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HomeMy WebLinkAbout2013 04 08 Consent 201 Seminole County Summer Day Camp Scholarship AgreementCOMMISSION AGENDA ITEM 201 April 08, 2013 Regular Meeting Informational Consent X Public Hearings Regular KS CC City Manager Department REQUEST: The Parks and Recreation Department requests that the City Commission approve the execution of the Seminole County Day Camp Provider Agreement for Summer Camp Scholarships and to authorize the City Manager and City Attorney to prepare and execute any and all applicable documents. SYNOPSIS: The Parks and Recreation Department conducts an annual Summer Day Camp program. Seminole County has received federal funding to pass on to the cities for summer day camp scholarships. Parks and Recreation estimates that 14 families will benefit from this program in our Summer Camp. Seminole County will reimburse the City up to $11,340 for eligible participants in the 9 week program. CONSIDERATIONS: • Winter Springs Parks and Recreation has conducted a Summer Day Camp program for the last 13 years. Approximately 50 -70 children attend the program weekly. Over 90% are Winter Springs Residents. • The 2012 Summer Day Camp benefited an average of 62 campers weekly and managed their expenses in favor of a $4,000 net profit. • The Parks and Recreation Program Coordinator partnered with Seminole County Community Services regarding a Community Development Block Grant that provides full funding for day camp scholarships for eligible individuals. • Parks and Recreation estimates that 14 families or more will benefit from the program that meet the household income criteria. • Seminole County will reimburse the City $810 per camper up to $11,340 for eligible Consent 201 PAGE 1 OF 2 - April 08, 2013 Seminole County residents in the 9 week program. • Parks and Recreation staff will submit to the County a written invoice and all necessary documentation to obtain reimbursement. FISCAL IMPACT: Up to $11,340 reimbursement from Seminole County for Camp scholarships via CDBG funding. COMMUNICATION EFFORTS: This Agenda Item has been electronically forwarded to the Mayor and City Commission, City Manager, City Attorney /Staff, and is available on the City's Website, LaserFiche, and the City's Server. Additionally, portions of this Agenda Item are typed verbatim on the respective Meeting Agenda which has also been electronically forwarded to the individuals noted above, and which is also available on the City's Website, LaserFiche, and the City's Server; has been sent to applicable City Staff, Media/Press Representatives who have requested Agendas /Agenda Item information, Homeowner's Associations /Representatives on file with the City, and all individuals who have requested such information. This information has also been posted outside City Hall, posted inside City Hall with additional copies available for the General Public, and posted at five (5) different locations around the City. Furthermore, this information is also available to any individual requestors. City Staff is always willing to discuss this Agenda Item or any Agenda Item with any interested individuals. RECOMMENDATION: Staff recommends that the City Commission approve the execution of the Seminole County Day Camp Provider Agreement and to authorize the City Manager and City Attorney to prepare and execute any and all applicable documents. ATTACHMENTS: Attachment A - Seminole County Day Camp Provider Agreement. Consent 201 PAGE 2 OF 2 - April 08, 2013 DAY CAMP PROVIDER AGREEMENT THIS AGREEMENT is made and entered into this day of 20 , 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 32708, hereinafter referred to as "DAY CAMP PROVIDER". WITNESSETH: WHEREAS, COUNTY has received Community Services Block Grant funding in the amount of ONE HUNDRED FIFTY-NINE THOUSAND ONE HUNDRED THIRTY-SIX NO/100 DOLLARS ($159,136.00), 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 needs 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-term 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 Seminole County / City of Winter Sprin Day Camp Provider Agreement Page 1 of 12 of the DAY CAMP PROVIDER's approved day camp programs; and identify the operating procedures governing payment for the day camp programs; and 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 becom s effective upon execution by all parties and terminates on September 30, 2013, unless otherwise terminated pursuant to the terms of this Agreernent. 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 income 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 tennis and conditions of this Agreement are subject to continued Grant fund availability. (b) COUNTY shall not guarantee y 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 Seminole County / City of Winter Springs Day Camp Provider Agreement Page 2 of 12 shall, in its sole 'screnon, determine whether to issue a Day Camp Scholarship Voucher for any 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 thc 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 wri1ng 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 detein ined by COUNTY up to a inaxirnum amount of EIGHT HUNDRED TEN AND NO/100 DOLLARS ($810.00) of the cost of day camp tuition per Carnper 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 Carnp 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 Carnp 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 Page 3 of 12 (f) The COUNTY Day Camp Scholarship Voucher shall be issued for a limited e 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. DAY CAMP PROVIDER shall refer COUNTY Campers back to COUNTY in the event that the Camper or DAY CAMP PROVLDER is unable to continue the day camp se ices specified in the Day Camp Scholarship Voucher. DAY CAMP PROVIDER shall also notify COUNTY in writing of this occurrence. (j) 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 fi nancial aid solely due to his/her receipt ofa COUNTY Day Carnp Scholarship Voucher Seminole County / City of Winter Springs Day Camp Provider Agreement Page 4 of 12 (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 form 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 payment request shall be addressed to: Day Camp Provider Reimbursement Request 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 enroll in and begin a day camp program, but drop out of day camp. Refunds due for tuition and fees Seminole County / City of Winter Springs Day Camp Provider Agreement Page 5 of 12 paid under this Agreement shall be made 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 SBoyce@seminoiecountyfl.gov. (b) In accordance with Section 215.34(2), Florida Statutes, if a check or other draft is returned 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 draft, 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, government passport number, employer or taxpayer identification number, home address, phone number and medical info i lation 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 Page 6 of 12 (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 Community 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 ofnotice. Section 7. Termination. (a) This Agreement may be terminated for e at any time by either party with nvenien 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 nvenience to bill for any payments due. DAY Seminole County / City of Winter Springs Day Camp Provider Agreement Page 7 of 12 CAMP PROVIDER shall be entitled to receive just and equitable compensation for any sere 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 terrnination notice that shall be effective as provided in Section 6 herein, h the event of such tei inination, 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 terrnination 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 of ornissions arising out of this Agreement of that party 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 Page 8 of 12 (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 party is expressly prohibited. There are no third party beneficiaries to this Agreement, Section 10. 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 infonnation, 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 infoiniation, 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 nurnber 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 Imm igration and Nationality Act ("ENA")]. 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. 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 funds 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 funds 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 ageernent, DAY CA_MP 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 govenied 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 entered by COUNTY and the State of Florida, Department of Economic Opportunity on October 1, 2012, 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 's Agreement on the dates set forth below the respective signatures. ATTEST: ANDREA LORENZOLUACES City Clerk CITY OF WINTER SPRINGS By: CHARLES LACEY, Mayor Date: [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: MARYANNE MORSE Clerk to the Board of County Commissioners of Seminole County, Florida. For the use and reliance of Seminole County only. Approved as to form and legal sufficiency. County Attorney Attachments: Exhibit A — Exhibit B — Exhibit C — Exhibit D — Exhibit E — Exhibit F — BOARD OF COUNTY COMMISSIONERS SEMINOLE COUNTY, FLORIDA By: ROBERT DALLARI, Chairman Date: As authorized for execution by the Board of County Commissioners at its , 20 regular meeting. Scope of Services Day Camp Program Matrix Monthly Report State of Florida, Department of Economic Opportunity Federally-Funded Subgrant Agreement Community Services Block Grant Request for Payment Day Camp Description and Program Cost MCC/sjs 3/11/13 P. Llsen,Legal Secretary CSBCortununity Services%2013 Agreements Day Camp Provider Agreement - Winter Springs.doc 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 $362,949 appropriation for Seminole County through the Department of Economic Opportunity (DEO). Of this funding $159,136 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; • Household's income must be at or below 125% of the Federal Poverty Limit (see chart below); and • At least one adult household member is employed. 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 four (4) and fifteen (15). 125% of Federal Poverty Limit (Effective 4/1/2013) 1 Person 2 Persons 3 Persons 4 Persons 5 Persons 6 Persons 7 Persons 8 Persons $14,363 $19,388 $24,413 $29,438 $34,463 $39,488 $44,513 $49,538 Specific Obligations: 1. 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 2013 in the form of Exhibit C to the Inter - Agency Agreement to the 1 COUNTY by the fifth (5th) 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. i. Measures program success in contributing to parent's maintaining employment and youth avoiding risk - taking behavior for a defined period of time. 2 Exhibit B - Day Camp Program Matrix Agency Number of Value of Weekly Amount Funded Scholarships Scholarships Charge Scholarships Include Camper Ages Location City of Altamonte Springs $5,000.00 10 $500.00 One fee for summer camp Includes camp and select field trips 6 to 12 Westmonte Park Teen camp- Includes camp and select field trips 13 to 15 Teague Middle School City of Casselberry $7,600.00 10 $760.00 $95 /week Inlcudes camp, field trips, and lunch 5 to 11 Casselberry Elementary City of Longwood $14,535.00 17 $855.00 $95 /week Includes camp, field trips, and t- shirt. Entering 1st grade - 8th grade Longwood Elementary School City of Oviedo 25 (20- elem., $32,500.00 5- middle) $1,300.00 $130 /week Includes camp, field trips, and t- shirt. Entering 1st grade - 8th grade Riverside Park City of Sanford $4,600.00 8 $85/1st week then $575.00 $70 /week Includes camp and lunch 6 to 12 Riverwalk Academy City of Winter Springs $11,340.00 14 $810.00 $90 /week Includes camp, field trips, t- shirt, lunch Fridays. 