency ram receive training Specific to case management
1
4
B.
Staff who work with customers in self-sufliciency prQgrams receive training ecific to family developm eet
0
0
C.
D.
Staff who work with rants/contract management receive train toe nd/ date/u rode their sklils
Fiscal staff attend trains on OMB Circular or audit compliance
1
1
0
24
E.
Fiscal staff receive accounting, data collection or management training.
3
24
F.
Pro ram staff receive data collection or management training.
0
0
G.
Staff or management receive ROMA trains from a certiRed ROMA trainer.
1
16
H.
Other training received U staff ormana ement.
0
0
Total
Staff and Mana ement Trainlno gotals for A throggh H above.
E
J.
Board members receive training related to their roles and responsibilities.
0
0
K.
Board members receive ROMA training from a certified ROMA trainer.
0
0
L.
Other training received b CAA Board members.
0
0
Total Board Member Training (Total of J through L)
0
0
'ft c4ww 10 AA Rel;WtsTh...._.:.T -.
The number of human capital resources available
A.
Number of C-CAP
0
B.
Number of Certified ROMA Trainers
0
C.
Number of certified Family Develop went Trainers
0
D.
Number of Certified Child Development Trainers
0
E.
Agency staff obtained other credential that increase their capacity to achieve results (explain in narrative)
0
F.
Number of staff and management attending trains
27
G.
Number of board members attending trainin s
9
H.
Hours of staff and management trainin
918
I.
Hours of board members in training
9
2012 - 2013 CSBG Work Plan ATTACHMEh17 C 4 of 6
RECIPIENT: Seminole County Government CONTRACT: 14SB- 0D- 06 -69- 01.025
2012 - 2013 CSBG Work Plan ATTACHMENT C 5 of 6
NP/ OUTCOME
Units Expected
To Be
Achieved
Table 4 Agei>�y incresaea A IRY to Mea®ure ark) Tracts CHtirda' Progress Powarl Self 5tA%Fc%ilcy. I»daeate Willt en "X °>ha OWE ateitement In A and
S thekBi�ST describes your oirganitzatton.
Client Intake Process
A
1.
A common in -take process and common ID# is used for I clients
x
2.
A common In lake rocess and common IDk is used for some clients
0
'4
1 A se rate in -take process and/orseggrate IDN Is used for each pMram administered
0
Cltent/Customer Measure Progress toward Achievement of Self - Sufficient
i.
A en utilizes a databases for all clients for use in intake and assessment and provision of services
x
B.
2.
A en utilizes databases for some clients for use in intake and assessment and provision of services
0
3.
A ens uses database for all client intake/assessmenl/ rovision of services & outcome measurement
0
d.
A en uses database for soMg client Intake(assessmenUservice provisionli outcome measurement
0
Corn uter programs used to manage client information and track client progress
1.
ICIient Social Services Tracker CSST Database
C.
2.
0
3.
0
4.
0
5.
0
TBMenhe . hi Pam snC0m 4he ce to re rt clienUcustomer ro ress toward self - sufficient
an re t tmes that measure r ress wkhout use of an outcome scale.
Yes
A.
tilizes outcome scales to measure client movement toward sell- sufficien
as acs to derive unit cost statistics: costtservice delivered or cost of service r client
as ca c' to derive unit cost statistics for effectiveness: cost er outcome delivered
fflNo
A has provided ROMA trains within the post 2 years b a certified ROMA trainer
1.
At least half of the Agency board has received ROMA training
B.
2.
A en mane ement staff has received ROMA trains
c sv ervis staff has received ROMA traini
4.
A line staff has received ROMA training
Yes
Agency ro rams achieved accreditation demonstrating they meet or exceed nationally rec nized standards
C.
1.
JEariv childhood care and education sites receive NAEYC or other recognized forms of accreditation
No
2.
Programs achieve other form of ree nized accreditation.
No
Agent Is Implementing ROMA tools and management practices
D
1. has adopted and implemented logic models for key rams and activities
Yes
jAgency
2. A en rams and activities are evaluated using ROMA principals
No
3. FOCAS & iS Sury reports are provided to, reviewed & discussed with board members at least, uarted .
Y� jA
A.
o
Senior Citizens 55 Xors old or older
1 100
Individuals with Disabilities
3
1.
A 0-17
342
B.
2-
A 18-54
0
3.
A as 55 and Over
0
4-
A a Unknown
0
NOTE:
Seniors are also included within the "55 and Over" calegairy
A. Ernerc jency food
0
B. Ernergency Fuel or Utility payments (incluclin2 LIHEAP or other public or private funding source
10
C. Emergency Rent or Mortgage Assistance
34
D. Emergency Car or Home Repair i.e. structural, appliance, heating system, etc.)0
nter ens Tem Shelter
24
l Careme
en Protection from Violence
129
me n Le al Assistance
RK.
