Agenda 06/14/2011 Item #16D4
6/14/2011 Item 16.0.4.
.
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to sign Agreement 11"5693 with
Collier County Child Advocacy Council, Inc. d/b/a Children's Advocacy Center of Collier
County (CAC) to continue providing supervised visitation services funded by a grant from
the United States Department of Justice, Office on Violence against Women and term.iwlte
Agreement 10"5385 with the CAC for convenience to accurately cover grant funding years.
OBJECTIVE: Recommendation to approve and authorize the Chairman to sign Agreement 11-
5693, and terminate Agreement 10-5385 for convenience to continue supervised visitation
services.
CQNSIDERATIONS: On October 27, 2009, the Board of County Commissioners ('~Board")
accepted the Safe Havens Supervised Visitation and Safe Exchange Grant in the amount of
$350,000, to run from October 1, 2009 through September 30, 2012. A new agreement with
CAC should have been subsequently approved by the Board. Instead, Agreement 10-5385, also
for supervised visitation services provided by CAC, was renewed to facilitate payments under
the new grant. CAC Agreement 10-5385 was approved by the Board on February 10, 2009
(Agenda Item 16.D.I0), and was funded by the previous Supervised Visitation grant of
$200,000, wruch expired August 31, 2009. The new Agreement 11-5693 is needed to incorporate
the current Supervised Visitation grant of $350,000, which commenced October 1, 2009 and
tenninates September 30, 2012.
. To date, the CAC has been reimbursed for services in the amount of$183,199.56 through April
28, 2011. Agreement 11-5693 is required to authorize services for the remainder of the grant
period and expend the grant balance of $135,839.44. This will allow retroactive expenditures
from the beginning of the grant period of October 1,2009 through September 30, 2012.
CAC Agreement 10-5385 must be terminated for convenience in order to accurately capture
grant funding based on grant years October 1, 2007 through September 30, 2009. CAC
Agreement 11-5693 will capture grant funding years October 1, 2009 through September 30,
2012. Agreement 11-5693 will allow retroactive expenditures from the beginning of the grant
period.
FISCAL IMPACT: The total grant amount of$350,000 is funded from the U.S. Department of
Justice, Office on Violence Against Women. Of this amount, $30,961 is retained by Collier
County Housing, Human and Veteran Services for administrative expenses. The balance of
$319,039 is designated for the CAC.
GROWTH MANAGEMENT IMP ACT: There is no growth management impact due to this
request.
.
LEGAL CONSIDERATIONS: This item is legally sufficient for Board action. This item
requires a majority vote. - JBW
RECOMMENDATIONS: That the Board approves and authorizes the Chairman to sign CAC
Agreement 11-5693 and terminates Agreement 10-5385 for convenience.
Prepared by: Marcy Krumbine, Director, Housing, Human and Veteran Services
Packet Page -1567-
;~;i~
.
.
.
6/14/2011 Item 16.D.4.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.0.4.
Item Summary: Recommendation to approve and authorize the Chairman to sign
Agreement 11~5693 with Collier County Child Advocacy Council, Inc. d/b/a Children's Advocacy
Center of Collier County (CAC) to continue providing supervised visitation services funded by a
grant from the United States Department of Justice, Office on Violence against Women and
terminate Agreement 10-5385 with the CAC for convenience to accurately cover grant funding
years.
Meeting Date: 6/14/2011
Prepared By
Name: AckermanMaria
Title: VALUE MISSING
5/13/2011 8:42:33 AM
Submitted by
Title: VALUE MISSING
Name: AckermanMaria
5/13/2011 8:42:35 AM
Approved By
Name: KrumbineMarcy
Title: Director - Housing & Human Services,Housing, Human & Veteran Services
Date: 5/16/20111:19:03 PM
Name: WoodLyn
Title: Contracts Specialist,Purchasing & General Services
Date: 5/23/2011 8:51:53 AM
Name: AckermanMaria
Date: 5/23/201110:19:12 AM
Name: AlonsoHailey
Packet Page -1568~
i~",': ..t," ,',if:', ~r~!~~~4';-j{'~~1,~Li"Ai;~
,~ ::;;
:~j~:,
(t
>f
'I';'"
,.~,
.' , " ~f
"~
.
.
.
""I'!l'II"
Title: Administrative Assistant,Domestic Animal Services
Date: 5/23/2011 3:19:10 PM
Name: Carnell Steve
Title: Director - Purchasing/General Services,Purchasing
Date: 5/24/2011 12:52:39 PM
Name: FoordMarlene
Title: Grant Development & Mgmt Coordinator, Grants
Date: 5/24/20111:30:47 PM
Name: WhiteJennifer
Title: Assistant County Attorney,County Attorney
Date: 5/25/2011 4:34: 10 PM
Name: RamseyMarla
Title: Administrator, Public Services
Date: 6/1/2011 9:05:32 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 6/1/2011 3:44:38 PM
Name: PryorCheryl
Title: Management! Budget Analyst, Senior, Office of Management & Budget
Date: 6/6/2011 10:56:15 AM
Name: IsacksonMark
Title: Director-Corp Financial and Mgmt Svs,CMO
Date: 6/6/2011 12:10:35 PM
Packet Page -1569-
6/14/2011 Item 16.0.4.
."C"'.~ll_'
")")",<:,,'piJ.;-
',_.,,':.-"..".":,'
.
.
.
6/14/2011 Item 16.0.4.
~
CbU1~Cou.nty:
~..'-"'~~..-'."~:
Admihi~SeMtes;DivisiOrt
PiJrd1!'1sing-
September 9, 2010
Jacquelyn Stephens
Collier County Child Advocacy Council
d/b/a Child Protection Team
1034 Sixth Avenue North
Naples, FL 34102
Fax: 263-7931
E-mail: jackie.stephens@att.net
RE: Renewal of Contract #10-5385 "Supervised Visitation Services"
Dear Ms. Stephens:
Collier County has been under Contract with your company for the referenced services for
the past two years.
The County would like to renew this agreement under the same terms and conditions for
one (1) additional year in accordance with the renewal clause in the agreement.
If you are agreeable to renewing the referenced contract, please indicate your intentions by
providin~he appropriate information as requested below:
~ I am agreeable to renewing the present contract for Supervised
Visitation Services under the same terms and conditions as the existing
contract.
I am not agreeable to renewal of this contract.
If you are agreeable to renewing the contract, said renewal will be in effect from
September 1,2010 until August 31,2011.
Also, at this time, please provide a current insurance certificate for our files as per the
original contract requirements. Due to the volume of insurance certificates received in the
Purchasing Department, the contract number should be referenced on the certificate to
ensure that our records are updated accordingly.
(i)
..~:;;:J .
~
.oz..'".t.,,:...
.
Pu:rhasingD;panmenl. 3301 Tamiami Trail Easi. Naples. Florida 34112. vNr.v.comergo.~.nellpurchasing
{.
Packet Page -1570-
6/14/2011 Item 16.0.4.
Pag~ 2 of 2
.
RE, Renewal of Contract #10-5385 "Supelvised Visitation Services"
Your prompt attention is urgently requested. Please return this letter to the Purchasing
Department with your response and insurance certificate no later than September 24th. If
you: have any questions you may contact me at 239/252-8375.
Very truly yours,
Diana De Leon
Contract Technician
Acc~pt:ance:
Collier County Child Advocacy Council
d/b/a Child Protection Team
Conl:ractorjVendor !!
By: 'Gi2~ ctJ~-^.-Pl.I/,
-::\ t>-~ ,,~l,'liI ~ 0.~ ~\"-evtSl 14..11. C. Eel
I T d Name and TItle ~ J
: (Corporate Officer)
.
Date: l' (a q I I ()
{
In order to make sure our contact information is current, please provide the following
Information:
Contact person: .~~~'^- ~~SSl\/"l~e.'r
Phone # 2. 3 <r - ~ G> ~. \5 ~ ~ 3 ~{, V- 9
Faxi# Q.3~ - ~Co3-7q 31
Em~i1--SJc \~s i Vl.C::/~1~ Co....cCQ lll'e.V. 0 lr.3
Address: l (') ~~ - (p 'FJ.- ~ve I JJ, AJQf) reS. pc 341 02-
. I I
C: 'rerri Daniels, HHVS
.
Packet Page -1571-
6/14/2011 Item 16.0.4.
~~0 CERTIFICATE OF LIABILITY INSURANCE 7;~;;(~~DIYYYYI
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies} must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Lutgert Insurance - Naples
PO Box ~12500
Naples FL 34Ua
INSURED
Children's Advocacy Center
1036 6th Ave N
Naples FL 34102
INSURERISJ AFFORDING COVERAGE
INSURER A : scottsdale Insurance Co.