6 to 12 Winter Springs Civic Center Seminole County Leisure Services $5,880.00 5 $1,176.00 $147 /week Includes nature camp & extended care. 7 to 12 Ed Yarborough Nature Center Seminole County Sheriffs Office PAL Program $34,740.00 $100/week + 36 $965.00 $65 reg fee Includes camp and most field trips Entering kindergarten (Completed Pre -k) to 8th grade Juvenile Enforcement Center Seminole County School Board $42,400.00 $115/week + 40 $1,060.00 $25 reg fee Includes camp, lunch, and field trips. Kindergarten -5th Grade Red Bug Lake Elementary Crystal Lake Elementary Strenstrom Elementary Spring Lake Elelmentary Total CSBG Funds: $158,595.00 ** Additional scholarships may be available depending upon funding availability and demand. Dates of Camp Camp Hours June 3, 2013 - August 2, 2013 7:00 AM- 6:00 PM June 3, 2013 - August 2, 2013 7:00 AM- 6:00 PM June 3, 2013- July 26, 2013 7:00 AM -6:00 PM June 3, 2013 - August 2, 2013 7:30 AM -6:00 PM June 3, 2013 - August 9, 2013 7:30AM - 6:OOPM June 10, 2013 - August 2, 2013 7:30 AM -5:30 PM June 3, 2013 - August 2, 2013 7:30AM - 5:30PM June 3, 2013 - August 2, 2013. No camp July 1, 2013 - July 5, 2013 7:30AM - 5:30PM June 3, 2013 - August 2, 2013 7:00 AM -6:00 PM June 3, 2013 - August 2, 2013 7:00 AM- 6:00 PM EXHIBIT "C" MONTHLY REPORT CSBG Day Camp Scholarship Program Report must be submitted to Seminole County Community Assistance Division by July 5th, August 5th and September 5th. Number of Jobs Created and Retained due to Day Camp Scholarships: Month: 1 Child Name Age Weekly Rate Week 1 Week 2 Week 3 Week 4 Week 5 Total Weeks Attended During Month Dates of Week June2 -7 June 10 -14 June 17 -21 June24 -28 Number of Days Attended Dates of Week Number of Days Attended Dates of Week Number of Days Attended Dates of Week Number of Days Attended Dates of Week Number of Days Attended II. Campers and Day Camp Scholarship Information: Month Number of Campers Receiving Day Camp Scholarships Number of Campers Completing Day Camp Number of Campers Not Completing Day Camp Reasons for Campers Not Completing Day Camp June 2013 July 2013 August 2013 July 2013 August 2013 III. Employment Information: Month Number of Jobs Created Number of Jobs Retained June 2013 July 2013 August 2013 Program Representative Signature: Date: A # a STATE OF .ECONi C POR Contract Num tall] G R . AG THIS AGREEMENT is entered into by the State of Flo qty, with headquarters in Tallahassee, Florida (hereinafter referred to as Seminole County, hereinafter referred to as the "Recipient "). TIM AGREEMENT IS ENTERED INTO BASED ON FOl SENTATTONS A. The Recipient represents it is fully qualified eyed Ali; provide the services identified herein; and B. The Dep, 'ir ent has received these grant funds the S of ority to subg'ant these funds to the Recipient + the terms and conditions below d ; and C. The nt has statutory authority to disburse the funds under thi THEREFORE, the Department and the Recipient agree to the following. (1) SCOPE OF WORK EX 1Hl rT D IS F= t , 125 e e The Recipient nt"), and and Work Plan (Attachment E1-B4) C), of this Agreement, (2) TNCO • :'' `a- RATION OF W R ES REGULATIONS AND The Recipient and the D POI:.LIES apartment shall be governed by applicable State and Federal laws, ons, including those identified in Attachment D. (3) PERIOD OF A This Agreement s be a` n axe shall end `aragrapb (12) of the (4) MC)DIFICATiON OF NTRACT Either party may request modification of the visions of this Agreement. upon shall be 'valid only when in writing, at u ' by each of the parties, ofthis Agreement (5) RECORDKEEP G a) As applicable, Recipient's I fo c r 4 anent the federal Common R.ule� Uniform A ', ' ` - _.� .... v Federal Register 8034) or OMB Circular No. A -110 (now 2 CFR 215 , "Grants eats" (53 :., d A Institutions of ITiglier Education, Hospitals, arzd Agreements with Other Nonprofit Organizations," and either OMB Circular No. A -87 (now 2 CFR 225), "Cost Principles for State and Local Govemrnents," OMB Circular No. A -21 (now 2 CFR 220), "Cost Principles for Educational Institutions," or 01x113 Circular N. A- 7 122 (now 2 CFR 230), "Cost Principles for Nonprofit Organizations! If this Agreement is made with a commercial (for-profit) organization on a cost-reimbursement basis, the Recipient shall be subject to Federal Acquisition Regulations 31.2 and 931.2. (b) The Recipient shall retain sufficient records to show its compliance with the terms of this Agreement, and the compliance of all subcontractors or consultants paid from funds under this Agreement, for a period of five years from the date the audit report is issued, and shall allow the Department or its designee, the State Chief Financial Officer or the State Auditor General access to the records upon request. The Recipient shall ensure that audit working papers are available to them upon request for a period of five years from the date the audit report is issued, unless extended in writing by the Department. 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 ail 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 the Department, its employees, and agents. "Reasonable" shall ordinarily mean during normal business hours of 8:00 a.m. to 5:00 p.m., local time, on Monday through Friday. "Agents" shall include, but not be limited to, auditors retained by the Department. (6) AUDIT REQUIREMENTS (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 the Department. "Reasonable'' shall 2 ordinarily mean no al business hours of 8:00 a.m. to 5:00 p.m., local nday through Friday. (c) The Recipient shall provide the Department with the records, reports or financial statements upon request for the purposes of auditing and monitoring the funds awarded under this Agreement. (d) If the Recipient is a State or local government or a non-profit organization as defined in OMB Circular A-133, and 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 0 1 Circular A-133, Audits of States, Local Governments and Non-Profit Organizations and the Single Audit Act of 1984, as amended. EXHIBIT 1 to this Agreement shows the Federal resources awarded through the Department 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. The determination of anima: ofFederal awards expended should be in accordance with the guidelines established by OMB Circular A-133. An audit of the Recipient conducted by the Auditor General in accordance with the provisions of OMB Circular A-133 will meet the requirements of this paragraph. In connection with the audit requirements addressed in this Paragraph 6 (d) above, the Recipient shall fulfill the requirements for auditee responsibilities as provided in Subpart C of OMB Circular A- 133. 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 is not required. In the event that the Recipient expends less than $500,000 in Federal awards in its fiscal year and chooses to have an audit conducted in accordance with the provisions of OMB Circular A-133, the cost of the audit must be paid from non-Federal funds. (e) Send copies of reponing packages and any management letters issued by the auditor for audits conducted in accordance with OMB Circular A-133 and required by subparagraph (d) above, when required by Section .320 (d), OMB Circular A-133. Pursuant to Section .320 (f), 01‘413 Circular A-133, the Recipient shall send a copy of the reporting package described in Section .320 (c), OMB Circular A- 133, and any management letter issued by the auditor, by or on behalf of the Recipient to the Department of Economic Opportunity at the following addresses: Department of Economic Opportunfty Office of the Inspector General 107 East Madison Street MSC 130-, Caldwell Building Tallahassee, Florida 32399-4120 3 And Department of Econ omic Opportunity Division of Community Development Bureau of Housing and Community Development Community Assistance Section 107 East Madison Street MSC 400, Collins Building Tallahassee, Florida 32399-4120 (f) Send an electronic copy to Sherita.Keys-Addison@deo.myflorida.com (g) Send the Single Audit reporting package and Form SF-SAC to the Federal Audit Clearinghouse by submission online at ://harlmmster.censi../dcleindex hum! and to any other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (0, OMB Circular A-133, (h) By the date due, send any reports, management letter, or other information required to be submitted to the Department pursuant to this Agreement 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. (i) Recipients should state the date that the reporting package was delivered to the Recipient when submitting financial reporting packages to the Department 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, (j) 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 the Department of all funds not spent in accordance with these applicable regulations and Agreement provisions within thirty days after the Department has notified the Recipient of such non-compliance. (k) 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, Fla. Stat. The IPA shall state that the audit complied with the applicable provisions noted above. The audit must be received by the Department no later than nine months from the end of the Recipient's fiscal year. (7) REPORTS (a) The Recipient shall provide the Department with quarterly reports and a close-out report. 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 the Department. (b) Quarterly reports are due to the Department no later. than 21 days after the end of each quarter of the program year and shall be sent each quarter until submission of the administrative close-out 4 report. The ending dates for each quarter of the program year are March 31, June 30, September 30 and December 31. (c) The close-out report is due 45 days after termination of this Agreement or 45 days after completion of the activities contained in this Agreement, whichever first occurs, (d) Nall required reports and copies are not sent to the Department or are not completed in a manner acceptable to the Department, the Department may withhold further payments until they are completed or may take other action as stated in Paragraph (11) REMEDIES. "Acceptable to the Department" means that the work product was completed in accordance with the udget and Scope of Work. (e) The Recipient shall provide additional program updates or in orrnation that may be required by the Department. (f) The Recipient shall provide additional reports and information identified (8) MONITORING Attachment F.. 