0
me en Trans rtation
12
me en Disaster Relief
0
me nc Clothin
0
L. I Provide translation assistance in order for person to receive emergency services
0
2012 - 2013 CSBG Work Plan ATTACHMENT C 5 of 6
RECIPIENT: Seminole County Government CONTRACT: 14SB- OD- 06- 69 -01 -025
2012 - 2013 CSBG Work Plan ATTACHMENT C 6 of 6
FY2014 CSBG AGREEMENT
ATTACHMENT N
JUSTIFICATION OF ADVANCE PAYMENT
RECIPIENT: Seminole County Government CONTRACT NUMBER: 14SB -OD- 06.69 -01-025
Any advancepayment under this Agreement is subject to s. 216.181 (16)(a)(b), Florida Statutes and Section (17)(b) of this Agreement (see Special Note
below). The Recipient shall incest cash advances in compliance with section .21 (h) (2) (t) of the Common Rule, section .22 of OMB Circular A -110
as revised and Attachment B, Section F of this Agreement. Check the applicable box below (check only one).
LUNO ADVANCE REQUESTED
No advance payment is being requested.
Payment will be made solely on a
reimbursement basis. No additional
information is required.
VANCE REQUESTED
Advance payment of is requested. Balance of payments will
be made on a reimbursement basis. These funds are needed to pay staff, award
benefits to clients, duplicate forms and purchase start-up supplies and equipment.
We would not be able to operate the program without this advance.
wT1VANCR�SOL7F?S7 Sl�ORxSF�fP% ]fan advance is requested, complete the following worksheet by filling in the cells highlighted in yellow.
r The expenses for the first two months in which cMen 9 ms were retorted need to be provided for the years you received a CSBG contract. If you do not
have this information, call your contract manager and they will assist you.
The Recipient may request an amount up to the historical percent of expenditures for the fast 2 months of the
whichever is I=.
FUSTORIC:A T PERCENT FOR FIRST 2 MONTHS: #DIV /0! x S 175,28100
Cell D3 CSBG Award
1° /O r CLWION° 175,282.00 x 0.17
CSBG Award Percent of Award
agreement OR 17% of the award,
®o — #DIp /Ol
Hilton - -'cal ddvance
29,797.94
Maximum Advance
Special Note Regarding Processing of Payments after Advances:
The Recipient is allowed to request an advance amount of Agreement funding to ensure timely payment of benefits along with covering the initial
operational /overhead costs for providing CSBG services. Howevm any advance payment under this Agreement is subject to a. 216:161(16), Florida Statutes. To
ensure compliance with this directive:
a) DEO will compare the advance amount received by the Recipient with the total to date expended amount on the Recipient's second FSR to determine if an
amount equal to the advance amount received has been expended.
b) If the Recipient has not expended an amount equal to the initial advance, DEO staff will contact the Recipient to determine if theft is a reasonable
justification for bot meeting this goal That justification along with any supporting documentation shall be submitted in writing to DEO for review.
c) If the justification is not approved, an adjustment may be made to the Recipient's reimbursement request amount on the Recipient's second FSR.. The
requested reimbursement amount may be reduced by the unexpended balance remaining on the advance. This reduction will lower the cash advance
amount the Recipient will have on hand to meet expenditures.
d) A ' stments to the advanced amount ma be made at an time during the Agxeernent od when deemed ap bate b DEO.
Page 44
MODIFICATION OF AGREEMENT
BETWEEN
FLORIDA DEPARTMENT OF ECONOMIC OPPORTUNITY
AND
Seminole County, Florida
This Modification is made and entered into by and between the State of Florida, Department of
Economic Opportunity ( "the Department "), and Seminole County, Florida ( "the Recipient ") to modify
Department Contract Number 14SB- OD- 06 -69 -01 -025 ( "the Agreement ").
WHEREAS, the Department and the Recipient have entered into the Agreement, pursuant to which the
Department has provided a sub -grant of $175,282 to the Recipient; and
WHEREAS, FY 2013 carryover funds are available to increase the amount of the funding granted to the
Recipient; and
WHEREAS, additional funds have become available to increase the amount of the funding granted to
the Recipient; and
WHEREAS, the modified sub -grant is now $411,271.
NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein, the
parties agree as follows-
- - Par -al+ (x7)(a) F=Abigg Cons em n;is -hmeby me -to as-foi rs
(a) This is a cost - reimbursement Agreement. The Recipient shall be reimbursed for costs incurred in
the satisfactory performance of work hereunder in an amount not to exceed $411,271, subject to the
a- vailability of funds and appropriate budget authority. The Recipient is authorized to incur costs in an
amount not to exceed $345,831 until further notification is received by the Department. As funds and
budget authority are available, changes to the costs the Recipient may incur will be accomplished by
notice from the Department to the Recipient's contact person identified in Attachment H, Recipient
Information. The terms of the Agreement shall be considered to have been modified to allow the
Recipient to incur additional costs upon the Recipient's receipt of the written notice from the
Department.