INSURER.B: Florida Retail Federation
INSURER C :
INSURERD:
INSURERE:
INSURER F :
NAlCII
COVERAGES
CERTIFICATE NUMBER:n3610752
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT
TO ALL THE TERMS, EXCLUSIONS AND CONDIl10NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADD = ,m15g~ r&~li\~~ UMfTS
L"ffi INSR POUCYNUMBER
A GENERAL UABIUlY 0:1'50084513 7/1/2010 7/1/:l.011 EACH OCCURRENCE 51,000,000
-
~ 5'MERCIAL GENERAL UABIUTY PRE~ISES rEa OlX:u",,,,c:e1 5300,000
- X ClAIMS-MADE D OCCUR MED EXP (Anyone PelSO/\) 55,000
PERSONAL & ADV INJURY Sl,OOO,OOO
GENERAl AGGREGATE Sl,OOO,OOO
~LAGG~n LIMIT APflS PER: PRODUCTS - COMPIOP AGG 51.000,000
X POLICY P,~ LOC 5
A AUlOMOBILE UABIUlY 01150084513 7/1/2010 7/1/2011 COMBINED SINGLE LIMIT S500,000
- (Ea accident)
- ANY AUTO BODILY INJURY (Per pen;on) $
- ALL OVVNED AUTOS BODILY INJURY (Per accident) $
- SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS (Peraccldenl) $
,--
X ~WNEDAUTOS $
f--
$
UMBRB..LA UAB H OCCUR EACH OCCURRENCE 5
I--
EXCESS UAB CLAIMS-MADE AGGREGATE S
- DEDUCTIBLE S
RETEf'lTION S S
B WORKERS COMPENSATION 052029767 1/1/2010 1/1/2011 X V;C STATU- I 10TH-
AND EMPLOYERS' UABIUTY YfN ER
ANY PROPRIETORIPARTNERlEXECUTlVE D E.L. EACH ACClDEf'lT 51,000,000
OFFlCERfMEMBER EXCLUDED? NfA
(Mandatory in NH) E.L DISEASE - EA EMPLOYEE Sl,OOO.OOO
g~~c~:'t~ ~~JPERATIONS below E.L DISEASE - POUCY LIMIT $1,000,000
A PrOfessional Liability 0l1S0084513 7/1/2010 7/1/2011 1,000,00.0
DESCRIPTION OFOPERAl1DNSf LOCAl1ONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Certificate holder is additional insured with respect to General Liability.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED PQUCIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOllCE WILL BE DELIVERED
IN ACCORDANCE WITH THE POUCY PROVISIONS.
Collier County BCe
Human Services Dept
3301 Tamiami Trail E
Naples FL 34112
AUTIiORIZED REPRESENTATIVE
?l.a J.t-L1b-
@ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 25 (2009/09)
Packet Page -1572-
6/14/2011 Item 16.0.4.
AG R EEMENTll-5693
for
Child Advocacy - Supervised Visitation
THIS AGREEMENT, made and entered into on this day of 2011,
by and between Collier County Child Advocacy Council, Inc. d/b/a Children's Advocacy
Center of Collier County (CAC), authorized to do business in the State of Florida, whose
business address is 1034 6th Avenue North, Naples, Florida 34102, hereinafter called the
"Consultant" and Collier County, a political subdivision of the State of Florida, Collier
County, ~aples, hereinafter called the IICountyll:
,
WITNESSETH:
1. COMMENCEMENT. This Agreement shall begin on June 14, 2011, and terminate on
September 30, 2012.
2. STATEMENT OF WORK. The Consultant shall provide services in accordance with the
tenns and conditions of Attachment II A", incorporated herein by reference. This
Agr~ement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
ConSultant and the County project manager or his designee, in compliance with the
CO$ty Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
I
~
!
Seryices to be provided under this Agreement may include, but not be limited to, the
follqwing:
a. Improve supervised visitation services, enhance security and expand
visitation center services.
b. Increase the ability for child protection services, courts and domestic
violence agencies.
c. Provide bilingual (English/ Spanish) case manager and bilingual
(English/Spanish) visitation monitor for the underserved population as well
as translators for Creole.
d. Expand services to regularly scheduled office hours in Irnmokalee with
security for supervised visitation and safe exchanges.
3. COMPENSATION. The County shall pay the Consultant for the performance of this
A~eement a total amount of Three Hundred Nineteen Thousand and Thirty-Nine
,
.
Page 1 of9
Packet Page -1573-
.
.
.
6/14/2011 Item 16.0.4.
Dollars ($319,039) based on allowable expenses incurred. Payment will be made upon
receipt of a proper invoice and a signed affidavit from the CAC Executive Director,
attesting that the work has been completed and upon approval by the Project Manager
or designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the
"Local Government Prompt Payment Act". Collier County reserves the right to
withhold and/ or reduce by an appropriate amount any payments for work not
performed or for unsatisfactory performance of the contractual requirements. The
budget for this Agreement is shown in Attachment "B", incorporated herein by
reference.
3.1 Payments will be made for services furnished, delivered, and accepted within the
contract period, upon receipt and approval of invoices submitted on the date of
services or at any time thereafter within six (6) months after completion of
contract. Any untimely submission of invoices beyond the specified deadline
period is subject to non-payment under the legal doctrine of "laches" as untimely
submitted. Time shall be deemed of the essence with respect to the timely
submission of invoices under this agreement.
4.
3.2 Allowable expenditures under the referenced grant are retroactively authorized
to October 1, 2009, the beginning of the grant period.
FUNDING REQUIREMENTS. The County and u.s. Department of Justice, Office on
Violence Against Women, have agreed that these funds will only be used to fund
projects that demonstrate expertise in the area of family violence, provide a sliding
scale fee for clients, demonstrate adequate security measures, and prescribe standards
and protocols by which supervised visitation or safe exchanges will occur.
5. NOTICES. All notices from the County to the ConSultant shall be deemed duly served
if mailed or faxed to the Consultant at the following Address:
Collier County Child Advocacy Council, Inc.
d/b/a
Children's Advocacy Center of Collier County
1034 6th Avenue North
Naples, Florida 34102
Jacquelyn Stephens, Executive Director
Telephone: 239-263-8383
Facsimile: 239-263-7931
Page 2 of9
Packet Page -1574-
6/14/2011 Item 16.0.4.
All Notices from the Consultant to the County shall be deemed duly served if mailed or
faxeql. to the County to:
Collier County Government Center
Housing, Human and Veteran Services Department
3339 Tamiami Trail East, Suite 211
Naples, Florida 34112-5361
Attn: Marcy Krumbine, Director
Phone: 239-252-2273
Fax: 239-252-2638
The Consultant and the County may change the above contact information at any time
upo~ giving the other party written notification. All notices under this Agreement must
be iri writing.
6. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Consultant or to constitute the Consultant as
an agent of the County.
7. CONDmONS.
aJ Special Conditions: The Consultant agrees to comply with the requirements set
forth in the Notice of Grant Award Special Conditions, Attachment" A". .
bl Compliance with Local and Federal Rules, Regulations and Laws: During the
performance of this Agreement, the Consultant agrees to comply with any
applicable laws, regulations and orders listed. below by reference and
incorporated and made a part hereof. The Consultant further agrees to abide by
all other applicable laws as outlined in the Notice of Grant Award, Attachment
" A" .
8. SUBCONTRACTS. Any work or services subcontracted by the Consultant shall be
spec~cally by written contracts or agreements, and such subcontracts shall be subject to
each provision of this Agreement and applicable County, State and Federal guidelines
and regulations. Prior to execution by the Consultant of any subcontract hereunder,
such subcontracts must be submitted by the Consultant to Housing, Human and
Vet~ran Services for its review and approval. None of the work or services covered by
this . Agreement, including but not limited to, Consultant work or services, shall be
subcontracted by the Consultant or reimbursed by the County without prior written
approval of the Housing, Human and Veteran Services Director or designee.
9. AMENDMENTS. The County may, at its discretion, amend this Agreement to conform
to shanges required by Federal, State, County or Department of Justice, Office on
Violence Against Women guidelines, directive and objectives. Such amendments shall
be fu.corporated in writing as a part of this Agreement and be signed by each party's
designee. Except as otherwise provided herein, no amendment to this Agreement shall
be ~inding on either party unless in writing and signed by each party's designee.
! Page 3 of9
.
Packet Page -1575-
6/14/2011 Item 16.0.4.
. 10. PERMITS: LICENSES: TAXES. Incompliance with Section 218.80, F.S., all permits
necessary for the prosecution of the Work shall be obtained by the Consultant. Payment
for all such permits issued by the County shall be processed internally by the County.
All non-County permits necessary for the prosecution of the Work shall be procured
and paid for by the Consultant. The Consultant shall also be solely responsible for
payment of any and all taxes levied on the Consultant. In addition, the Consultant shall
comply with all rules, regulations and laws of Collier County, the State of Florida, or the
U. S. Government now in force or hereafter adopted. The Consultant agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Consultant.
.