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 C to this Agreement and reported in the quarterly report. In addition to reviews of audits conducted in accordance with Paragraph (6), AUDIT REQUIREMENTS, above, monitoring procedures may include, but not be limited to, on-site visits by Department staff , limited scope audits, and/or other procedures. The Recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the Department. In the event that the Department determines that a limited scope audit of the Recipient is appropriate, the Recipient agrees to comply with any additional instructions provided by the Department 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 Florida Chief Financial Officer or Auditor General. In addition, the Department 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 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 carrying out the terms of this Agreement, and shall hold the Department harmless against all claims of whatever nature by third parties arising from the work performance under this Agreement. For purposes of this Agreement, Recipient agrees that it is not an employee or agent of the Department, but is an independent contractor, (b) Any Recipient which is a state agency or subdivision, as defined in Section 768.28, Fla. Stat., agrees to be fully responsible for its negligent or tortious acts or omissions which result in claims or suits against the Department, 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 5 waiver of sovereign immunity by any Recipient to which sovereign immunity app lies. Nothing herein shall be construed as consent by a state agency or subdivision of the State of Flori da 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 the Department to make further payment of funds shall, if the Department elects, temi inate and the Department has the option to exercise any of its remedies set forth in Paragraph (I 1), REMEDIES. However, the Department may make payments or partial payments after any Events of Default without waiving the right to exercise such remedies, and without becoming liable to make ail)/ further payment: (a) If any warranty or representation made by the Recipient in this Agreement or any previous agreement with the Department 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 the Department 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 tints Agreement, and the Recipient fails to cure this adverse change within thirty days from the date written notice is sent by the Department, (c) If any reports required by this Agreement have not been submitted to the Department 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, (11) REMEDIES If an Event of Default occurs, then the Department may, upon thirty calendar days written notice to the Recipient and upon the Recipient's failure to cure within those thirty days, exercise any one or more of the following remedies, either concurrently or consecutively: (a) Terminate this Agreement, provided that the Recipient is given at least thirty days prior written notice of such termination. The notice shall be effective when placed in the United States, first class mail, postage prepaid, by registered or certified mail-return receipt requested, to the address set forth in Paragraph (13) Notice and Contact herein; (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) Require that the Recipient refund to the Department any monies used for ineligible purposes under the laws, rules and regulations governing the use of these funds. (e) Exercise any corrective or remedial actions, to include but not be limited to: 1. request additional information from the Recipient to determine the reasons for or the extent of non-compliance or lack of performance, 6 2. issue a written warning to advise that more serious measures inay be taken situation is not corrected, 3. advise the Recipient to suspend, discontinue, or re activities in question, or 4. require the Recipient to reimburse the Department the amount of costs incurred for any items determined to be ineligible. (f) Exercise any other rights or remedies which may be otherwise available under law. (g) Pursuing any of the above remedies will not keep the Department from pursuing any other remedies in this Agreement or provided at law or in equity. If the Department 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 the Department, or affect the later exercise of the same right or remedy by the Department for any other default by the Recipient. (12) TERMINATION (a) The Department shall terminate this Agreement for cause with thirty days written notice. Cause can inelude misuse of funds, fraud, lack of compliance with applicable rules, laws and regulations, failure to perform in a timely manner, and refusal by the Recipient to permit public access to any document, paper, letter, or other material subject to disclosure under Chapter 119, Fla. Stat., as amended. (b) The Department shall 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 shall 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) In the event that this Agreement is terminated, the Recipient will not incur new obligations for the terminated portion of the Agreement after the Recipient has received the notification of tennination. The Recipient will cancel as many outstanding obligations as possible. Costs incurred after receipt of the termination notice will be disallowed. The Recipient shall not be relieved of liability to the Department because of any breach of this Agreement by the Recipient. The Department 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 the Department from the Recipient is determined. (13) NOTICE AND CONTACT (a) All notices provided under or pursuant to this Agreement shall be in writing, either by hand delivery, or first class, certified mail, return receipt requested, 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: incurring costs for any 7 for Paula Lemmo, Community Program Manager Department of Economic Opportunity Division of Community Development Bureau of Housing and Community Development Community Assistance Section MSC 400 - 107 East Madison Street Tallahassee, Florida 32399-4120 Email: paulalemmo@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 A, Recipient Information, 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 the Department 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 the Department and Recipient harmless 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 the Departnent as to whether that subcontractor is a minority vendor, as defined in Section 288.703, Fla. Stat. (15) TERMS AND CONDITIONS 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. (c) This Agreement has the following attachments (check all that are applicable): 11,41 0.1 Exhibit 1 Attachment A Attachment B-1 Attachment B-2 Attachment B -3 FUNDING RESOURCES RECIPIENT INFORMATION BUDGET SUMMARY SUB-RECIP1ENT 1NFORMA I ION BUDGET DETAIL 8 ri Work P chment C), of this Agreement. ecessary funds we notavailable to- Congress, the federal Office of SECOMARY ADMINISTRA 2012-2013 COG WORKPLAN PROGRAM STATUTES . .A REPORTS A sum/1044T OF ASSURANCES A SPECIAL CONDITIONS SUSPENSION, 1NELIGIBELITY AND VOLUNTARY EXCLUSION Attachment K .TUSTIFICATION OF ADVANCE PA (17) FUNDING/CONSIDERATION (a) This is a cost-reimbursement Agreenient e Recipient shall be re* tined for costs esatisfactory performance-of work hereunder anamountnot to exceed $171 820 subject. to the availability of funds and appropriate budget authority. The Recipient is authorized to incur costs an amount not to excmd Slaga until further notification is received by the Department. As funds and budget authority axe av le, changes to the costs the Recipient may incur will be accomplished by notice from the Department to the Recipient, in the form of certified mil_ return receipt requested, to the Recipient's contact person klentified in Attachment A, Recipient Information. The tutus 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 viritten notice from the D ent y advance payment under this Agreement is subject to Sec II. 2 16), and is co n the Recipient's acceptance of the rights of the Dep t a this Agreeme e amount which y be advanced may not exceed the expected cash n Recipient within the first three (3) months of the contract term. Any advance a is sisc subj the Cash ement Improvement Act of 1990. If advance payment is requested below, the budget data Oil which the request is based and a justification statement shall be included hi this ement as Attachment K. Attachment K will specify the amount of advance payment needed and p vide art explanation of the necessity for and proposed use of these funds. ) After the initial advance, ifatry, payment shall be de n a reimburs ipient agrees to expend funds in accordance with the Budget, (Attachmen Serninoje County J action by the gement and udg g, the State Chief Financial 9 Officer, or under Subparagraph (19)(h) MANDATED CONDITIONS of this Agreement all obligations on the part of the Department to make any further payment of funds shall terminate, and the Recipient shall submit its closeout report within thirty days of receiving notice from the Department. (18) REPAYMENTS All refunds or repayments to be made to the Department under this Agreement are to be made payable to the order of "Department of Economic Opportunity" and mailed directly to the Department 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 the Department for collection, Recipient shall pay to the Department 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 the Department and with thirty days written notice to the Recipient, cause the termination of this Agreement and the release of the Department from all its obligations to 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 Department under the terms of this Agreerrient 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. (e) The Recipient 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 10 basis of disability in employment, public acconimodations, transportation, state d local government services, and telecommunications. (f) 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 contact 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 of36 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 3-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 19(g)2. of this certification; and 4. have not within a 3-year period preceding this Agreement bad 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 certjfjcatj0 n, then the Recipient shall attach an explanation to this Agreement. In addition, the Recipient shall send to the Department (by email or by facsimile transmission) the completed "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion" (Attachment I) for each intended subcontractor which Recipient plans to fund under this Agreement. Such form must be received by the Department before the Recipient enters into a contract with any subcontractor. (h) The State of Florida's perfonnance 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. Stat. or the Florida Constitution. 11 (i) All bills for fees or other compensation for services or expenses shall be submitted in detail sufficient for a proper preaudit and postaudit thereof. (j) Any bills for travel expenses shall be submitted in accordance with Section 112. 61, Fl (k) The Department 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. Stat., which the Recipient created or received under this Agreement. (I) If the Recipient is allowed to temporarily invest any advances of funds under this Agreement, any interest income shall either be returned to the Department or be applied against the Department's obligation to pay the contract amount. (m) The State of Florida will not intentionally award publicly-fin:Wed contracts to any contractor who knowingly employs unauthorized alien workers, constituting a vitalation of the employment provisions contained in 8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act ("INA")]. The Department 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 the Department. (n) The Recipient is subject to Florida's Government in the Sunshine Law (Section 286.011, Fla. Stat.) with respect to the meetings of the Recipient's governing board or the meetings of any subcommittee making recommendations to the governing board. 