This revised contract amount includes:
A_ $ 175,282 Current CSBG Allocation (FY 2013 -2014)
B. $ 155,718 Carryover from FY 2013
C. $ 80,271 Base Increase (FY 2013 -2014)
D. $ 411,271 Total (Amended CSBG Allocation)
2. If applicable, Attachment H, Recipient Information, Attachment I, Budget Summary, Attachment J,
Subrecipient Information, Attachment K, Budget Detail, Attachment L, Secondary Administrative
Expenses and Attachment M, 2013 -2014 CSBG Community Action Workplan are hereby deleted in
their entirety and replaced with Amended Attachment H; Recipient Information, Amended Attachment
I, Budget Summary, Amended Attachment J, Subrecipient Information, Amended Attachment K,
Budget Detail, Amended Attachment L, Secondary Administrative Expenses, Amended Attachment M,
2013 -2014 CSBG Community Action Workplan and attached hereto and incorporated by reference.
Exhibit 2, Special Audit Requirements is hereby deleted in its entirety and replaced with Amended
Exhibit 2, Audit Requirements and attached hereto and incorporated by reference.
4. All provisions of the Agreement being modified and any attachments thereto in conflict with this
Modification shall be and are hereby changed to conform with this Modification, effective as of the date
of the last execution of this Modification by both parties.
5. All provisions not in conflict with this Modification remain in full force and effect, and are to be
performed at the Ievel specified in the Agreement.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
IN WITNESS WHEREOF, the parties hereto have executed this document as of the dates set out herein,
STATE OF FLORIDA
DEPARTMENT OF ECONC)MIC OPPORTUNITY
Commissioners
Robert E. .DaJ-1 -ari, Chairman BCC
(Type Name and Title Here)
Date: f
596000856
Federal Identification Number
067834358
DUNS' Number
*Data Universal Numbering System
William B. Killings *orth, Director
Division of Community Development
Date:
Approved as to form and legal
sufficiency, subject only to full and
proper execution by the parties
FY 2014 CSBG AGREEMENT
AMENDED EXHIBIT 2
AUDIT REQUIREMENTS
The administration of resources awarded by DEO to the recipient may be subject to audits and /or monitoring by DEO as
described in this section.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A -133 and Section 215.97, Fla. Stat., as revised
(see "AUDITS" below), monitoring procedures may include, but not be limited to, on -site visits by DEO 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 DEO. In the event DEO
determines that a limited scope audit of the recipient is appropriate, the recipient agrees to comply with any additional
instructions provided by DEO 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 Chief Financial Officer (CFO) or
Auditor General.
UA DITS
PART 1: 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 $300,000 (S500,000 forfitcal yearn ending afterDecen>ber31, 2003) 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 011.1B Circular A -133, as revised. EXHIBIT 1 to this agreement indicates Federal resources
awarded through DEO 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 DEO. 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 pan.
2. 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.
3. If the recipient expends less than $300,000 ($500,000 for fiscal years ending after December 31, 2003) in Federal
awards in its fiscal year, an audit conducted in accordance with the provisions of ONIB Circular A -133, as revised, is
not required. In the event that the recipient expends less than $300,000 ($500,000 for fiscal years ending after
December 31, 2003) 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 the recipient resources obtained from other than Federal entities).
4. Although the audit provisions of OMB Circular A -133 ordinarily do not apply to for - profit sub recipients, in the case
of Federal funding pro -,ided by the U.S. Department of Health and Human Se1Z7ces, Circular A -133 does apply. See
45 C.F.R. 74.26 for further details.
5. A web site that prw ides links to several Federal Single Audit Act resources can be found at:
httn:/ Iharrester .census.go�• /sacLsainfo.hirnl.
PART II: STATE FUNDED
This part is applicable if the recipient is a non -state entity as defined by Section 215.97(2), Fla. Scat.
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 (for fiscal years ending September 30, 2004 or thereafter), the recipient must have a
State single or project - specific audit for such fiscal year in accordance with Section 215.97, Fla. Stat.; applicable rules
of the Department of Financial Services; 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 DEO 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 DEO, other state agencies, and other non -state entities. State financial assistance does not include
Federal direct or pass - through awards and resources received by a non -state entity for Federal program marching
requirements.
2. 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(8), Fla. Star.. This includes submission of a financial reporting
package as defined by section 215.97(2), Fla. Stat., and Chapters 10.550 (local governmental entities) or 10.650
(nonprofit and for -profit organizations), Rules of the Auditor General.
3. If the recipient expends less than $500,000 in state financial assistance in its fiscal year (for fiscal years ending
September 30, 2004 or thereafter), an audit conducted in accordance with the provisions of section 215.97, Fla. Stat.,
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, Fla. Star., 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).
4. Additional information regarding the Florida Single Audit Act can be found at:
htW: / /�,iwa•. ml•florida. corn /fs as /sta tutes.h tml.
PART III: OTHER AUDIT REQUIREMENTS
(1\rDTE: Tbispatt world be rued io sped ate additiottal vidit r y»iretrrertts imjtosed U} t /te State awarding erttii� teat atz roles a
malter of that State matdin., entity'spolicy (i.e., the audit is not regrdred Gy Federal or State 'aws aid is riot in conflict with otGerFedetal
or State credit req»irements). Pt»snant to Section 21 97(8), Florida Brainier, State agencies nnrct� coidnrt or arrange for audits of state
finaicial assistance that art iii addition ; o audits corrdrrcted in accordance u,�iilr Section 2l5.97, Florida Staiites. Ijt such art e&rti, t1)e
Stale awardliig rt,geieo, must anmtae for fitidintg the frill cost of sic% addttroial audit r.)