11. NO IMPROPER USE. The Consultant will not use, nor suffer or permit any person to
use in any manner whatsoever, County facilities for any improper, immoral or offensive
purpose, or for any purpose in violation of any federal, state, county or municipal
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
effect or hereafter enacted or adopted. In the event of such violation by the Consultant
or if the County or its authorized representative shall deem any conduct on the part of
the Consultant to be objectionable or improper, the County shall have the right to
suspend the contract of the Consultant. Should the Consultant fail to correct any such
violation, conduct, or practice to the satisfaction of the County within twenty-four (24)
hours after receiving notice of such violation, conduct, or practice, such suspension to
continue until the violation is cured. The Consultant further agrees not to commence
operation during the suspension period until the violation has been corrected to the
satisfaction of the County.
12. TERMINATION. Should the Consultant be found to have failed to perform his
services in a manner satisfactory to the County as per this Agreement, the County may
terminate said agreement for cause; further the County may terminate this Agreement
for convenience with a thirty (30) day written notice. The County shall be sole judge of
non-performance.
13. NO DISCRIMINATION. The Consultant agrees that there shall be no discrimination
as to race, sex, color, creed or national origin.
14. INSURANCE. The Consultant shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Consultants; Products and Completed Operations and Contractual Liability.
.
B. Business Auto Liability: Coverage shall have minimum limits of $500,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include: Owned Vehicles, Hired and Non-Owned
Vehicles and Employee Non-Ownership.
Page 4 of9 .
Packet Page -1576-
6/14/2011 Item 16.0.4.
C. : Workers' Compensation: Insurance covering all employees meeting Statutory
: Limits in compliance with the applicable state and federal laws.
I
The coverage must include Employers' Liability with a minimum limit of
$1,000,000 for each accident.
Special Requirements: Collier County Government shall be listed as the
Certificate Holder and included as an Additional Insured on the Comprehensive
General Liability Policy.
Current, valid insurance policies meeting the requirement herein identified shall
. be maintained by Consultant during the duration of this Agreement. Renewal
certificates shall be sent to the County ten (10) days prior to any expiration date.
There shall be a thirty (30) day notification to the County in the event of
cancellation or modification of any stipulated insurance coverage.
Consultant shall insure that all Sub-consultants comply with the same insurance
requirements that he is required to meet. The same Consultant shall provide
County with certificates of insurance meeting the required insurance provisions.
15. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Consultant shall indemnify and hold harmless Collier County, its officers and .
employees from any and all liabilities, damages, losses and costs, including, but not
limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the
negllgence, recklessness, or intentionally wrongful conduct of the Consultant or anyone
employed or utilized by the Consultant in the performance of this Agreement. This
inde~ication obligation shall not be construed to negate, abridge or reduce any other
rights or remedies which otherwise may be available to an indemnified party or person
des~ibed in this paragraph.
This section does not pertain to any incident arising from the sole negligence of
Cdllier County.
16. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Housing, Human and Veteran Services Department.
17. CONFLICT OF INTEREST: Consultant represents that it presently has no interest and
shaU acquire no interest, either direct or indirect, which would conflict in any manner
with the performance of services required hereunder. Consultant further represents
tha~ no persons having any such interest shall be employed to perform those services.
I
18. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out
verlJatim: Attachments" A" and "B".
.
Page 5 of9
Packet Page -1577-
. 19.
.
.
6/14/2011 Item 16.0.4.
SUBJECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
20.
PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or
individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee,
service or other item of value to any County employee, as set forth in Chapter 112,
Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, and County
Administrative Procedure 5311. Violation of this prov.ision may result in one or more
of the following consequences: a. Prohibition by the individual, firm, and/ or any
employee of the firm from contact with County staff for a specified period of time; b.
Prohibition by the individual and/ or firm from doing business with the County for a
specified period of time, including but not limited to: submitting bids, RFP, and/ or
quotes; and, c. immediate termination of any contract held by the individual and/ or
firm for cause.
21. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Consultant is formally acknowledging without exception or stipulation that it is
fully responsible for complying with the provisions of the Immigration Reform and
Control Act of 1986 as located at 8 U.S.c. 1324, et seq. and regulations relating thereto,
as either may be amended. Failure by the Consultant to comply with the laws
referenced herein shall constitute a breach of this agreement and the County shall have
the discretion to unilaterally terminate this agreement immediately.
22. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or
otherwise unenforceable, in whole or in part, the remaining portions of this Agreement
shall remain in effect.
23. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted
by this Agreement to resolve disputes between the parties, the parties shall make a good
faith effort to resolve any such disputes by negotiation. The negotiation shall be attended
by representatives of Consultant with full decision-making authority and by County's
staff person who would make the presentation of any settlement reached during
negotiations to County for approval. Failing resolution, and prior to the commencement
of depositions in any litigation between the parties arising out of this Agreement, the
parties shall attempt to resolve the dispute through mediation before an agreed-upon
Circuit Court Mediator certified by the State of Florida. The mediation shall be attended
by representatives of Consultant with full decision-making authority and by County's
staff person who would make the presentation of any settlement reached at mediation to
County's board for approval. Should either party fail to submit to mediation as required
hereunder, the other party may obtain a court order requiring mediation under section
44.102, Fla. Stat.
Any suit or action brought by either party to this Agreement against the other party
relating to or arising out of this Agreement must be brought in the appropriate federal or
Page 6 of9
Packet Page -1578-
6/14/2011 Item 16.D.4.
state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction
on all such matters.
IN WITNESS WHEREOF, the Consultant and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first
above written.
ATTEST:
Dwight E." Brock, Clerk of Courts
By:
Dated:
(SEAL)
First: Witness
tTypef print witness namet
Seco;n.d Witness
tTypefprint witness namet
Approved as to form and
legal sufficiency:
i ~
AssistantCounty Attorney~-0
:::r ~N ~ \ 1=~ f<-. ~. w~ \ -r- E.
Print Name
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Fred W. Coyle, Chairman
Collier County Child Advocacy Council, Inc.
d/b/a
Children's Advocacy Center of Collier County
Consultant
By:
Signature
Typed signature and title
Page 7 of9
Packet Page -1579-
.i
.
.
.
.
ATTACHMENT A
Grant 2009-CW-AX-KOll - Related Documents
1. September 18, 2009 Grant Award Letter - 8 Pages
2. Signed Grant Acceptance - 8 Pages
3. Standard Assurances and Certifications - 4 Pages
Page 8 of9
PacketPage-1580-
6/14/2011 Item 16.0.4.
6/14/2011 Item 16.D.4.
.
Department of Justice
Office on Violence Against Women
Scptcm~ IB, 2009
JI'...hingkJn, D.C. 20531
Donna Fiala
Collier County
3301 Tamiami Trail East
Building!
Naples, FL 34112
Dear Chairman Fiala:
On behalf of Attorney Gcnem1 Eric Holder, it i5 my pleasure to infcmn yeu that the Office on Violence Against Women has
approved your applicalion for funding under the Safe Havens: Supervised Visitation and Exchange Program in the amount of
S350,OOq for Collier County. This award provides the opportunity for recipients to d~lop IIDd strengthen effective responses
to violenc:e against women. This coopenltive agreement supports supervised visitation and safe exchange options for families
with " hiitory of domestic violmll:~, child abuse, sexual assault and stalkiug.
Enclosed you will find the award package. This award is subject to all administralive and financial rcquimncnls, including the
timely submi&sion of all finBncial and progrmmnalic reports, n:solution of all intcrlm audit findings, and the maintenance of a
minim~ level of clllib-<ln-hand. Should you not adhere to these requin::mcnts, you will be in violation of the terms of this
agn:cmeht and the award will be subject to tcnnin&tion for cause or other administrative action as appropri&te.
If you have questions regarding this award, plcaseconlact Michelle B. Dodge at (202) 353-7345. For financial questions,
c:on.tact the Office of the Chief Financial OfIic:er, Customer Service Center (CSC) at (800) 458"()786, or by email at
ask.ocfo@mdoj.gov.
i
CongratG1ations, and we look forward to working with you.
Sincerely,
.
Catherin'e Pierce
Acting I)irector
EncloSllJ'CB
.
Packet Page -1581-
.
.
.
.
6/14/2011 Item 16.0.4.
.
Dep~eDtofJustice
Office of Justice Programs
Office for Civil Rights
fYlU/dJIglun,D.C. 20531
Scp~bcr18.2009
Donna Fiala
Collier Cowty
3301 Tamiami Tnli1 East
Building I
Naples. FL 34112
Dear Chairman Fiala:
Congratulations on your m:ent award. In establishing financial assislance programs, Congress linkcd the receipt of Federal funding to
compliance with Fedeml civil rights laws. The Office for Civil Rights (OCR), Office of Justice Programs (DIP), U.S. Depar1mcnt of Justice
is responsible for ensuring that m:ipients of financial aid from OJP, its component offices and bureaus, the Office on Violence Against
Women (OVW), and the Officc of Community Oriented Policing Services (COPS) comply with applicable Federal civil rights statutes and
regulations. We at OCR. arc available to help you and your orgllllization meet the civil rights requirements that come with Justice
Department funding.