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. Stat. (o) All unmanufactured and manufactured articles, materials, and supplies which are acquired for public use- wider 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 PROHIBITION (a) Federal grant funds provided under this Agreement may not be used by the Departinent or any Recipient or Sub-Recipient-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 individuals's right or that of any organization, to petition Congress, or any other level of Government, through the use of other resources (See 45 CFT Part 93). No funds or other resources received from the Department under this Agreemerrt may be used directly or indirectly to influence legislation or any other official action by the Florida Legislature or any state agency. (b) The Recipient certifies, by its signature to this Agreement, that to the best of his or her 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, Stat. 12 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, cpritinuation, renewal, amendment or modification of any Federal contract, -ant, loan or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Corigress in connection with this Federal contract, grant, loan or cooperative agreement, the Recipient shall complete and submit Standard Form-LLL, "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 agreeinents) 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 PATEN-7 RIGHTS ACCRUING UNDER OR IN CONNEC i ION WITH THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY RESERVED TO STATE OF FLORIDA. ANY AND ALL COPYRIGHTS ACCRUING UNDER OR IN CONNECTION THE PERFORMANCE OF :1 S AGREEMENT ARE HEREBY TRANSFERRED BY THI.: RECIPIENT TO THE STATE OF FLO 11 A. (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 the Department 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 the Department. 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 days of execution of this Agreement, the Recipient shall disclose all intellectual properties relating to the performance of this Agreement which he or she 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 13 property exists. The Department shall then, under Paragraph (b), have the right tc3 all patents copyrights which accrue during perfoithance of the Agreement. (22) LEGAL AUTHORIZATION The Recipient certifies that it has the legal authority to receive the finds under this Agreement and that its governing body has authorized the execution and acceptari ce 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. (23) ASSURANCES The Recipient shall comply with any Statement of Assurances iflCorporated as Attachment G. 14 STATE OF FLO A DEPARTMENT OF ECONOMIC OPPORTITNIrY FEDERALLY FUNDED SUBGRANT AGREEMENT SIGNATURE PAGE ThT WITNESS WHEREOF, the parties have executed this Agreement by their duly authorized officers on the day, month and year set forth below. RECIPIENT Seminole County (Type Legal Name ofRecipient By: Brenda Carey, Chairman Type Name and Title Here) Date: 596000856 Federal Identification Number 062834358 DUNS* Number *Data Universal Numbering System By: Approved Date: STATE OF FLO 111 A DEPAR ENT OF EC NOMIC OPPORTUNITY Ken Reecy, Assistant Director Division of Community Development Date: Approved as to form and legal sufficiency, subject only to full and proper execution by the parties Office of the General Counsel epartment of Economic Opportunity EXHIBIT "E" REQUEST FOR PAYMENT Day Camp Provider: Name of Activity: Seminole County Day Camp Scholarships Payment Request No: Child Name Weekly Amount Number of Weeks Attended During Month Total Amount Due for the Month TOTAL Submitted By: Title: Signature: Date: THE FOI., a t G D UNDER THIS AGREEMENT: Separately list the following info o awarded to the Recipient originate: Federal Agency: Catalog of Federal Don IT 1 AW ED TQ CIP T ich the resources ofH , H .�� Services e Title :. Co ty S 'ces block C U.S..D Federal Award Identifier: G- 12B2 FI.,COSR C.s : og of Federal Domestic Assistance #: 93.569 Recipient: Seminole County Contract # 13SB- FZ- 06 -69 -01 -025 Award Amount: $171,g20 THE POLL.O t .., G CO d LLANCE REQUIRE S APPLY TO RESOURCES AWARDED AGREEMENT: Separately list each applicable compliance requirement (eligible activities, services, or commodities; eligible recipients; etc) and specify to which federal pro each requirement applies: ERAL Compliance Rea dces Block Grant Pro First applicable compliance requirement (e.g.. eligible activities, services or commodities),- The Recipient will use the CSBG fiords to provide a range of services and activities having a measurable and potentially major impact on poverty in the communities why poverty rtY is a acute problem. These funds will be expended in accordance with the Program Statutes and Regulations, Attachment D, Budget, Attachment B and Work Plan, Attachment C of this : „ent .;. applicable OMB Circulars. 2. Second applicable compliance requirement (e.g. eligihil ty requir nts for recipients of the federal resources): Recipient will comply with applicable 0 `1: Circulars and eligibility g ty re quirements as set forth in U.S. De ent of Health and Human Services regulations codified in: Title 45 of the Code of Federal Regulations, Part 96 — Block Grant and Title 31 of the Code of Federal Regulations, Part 205 — Cash Management Improvement Act of 1990. lg None of these funds will be used for research purposes. Note: Section .400(d) of 0 : °l: Circular A -133, as revised, and Section 215.97(5)(a), Florida Statutes, require that the information about Federal Programs and State Projects included in Exhibit 1 be provided to the Recipient. 16 AMENDED ATTACHMENT A - RECIPIENT INFORMATION FEDERAL FISCAL YEAR: 2013 CONTRACT PERIOD: October 1, 2012 to Se tenrif?2L__m_a.13. 1. RECIPIENT: Seminole County 2. COUNTIES TO BE SERVED WITH THESE FUNDS: 1 Seminole 2 3 4 5 7 8 9 10 3. GENERAL ADMINISTRATIVE INFORMATION A. Agency Head (Executive Director or Chief Department Administrator Name: Vaimarie H. Turner Title: Community Services Director Street Address: 534 W. Lake Mary Boulevard County: Seminole City: Sanford, Fl Zip Code: 32773-7400 Telephone (407) 665-2302 Fax (407) 665-2309 E-Mail: vturne MAILING ADDRESS (IF DIFFERENT FROM ABOVE) Address: City: , FI Zip Code: B. Chief Elected Official for Local Governments or Presiden t/Chair of Board for Nonprofits (Home or business address other than agency address.) Name: Brenda Carey Title: Chairman Street Address: 1101 E. First Street County: Seminole City: Sanford, FI Zip Code:32771 Telephone (407) 665-7209 Fax (407) 665-7958 E-Maij:bcare semino e unt ov C. FOR PUBLIC AGENCIES: Chair of Community Action Board (Home or business address other than agency address.) Name: John Murphy Title: CSBG Board Chairman Street Address: 225 North Kennel Road County: Seminole City: Sanford, Fl Zip Code:32771 Telephone (407) 328-9900 Fax ( ) E-Mail: lohn(harvest-timeorq D. RECIPIENT CONTACT PERSON/PROGRAM COORDINATOR Name: Carmen Hall Title: Housing Program Manager Street Address: 534 W. Lake Mary Boulevard County: Seminole City: Sanford, FI Zip Code: 32773-7400 Telephone (407) 665-2394 Fax (407) 665-2358 E-Mail: chall03 • seminolecoun E. WARRANT OFFICER (OFFICIAL TO RECEIVE STATE WARRANT) Name: Maryanne E. Morse Title: Clerk of Court Address: 301 N. Park Avenue (Street address) City: Sanford, FI Zip Code: 32771 Telephone (407) 665-2393 Fax (407) 330-7193 E-Mail: F. FINANCIAL CONTACT PERSON Name: Leo Luttiq Title: Business Manager Street Address: 534 W. Lake Mary Boulevard County: Seminole City: Sanford, FI Zip Code: 32773-7400 Telephone (407) 665-2393 Fax (407) 665-2309 E-Mail: iluttigAseminolecountyftgov G. PERSON(S) AUTHORIZED TO SIGN FISCAL REPORTS 1, Name: Leo Luttiq Title: Business Manager 2. Name: Susie Montgomery Title; Project Coordinator SUB-RECIPIENT INFORMATION These funds will be transferred to one or more Sub-Recipients: Yes NoX For each Sub-Recipient, attach a copy of Attachment B-2, Sub-Recipient Information AUDIT: Recipient Fiscal Year: October 1, 2012 to September 30, 2013 Audit is due nine months from the end of the recipient's fiscal year: seminolecount ov 1. ov Recipient: NOTE: ELECTRONIC COPIES OF THIS EXCEL FORM WILL BE &MAILED TO ALL GRANTEES ATTACHMENT 8-1 BUDGET SUMMARY - FY 2012-2013 Seminole County 1 CSBG Grant Funds 2 Cash Match MATCH ..qtateeppgainaniElpiniaki„„„,,„„„ple nappellieeteeeeit,„ 3,437.00 3 In-Kind Match 41,579.00 CSBG FUNDED PROGRAMS ONLY EXPENSE CATEGORY ADMINISTRATIVE Contract TOTAL 171,820.00 13SB-FZ.Q6.691Jj25 OPOPERINPIRepplet 11111111111ifillil 45,016.00 216,836,00 NOTES: ound all figures UP to nearest dollar. Required: 2% Cash Match, 20% Total Match o Not Under Match. Ex. 1.95% Cash Match is not acceptable. (A) (8) (C) (D) CSBG Cash In-Kind Funds Match Match TOTAL 6 RECIPIENT (Salaries + Fringe, Rent, Utilities, Travel, Other) ... ... •• 6,213.00 0.00 19,580.00 7 SUB-RECIPIENT (Salaries + Fringe, Rent, Utilities, Travel, Other) 8 TOTAL ADMINISTRATIVE EXPENSES (Line 6 + Line 7) 25,793.00 •e•i ........... ip-y- ....... •-M1.,,,,••,-.• 0.00 6,213.00 9 ADMINISTRATIVE EXPENSE PERCENT (Line 8 divided by Line 1) PROGRAM 19,580.00 25,793.00 CANNOT EXCEED 15% OF CSBG ALLOCATION GIVEN ON LINE 1 10 RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES RECIPIENT OTHER EXPENSE (Salaries + Fringe, Rent, 11 Utilities,Travel, Other) 12 SUBTOTAL RECIPIENT PROGRAM EXPENSE (Line 10 + Line 11) 13 SUB-RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES SUB-RECIPIENT OTHER PROGRAM EXPENSE 14 (Salaries + Fringe, Rent, Utilities, Other) SUBTOTAL SUB-RECIPIENT PROGRAM EXPENSE 15 (Line 13 + Line 14) 16 TOTAL PROGRAM EXPENSE (Line 12 + Line 15) 17 SECONDARY ADMINISTRATIVE EXPENSE 161,270.00 4,337 00 165,607.00 0.00 0.00 0.00 3.437.00 21,216.00 783.00 185,923.00 5,120.00 3,437.00 21,999.013 191,043.00 0.00 0.00 0.00 0.00 0.00 0.00 155,607.00 0.00 3,437.00 21,999.00 191,043.00 gnoaswfkOMP,04.,,,,* 18 GRAND TOTAL EXPENSE (Line 8 + Line 16 + Line 17) 18 171,820.00 3,437.00 41,579.00 216,836,00 Recipient: Seminole Coon CSBG ATTACHMENT B-2 SUB-RECIPIENT INFORMATION (Complete this page for each sub-recipient) Contract: 13SB-F2-06-6 -IA -025 SUB-RECIPIENT INFORMATION SUB-RECIPIENT NAME: Not A . .ijcabji MAILING ADDRESS: ,FL STREET ADDRESS: (IF DIFFERENT) CONTACT PERSON'S NAME AND TITLE: PHONE: FAX: ZIP ZIP NOTE: The following line items (7, 13, 14 and 15) must correspond to Attachment B-1, Budget Summary . if there is more than one sub-recipient, it is the Recipient's responsibility to ensure that the total of all sub- recipient budgets add correctly. Expenditures must be detailed in Attachment B-3, CSBG FUNDED PROGRAMS ONLY EXPENSE CATEGORY (A) FUNDS (B) MATCH (C) MATCH EN SU-RECPET ADMtNtSTRATWE EXPENSES: 7. SUB-RECIPIENT EXPENSES (Salaries + Fringe, Rent, Utilities, Travel, Other) 41ECI I NT P OG S: 13. SUB-RECIPIENT DIRECT CLIENT ASS TANCE EXPENSES 1■ !Ma ■•••• .K5 I■ m•P 14. SUB-RECIPtENT OTHER PROGRAM EXPENSES (Salaries + Fringe, Rent Utilities, TraveJ, etc) 15. SUBTOTAL SUB-RECIPIENT PROGRAM EXPENSES (Line 13 + Line 14) The Recipient must have a written agreement with all subcontractors. The agreement must meet the requirements of Section 14 of this agreement, A copy of the unsigned agreement with the subcontractor must be forwarded to the Department for review and approval along with this agreement, See OMB Circular A-133.210, Sub-recipient Vendor Determination, for further clarification, 19 Recipient: Seminole County BUDGET ! NATIONAL SUMMARY PERFORMANCE LINE INDICATORS ITEM (Direct Client NUMBER Assistance Only) 6 6 CSBG ATTACHMENT B-3 BUDGET DETAIL - FY 2012-2013 1 3SB-FZ-06-69-01-025 EXPENDITURE DETAIL Round UP line item totals to dollars. Do NOT use cents and decimals in totals. Administrative Recipient Expenses Travel - Hotel © $150 per night (2) = $300; Mileage= 674 miles @ .445/mile = $300.00 Transportation - Postage Building Lease - $2,463 of the total $120,890 for a year's portion of the lease. Office Supplies - Paper, Folders, etc. Operating Supplies - Toner, Ink Cartridges, etc. FACA and ROMA Training Registration $600 for 2 people @ $300 each FACA Membership Fee for July 2013-June 2014 @ $1200 Administrative Personnel Cost Source: Seminole County In-kind Match Division Manager: 5% of $97,355 @ 2hrs a week = $4,867.75; Remaining 95% paid from General Revenue Program Manager: 10% of $77,111 @4 hrs a week = $7,711.10; Remaining 90% paid from General Revenue Staff Assistant: 5% of $53,435 © 2 hrs a week = $2,671.75; Remaining 95% paid from General Revenue Accountant: 1.25% of $60,519 @ .5 hr per week = $756.49; Remaining 98.75% paid from General Revenue Business Manager: 1.25% of $88,384 .5 hr per week = $1,104.80; Remaining 98/5% paid from General Revenue Director's Administrative Assistance: 1.25% of 62,097 @ _5 hr per week = $776.21; Remaining 98.75% paid from General Revenue Department Director: 1.25% of 135,338 @ .5 hr per week = $1,691,72; Remaining 98,75% paid from General Revenue Total In-Kind Administrative Personnel Cost: $19,580 TOTAL ALL BUDGETED EXPENDITURES CSBG CASH* IN-KIND* FUNDS MATCH MATCH 600 50 2,463 400 900 , 00 4,868 7,711 2,672 756 1,105 776 1,692 6.4 (B) 11 Recipient Direct Client Assistance Caseworker Supervisor: 10% of $74,944 @ 4 hrs a week = $7,494.40; remaining 90% paid from General Revenue Caseworker:20% of $68, 608 @ 8 hrs a week = $13,721.60; remaining 80% paid from General Revenue Customers will receive training scholarships to obtain skills/competencies required to attain, maintain, or increase employment. 