IV ; A
PART IV: REPORT SUBMISSION
1. Copies of reporting packages for audits conducted in accordance with ON13 CircularA -133, as revised, and required
by Part I of this Exhibit shall be submitted, when required by Section .320 (d), ONfB Circular A -133, as rep ised by or
on behalf of the recipient directly to each of the following at the address indicated:
A. DEO at each of the following addresses:
Electronic copies (preferred): Audi rQdeo,myflorida. com
or
Paper (hard copy):
Department of Economic Opportunity
MSC # 130, Caldwell Building
107 East Madison Street
Tallahassee, Fl. 32399 -4126
B. The Federal Audit Clearinghouse designated in OMB Circular A -133, as revised (the number of copies required
by Sections .320 (d)(1) and (2), C)N1B Circular A -133, as revised, should be submitted to the Federal Audit
Clearinghouse) at the following address:
h ttl?:JJharvester.cen,-,tis.gov/fac/collect/ddeindex.htri-iI
C. Other Federal agencies and pass - through entities in accordance with Sections .320 (e) and (f), OMB Circular A-
133, as revised.
2. 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), ONIB Circular A -133, as revised and any management letter issued by the
auditor, to DEC) at each of the following addresses:
Electronic copies (preferred): Auditoa,deo.myfiorida.com
or
Paper (hard copy):
Department of Economic Opportunity
MSC # 130, Caldwell Building
107 East Madison Street
Tallahassee, Fl. 32399 -4126
3. Copies of financial reporting packages required by PART II of this Exhibit shall be submitted by or on behalf of the
recipient direcdc to each of the following:
A. DEO at each of the following addresses:
Electronic copies (preferred): .�ucit(t ddeo.mrtlorida.com
or
Paper (hard copy):
Department of Economic Opportunity
MSC ## 130, Caldc: ell Building
107 East Madison Street
Tallahassee, Fl. 32399 -4126
B. The Auditor General's Office at the folloving address:
Auditor General
Local Government Audits /342
Claude Pepper Building, Room 401
111 West Madison Street
Tallahassee, FL 32399 -1450
Email Address: fla_ udgen localg_ovt@aud.state.fl.us
4. Copies of reports or the management letter required by Part III of this Exhibit shall be submitted by or on behalf of
the recipient directly to:
A. DEO at each of the following addresses:
N/A
Any reports, management letter, or other information required to be submitted to DEC) 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.
6. Recipients, when submitting financial reporting packages to DEO for audits done in accordance with OMB Circular
A -133 or Chapters 10.550 (local governmental entities) or 10.650 (non -profit 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.
PART V: RECORD RETENTION
1. The recipient shall retain sufficient records demonstrating its compliance «ith the terms of this Exhibit for a period of
five (5) years from the date the audit report is issued, or fire (5) state fiscal years after all reporting requirements are
satisfied and final payments have been received, whichever period is longer, and shall allow DEO, or its designee,
CFO, or Auditor General access to such records upon request. In addition, if any litigation, claim, negotiation, audit,
or other action involving the records has been started prior to the expiration of the controlling period as identified
above, the records shall be retained until completion of the action and resolution of all issues which arise from it, or
until the end of the controlling period as identified above, whichever is longer. The recipient shall ensure that audit
working papers are made available to DEO, or its designee, CFO, 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 DEC).
FY2014 CSBG AGREEMENT
MODIFICATION INSTRUCTIONS
For Amended Attachments H through L*
`Instructions for comp1c6ng ArnLndud .lt=chmernt M, Community .1,c6on Workplan, sec separare Excel rile.
Section 1: Excel Notebook
This Excel Notebook contains the following tabs:
Instructions - READ FIRST
Sample Budget Detail
Amended Attachment H
Amended Attachment I
Amended Attachment)
Amended Attachment K
Amended Attachment L
These tabs correspond to the Attachments in your FY2014 CSBG Modification Package. Complete these
Attachments using the worksheets contained in this Excel Notebook. Once you have completed the worksheets,
replace the blank space holder pages in the two original signed copies of your CSBG Modification.
Section 2: Sample Budget Detail
This tab contains a sample budget detail for your reference when completing your agency's CSBG Budget Detail.
Section 3: Amended Attachment H, Recipient Information
Complete this worksheet ONLY if you have amended recipient information to report.
Section 4: Amended Attachment 1, Budget Summary
Amended Attachment I, Budget Summary, is to be completed by the Recipient. Subrecipients, if any, are to
complete Amended Attachment J, Subrecipient Information and Budget Summary. Amended ,Attachment I, Budget
Summary, is a composite of the Recipient's budget detail and all subrecipient's budget(s). Round all figures up to the
nearest dollar. All ent des must be supported by Amended Attachment I {, Budget Detail. NOTE: You must enter
the Recipient's name and the DEO Contract Number at the top on this attachment. This wM autornatiealfY
populate this information to the other attachments.