EnsnrinE Access to Feder:llly A5s1sted Programs
As you know, FcdenIllaws pmhibitrecipients of financial assislance from discriminating on the basis ofmee, color, national origin,
religion, sex, or disability in funded programs or activities, not only in respect to employment pmetices but also in the delivery ofserviccs or
bencfilll. Fedeml law also prohibits funded programs or activities from discriminating on the basis oEage in the delivery of services or
bcnefils.
ProvidlnE Services to Limited English Proficiency (LEP) Individnab
In lICl:ordance with Dc:panment of Justice Guidance pcr1Bining to Title VI of the Civil Rights Act of 1964, 42 U.S.C. i 200Od. recipients of
Federal financial assistance must lBke reasonable steps to provide meaningful access to their programs and activities for persons with limited
English proficiency (LEP). For more information on the civil rights responsibilities that recipients bave in providing language services to
I.EP individuals, please see the website at http://www.Icp.gov.
Ensuring Equal Treatment for Fllith-Based OrganJzations
The Department of Justice has pubIishcd a regulation specifically pertaining to the funding of faith-based organizations. In general, the
regulation, Participation in Justice Department Programs by Religious Organizations; Providing for Equal Treatment of all Justice
Department Program Participants, and known as the EquaI TICabnent Regulation 28 C.F.R. part 38, requim; State Administering Agencies
to lreal these organizations the same as any other app1icant or recipient The regulation prolullilS State Administering Agencies from making
award or grant admiDistralion decisions on the basis of an organization's religious character or affiliation, religious name, or the religious
composition of its board of directors.
The regulation also prohibits faith-based organizations from using financial assistance from the Department of Justice to fund inherently
religious activities. While faith-based organizations can engage in non-funded inherently religious activities, they must be held separately
from the Department of Justicc funded program, and customers or beneficiaries cannot be compelled to participate in them. The Equal
Treatment Regulation also makes clear that organizations participating in programs funded by the Department of Justice an: not permitted to
discriminate in the provision of services on the basis of a bcoeficimy's religion. Formore information on the regulation, please see OCR's
website at http://www.ojp.usdoj.gov/ocr/etfbo.htm.
State Administering Agencies and faith-bascd organizations should also note th&t the Safe Streets Act, as ZIIlIended; the Victims of Crime
Act, as amended; and the Juvenile Justice and Delinquency Prevention Act, as amended, conlllin prohibitions against discrimination on the
basis of religion in employment Despite these nondiscrimination provisions, the Justice Department bas concluded that the Religious
Freedom Rcsttmltion Act (RFRA) is reasollllbly construed, on a case-by-case basis, to require th&t its funding agencies permit faith-based
organizations applying for funding under the applicable progr.un statutes both to receive DOJ funds and to continue considering religion
when hiring staff, even if the statute that authorizes the funding program geneIlllly forbids considering of religion in employment decisions
by grantees. .
Questions about the regulation or the application of RFRA to the statutes that prohibit discrimination in employment may be directed to this
Office.
Packet Page -1582-
6/14/2011 Item 16.0.4.
EnfordDg Civil Rfghts La_
All m;i~icnts ofFcdcral finllncialllS8islAllce. regardless of the particular funding soum:, the amount of the: grant award, or the nnmber of
cmploycc:s in the workforce, arc subject to the prohibitions against unlawful discrimination. Aa:ordingly, OCR. investigates Tecipienls that
arc: the subject of discrimination IXlmplainls from both individuals and groups. In IIdditiou, based on regulatory criteria, OCR. selects a
number (If rccipicnls each year for complianllC revicws, audits that require recipients to 6Ubmit d&ta showing that they arc: providing scrvicc;s
equitably to allscgn1cn%S ofthe:ir service population and that their employment practices meet equal employment opportunity standards.
Complylng with the Safe Streets Act or Pro(:J1lm Requirements
In IIdditipn to these gc:ncral prohibitious, an organization which is a recipient of financial assisllmce subject to the nondiscrimination
provisions of the Omnibus Crime Control and Safe StrcclS Act (Safe Stt=ls Act) of 1968, 42 U.S.C. ~ 3789d(c), or other Fedcral grant
pro~n:quirc:ments, must mc:ct two additional rcquircments:(I) complying with Fc:denlhegulations pertaining to the development of an
Equal Employment OpponunityPlan (EEOP). 28 C.F.R. ~ 42.301-.308, and (2) ll1Ibmitting to OCR Findings ofDiscriminal:ion (ace 28
C,F.R. ~.9 42.205(5) or 31.202(5)).
1) Meeting the EEOP Reqnlrmlent
In accordance with FcdmIl regu1&tions, Assmancc No.6 in the SllIDdMd Assurances, COPS Assurance No. 8.B, or certain Federal gxan1
program, requirements, your organization must comply with the following EEOP reporting requirements:
If your Organization has rcx:cived an award for S5OO,OOO or more and has 50 or more cmployCCli (lXlunting both full- and part-time
employccs but excluding po1iticalappointcca), then it has to prepare an EEOP and submit it to OCR for review within 60 days from the
date oftbis letter. For assistance in developing an EEOP, plc:asc consult ~s website at http://www.ojp.usdoj.gov/ocn.ccop.htm. You
m&y also request tcchnicallll5islAllce from an EEOP spc:cialist at OCR by dialing (202) 616-3208.
If your Orpnizatiou receivc:d an award betwccn S25.OOO and 5500,000 and has SO or more employees, your organization still has to prepare
an EEOP, but it docs DOt b&~ to submit the: EEOP to OCR for review. Imlclld, your organization has to maintain the EEOP on file and
make it llvailable for review on request. In addition, your organization has to complete Section B of the: Certification Form and rr:tum it to
OCR. TIle Certification Form can be found lit ht:tp:l/www.ojp.usdoj.gov/ocr/ceop.htm. . .
If your organization n=ivc:d an awan! for less than $25,000; or if your organization has less than SO employees, regardless of the amount of
the award; or if your organization is a medical institution, c:dw:ational institution, nonprofit organization or Indian tribe, then your
organization is exempt from the EEOP requirement However, your organization must complete Section A oflhe Certification Form and
return it lD OCR. The Certification Form caD be found at ht:tp:/Iwww.ojp.usdoj.gov/ocr/ccop.htm.
..
2) Submitting FIndIngJ ofDlscrlmiuation
In the e~cnt a Fcdcra1 or Slate court or Fc:dcmI. or State administrative agency lIIBlces an adverse finding of discrimination against your
organizalion after a due process hearing, on the ground of =, color. religion, national origin. or sex, your orgmrization must submit a copy
of the fu!ding to OCR for review.
Ensuring the Compliance of Subreclplenm
If your organization makes aubaWlllds to other agencies, you arc rcspoll8ible for assuring that subrecipients also comply with all of the
applicable Federal civil rights laws, including the requirements pertaining to developing and submitting an EEOP, reporting Findings of
Disc:rimlnation, and providing language services to LEP persons. State agencies that make subawards must have in place stanclard grant
8SSIIIaIlCCS and review procedures to demonstrate that they arc effc:ctively monitoring the CiV11 rights IXlmpliance of subrr:cipicnts.
Ifwe can assist you in any way in fulfilling your civil rights responsibilities as a recipient ofFc:dem1 funding, please call OCR. at (202) 307-
0690 or visit ourwebaite atht:tp:l/www.ojp.usdoj.gov/ocrt.
Sincerely.
~d.~
Michael L. Alston
Dirr:ctac
cc: qIllllt Manager
~inancial Analyst
Packet Page -1583-
..
.
6/14/2011 Item 16.0.4.
DeparbDentofJnstice
Officc of Justice Programs
Office of the Chief Fioancial Officer
September 18, 2009
Donna Fi&!&
Collier County
3301 Tamiami Trail East
Building J
Naples, FL 34112
Reference GnmtNumbcr: 2DD9-CW-AX-K011
Dear Chairman Fiala:
Washington, D.C. 20531
[ am pleased to infolDl you !hat my office bas approved the following budget clltegories for the aforementioned grant Ilward in
the cost categories identified below:
Category Budget
Personnel 518,863
Fringe Benefits 56,578
Travel $5,520
Equipment SO
. Supplies $0
CoDSlIUCtion SO
Contractual $319,039
Other $0
Total Direct Cost 5350,000
Indirect Cost $0
Total Project Cost 5350,000
Federal Funds Approved: $350,000
Non-Fcdcra1 Share: SO
Program Income: 50
Match is not required for this grant program.
.
Packet Page -1584-
6/14/2011 Item 16.0.4.
If you Imye questions tcgarding this awmd, please conlllct:
_ Pro~ Questions, Michelle B. Dodge, Program Manager at (202) 353-7345
. .
_ Finapcial Qucslioll$. the Office ofCbiefFinanciat Officer, Customer Service Ccntz:r(CSC)
at (gOO) 4S8-<l786, or you may conlll(:t the CSC at ask-ocfo@usdoj.gov.
Congmtlllations, and we look forward to working with you.
Sincerely.