34 scholarships @ $2,928 each = $100,000 (rounded down) Customers will receive day camp scholarships to obtain summer care for children. Approx. 64 scholarships @ $1,011 each = $64,704 (Rounded-down) (CSBG) $61,270 (Match/BCC) $3,437 Case Management Database Mainenance/Reports: Maintenance Fees for the database and custom reports to improve daily case management task. CSBG Board Members Contributed Hours: 12 hrs per CONTRACT TOTALS **Explain all sources of Cash and In-Kind Match 20 100,000 1,270 4,337 3,437 7,494 3,722 783 171,820 3,437 41,579 Recipient: 1NALI a ".< ID e 0 ID •-• E c o 0. XCD o 15_ E c ref ▪ ,0 O E o a 0 2 e0 0. (5 -a a) 0 E ('-13 0 as '4".. 1515 0 0 o c v .091 C.) .E g) 0 0.1 IV 0 c0 0. E ID E 0 69- 0 O z 0 0 E 0 0 0 c 2 a a 69- 0 ci 0 0 49, a 2 0 5 BUDGET INFORMATION secondary program. 01 -0 1515 c c ta 0. u E 0 MI 0 C-3 115 tir a 0 E c E E MI .5 2 7 0. -01 E a. 2 CL •0 ra c -o o c 0 a) e co c tf coEE s— E LL CCS 144)) S cp, ...„g„; 2 "• 5 5501 c E • co 0. 5<55 -c a) Cm E E as. al -0 c E 8 8 lc 0 0 .r.0 ° 112 211,,` .28 '13 Q o E 0 2 .2 a' _0 2, E = E 8 0) 15 0111 a co L., 0 '6 c s 0 = 15> _c • 0 0 C o TLI E g z E w 0 E O 0 .0 0 c% E E 0 0 0 ra c = a co o a) c 2 0. taw a) E ID 01 E a CONTACT: Carmen Hail RECIPIENT: Seminole County COMMUNrrY SERVICES BLOCK GRANT (CSBG) ATTACHMENT C 2012-2013 CSBG WORK PLAN PHONE: 407-865-2394 NIN OUTCOME EMAIL ov CONTRACT- 13S13-FZ-06-69-01-025 a number and per Lentage Of low-income participants in Community Action employment initiative or become self-employed. as measured by one or more of the foliowing: jU/14411.1-uileu and ob-taired a job 'Erno:oved and mei ntained a iob tor az leas; 90 days. EN 0. Ern. • a;tf, cc-ahtE-d an rtcrease in =ploy...nen income ancitor benefits Achleveo waqr.." e:tn le ment and / or benefits Employment Supports - The minim. of low-Income participants for wham barriers to initial or continuous employment 1.2 are reckiced or eliminated through assistance from Community Acton as measured by ono or more ot the following: Units Expected To Be Ar.17frwo, 1,17 Obtained skiNsfoompctendes required for employment -cmoleleo ABEJGED ard received certification or diploma Corrip.etedPost-seconda7 education ro ram and obta- Enrolled children in before or after Obtained care for child or other dependent Obtain acoes ro;iable trans dation and/or driver's license ealth care services if Obtained safe and affordable ncusin btained food assistance Obtained non-emergency LIHEA.P enero- a.r.ista7 fried - ,. 'la, Energy ass:!,:-“ir , obtnet, CY enemy L IStaterimvapriate er..9-DjEtagrams, Do Not inchnle LHEAP Of M 1,1-1 r- •ET-Fp;1 ern merit jsccial seal. card work armtt. etc ' 1.. - cl for themselves ...A lent an ti -ssets ending' f and resources an increase in 1'3 amount cf tho following: El•-- . he number ann percentage of 'my-income households that achieve ills as a result of Community Aorfog assistance and the aggregated lc ipants aolheving the outcome, as measured by one or more of the Participants tax preparation programs who qualifieo for any tyne Fejeral or State tax credit. Patti ants obtaininc court-ordered child neon payments. ._,!_•,luttrttit! enrof,'ed in teltf,...-nor: lifeline tandlor enemy niscounts with a ono; a iistarrce demonstrating wility :0c,mplateand maintain a budget for over •l.,r0 days 3 ImPalftirticcrants opening an Individual Development AncountODAjm othm aitoura pants who creased their s.-./yings throf.. or other saving:: acorxrrit ■rlt 'J71 0 71F-7-1 Of 01 ps rrici2ants in a Community Action asset develo ment ro raniier sawn s): a) Number capitang a small business with aacumulated savings f) Number porsJlng post-SeCOndary education with savings , Jrnber purchfine wAh.accurniilated savings Q.; i'rJrnber purcrias;hg other assets with accumulated savings • community Improvement and Revitalization -Increase im or safeguarding of. threatened opportunities and community 2 1 resources or services for low-income people in the community as a result of Coininuruty Action projects/initiatives or advocacy witn other public arid private agencies as measured by one or more of the fallowilie: A_ Jobs created, or saved. from reduczion eirmination in the community B. Accessible living wage jobs created or saved from reductior or elimination M :he commun Safe and affordable hoJsir,g units created in the community Safc. affordable hc,isiiid L.P.'ts in the commudAy preserved or Improved through Community Action or advocacy ;sible sSfe and affordable health care serviceeffacililles for low-income people created or saved. Acessible, afe & afforaabc child care/child dcve:opment piacement 0. ..rtunities area Accessible before/after school program placement opporturnfies for low-income families created Accessible nowloreserved/expanded transportation resources available to low-income ea Accessible newi -reserved/increased educational and training placement opportunities for Hof tt of Projects Oppor 2012 - 2013 CSBG Work Plan ATTACHMENT C 1 of 6 RECIPIENT: Seminole County _ B OUTCOME ONTRACT: 13SB-PZ-06-69-01-025 ornmunity Quality of Life and Assets - The quality of life and assets in im,v.income oeighborlioo(is are improved by ommUnity Action initiative Or advocacy as measured by one or rnore of the following: A. I.. it; • -..... to a chanile..c. lawir ul resu Increase ava ublitylpreservation co-nmun ty7acylities (schoois libraries, comrn.m:tv centers etc.' Increase in the avai:anility or c•escrwatio;. •.-if community sorvis ,,morcve pub;:c Jth and sate . Increase in the availablity c' presqn.s.:on lorbe-cral seri,saig,in .0y/ E. Increase :n or preservation of. neignbnihood cuality-of-life rescmi.-.es =For each en • rovie descri tion Of what asset, service, or facil is bei Community Engagement - The number of community members working with COM1h1.1 2.3 in the corn unity orh2 17, t 1 EXPLANATICSN TAB Gammen& members mobfTrzed to in communi revitalization and artti-pove Units Expected To Be Achieved V. of # of Programs Services to improve conditions # of Participants Hairs donate: b ju e n)_ Serve on the CAA ard oflji�ctors o Serve an Head a Poli Councita c' Sere on Fa it Center/ Parent Coon 'Is cfl Scrve on other CM Advisory Boards, en or committees Serve on other community advisory or gave:7-, •Ig boards or norrnittees asaGM reresenlative Ass:St with prourarn activities and logistics ra:i Participate in advocacy to meet agency artc: .oals I "i) ParticiEtein advocacy to influence:polices/practices of v m en and/or pie entities Other CAA cents or low-income persons voluntee- with the age hours hOLlrS from ow income people 'HOL FS cone:eel b ,ort low-inco l General pubic b) CAA non-ow-income board mbers 2. 0 Other non or ov rn nt a en WI...Business Commu. e) Other Iota: volunteer how from non low-inc-orno ITOTAL number of volunteer hours donated to the a opl enc 2,080 s number of ,,01.3S C s3yed at A. Jobs created, at least in part by ARRA funds Jobs saved, at least in part, by AR.RA funds 3.1 Cornrow ity Action Community Enhancement through Maxiniorn Feasible Participation -111e number of vol rs don ate.c1 to 2,152 &lea / oaf Total number of volunteer hots's donated by LOW-INCOME INDIVIDUALS (only) to Community Action Community Empowerment nrough Maximum Feasible Participation - The number fow-i ncome people mobilized as a 3.2 direct result of Community Action initiative to enciage in activities that support and promote their own mil-being and that of their community; as measured by one or more (lithe following: A. Low-II-mnia people in formal, decision-making; cornmunorga•izations, government, boards or c,ocr.cils B. Low.incomepeople acquiring businesses in :heir community as a result of Community Aion C. Low-income oeoee p..-chasing trie:r own dome in their commun'i..., 'osu:t c.f oL,nit Action D. :Low-income people in non-qovernarice community activitiesiorc, d/suE,r .,ftc' Dy Oonimunity Expanding Opportunities Through Community-Witte Partnershq 4.1 private, that Con !minify Action actively works with as a result 0 in order to achie-e family and community outcomes, Non-Profit A. B. Faith Based C. Local Government D. State Government Entity Federal Government Entity F. ler-Pr-99i 9 uS ness or Corporation G. Consort,:.r's/Colinboration H. Housing Consortiums/Collaboration I. School Districts .1. insfitutions ofpost seconda educatioMranin K. .Financlallaankin, • Instil- L. Health Service institutions M. Sta'e-wide associations or collaborations Others: Please identify: 0 0 ct Number ot Low income People • rg nizzition , to expand resources an °noodles F"rrber°F N'Imt f , . duplleated number of organizations CAA works with witb to prom 2012 - 2013 CSBG Work Plan ATTACHMENT C 2 of 6 RECIPIENT: Seminole County CONTRACT: 13SB-F2-06-69-01-025 OUTCOME 15:1a9 „AgeffbigSILeygrage,,ExtatnatReSOLftsesitOttiere"a$04...einCiapapt: SOO -- • —"---"•••••••••o•••••••••,,,,•,••w•m•-•,,••.••••••••••,,,,,••••,•••-•.,...••••—•.-,:•-,••••••••••••Kagn.,,..s„••.„•,..„•••••••,.--„, 11MAIEFFIL6E6231323,1121111112,11,612301.0.101.11.11111Nlosimetaistomilliiintagnimillioniammoinenii Units Expected To Be Achieved Federal Government Resources Other than CSBG a VVeatherization Assistance ro ram funded b DOE throu h DCA b UHEAP - Fuel Assistance HHS Pianned 171 820 SSG HHS i Tem cra Assistance to Need Families ANF + Child Care Devel ment Block Grant from CCDBG ,t Other HHS Resources (List in order of size. Give the name of the source and the CFDA number. Do not use abbreviations. All HHS CFDAs start with "93.") 1 0 I Women, Infant and Children 1C USDA m USDA non-food r rams e, rural develo ment n All other USDA Food P rams c CDBG federal, state or local 1 698,026 2) Section 202 3) Home tenant based assistance • All other HUD ro rams includin homeless ro rams and Trainin Pro ms (US DOL s Other US DOL. • • • rams t Cor ration for National and Communi Service CNCS •ro •rams v Trans dation US DOT w De artment of Education EDU x De artment of Justice DOJ De arlment of Treasu r Other Federal Sources: List b name of fundin source and the CFDA Number. Do not use abbreviations. 1 0 TOTAL: NON-CSBG FEDERAL RESOURCES c State Nutrition Pr. rams • State Youth Develo • meal Pro!rams • . •• •!: k State Trans ortation Fr rams ( State Education Pr rams m State Communi , Rural and Economic bevel° ment F'ro F21118 n State Famil Develo ment Pro rams 2012 - 2013 CSBG Work Plan ATTACHMENT C 3 cf RECIPIENT: Seminole County A. NPI B OUTCOME o Other State Funded programs' List by name of funding source. Do not use abbreviations. 1) 0 2) 0 3) 0 4) _61.,■■•■••■mlorm... D. total Government Resources a) Amount of unrestricted funds appropriated by local government 8,857,412 b) Amount of restncted funds appropriated by local government 682,000 c Value of Contract Services 0 d Value of in-kind crocIsiserAces received from local government 30,928 e Other Local Government Resources: Give description or name of program, Do NOT abbreviate. 