Line 1: CSBG Funds: Enter the ORIGINAL allocation amount in Column B; the total AMENDED budget,
including the base increase in Column C; and the amount of cariyover, if any; in Column D. Column E will total
automatically.
Line 2: Recipient Administrative Expenses: Enter the total administrative costs including salaries and fringe, rent,
utilities, travel, and other items to be charged to this contract. See enclosed OCS Iifon;,ation AlemorandmW #37 regarding
the definition ef administrative cost.
Line 3: Subrecipient Administrative Expenses: Enter the total of all administratic,e Subrecipient Expenses
including salaries and fringe, rent, utilities, travel, and other. This line must be the sum of all sub - recipient expenses
as reported in Amended Attachment J. To di
fferenfiale betinen a subiecz rent and a vendor, see attzched excerpt from OMB
Circvlar.4- 133.210, Subrecipient V vidorDeterminadon.
PAGE 1 of 4
Line 4: Total Administrative Expenses: The total of Lines 2 and 3. This number will be calculated automatically
Line 5: Administrative Expense Percentage: This percent is the total amount of administrative expenses from line
4, Column C, divided by the total amount of CSBG grant funds from line I. This may not exceed 15 percent. This
number will be calculated automatically. The unspent administrative amount carried forward from the 2012 -2013
CSBG contract is not part of this calculation.
Line 6: Recipient Direct Client Assistance Expenses: Enter the total from Amended Attachment K, Budget
Detail. All activides,paid for under this line item must be supported by and directly correlated to the outcomes in the
Amended Attachment M, CSBG Community Action Workplan. See definitions and fiaiher e.%planalion in BudSel Detail
Insir<iction.r.
Line 7: Recipient Other Program Expenses: Fnter the total from Attachment K, Budget Detail. All activities paid
for under this line item must be supported by and directly correlated to the outcomes in the CSBG Community
Action Workplan, Attachment M.
Line 8: Subtotal Recipient Program Expenses. The total of Lines 6 and 7. This number will be calculated
automatically.
Line 9: Subrecipient Direct Client Assistance Expenses: Enter here the sum of all subrecipient direct client
assistance expenses as budgeted on Amended Attachment J, Subrecipient Detail. All budgeted expenditures must be
detailed on Amended Attachment K, Budget Detail, and supported by and directly correlated to the outcomes in the
Amended Attachment M, CSBG Community Action Workplan.
Line 10: Subrecipient Other Program Expense: Enter here the sum of all Subrecipient other program expenses as
budgeted oa Amended Attachment J, Subrecipient Detail. All budgeted expenditures must be detailed on amended
Attachment K, Budget Detail, and supported by and directly correlated to the outcomes in the Amended Attachment
M, CSBG Community Action Workplan.
Lane 11: Subtotal Subrecipient Program Expense: The total of Lines 9 and 10. This number will be calculated
automatically.
Line 12: Total Program Expense: The total of Lines 8 and 11. This number will be calculated automatically.
Line 13: Secondary Administrative Expense: This line must agree with the total Secondary Administrative
Expenses reported on Amended attachment L, Secondary Admin. See Attachment A, Section (6), and Attachment
E, Section D(10) for additional information regarding secondary administrative expenses.
Line 14. Grand 'Total Expense: The total of all administrative, program, and secondary expenses. This number will
calculate automatically and must match the CSBG allocation amount on Line I.
Section 5: Amended Attachment T. Subrecipient Information and Budget Sumrnaly
Complete this attachment for each subrecipient, if applicable, or mark N/A.
PAGE 2 of 4
Section 6: Amended Attachment & Budget Detail
The budget detail must follow the format reflected in the "Sample Budget Detail." Budget detail not submitted in
this format will be rejected and will delay the contract. Each recipient and subrecipient is requited to provide budget
detail for all anticipated expenses. All CSBG funding expenditures must be detailed. Subtotal all items within a budget
line. Report the line item subtotal on the Amended Attachment I, Budget Summary,
Budget Line Item Number: This column ties the expense detail to the line item on the Amended Attachment I,
Budget Summary.
National Performance Indiicator a " PI All program expenses budgeted on Lines 6, 7, 9 and 10 on the Budget
Summary, must be identified by NPI Number and must tie to the Amended Attachment I, Budget Summary, and the
Amended Attachment M, CSBG Community Action Workplan.
Expenditure Detail
The narrative given in this column must be sufficient to explain the expenditure. The expenditure category "Other"
must be itemized regardless of its total budgeted expense. Provide explanation and description of the costs. Small
items such as office supplies may be categorized. Any equipment purchases must be acquired and accounted for
according to OMB Circulars A -110, and property, management, and procurement standards.
$1,000 Purchases
Any single item purchase costing more than $1,000 including sen ices must be specified in the budget. This includes
contracts for services such as computer or equipment maintenance as well as the equipment. Purchases made for
internal agency use as well as purchases trade for clients must be specified.
Travel Expenses
Mileage: Because of the strict travel reimbursement rules telated to mileage, be careful to specify any mileage rate you
plan to use, the purpose of the travel and the estimated number of miles. The cost of automobile repairs or
maintenance and fuel are included in the mileage reimbursement and may not be budgeted or claimed separately.