11nr,~ 'K~~
Marcia It Paull
ChiefFikncial Officer
.
.
Packet Page -1585-
.
.
.
6/14/2011 Item 16.0.4.
Department of Justke
Office on Violence Against Women
"","inFO". D.C. 20531
Memorandum To: Official Grant File
From:
Mamie R. Shiels, Environmental Coordinator
Subject:
Categorical Exclusion for Collicr County
The Safe Havens: Supervised Visitation and Safc Exchange Grant Program (Supervised Visitation
Program) was authorized as a two-year pilot program under the Violence Against Women Act of
2000(V A W A 2000) to increase supervised visitation and exchange options for families with a history of
domestic violence, child abuse, sexual assault or stalking. The Program was reauthorized in 2005 with
the passage of the Violence Against Women and Department of Justice Requthorization Act of2005
(VA W A 2005). Eligtble applicants for the program include states, Indian tnbal governments, and units
oflocal government By statute, projects funded under the Supcrvised Visitation Program must
demonstrate expertise in the area of family violence, provide a sliding fee scale for clients, demonstrate
adequate security measures, and prescnbe standards and protocols by which supervised visitation or safe
exchanges will occur.
None of the following activities will be conducted under the OVW federal action:
1. New construction.
2. Any renovation or remodeling of a property either (a) listed on or eligible for listing on the National
Register of Historic Places or (b) located within a I DO-year floodplain.
3. A renovation which will change the basic prior use of a facility or significantly change its size.
4. Research and technology whose anticipated and future application could be expected to have an effect
on the environment
,5. Implementation of a program involving the use of chemicals.
Consequently, the subject federal action meets the criteria for a categorical exclusion as contained in
paragraph 4(b) of Appendix D to Part 61 of the Code of Federal Regulations (adopted by OVW at 28
CFR ~ O.122(b)).
Packet Page -1586-
6/14/2011 Item 16.0.4.
:
i Dcpanment of Justice
(8 GRANT MANAGER'S MEMORANDUM, PT. I:
Office on Violence Against Women PROJECf SUMMARY
Cooperative Agreement
PRomer NUMBER \
I PAGE 1 OF 1
. 2009-CW-AX-KOl1
TbiI projcj:l is :mpponcd IIDIIcr42 U.S.c. 10420 (OVW - Supervised Vu:itatiaa) ,
.
1. STAFF CONTAer (NlUD~ &.telephone ulllnbcr) 2. PROJECT DlRECl'OR (Name, .ddr.... &. telephone number)
Michdlc B. Dodge Marcy Kntmbinc
(202) 353-7345 Di!cclor
3301 Tamiami Trail East
Building H. 2nd Floor
NaplllS, PI. 34112
(239) 2S2-S442
3L TITLE OF TIm PROGRAM 31>. POMS CODE (SEE INSTRUcnONS
OVW FY09 Saf~ H.VCl&; SIlpCIViacd VllitatiOll end Safe El<chanlle ON REVERSE)
:
4. TITLE Of pROJECT
Collier County Safe Ha..... SapcrYiJcd VISitation &lid Safe Exchange Program
s. NAM!> &. ADDRESS Of GRANTEE 6. NAME &.ADRESS OF SUBGRANTEB
Collier County
3301 Tamiomi Trail EulBuilding 1
N.ples, PI. 34112
I 7. PROGRAM PERIOD 8. BUDGET PERIOD
FRQM: 1010112009 TO; 0913012012 FROM: 1010112009 . TO: 09/3012012
9. AMquNT OF AWARD 10. DATE OF AWARD
S ~50,OOO 09/1812009
11. SEqOND YEAR'S BUDGET 12. SECOND YEAtrS BUDGET AMOUNT
13. THlRD YEAR'S BUDGET PERIOD 14. l1IIRDYEAR'S BUDGET AMOUNT
IS. SUMMARY DESCRIPTION OF PROmer (See inaUUottoo on mocne)
The Safe HaVCIS: SupaviJed Vllillllion arKI Safi: Exchange Grant Program (SupetVi&ed Vllilalion Program) was .llIhorl2l:d as . lWo- ycor pilot program uniler the
Violence ApinIt Women Ass. of2ooo to m~ llIpc:niscd villI.lion and ""change opti.... for familicI with. bi.uxy of domesIic violence, child.buse, lema!
..njlllor slalkiu&- !be Pmpam was reauthorized in 200s with the puuge oflhe Violence AgaioltWamen Act 200S. Eligible appliCllDls for Ihc propam include
&latd&, Indian lno.J lovcmmenll, and o.nill oflocal go=o:nL By slalulc, projccll f\md:d IIIIClcr the Supervised VWlIltiOD Program mUllt demonstrate Cl<pCflisc in
the On:. of f.mily viola=, pruvi<lc. sliding fee sca1e for cliCllls, dcmDDSlllllc adr:quaIe security meuarcs. IIIId "",scribe .laDdanIs and protocols by which
supc;rvioed visitation or we exchanges will o<:CUL
In F:Y 2007, Collier Coanty and ils collaborative partnem m:Cived OVWfunding to support supc:rvised visilBlion llIId safe exchauge ...mea; in the 20th 1udicial
CirCuit Funding from this FY 2009 cooperative.gn:cmcnl will enablo lbe coUabora1ivc to in=aae oplilma for supervised visitation IIIId safe cxc!llngc, reduce &CIS
.
I
I
OIP F?RM 4000/2 (REV. 4-88)
.
Packet Page -1587-
.
:.
;
!
6/14/2011 Item 16.0.4.
e ~ar.1lIIIlce
Dma.llII VIaIcua IIpIIIIt W_
om. _ VIoJaeeApl-*
WIIDlCD
.N:JII I at I .
Coopcn&I.n Ap'ecJDlIlt
1.~KAMlAli/DA!lllUIIIloolillllllZlpClolll)
CoIiooCouoilr
UllI_l,... _aoIWItaJ
Xlpl-.I'LSlII2
'- A1I'AlDIItIMIlII: 2OIJ.CWoIolGoIDII
5.lIllIEC'l' PI!IICIl: nau
IIlDCIIT ftIICD: BCIU
ICWI/2llllt '10 DW3l1tZOll
ICWIl3llll9 20 IlP/JW2OII
IA. CJaANn81U1\/1lNDCl& NIl.
SNIlOlI5Q
I.A'l/4IID~ _1/3Illt
LIU!ft.DIIlMT_
00
1.I,CrlOII
loiIiIl'
'._A'l/IJmAMOtllT
$I
S3!O,CIIlI
3.RDR%:t't1'D.ll:
OaI5rc:.ar,_____V---......
...-
ILAMCMn' or 'I1UIl A'l/oUD
1I.1OTALAWAIlII
UM.ooo
Il. SIIOALCDlIllmClNI
TIIIl A11l1V& CIIlAIlT PllQ/IIC1'lIl\1'PllDV11D ~2O IUaI CIllIIIII1DIQQIlI.lMlTA~ A&~6llT1'CIII.11I
ClMlHi AtTAaIIlI'MIIl(S).
11.ITAWl'Cl&Y Atl'I'HDUI'YIOllClL'\Kl
"011.....11-'"' _<Q UI.C. 1_ (UVW.........VIIIOIb)
IS. WlDIllD cprA YWJIIlT
"MIlS
AaIICY MnDVAL
,I. nPlIl_AMI) Tm.ll ClI' AI'ftOYDIO orn:w.
~-
.......-
ClIWrmEACCIlI't"NI'CIi
II. mmJUlMllAICD'ItIU\ D' AUDIQIIIZ:IiD_DnICW.
0...1'1IIo
~-
If. _nmaClF _OCll'A:LU.
II.
~
--
AClRCY 011I CH.Y
U,ACCllOIC1'IIQa.A&IlI1OADllMc:&mIIS II. ~
rIICAL JUHI) IUD. DIY.-
Y1Wl IDS I&t. 0l'C. IIQ, IIUI. ~ AMOUNT
x
A CfI B III CIl
s_
"
o..-lODI_(UV.~rDV1OUI1lllnIOIGAaa DUOUml.
:;~"
>' .,,'~ ~li' it.
~ik: -". -.... -
';'J.t.."ti:. -' .... .... ,......~...
~-,., _ "" .,' 0( r.,f;VlJ?$s.,
oil' ,:\ ..... .~
DWlafiT~~'BR" . .... .. "I:~ -'.
- :--:r.:;-'; : ..:l. '.~,.
0lP1'DIlM_(UV.4-II)
&PrCMd 1!111:O form &. Ilgal sulficlaOOy
@(l~a
AaIstII1t County ~
:-,'.
. .. >.~.~;~,.#~~~.fr(.
~li - ''''' ~. " ..... ;'-:..
..,~1i",,:~,,::~.:..:.,/':.P:~:i:. . '.
Packet Page -1588-
.
~lll'l__
cmc.. VW-ApiaII w_
AWABD CON'l'JNUA.110N
SImET
CDGpInUYa AlfeClDlllIt
.ACA:lOJII
~_ 3IOtoCI/~1I
AWAZDDAD __
.