1 0 CONTRACT: 135E1-F2-06-69-01-025 C Units Expected To Be Achieved 2) 0 3) 4) 0 TOTAL: LOCAL GOVERNMENT RESOURCES Private Sector Resources 9,670,340 a Funds from Foundations, Corporations, United Way, other non-profits b) Other donated funds c Value of donated items, food, cloth n., fumiture, etc, d) Value of in-kind services received from businesses e) Payments by clients for services Pa ments b • rivete entities for • oods or services for low-income clients or communities g) Other Private Sector Reso�s Jr 1)0 2) 0 3) 0 40 TOTAL TOTAL NON4SG RESOURCES Federal*Sfatel•Local Governrttenti•Private Secto CSE3G Funds AGENCY BUDGET 42096 035 migliglIg471 020'''Xgri'gr"" N.4rtljrrllpipII.'frliFltiP919ffninfar,N3ff15jFffnil510.51199irilr15taiSf•fffii,fffaliffli.5ijfkjfft0gjkpgMppjaialligtitaIatrnmz, .:31,4,K1502"267.1155MMOrg A. Staff who work with customers in seff-sufficiency program. receive..0.aining specificto .case management. 0 Staff who. work with customers in self-sufficiency programs receive trainingepecific to family development D. Staff who work with grants/contract management receive training to expand/update/upgrade their skills_ Fiscal staff attend training on OMB Circuleror audit compliance E. Fiscal staff receive accouraing, data .collection or management training. WM Program staff receive data collection or .management training, Staff or management receive ROMA training from a certified ROMA. trainer. Other tralnin received b staff or mane- ement Total Staff and Mana • ement Trainin • ota Is for A throu • h 11 above. Board members receive training related to their roles and responsibilities. Board members receive ROMA training from a certifier' ROMA trainer. Other train in received by CAA Board members TOTAL BOARD MEMBER TRAINING (Total ofJ through L.) The number of human capital resources available A. Number of C-CAPs B. Number of Certified ROMA Trainers C. Number of certified Family Deve/opment Trainers D. Number of Certified Child Develo ment Trainers A ency staff obtained other credential that increase their capacit to achieve results (explain in narrative F. Number of staff and mans .errient atten int trainin Number of board members attending trainings Hours of staff and management trainings Hours of board members in training Or" Client Intake Process 4,64,04,4frial laugovee A common in-take process and common 1D# is used for alt clients A common in-take • rocess and common 111# is used for some clients A se •arate in-take .rocess and/or se• erste 10# is used for each • ro• ram administered Client/Customer Measure Progress toward Achievement of Self-Sufficiency 1. A•en utilizes a databases for alt clients for use in intake and assessment and • rovision of services A•ency utilizes databases for some clients for use in intake and assessment and • rovision of services A • enc uses database for all client intake/assessment/•rovision of services & outcome measurement A• en uses database for some client intake/assessmentlservice • revision & outcome measurement 2012 - 2013 CSBG Work Plan ATTACHMENT C 4 of 6 RECIPIENT Seminole County NpI Muter programs used to manage ctiert information and track ciie CSST Database CONTRACT: 133B-FZ-06-68-01-025 OUTCOME c. 0 ., . In 4,10 p ress Units Expected To Be Achieved progress toward sell-suftic.ency ,-.[:ency !.-..z[ - reee.5 6-t.: ,3Cr105 that measu[c ,-x-ogress without use of an outcome sc.iiIi.i. A. .. - - ency ..a.[.i.,,......i.L.,...me scales to rreasure client movement toward seif-suffiziencV Agency l,as c:aoacity to derive unit cost statisflcs: costiservice delivered or cost of service per clie A i[ency has c-apacIty to derive unit cost stalislies foreffectiveness: cost per octoorne delivered en • has •rovided ROMA training witnin the past 2 yiTiarsby a certified ROMA frame A least hal of the Agency bos.-c has received ROMA training! A fen:, rnanacrement staff has received ROMA training Agency supervisory star has received ROmA .trainmg Aqency lane staff has received ROMA training A n y proranis achieved accreditation demonstrating they meet or exceed nahortally[recognized standards Early childhooc care and education sites receive NAEYC or other recognized forms of accreditation 2. Proirams achieve otherform of reco.nized accreditation Agency is /111 ;erienting ROMA tools and managefert pracu 1. Agency has adopted and implemented iottio modes for programs and a iviti s 2. Agency programs and activities are eva4riited us..[[:ri ROMA principals 3 FO AS & iS Survey reports are provirie.d to, ritiveyveg & discussed with board members at least quarter; I' A oyo, Yes No No Yes No No No Yes Independent Living -The number 01 vutnerahle individuals receiving services from Co rnmunity Acton who maintain an independent living -situation es a resuq of those services: A. [ Senior Citizens (55 years ofd or older) lyidividua Is with Disabilities i 1. !Ages 0 - 2. [Aaes 18 - 54 3. !Ages 55 and Over NOTE: Seniors are 6.2 assistance and the number of those individuals for whom assistance was pro No Yes Ir of 701 242 242 also included within the "55 and Over' Emergency Assistance - 1 ho number of fow-income individuals serve( )y A. Emergency Food Emergency Fuel or Utility payments (ineluchno LIHEAP or other public or private funding :,[:de) C. Emergency Rent or Mortgage Assistance D Ems en Car or Home Re OI ir structural nce, heatin stern, etc.) L Emergency Temporary Shelter Emerreri cy- Medical Care Emergency Protection from Violence Emergency Legal Assistance 1, Emergency Transportation Eores-asesso• Disaster Rehef Lei! ity Action, who sought ernorgency , includirn such services as: El F 0 0 128 471 0 40 150 0 K. [EITHri,n_, Clothing [ rs, oL rislation assistance in order for rfFt;i .,e11177 r-1 1,7 erson to cat receive 6111 , ly D ge T te num er and percenta of all infants, chil g in developmental or enrichment programs who achieve [roi ram ,111-fes 7•1" 1 lafants sad chilcren obtai" age aporopate irrin-,L,nizaticns, medical and cects.lare 2) Infants ano dr,ildren health and physical deye:op7ent are improved as e result cr adequate nutrition 3)-Children participate Ir. pre-schca adivit,es to develop school readiness skills. 41,11-?Milc_frer_p_i artio.patingSLere-school activ:ties are, deyeloninella.:y read,' for Xinderdalen er 1st Grade • Youth .morove hes th ana pyaca: development Youth improve socialiemotonal development Youth avoin_nsk-taRir[j nchaviot for a dafined gelled of lime Youth nave rediaceo involvement with clinical 1st-, system Yosaa increase aa.Adem.c atMelic or soma sks by parL'cipa1;5n in before or after sonoo: orogracps,..._ •,r0-1"4; Parents and other adults learn ae•d exhibit improved parenting ski:,s .araryts and other adults learn and or, [-tit improved feati:v f.mationing _ services 0 0 irTirr 0 2012 - 2013 CSBG Work Plan ATTACHMENT C 0 0 1) c 5 of RECIPIENT: Seminole County NPI OUTCOME SLIPPbrts c i ns red °v� �,#oro wham bar ollr CONTRACT: 13SB- F2- 06 -69 -01 -025 nable to k specraily senior ', "'dulls rtti di abilities ed d� brut rna ed mea d #� boa mor�c�i FanniI Enrolled children In before or after school_programs Obtained care for child or other dependent Obtained access to reliable trans •ortation and/or drivers license Obtained health care services for themselves or a family member Obtained safe and affordable housing Obtained food assistance Obtained non - emergency LiHEAP energy assistance Obtained non - emergency 4NX energy assistance Obtained other non- erner•enc ene + assistance steteitocau nvate ene 4 •ra ram Gs NOT inctude t IHF�a or MC The f` vrGr:stI� ��olA�° a° e' d! ����J tf °r�fam�t�st�lea�tTreda�.'a ��'F �SR7e enric{: aunts: be folio mg; Food Boxes Pounds of Food Units of Clothing Rides Provided information and Referral Calls 2012 - 2013 CSBG Work Plan ATTACHMENT C 6 of 6 CSBG ATTACHMENT D PROGRAM STATUTES AND REGULATIONS A. INCORPORATION OF LAWS, RULES, REGULATIONS AND POLICIES Both the Recipient and the Department 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), Administrative Rule Chapter 73C-21, Florida Administrative Code, and Title 45 C.F. R. Part 96; (2) The provisions of Public Law 105-285, Title 11 — 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 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 Heiman 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, Non-discrimination on the Basis of Handicap in Programs and Activities Receiving Federal Financial Assistance; 7. Part 86, Non-discrimination 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, Non-discrimination on the Basis of Age in REIS Programs orActjvjtjes 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 Departrnent of Health and Human Services Programs and Activities, 22 CSBG ATTAC 1, NT D PROGRAM STATUTES AND REG AT ONS B. FUNDING AVAILABILITY FOR EXPENDITURE Funds are available for expenditure in accordance with Title VI of Public Law 97-35 as amended by PL. 105-277, 45 CFR Part 96. For States, local governments and Indian Tribes follow OMB Circular A-87 for cost rinci iles 'eTncated to 2 CFR Part 225 OMB Circular 1 02 for administrative re irernents and the Non- profit organizations follow OMB Circular 1-122 for cost ci ot P laws and procedures a licable to the Communi Services Block Grant Non tedatno1.2 F,C7 Par 0 OMB Circular A-110 for administrative rei uirements OMB Circular A-133 for audit requirements and the laws and procedures applicable to the Community Services Block Grant Program. The Community Services Block Grant program is authorized and funded through the United States Department of Health and Ruman Services. C. PROJECTS OR PROGRAMS FUNDED IN WHOLE OR PART WITH FEDERAL MONEY The Recipient assures, as stated in Section 508 of Public Law 103-333, when issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, 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 ° Federal funds for the project or program, and (3) percentage and dollar amount of the total costs of the project or program that will be financed by non-governmental sources. D. PROGRAM INCOME Program income is gross income received that is directly generated by the federally-funded project during the grant period. The recipient may apply program income, excluding interest income, to meet matching requirements, or may reprogram it for eligible program activities. The amount of prog;ram 23 CSBG ATT.ACIEWENT PROGRANI TATLTTES AND REGULATIONS income and its disposition must be reported to the Department on the monthiy financjj reports and at the time of submission of the final close-out report. E. INTEREST FROM CASH ADVANCES Non-profit Recipients shall invest cash advances in compliance with section .22 of CFR 215 (previously OMB Circular A-110). Local Governments shall invest cash advances in compliance with section .21 (h) (2) (i) of the Common Rule. All Recipients shall maintain advances of Federal funds in interest-bearing accounts, unless the following applies: (1) NON-PROFITS ONLY: (a) The Recipient receives less than $120,000 total from all federal awards per year. (b) The best reasonably available interest bearing account would not be expected to earn interest in excess of $250 per year on Federal cash balances from all Federal awards received each year. (c) 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 reports. (2) LOCAL GOVERNMENTS Except for interest earned on advance of funds exempt under the Intergovernmental Cooperation Action (31 U.S.C. 6501 et, seq.) and the Indian Self-Detennination Act (23 U.S.C. 450), grantees and sub-grantees shall promptly, but at least quarterly, remit interest earned on advances to the Federal agency. The grantee or sub-grantee may keep interest amounts up to $100 per year for administrative expenses for all interest accrued from all federal awards received. The interest maintained for administrative expenses must be proportionate to the program's contribution to the interest earned. F. MODIFICATIONS (1) The Department shall not be obligated to reimburse the Recipient for outlays in excess of the funded amount of this Agreement unless and until the Department officially approves such expenditures by executing a written modification to the original contractual reement. 