Current State approved mileage rate is 44.5 cents per mile.
Event Travel
Travel outside of the Recipient's service area and travel to conferences, meetings or training events, must be specified.
If the total amount budgeted for this npe of travel exceeds 2% of the CSBG award, the Recipient must provide
additional justification. The justification must include: the name of the event, who will be attending, the persons'
position, total estimated cost for the person to attend the event, and the benefits the CSBG program will obtain from
the person's attendance.
Salaries
Identify sources for the balance of salary for any position where CSBG funds are used to pay less than 100 percent of
the salary. This information should be consistent with your cost allocation plan and indirect cost rate (if any). See
sample budget.
PAGE 3 of 4
PROGRAM EXPENSES
Describe the activities to be paid for in general terms, but with enough detail to ans -wer the questions - What is being
purchased? How much is being spent per person or event? How many people or events does the agency anticipate?
For example, use "A maximum of 75 self - sufficiency clients will be provided with public transportation vouchers
worth no more than $75 per participant'; rather than: "Self- sufficiency clients will b e provided with transportation."
This will give the agency some flexibility and reduce the need for contract modifications, but still give enough detail to
tie the funds to the NPI.
Direct Client Expenses. These expenses can be traced to a specific client or group of clients and supported by a
NPI in Goals 1 or 6. This includes payments made directly to a vendor on a customer's behalf. Pot example, costs
incurred in achieving Goal 1 might include tuition, books, work supplies, etc. For Goal 6 it might include rent or
utility payments, food or fuel vouchers, or medical supplies. Activities such as case management, counseling (budget,
career, housing, etc.), transportation, or tax preparation should also be included. These costs may be provided directly
by agency staff (cost of salary, benefits, etc.) or by subcontract with another entity. When budgeting staff expenses,
give the job title and a brief description of the type of direct client assistance the position will be providing. For each
expense, indicate a related National Performance Indicator. If a salaried employee whose position is normally
considered an administrative in nature, such as executive director or fiscal director, is included under this categon-, an
explanation of what direct client assistance activities he or she will be providing must be included.
Recipient Other Program Expenses are non - administrative expenses related to providing services to customers
that cannot be tied directly to a specific client or group of clients, or directly to a National Performance Indicator.
Examples are expenses related to general program outreach, client intake and income certification, program
coordination with other service providers, rent and office expenses, staff training, travel, etc.
Section 7: Amended Attachment L, Secondary Administrative Expense
Complete this attachment for any programs you are claiming secondary administrative expense for, or mark N /A.
PAGE 4 of 4
FY2014 CSBG AGREEMENT
AMENDED ATTACHMENT H
RECIPIENT INFORMATION
FEDERAL FISCAL YEAR: 2014 CONTRACT PERIOD: October 1, 2013 through September 30, 2014
Instructions: Complete the blanks highlighted in yellow. For item II, put an "X" in whichever highlighted box applies to your agency.
I. RECIPIENT: Seminole County Government CONTRACT #: 14SB- OD- 06 -69 -01 -025
II. RECIPIENT CATEGORY: ®Non -Profit nLocal Government
III. COUNTY(IES) TO BE SERVED WITH THESE FUNDS: Seminole County
IV. GENERAL ADMINISTRATIVE INFORMATION
a. Executive Director or Chief Administrator: Valmaric 11. Turner, Director, Seminole County Community Services
Address: 534 W. Lake Mary Boulevard City: Sanford FI. Zipcode: 32773
Telephone: 407- 665 -2302 Fax: 407 - 665 -2309
Cell: Email: vncrnerrscaninolecounhfl.hoc-
Ma.!iq addnxi tf different from above
Mailing Address: City:
, F1. Zipcode:
b. Chief Elected Official for Local Governments or President/ Chair of the Board for Nonprofits:
Name: Robert Dallari Title: Chairman, Seminole County Board of County Commissioners
Address *: 1101 E. 1st Street City: Sanford FL Zipcode: 32771
Telephone: 407- 665 -7215 Fax: 407- 665 -7958 Email: fmacdomld(n ••m Hole ounn fl �%,�
*Enter home or business addreu, te:ephone nuaben and email other than the Reddpient's
c. For Public Agencies: Chair of Community Action Board
Name: N/A
Address *:
Telephone: Fax: _
*Enter home or business addreu, telephone nmrr:ben and email other than the Redipient's
d. Official to Receive State Warrant:
Name: Maryanne Morse
Address: PO Box 8099
e. Recipient Contacts
1. Prom: Name: Olivette Carter
Address: 534 W. Lake Mary Boulevard
Telephone: 407 -665 -2363
Cell:
2. Fiscal: Name: Jeff Aldridge
Address: 534 W. Lake Mary Boulevard
Telephone: 407-665-2393
Cell:
f. Person(s) authorized to sign reports:
Name: Valmarie H. Turner
Name: Olivette Carter
Name: Tamara P. Johnson
g. Agency's FEID Number: 596000856
"Title:
City:
Email:
, FL 'Zipcode:
Title: Clerk of the Circuit Court, Seminole County Clerk of the Courts
City: Sanford , FL 'Zipcode: 32772 -8099
Title: Division Manager, Seminole County Community Assistance
City: Sanford FL Zipcode: 32773
Fax: 407 -665 -2309
Email: Ocarter@seminolecountyfl.gov
Title: Financial Business Administrator, SC Community Services
City: Sanford FL Zipcode: 32773
Fax: 407 -665 -2309
Email: ialdiidge(t�seminolecountvfl 2ov
Title: Director, Seminole County Community Services
Title: Division Manager, Seminole County Community Assistance
Title: Program Manager, Seminole County Community Assistance
h. Agency's DUNS Number. 067834358'