&"liaAL cnNDl27(W3
I. 'I1II1IIdpiaat.... lit ~wI* a.~1IId oA-'-'-.......,.,.n~ lit rDllllia 1M CIIImIlt lllilillll elflM
0&1 rJll... PnIpw (OR') 1'IauciIl o.IlII.
2. 'I1IIra:;;p;.&~ dIIlMln........ ~..lXi..U.po'- 0ppcldII.Iltr1'lM (IfnciplCIIU.
nqaimcllD 1IIbalIt_ Jl'lII1IW 11121 CF1 SecliaIa 4UII1). llIIC III;l1l11l'1111 \11.... 0fIIIle b Civil ]tIpII, II I
WliIdoaorlla CAIIl&acl~ 1IId.q...uillllUllllllllalll'~Dt~ uIiI..u =-.....
~ II iD """"w- .
3. 1k____........ aap,,1riIlI "'" llIF";"'-'I..dI&~ etDUB CircluIIrk-W. ADdItI or......
IMaI 0..._ - ....~ r.-'--<l;><r .. 6IrlIR........- 1Mc1adl mqlll wIIIlbIId. CIf
....1daW ....~mq lie m.p..I, It.......... udh.... (Il-r) AmD QWD a.=- ....133 8l>lIII{....
8IQ'.......siII ofOlP ...~>.._ '-"'ll''''prlIiIlpII:f ICkIzwId, u tardIIr~ III \IlD CI1InIIt
edilima or.. OJP fi.-iaI o.idt. a.p. II. .
4.. Jrocipicd-.A. I ,,_.....IIati&~_8,)'6IIanI6IDIII,1IIIIaIr~1lI'1DdIncdy..l1IppIIIlor-.
--. ~ --IlI'~ olll11law.npIIIka C1ffDllc7.IlIlllllMU or.-wllbDutlbe
..- pcioI'.a..1I(lpV\'I1 otOVW. III ClIdor III a'WlH....1mion rIIll tIllC 111113. 'l'lae ..-IIIIY. ---. _
IIdIIaI JiDIII... ~wIGa IIIllpvridD~...hdi::aI. ..-. b:aI, 1riIa1_ arilllrial p\ll&DtlIdll.
11I4........ dnwiqI_iqicamtpallcb III ....Clfl~ -...zic wkl1mcr, dalizla~--
-.II, _1lI1tIoa(M ~ __ dIIIlMt1ll4%VIlC 139Z5(I))..- w;ll DllIIIIlDntilaud~ of
. IlIfanaa&Itoa II IlDIlII.- wi. ... 8ClIvIII. odawIII ~ __lIIIa,-Jll'DJrIIIIo
5. 'lbIl n:dpIaIt_prDIIlplI)I.......DOl 010 8,)''''~ ..apilll:lpll..,.,..,.... -.
~.d . "---. Ill' .......- _dbcr I) lIIbmIIt.Ia6l. daba lbr.- t\aIdI.......IF...OaImI
Acl;..2) --.s.crimlalorcml riDIalic. olllWl.....lIl iIIld, lIClIIIIa.&af....llI\1lIIy. ar-br.1lI'
&imUar~ ~pIIt IiIadL 'l'llIa c:aodIdaalllD III(lliIIID 1D1Alnc:iPc:za ~ liIIId, --.
... Gf......lilcIuId llInpcl111d..... CIO b)' - .
-a:
omo.rII"~o-I
u.s.r. .-rJlJ.IicI
~DlYIaloa
lISO'-1\nalaA-.)l.W.
a-~
WMIIiDclaD. DC 2OS3lI
HMil: cql> II' B . i.pY
JiDIIIM: (_~ iallqliab IIlllllplailli): (iOO) I6P-44I19 .
or IIoCIiDIIIlc (2IIZ) '16-9111
MdiIiDoll1 ~.lwIIIbIe boa_DOT OIG WIilIIII--.ulcdolllYJe4
~. 'Ibc ___.....111 CIlIlIlIll1 wIIlI.n....1IIlIIIary lid ftIIIIIIaIvlllplln:malls...alcla mq iDcIDdt,.....olla
I'IIinalllllllorilill.lM VIlllaMI A,UaolW_ NA otl~ P.L. ICI303:z:z. ilia VIaIlMe ApIaIt W_ loa or
ZllOO. P.L. lor.-3I6," 0maIlIaI CIimI CllaRIIIId SI/k IIrIIlI Ioctot Il161, G U.lI.c 37111tNq..1blI VaaIm:o
~ W_ _DoprtmcatoCJuIIloc" ~ ......AGtof200S. P.L.IDP-IQ, _OVW'lI~II..
~1l21 cnPattllO~ .
lWPcaM_CUV...,
Packet Page -1589-
6/14/2011 Item 16.0.4.
.i
.
.
6/14/2011 Item 16.0.4.
e
~lIr1llllial
OllIllIcm V'IHaAplUW-
PAlII I rI .
AWA.RD coNTINUATION
SBGT
ClloperaClY' A.lrUIIICllt
nDJECr_ -.cw~1
AW.uiDDII.'I'I IIM_
..!aU. C'QND1t'KJNS
7, A;pIMI orlbll~_IIllt"" ...-aafllrf~_Ia- orS450pII'dIy. AdIlIiII4
jIMUicaIila...... ~ lD _."........, lIID Cilia:. V~ ApiIIItW_ piar ID obl\pIIaD..
~af-=bflllldl..
L n.DlncIarrJlOW/,...1IDlIiIIc 1IlIt.........-....... ~ ""~ ....1D~witIIlJlPlIablll
1nI,~-"or"_1II481111l11I1aa1at" pUll..~tift~t,'lri11--- ..1lIIJIIIlll.uJ
IbaDlmcSarIlIllYllld lbII... ia...... M111l111ln, III orplftllfllll ptIlUIlIl,...1l..1 ~ Ia
____w\lII..~.r 21 O'JtPm II, u 1(IIIIIlaIlIa1lllllalll....
II. ".......-...IIlIaIIl_"""'rJl8ll1lplllllu4p1'llpD114pU'.-c- f48IW IIIIlIIrIllIl ~ 1IDt....1bul
~(Zll) dI)'I,rIar ...plIblII;~ b'OVW__, PIlaI'-'cor-epprvnI ural'lll"'l' III'publicalillA II
I'Ilt{lIirIc1 irpajct bIIII"!II be18l11D p1IhlWa or diIblIluIa IIpI$ u4 JIIlblkalilal-cIapo4 __1bII pllI.
10. ". pIIIIiID.- ..1IbalIl.-...1 ~ IIP\llII &lIItdalcrilll Jll\'Gl"IlIliviIiII dIIriIIc III IWJlIldia& JlCIiad.
~1IplIID_""""wIlbIa30"'lklba_at..~pciodI, wbIclI...~ 1..J\111130
..slr1J1 1 -~31 klllD..... at_ aw&IlL .......~be willlMl4!fJKllPll npcrlIlI'I
~ ar-_nrp:dNdID__lllbl.labmlliGDllI!ID.llnuPlIiDar-.~lI)'I- (GI&S). \lII
d1aNllll -~, JIIlIPIlUnpaltllrdlanlnlatOVW pIIt~
11. u.dIr ..0'--'...1I___.__..s...... Act(CJI'ItA) _ VAWA 2IlOli,.-.- _nquirallD__1IIIII
___dalalblt_a.~ DftMk~1CIftIIIIL AaailIIIl&I"IIIa,-apaa IDlIIIImIl
~"""~npadI-JlIlI'-~"~~- lDfanutiaDlbot
,.-lII'IIItoollect __OPU.u4VAWA:IllOO IacWII. bGt llaat1llllllllllD: 1) __ rJl~ ICmld: Z)
IIlIIIlIlc .r,................ -.s.. be...... 3) ......atlUpCl'rilad vIIlI&Iioa lIIllllllldolDF--
~1Iy"pIIlIIm;4)~ar~viIIlI__~lIlllcbillho;lIlll$).-mbrzof~
--.. ___......_ cblIiIl'Ia.
12. n. JSipIIIIl ~ ID IIJImilqllld1ld1 &.dIl- nptdIlD OVW. AI. plllIIIlIt, .-0 IIJlCIll& RID bllIIbadIaId
0lI-lIIII (alilpl:l' 1lIo*qjp.lIIlIlljolOV)...SlIIldlr..C....' 2&A, - _IlIaD 4S ell,. aa.r..IIl4Gt-=
~.... 'DIll ncIp'-l1ltlllllmDd& 1bIl..0l:IalIrr 1S.:lllCB. OVW wII1~ 11I- atlllG SP2SA,
u4 wIIIftlIIIk'D awIIIl~ ...1IIlla*~.....w_.... wlIIIIII:SO dqa afD!r1ba1ll4 at-"
~..........",", . wkIe s.dIIIir- G5,1lIIn1 Fiaancia11l1ipcl1t ha(u8IlIbIc....~
tt.....W..V rYI raJ pllllllllllllnt"'&.pdIJ. .....witalllorcpartfarllo flNz1II cakIIdIr
qllllWaC2IlD!l CIIIII.-aiIIIiI& ~ ..=-_ CllIlltwll1l1ildtqllldalJ 6DudIlll&llllnpllllto
OYW -ua. (1iI>llla:l/Iflllll.lV.uIqJ.p)....SP G5 rCllkal~....1baII, WItIalll'IbID 30'"
ak.. aa4l1f-=ll___ quazw. '1'IIa &tal npIlItWll'" ......-lGrlblD 90 dQS fDllawQclllelll4 Df'_
papnd.