24 (2) Al ACIINLLIN I 13 PROGRAM STATUTES AND REGULATIONS following conditions will govern modifications to this agreertent: The Department shall not be obligated to reimburse the Recipient For outlays iri excess of the funded amount of this Agreement unless and until the Departrnelnt 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, nor the limits set for administrative or secondary administrative expenses. (3) The line item budget, as given in Attachment B-1 of this Agreement and reported on the monthly financial status reports, may not be altered without a writtn budget modification submitted in accordance with the terms below: (a) The Recipient must use a Department approved Modification package. (b) Only =obligated funds may be transferred from one line item to another line. item.. (c) The Recipient may transfer anohligated budgeted line iterus within a budget category as long as the budget category subtotal remains the same. For the purpose af 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 the Department for approval thirty (30) 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, Sub-Recipient Information (if applicable), Budget Detail, Secondary Administrative Expenses (if applicable) and Workplan, must be signed by the Recipient and submitted to the Department and approved prior to the submission of a finanrial status report in which the changes are implemented. (g) Upon approval, the Recipient's budget detail will be revised in the Department's electronic payment system. (h) None of the budget transfers may violate 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 the Department for compliance with these circulars. 25 CSBG ATTACIP INTD PROGRAM STATUTES AND REGULATIONS G. MATCH REQUIREMENTS (1) The Recipient shall match the CSBG funds identified in Section (17)(a) by an amount equal to at least 20 percent of the funds received. Not less than 10 percent of the match shall be in cash. That is, the Recipient shall supply a cash match equal to at least 2 percent of the CSBG funds expended. In-kind match sources shall absorb the balance of the overall minimum 20 percent requirement. (2) The Recipient shall provide as matching funds for services under this Agreement the amounts reflected in Attachments B-1, Budget Summary and B-3, Budget Detail. (3) Sources of matching funds and expenditures for all funds under this Agreement shall be governed by the Budget, Attachment 13 of this Agreement. CSBG funds may not be used in part or in whole to meet the two percent cash match requirement. H. CSBG CLIENT ELIGIBILITY AND CLIENT RECORDS (1) The Recipient shall certify 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. A "household" is an individual or group of individuals living together as one economic unit. The Recipient must maintain income documentation of all household income sources that is no more than one year old. In the event that the applicant cannot provide income documentation, the Recipient shall require the applicant to provide a signed certification of eligibility to attest to the applicant's verbal declaration of total household income. This certification must specify the reasons that no current documentation can be supplied by the applicant and a statement of how the applicant is providing for his/her basic needs. (2) The Recipient will maintain a separate record for each CSBG client which includes at least the following data: name, address, sex, race, age, income amount and method of verification for each member of the client's household, date client was interviewed, services provided to the client and documentation of any denial of client services. All CSBG assistance applications must be signed by the client and by the Recipient's representative. 26 CSBG ATTACHMENT D PROGRAM STATUTES AND REGULATIONS (3) Recipients are required to have written applicant appeal procedures. Any applicant denied CSBG services must be provided a written notice of the denial which includes the appeals process and the reason(s) for the denial. In cases where the denial is for lack of documentation. (4) the agency must explain what specific documents are required in order for the applicant to reapply for services. (5) All records, correspondence, employee time sheets, board minutes, board meeting notices and other documents related to CSBG fimded activities shall be available for public inspection during normal business hours. I. MONITORING (1) The Recipient shall allow the Department to carry out monitoring, evaluation and technical assistance and shall ensure the cooperation of its employees, and of any sub-recipients with whom the Recipient contracts to carry out program activities. (2) Training and technical assistance shall be provided by the Department, within limits of stAfftime and budget, upon request by the Recipient and/or upon determination by the Department of Recipient need. J. BONDING (1) Non-Profit 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 niust 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 Sectionl 13.07, 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, 27 CSBG ATTACHMENT E REPORTS A. Annual reports (1) Within 45 days after the end of the Agreement, the Recipient shall submit the CSBG Close-out Report, including the CSBG Final Financial Report, a refund check for any unspent funds, and the CSBG Final Program Report. (2) Recipients will complete and submit the CSBG Information System Survey. The Recipient will be notified in writing of the due date. (3) Recipients that are below the $500,000 threshold of all Federal awards in its fiscal year and thus are exempt from the federal single audit act requirements, shall submit with their contract proposal a copy of their most recent IRS from 990. B. Quarterly Reports The CSBG Quarterly Reports must be provided to the Department no later than twenty-one days following of the end of the quarter. For the purposes of this contract, the ending date of the quarters shall be December 31, March 31, June 30 and September 30, C. Monthly reports The CSBG Monthly Financial Status Reports must be provided to the Department no later than the twenty-first (21st) day of each month following the end of the reporting period regardless of whether or not funds were expended. Reimbursement of expenditures shall be based on this report. Only with prior approval by the Department will more than one reimbursement be processed for any calendar month. D. Board Minutes (1) Draft board meeting minutes from all CSBG Board of Directors' meetings must be provided to the Department no later than 15 working days from the date of the meeting. (2) Documentation of public notice of each CSBG board meeting must be provided to the Department with the above referenced draft board minutes. (3) Official approved minutes from CSBG Board meetings must be provided to the Department no later than 15 working days from the date of the meeting in which the minutes are approved. 28 CSBG ATTACHMENT E REPORTS E. Monitorina Report Responses A written response to all monitoring report findings and/or concerns must be provided to the Department no later than 35 days from the date of the monitoring report. F. Board Roster - When board members or officers change, the Recipient 'within 30 days will provide a revised board roster to the Department. The board roster format which is included with the contract documents and instructions should be used to provide the Department with the following information: (1) Name of Board Member (2) Mailing Address separate from agency address (No post office box numbers) (3) E-Mail Address (4) Telephone Numbers (Home, Cell, Fax) (5) Entity Represented (for public or private sectors) (6) Low Income Sector Representation: List Neighborhood represented) (7) Date when originally seated an Board (8) Date when seated for current term (9) Total number of years on board (10) Ending date of current term G. Cost Allocation Plans - 2 CFR Part 215, Subpart C, Section 215.21(6) requires that recipients financial systems provide for a written procedures for determining the reasonableness, allocability, and allowability of costs in accordance with the provisions of the applicable federal cost principles and terms and conditions of the award. To document this, Recipients must submit with copies of the written cost allocation plans to the Department with their contracts. H. Upon reasonable notice, the Recipient shall provide additional program updates or information as may be required by the Department, including supporting or source documentation for any reports identified in this section. 29 CSBG ATTACHMENT E REPORTS The reports shall be submitted to: Ms. Paula Lernmo, Community Program 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 32399 -4120 30 CSBG ATTAC 1 i NT F PROPERTY MANAGEMENT AND PROCIMEMEM 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." 31 CSBG ATTAC 1 NT G STATEIVLENT 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. 13. Interest of Members Officers or Em lo ees af Reei Members Local Governin Body, or Other Public Officials No member, officer, or employee of the grantee, 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 grantee 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 grantee agrees to abide by the provisions of s.112.3135, Florid tatuteL pertainfrig to nepotism in their performance under this Agreement. D. CSBG Assurances The grantee hereby assures and certifies as a condition of receipt of Community Services Block Grant 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 grantee assures and certifies that: (1) The grantee possesses the legal authority to apply for the grant, and that the contract proposal has been approved by the grantee's governing body, including all assurances contained herein. (2) The grantee will use all 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 will be returned to the Department of Economic Opportunity with the close-out report on or before the due date. 32 CSBG ATTACHMENT G STATEMENT OF ASSURANCES (3) The recipient assures and provides documentation that the Community Services Block Grant board is administered through a tri-partite board that meets the requirements of 73C- 21.011, F.A.C. and 42 U.S.C.9910, Section 676B. The board of directors will fully participate in the development, planning, implementation, and evaluation of the CSBG program to serve low- income communities. (4) Procedures will be in place which will allow low-income individuals, community organizations and religious organizations to petition for adequate representation on the board if they feel inadequately represented. (5) The Recipient assures that all board of directors meetings and board committee meetings are timely noticed at least seven (7) days but not more than thirty (30) days prior to the date on which the meeting is scheduled. Such notices must be given by publishing meeting information in local media (newspapers, radio, etc.) or other methods acceptable under the Florida Sunshine Law (Section 286.011, Fla, Stat.). If immediate danger to the public health, safety or welfare occurs requiring emergency action by the board, a board meeting rriny be scheduled by any procedure that is fair under the circumstances and necessary to protect the public interest. (6) The Recipient will provide for coordination among anti-poverty prog in each community. (7) 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. (8) The Recipient will permit and cooperate with Federal and State investigations designed to evaluate compliance with the law, The Recipient will notify the Department in writing immediately of any allegations or acts pertaining to fraud or the misuse of CSBG funds. (9) The Recipient will give the Department, 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 sub-recipient. (10) 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. 