V. AUDIT DUE DATE: Audit(s) are due by the end of the Ninth month following the end of the agency's fiscal year.
Recipient Fiscal Year: October 1, 2013 thru Septemmber 30, 2014 Audit Due to DEO: June 30, 2015
Page 38
FY2014 CSBG AGREEMENT
AMENDED ATTACHMENT I
BUDGET SUMMARY
RECIPIENT. Seminole County Government CONTRACT_ 14SB- OD- D6.69 -01 -025
NOTE. Use only whole dollar amouars; no cents. Round all figures up to nearest whole dollar.
A B C D $
CSBG FUNDS ONLY Last Amended Budget*' Can.yover Amount TOTAL
BUDGET CATEGORY Approved (iaeludes current Cram
allocation pica base CSBG FUNDS
`° arrLuJa COI C + D
7 MODIFIED CSBG; Grunt roods (I'otals) 175,282 00 255 5a3.00 155,71$.00 41 7100
AnAdThr1S?WA17W
2 RGCTPIPNT EXPL�i 1Si+S
13,349.00
36.972.00
0.00
__ LSaiaes ±Frioge�RcnyUt�litiesrt )the.)- -- - - --
- - ° -- -- -
-- -'- --° __.
- 36,-
3 SUB)ISCIPIENT i"ENSPS
4,337.00
13,9040
° - `- - y - ° ° _
--
Safes + Ftin Rent Utilities, Other
0.00
4 TOTAL �tMINISTRATIVE EXPENSES
13,349.00
36,972.00
0100
EXPENSE e 6 + Line 7)
36,972.00
5 ADMINISnATItrE EXPI:NSF. PFRCIrNT
9' /a
VM/!y NOT EXCEED Y3' /.
Cd 4C divided cell 14G s 1
F CELL 14C
6 RECIPIENT DIRECT CLIE NT
157,596.00
360,397.00
0.00
ASSISTANCE EXPENSES
360,397.00
a -
7 REC:IPIEN'T OT14ER PROGRAM EXPENSE,
4,337.00
13,9040
0.00—
Salaries + Fri* Rent Uti lities Odur
19,9M00
8 SUBTOTAL RECIPIENT PROGRAM
161,933.00
374,294.00
0100
EXPENSE e 6 + Line 7)
374,299.00
9 SUBRF.CIPIi_.NT DIRECT CLIENT'
ASSISTANCE EXPENSES
0.00
—.
10 SUBRECIPIEN7'OTHERPROGRAM
-° - -- __ - - -- _ -- - ^-
EW.NSI3 (SsWits + t;mp. Rau, Wiva, either
0100
D SUBTOTAL SUBRECIPIENT PROGRAM
0.00
0.00
0,00
EXPENSE e 9 + Line 10
0.00
12 TOTAL PROGRAM
161,933.00
374,299A0
0.00
(line 8 +Line 11
374,299.00
13 SECONDARY ADMINISTRATIVE
EXPI NSES'
0.00
14 OAdANDYOrALJVVMV £a
175,?MZ,00
411M
LOO 11100
0.00
411,271.00
*The samounta in Cells 4D and 13D CANNOT
EXCEED the corresnondisio, urtrment aria,....... .:__ . - .
FY 2012 -2013 Contaact closeout - - ° - --Uc ,ram your
**Make desired adjustments to last approved CSBG budget and include base increase amount in Column C.
FY2014 CSBG AGREEMENT
AMENDED ATTACHMENT J
SUBRECIPIENT INFORMATION AND BUDGET SUMMARY
(Complete this page for each subtecipient by providing information in the yellow - highlighted fields.)
RECIPIENT: CONTRACT:
Sensincle County Government 14SB -0D- 06 -69- 01-023
ct L3RECIPIENTINFORMATION
SUBRECIPIENT NAME: N/A
MAILING ADDRESS:
STREET ADDRESS (IF DIFFERENT):
CONTACT PERSON'S NAME AND TITLE:
PHONE:
FAY:
,FL ZIP
,FL ZIP
SU3RF •EIPIENTiRMCEI ma MMARY
Isurartio u: Tbr jolluxj,# 6h, items p'.9, 10 amd 11) runrd omjposd to,4aeuded.&&rbmsat I. BudBu SHOrorag- If tlxrY it more tbnn oqe rsbrsa�irNt, iB it
the Reapiuu's reapoxlJbdrly to ertnnr tbal die Iola /of all txbrecjbbievl brrdgels odd eorrrcfly E>peudw�mr nenrd be drlai /ed Iu .. drd- 4tA,,h,,,W K
The Recipient must have a written agreement with all subrecipients. The agreement must meet the requirements of Section 14 of this
agreement. A copy of the unsigned agreement with the subrecipient must be forwarded to DEO for review and approval along with this
agreement. See OMB Circular A -133 210, Subrecipient Vendor Determination, for further clarification.