13. ....... ....lDeoftlP!y wllIa..1ppIIca1lIe ~ ona CoPL Plrt31,IblIDqm\mlIItof J1IIIIce
1qIIIItioD........ "Sq\II1 ~ b'flidl BaNdo.p.s.dool" (lIaa"Bqul '1'ralmaIt lcp1aIi."), ,.. EqIIIl
~ ~ pIlIWidaIla pllllIIIl~arJlIIIDpuc....a ordinottuDdiDI mar _1II111111 III
liIIlll-t w....dJ1IIIF- ec:dvIIi........ wmsblp,NIfaiaua ImIndiaa, 01/ A-.....J'~ -.cIpilall ~~
..- .... dl....1D w.n.d)' n1qp..dvIIiII, lIIIt... KIhitiM.. be IqlIDlD Ia tIlIlo or plaM fila ..
~orJulllm A1DdaI pnlJIUI," ~ Ia Id MIlYlll.lll'1IU1Y1U11 noIitlD&..... ~ lIIG
..-or.........._bew~. n.F.qu1~.........__al.rlllll~
~mplllp88dlnd1)'AaIaIlllJliaD~or~n_palllllaldCll ~Ia" proviIklII
01...- GD tIIa ....at........,.. ntiP&
OJP JICUI_ (UI/'.4.II)
Packet Page -1590-
~\~
e
~""J""
0I!Ice aa vw..ApIIIIc W_
AWARD CONTINUATION
SHZET
Ceopcntba .A.pl:aDat
PAm 4 011 .
rsa.::rMllMla ~.all
AWAIlDDo\ft CIWI.,...
$/'1ICr.Cl. C'OIiD/11QN8
14. .......ac:nI6U4,..DtlDIIIV"__A,I!aItW___I~-u.lft,_
Ia.-rca1IlI u-.lllnp1Dlioca.plbllAar c6onrII.... _III 8IIIariu odIa III-.ID wbalagolll)lm~
"'.. .......ara.hall'" WIIIlIa), ""1lIcnI ~JIlIIPl*E
(II) IIIITWDdt rlIulo ~ ID olKlp1ripmd _ dnIoIapC.....IWI......s,........ CD:IlIa:t... ~
~lIllldllWllll; IIl4 0
(b) 'III-*_IanijlCCIII ilIlpyripIllrwllldo............._ ,...1lI11y andpillll, ~ar.__
willi Appaft __ *la1Wll'd.
1D..wllI.,..__(Clf.... '. '...' _.....'-- >--ablolR__WIlIliIIIIpJIllI'fII.t..1be
Ollka... V.... ApioIt W-~ __-'11*I III 1IlIa........... -lIlIlIpIywillllll...&liDa&
1;IllC:i&db;y"~ -..r.1a__..aa1ri1la IbItIFJll'lMlIdn:: 1)-....~ III.... 0WMIIIIp
D~ goala..lD -"~ WIIt;. 2) 1DDo.Jo,.., .,lIIpyripIadwlllk, goparlloa ~ 1Ido__
WllIt IInIIDpId __1IIlI.'"
I/.J..... ~ -.H~Dt_IIldJMK{lIIl4Dt-*IIIIlndpIa,.--.....~ . .-U.IIlJl!k:aWo)III_
lbor ...CIlIIIIillaal&iIIDIIodII4la...,......... _lncS ar~...1IIlI Pnrd. 0
.S. A AMI IIpllIt. wWdI pawidIa a-:rDtpqnil-...wmq.tbB.-Ia_ ~ ........;.,.
a/pIIIcaalz-a. -1f11 pnIIUDlIIftIDpal WIldI:rIbl: nri, fa _10 .d&'!be_afGle &wIrlI. 'DwF'_
PnlpwaJ.paRII1RI4.RImIIIad IIIb 0&111I VID~ ApbIItW_ raroup _ 0m8 .,...... '
~ wIdl doa 1tapllIt1)pl1adlallad.. "liMl".
16. 'l\c.... ...1IIIIt~~ wIII_lIIpplIltllCliYililllblt-r 1IlII"~ N:dml&lity, auclau:.....w
t1i\'allaa~_apJlrDftClllyC1VW ..!bell'- ofatlialla IolllllllpnlP-.; IlIIlII&lDQ, COIIplel
-..IilII. fIllIIb'........., ...._o(jDiIIt~-.ua,;____-'iDe_
~,..uiJIJ WllID "-"11I a.lilJ, arpnxllllllarplad;na1llal..u1'll!llrl ~ Ill.-kJ.pl
.......1piaIl1lllir... (1.1...... pralIc:llaa anW, m. Da.1 CllIIlpllllr,); or 11II ,-- DtPllJlClllllln ill
1lIF-~ -- jKVIIUa.
i
J!. AIl.-lall_~ ('tIIIlrIa, ... CIl'a-') nUdIIc a-.WIr4IdMdca 1IulJ... ill flllllIriI&
I -- "'IW& pajIct-IIlppCIlIIIt,2?;..OaIItND. ....w b;y 1M Oflille aa VlcI_
~W-.U.s.~aC n.oplIllca.~_~_. . "-~ID
liIia~_"'Df_&IlIbaI(I)UIllla_~nG.:t.....ot'..DIp.-IlC
atJ8IIioc, Om..CID ~ApIDIcW_
QlPPOUI~(UY.4oII)
Packet Page -1591-
6/14/2011 Item 16.0.4.
.
.
.
6/14/2011 Item 16.0.4.
e
~DrJ..s.
0IIIIlI_ VW-ApIDIt W_
,AIm S or I
AWIJI.D cON'l'lNiJAnON
SBGT
Coapendft~t
__ ~1I
A....AID~'III ~
. SPBCUl. aiNDmoJU
JI. W11b1a4S 1Ia)w" 1M _DfM,)'~ ...... --. .....,~ lI:IiJIiaI8Cliri'r....IimlIir--
Ilmdad __dill nal,lIIIllo. ~Cllltafwllicb --.lal2ll,llllllla .WIIIII6mda.IIle~-pavI*"
pvJlSm.....wIIIl ~ folIInriIIIldnIIllla IIIllllIIaIaId CIlIIlI:
I)_offtllll;
2)......
3)~Dl__
4).....Df....~
,>__fIl-w..1~
6)_Df..........~-Ilr~1IIIIau;
7)_ot__9IIul__1
I) ClIbw~_ (c.c..~'" .......-);
9)ODIIIafJlllDlIIIII -_. - ~_
1ll)_DfaalapnwllWllIIdIr&- ~
Jl)_of~pavilkIltllllq.. ...
J2)_ot_ploa.-;
1:1) CIIIlIfIl.-tlol:illlalan; ...
14) &I)' CllIlIr dinlIt __ --... widllJ..-to
'JlIa n;IpiIII& ____ __ aa411lpllft-r or"IbIIlIwIac'-- (IIIIbaIIIIc jWlIclfall. ......-..,.taI)
_1bot_pU4_niIDIlIaIIlI w111a~.-1lmdI: .
J) ......~ ap-.(W&IB plIItilaI'otr-diIm);
2) lDdIIaI;
3)~w.-omM__("""___,phaIl;y""~(POV));-
4) ~ Il:IDIplIlIIllo (~.l'DDIlII-.l'OV) K nIIIt IlalIc&
NDlIllultil&ll)' IlIrm iI ~ Ibrwllll........--... .,_____~ dlCIlllllt partIoootdle apclIK
do.___lDbI~
0lP__(DV...a)
Packet Page -1592-
~~
.
~arIallllw
omw_V__ApIalIIW-
AWMlD CONTINUATION
mw:r
Coepcra!lftAarM_t
PADI , QlI .
PltOEf~ ..cw~n
AWMDIM.1S __
rl'EaAL CXJNDl'l1ONS
19. 'I1IRMS OF'lHB c:ooPJ!L\'IIW AOll1\BMBN1'
'I1IIOfIaClll ~ ApiIlItW_(OVW).... ~tD ____.CaapwallftAar..a-&'lrilll CelI_
CaImI7- ill ~pIltIIIIStD __.YIlIUk IIlf*'IiIId viIIIatio. ad........m-li:lr rilsimI af
dmDIaIll: YIoIaa, daiId....-lIIl.-alt, -dIIIa&~ Ill4Ila1t1q. 'l1IIiI.-.IaDnfIclaa~--.1
\MDIt1a --.... ullq-..u.w. alYlGllDa_llIIUa.iIdrc.....~ 'VIalDdoaa- odlo
__JlIL n...... ~ ~JlIpIIlltOVWwl1lP1.&!bIlIzlllaI.. illlIIIpIJlI aDdmaailzldDa II.
prlieIlC.