33 CSBG ATTACHMENT G STATEMENT OF ASSURANCES (11) The Recipient will comply with the match requirements of this Agreement and maintain verification of type and source. (12) 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. (13) CSBG administrative expenses shall not exceed 15 percent of the total final CSBG expenditures (match excluded) at close out. Any amount in excess of this limit shall be refunded to the Department at time of contract close out. (14) If secondary administrative expenses are requested, the following conditions must (a) CSBG Budget and Secondary Administrative Expenses, Attachment B and Scope of Work and Quarterly Report Form, Attachment C must doctunent how these expenses will be used to support eligible CSBG Community Action Plan 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 sub-recipients. (e) All contracts and fiscal expense documentation related to the grant sources for which secondary administration is claimed must be made available to the Department upon request. be met: (f) Audit costs, travel and association dues are not allowable secon administrative expenses. (g) Under no circurnstances 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 (15) If the Recipient administers a transportation program, it will comply with Chapter 427, Florida Statutes, so that it will coordinate with the appropriate transportation provider(s). 34 CSBG ATTACHMENT G STATEMENT OF ASSURANCE (16) The CSBG application and all its attahments, including budget data, are true and correct. (17) 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. (18) 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. (19) In accordance with section 678G(b) of Public Law 97-35, as amended, the Recipient assures that it will inform custodial parents in single parent homes who parti cipate in CSBG- funded programs about the availability of child-support services and refer them to the appropriate state and local child support offices. (20) In accordance with section 676(b)(11) and section 676(b)(3) of Public Law 97-35, as amended, the Recipient must provide the Department with an agency Community Action Plan that consists of the following: (a) A community needs assessment (including food needs); (b) A description of the service-delivery system targeted to low-income dividuals and families in the service area; (c) A description of how linkages will be developed to fill identified gaps in services through information, referral, case management, and follow-up consultation; (d) A description of how funding under this Act will be coordinated with other public and private resources; and (e) A description of outcome measures to be used to monitor success in promoting self-sufficiency, family stability, and community revitalization. (21) The Recipient assures that the Work plan, Attachment C to this agreement is consistent with the most current Community Action Plan officially adopted by the Recipient's board of directors. '35 CSBG ATTAC 1 f NT G STATEMENT OF ASSURANCES (22) The Recipient agrees to comply with Public Law 103-227, Part C, Environmental Tobacco Smoke, also known as the PRO-K1DS Act of 1994 (Act), which 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. (23) The Recipient assures that the above language contained in Section (22) of Attachment G of this Agreement will be included in any sub-contracts which contain provisions for children's services and that all sub-recipients shall certify compliance accordingly. Failure to comply with the provisions ofthis law may result in the imposition of a civil monetary penalty of up to $1000 per day. (24) The Recipient assures, as stated in Section 507 of Public Law 103-333, that to the greatest extent practicable, all equipment and products purchased with funds made available in this Act should be American made. (25) The Recipient agrees to adhere to a provision of section 675C(a)(3) of Public Law 97- 35, as amended and the FFY 2011 and FFY 2012 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 the Department at the time of close out. Unobligated funds in excess of 20 percent of the amount allocated to the Recipient will be surrendered to the Department. The balance of unobligated funds up to 20 percent will be re-contracted to the Recipient during the next contracting cycle. (26) 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, (27) This Agreement has been approved by the Recipient's governing body by official action, and the officer who signs it is duly authorized to do so. 36 CSBG ATTAC 1 1 NTG STATE 1 NT OF ASSURANCES (28) The Recipient shall secure and rnaintam an internet computer service and notify the Department of their e-mail address. (29) The Recipient shall develop a Memorandum of Understanding with all Work Force Florida, Incorporated boards in their service area. The Memorandum of "Understanding 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 Work Force Florida, Incorporated "One-Stop" delivery system, services and information. (30) When providing rental or mortgage assistance with CSBG funds, the Recipient will secure either a rental/lease agreement or mortgage documentation and place a copy of the documentation in the client's file. (31) Direct Federal grants, sub-awards, or contracts under CSBG shall not be used to support inherently religious activities such as religious instruction, worship, or prosetyrization. OrgRni7ntions rnust 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 h Ilwww.os.dhhs ov/fbcifwais ate21. cif (32) This award is subject to the requirements of Section 106(g) of the Tr. b cking victims Proteetion Act of 2000, as amended (22 U.S.C. 7104). The use of Federal funds from this agreement constitutes the Grantee's acceptance of these terms and conditions. (33) The Recipient will have appropriate staff attend training sessions as determined by the Department to cover CSBG policies and procedures. 37 CSBG ATTAC 1 1 NT II SPECIAL CONDITIONS A. The Recipient d its sub-recipients shall comply with the following sp None. cia1 conditions: B. Failure of the Recipient or its sub-recipients to comply with the special conditions under this Agreement shall be cause for the immediate suspension of payments, and may be cause for the immediate termination of this Agreement, 38 CSBG ATTACHMENT I Certification Regarding Debarment, Suspension, Ineligibility And Voluntary Exclusion NOTE: Prior to issuing subawards or contracts under this Agreement, the Recipient must consult the Excluded Parties List System (EPLS) to ensure that organizations under funding consideration are not ineligible. The list is available on the Web at (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the lower tier participant is unable to certify to the above statements in this certification such prospective participant shall attach an explanation to this fonn, Participant's Na.me Recipient's Name By Signature Name & Title Street Address City, State, Zip Date 39 DEO Contract Number -------- ATTACHMENT WARRANTIES AND REPRESENTATIONS Financial Management Recipient's financial management system shall provide for the following: (1) Accurate, current and complete disclosure of the financial results of this project or program. (2) Records that identify adequately the source and application of hinds for all activities. These records shall contain information pertaining to grant awards, authorizations, obligations, unobligated balances, assets, outlays, income and interest. (3) Effective control over and accountability for all funds, property and other assets. Recipient shall adequately safeguard all such 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 should be related to performance and unii cost data. (5) Written procedures for determining the reasonableness, allocability and allowability of costs in accordance with the provisions of the applicable cost principles and the terms and conditions of this grant. (6) Accounting records, including cost acc ounting records that are supported by source documentation. Competition All procurement transactions shall be conducted in a manner to provide, to the maximum extent practical, open and free competition. 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 objective 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. 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, price, quality and other factors considered. Solicitations shall clearly set forth all requirements that the bidder or offeror 40 CSBG ATTACHMENT J WARIUNTIES AND REPRESENTATIONS, shall 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. Codes of Conduct The Recipient shall maintain written standards of conduct governing the performance of its employees engaged in the award and administration of contracts. 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 confli ct would arise when the employee, officer, or agent, any member of his or her immediate fanaily, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has a financial or other interest in the firm selected for an award. 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. The standards of conduct shall provide for disciplinary actions to be applied for violations of such standards by officers, employees, or agents of the recipient. Business Hours The Recipient shall have its offices open for business, with the entrance door open to the public, /es, , and at least one employee on sit; from at least 3 a.m. to -L.? " P.m. (weekdays), Licensing and Permitting All subcontractors or employees hired by the Recipient or any subrecipient shall have all current licenses and permits required for all of the particular work for which they are hired by the Recipient. 41 CSBG ATTACHMENT K JUSTIFICATION OF ADVANCE PAYMENT RECIPIENT: Seminole County CONTRACT NUMBER: 133E-U-06-69-01-025 Indicate by checking one of the boxes below, if you are requesting an advance. Any advance payment under this Agreement is subject to s. 216.181 (16)(a)(14, Florida Statutes. The amount of the advance shall not exceed the expected cash needs of the recipient within the initial three months. NO ADVANCE REQUESTED No advance payment is being requested. Payment will be made solely on a reimbursement basis. No additional information is required. ADVANCE REQUEST WORKSHEET EDADVANCE 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. If an advance is requested, complete the following worksheet by filling in the cells highlighted in yellow. DESCRIPTION INITIAL CONTRACT ALLOCATION FIRST THREE MONTHS OF CONTRACT EXPENDITURES' AVERAGE PERCENT EXPENDED IN FIRST THREE MONTHS (Divide line 2 by line 1) (A) FFY 2010 (B) FFY 2011 #DIVIO! #DIVIOI (C) FFY 2012 #DIVIOI #DIVIOI (D) Total 0.00 0.00 1 The first three months in which expenditures were reported need to be provided for the years you received a CSBG contract If you do not have this information, call your financial specialist and they will assist you. award, whichever is less. The Recipient may request an amount up to the historical percent of expenditures for the first 3 months of the agreement OR 25% of the HISTORICAL PERCENT FOR FIRST 3 MONTHS: 25 % CALCULATION: #DIV/01 Cell 03 171,820.00 CSBG Award $ 171,820.00 CSBG Award 0.25 Percent of Awai REQUEST FOR WAIVER OF CALCULATED MAXIMUM Recipient has no previous history with CSBG contracts. ESTIMATED IV/01 orical Advance 4Z955.00 Maximum Advance Check the applicable statement, then complete the Estimated Expenses Chart. =Recipient has exceptional circumstances that require an advance greater than average first three months expenditures of the previous three years, EXPENSES FOR FIRST THREE MONTHS BUDGET CATEGORY ADMINISTRATIVE COSTS includin • Seconda Administration PROGRAM EXPENSES - Direct Client Assistance Expenses (Include recipient and sub-reci. lent ex .enses. PROGRAM EXPENSES - Other Program Expenses (lnclu reci lent ex .enses recipient and sub- TOTAL EXPENSES 2012-2013 Anticipated Expenditures for First Three Months Explanation of Circumstances 42