Page 40
FY2014 CSBG AGREEMENT
AMENDED ATTACHMENT
BUDGET DETAIL
RF.CIPIFNT: S--I, C-unty Govemmem 14SB•
UD-OG- 69.01 -025
BL'LQST I VATILNAL I --'OF
SU \f. }' PFAFORI,L1.vCE
W 1E 4^IDIC M)UNC Rwnd UP line Item Ws ,o dolh6
TTFS.1 (.'.h¢crQ- Da NOT., can uanddenmalsm —h BllDGETED
7
938
938
2 500
1,500 3U0 3,
1,200
7,(IW
1,.xn
750
22,O00
2,G43
36,972
139;;34
74,225
88,W0
24,000
33,000
1,538
360,397
3,052.W
10,840
13,902
411,271
RECIPIENT ADMIN. EXPENSES
Trevet
_
3 employee and 2 CSBG Board Member to attend ROMA training: Per Diem: 1000 miles @S80 per mile = $ 560.00
3 employees to attend FACA Conference:
-
Par Olem: S 675 miles @,580 par mile =5378
TOTAL TRAVEL S
OTHER:
Operating Supplies (Toner, Ink Cartridges): $ 2500
Office Supplies (Paper, Folders): $ IWO
Postage: $ 300
Building Lease: $3091
Florida Acaadeden far Community Action (FACA) membership: $1200
ROMA Training Registration: $200 x 5= $1000
FACA Conference Registration: S 350 x 3 = S 1050
Employee Training: (Case Management) - S 750
Commurdly Needs Assesament S 22,000
Advardsement/Newspaper. CSBG Board meetings and
Program - AdvertiaemenisS378 If 8= $2,642
2
TOTAL RECIPIENTADMIN EXPENSES
MIOGRAM EXPENSES
RECIPIENT DIRER CUENT ASSISTANCE
Trei.ina5cholsrshlasf rVOCatI ..land Technical Education
G
N.P.I. t2(.,
Approximately 31 — Comers vAll receive training scholarships to oblairskills
competencies required to eDaln, maintain, or increeao amPlcym ent-
on
Vxa(iai Training: 40 x $ 3,475 (avg) = S 139,034
Child Care Assistance
N.P.1. 1 2(1.
Approximately 44 eligible children will recchre Scholarships to fund Registualion for
3.2 (E), 6.3 (B3),
before and after school (M x $1,687 per child)
Approximately 121 eligible children till receive Scholarships to fund Registration,
N.P.I. G.4 (.
for Summer Camp programs. IS 727.00 per child x 121)
N.P.I. 12tH)
Family Self- Suffldenw Program fFSSPI Rent and Utility Subskies
10 families enrolled In the FSSP will receive RcnVulAiy Assistance to alleviate bard ers to
Employment. ( 600 x 10 x 5 monlhs:416.000; 600k IOx 3 month-$9,000) MaySept 2014
N. P.I. 6.2 (C)
Emeraenw R.et/Ut0lty Assistance
30 h7serholde vAll receive Emergency one - iine rent7utiliy assistance
30 x 3 1, 100 to alleviate barriers to employment
N P1, 1,2 (F). 6.2 m
Transportation Assistance
Apprax. 170 bus Passes Wh be purchased to assisl FSSP paniPipents and other eligible clients to seek and or maintain employment and
( twenty (20) 30 -day passes 0 550.00 eaa$1,000; 75 (75) 7 -day peaces Q4.50 —$ 337.50; and one - hundred (100) 1 -day passes
$2.00 ea =$ 200.00
TOTAL RECIPIENT DIRECT CLIENT ASSISTANCE
RECIPIENT OTHER PROGRAM EXPENSES
Case Management database Maintenance Reports and upgrades
Software purchase, training and Maintenance (FSSP participants and other eligible clients)
(%3,995;
Claming $4,350; and annual maintenance cost E 2,495).
TOTAL
RECIPIENT OTHER PROGRAM EXPENSES
GRAND
TOTAL:
938
938
2 500
1,500 3U0 3,
1,200
7,(IW
1,.xn
750
22,O00
2,G43
36,972
139;;34
74,225
88,W0
24,000
33,000
1,538
360,397
3,052.W
10,840
13,902
411,271
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EXHIBIT "E"
REQUEST FOR PAYMENT
Day Camp Provider:
Name of Activity: Seminole County Day Camp Scholarships
Payment Request No:
Number of Total Amount
Weekly Weeks Due for the
Child Name Amount Attended
During Month Month
TOTAL
Submitted By: Title: _
Signature: Date:
EXHIBIT F
IT STARTS IN
in r