STAnlMllHT01'1'JIDIlItAL 1HVQLV1INBNI'
'I1II oaIGIllD YIo'-ApiaIIW_ (OVW) will:
t. ~... Ia\'keI ar....s-l.......I!-IIlIIt. "lbIPpaIIl: ar__IlrIM adIIIiIlIIIIaIi atllDa
-.--.........
2.libIIar ..... ~ 11I4,' -"- _1IlIU _nllll,lltfla:llalftllldlq IlIIJIIlliaeL
3. am- allPlft" _ al.....ard.lIIIlldW pnxtuc.d III ~llllwillllllltJlRlloct.
".l'lO\'Idt ..lHIIIcllllll pojI&:t...w, IlllhcdftlrlllllllbDc dllt pajlCt!lr1Dlllooda lD:II1dia&IC _llIlIlllol
tD IlIlFiDI CIIlIIDIltwlllt... naiplaIL
S. ~lII8l114uu. alall pajlccnla1ldlCtlYlliCL
D1PPIlUI_ (UV....,
Packet Page -1593-
6/14/2011 Item 16.0.4.
.
.
.
e
~arSaollat
0!IIaI_ vw-aAFaatW-
,AlII T 01 .
A.WARD CONTlNOATION
SBBET
CDaperatlY. Ap'IcIDmt
rl.lllSCl~ ~l
AWAlDDo\'lS IWItfJ1Q1
"BaAI. CONDmOla
20. STA'I1IIlGlHT~UCIPDIN'1'I.JIllPQImBIUTD
CDlIIa'CnDlr frill wwkcolla~ ill 1M Iv<pl tl'lllore. patprqjold willllM JlIIl.jact~ u41aco1
mvi1a17 bou4.
Ja:IpiaD wiU:
1. Wadt~wlIb OVW ill... tlmkiPlDcat...s i~"':- d'tbia pq..&.
2.&.n_.-r~51~_~1apq.sdo-'. ~"'IIllI~ ~o:.- 1IID..
~_1balIl4 ....... '1,. ila 0...... ...,.1Ia_ atkal ClleIloIllllU....
l'Ia""\71-...1 ~....,. ~_wII1pd1oipa11.tIIa~--.: 1IIIIIIl.-.,.1IIlI
laIdIIlIeI,ullltlpllll1lJOVW;IIIlI.~""1l7 pIItIclpMD ill 1M pIA8Iiaa 11III Plop' 1 ':-lIhlllllliae 8D4
.............a&IIlelId lIrlM p.&pnlpa.
:s.~...... . d"JOoIlb8~apDCI)'lO_UJll'llia~ 11d&,"t" 1 ,:.owlllm"'"'-'la1Ir
~ka.1IIplIOII otll&palpcjOCl; CCIllIIIiaaIa.. '. d IIIlIInopI ~'- Kliwitio&;_1IIad
--..._ iIlItI..... u ...........~ OVW.
.. lla4pqac:taWr...scolJa1loaliva pa.a ID IIlIIIllIp IIIlI ~.. dl::aipIlld byDVW,
s.l'IrlicIpIIa lad 0V'fI e..i.t.......~ ~....ID IllD IIupII\'IIIII ViIIDIIDB Qnatblpm,
~ __.....IlI,sn-e........lIHItD ..aIlal--.IIIlI..ftIII.
" AIIocUI ptlIjctfDDdl, u dIIIpaIzaIbfOVW, far aIJowIbII_1D ~ IA ovwofllOlllOl'lllllllClelicll
...--. PlIIIIII ciaIlpIaI kOVW.......lIcImIcal---.-r IllIl bI.\IIII4b aq oIIlor~w11ho11l
pNrapanl. DfOVVl. T..... .......lDc:1IIdIa.lIIIt... Umi!a41D, r-' III ,..~ rac. F'Il"I'Io
1IICIIlllriaI. YIdII, ~ 11I4 -abopI ClClIllU:sed brOVW~--c:al--- provi4IIlI at
OVW~ CIIIIUlm'-IIIdClllllnl:lalL
7. PIaril5e OVWwillllllD.,..s&1ilr IZlf 1nlaiaI--- -':IIIapI, at ~ lIQtepcllllllnll byOVW lW
pnIj_lIdf~ II> .....1IIiac.. 6mdL 1IID .-1IIIIItMel".piarI;lFlOftlIiDlllOVW bablram.
DVW pill fIIadIlD ....sllll)llnialal. ~ llr-ra- _tpClIItClI'Illby OVW. Tol'IqIatfAlllMl,
..-lIIIItlllballtaClnllll~t~ (OAJoQ....1IInluP 1Iaa-ta u_ I '1l1*D III OVWwilll
afll7t11 or...,... ~ C1IIIiIIlllmI WJar..... a c\IablIIOII oeIMlIDaIIllr tal-..... ..limaMcI
~oC_ n.GAN~"". ~.OVWd__20.1oIIbnIWpmaslaalillrlbl_til
due. AppranlID ImId-.DVW IpClIIIInllpnllrmD will bI pw.aI a -1rJ - '-II,
L 1!D8e IW p1tfllldl wiI1 be.... IDIllpplldIlll*l'lle4 ~ _..r. wiIilalIaa --.llf'claiIlba by-
1le~p.-calliII ~iDVClhU&dDmalll: ,~clIDd"" __ -u. atlCll1ldq. bl____willl
41lSC 1042Q, 1M ~ 1IIII1Illl_pal ~ IlIl11ppll1tiallYiclllol.-lla&. fImiIy ~~ .
ClaIiaa. mppad II1IIIPI or IbmpIaIic IapKY\IiaD. 1IID pUIIW mq DDl......w. W:IimIID puWtcIucaIka oroCbcr
p.,..-......
9. ~ o.t pIIS I'IadI wlIlIIl& be...s IllpnMdl aIIiIIa at OWI:IllPtWllallOll..m-. omIlc 'fIIIIaIioa iIIcI1IdcI,
.11 _lImIIaIl>>, IIIQ' -.IIOndYilk~.cIIIl4l114.~S--o.t-~~ 1b8pan!111ol
1IlIIWIlalIoIa _. 0nalIIlK vIIlllllloDlal:w.. .....llIIIIlIIIllD. US'1 ~WI& bclwCCIIr, clIIld 11I4 alai-
CUIIadIo1 ~ dlIl_ .......or.. ~ lIJIGIIac-- Dr1b8 YIIIIalia ~
. mPRWI-.lUY.....,
Packet Page -1594-
6/14/2011 Item 16.0.4.
.
DcpdIIIIllof lIIIlb
omc._ v...... AIoiut w_
AWARD COln1NUATlON
SIIEET
C~YO~
PAIIIl . III I
~_ __II
AWAIlIlllo\ft CII/J_'
./lCUL ctJIIDl1:1QN$
21. STA11IKENT~UCIPDlNJ'~a-.
10. ~ inal.aw.a... wlIh ..~ &WwlIl bo Mk tDpvridc IaWicB IIllI ~.11IIlaa ID Ibe
~ ia ..WIldt.-.dIIIoIIr. _ JaNlIIL~,.....a _..w.u.b . -.Illo&-=itIDe IIlat
....... ~ Ia -1lIiIrwiIc IIIldI: aikt...........-I.... ....... ..... ....",
----. dildJlJlllll;lla..... as ~ larft:llllll at*--ioYlolmce, clIIIac~1lIltia& ud
--~
J l. c-Iap _....-.-..... --.,-.IaaIIIiliar- _laW ta,.s.r- r.:IIlIiII, pnlCIIIllureI,
-.---.11II Dt~""'Iar"ClpIJIIiIDaf~ YiItJIIIllII paap.-..~~
--...
11. Arzw dial it_ _ -..s A1r_ofJlllllPft ar..-. mt'" cIIqId.-tbe 1IIIId lID da m-r:L1bc
JadioridaIIa-.,..,.,...... ar.m-..... ~JIIVricW"'- anlIr.
U. .....GIIl.. ...pqlctla~_ ....'---4 iD.__II --...w1llllbl Ollidizlf
~ ot"lIIpniIal VWIIIIc.I'rap& 11M CJuIdIzt& lrIDclpaIJ 1dIadT_llJIlIIIIlJynllllinalal aad
IlIUadiva arb s.p.wiIal ViIIIalIaa PI..-. 'l'b8)' Jl'IIa..w ID",~ A1rOVW ~ 'tbc1llDdril
1M ~1DIlIJlW wldUlbe CNIdIqI'Malplla ........IDt...~__~......ol
~-S..dIIIlk-. c.-.1IIlIW __u.I.,.m.dVllllltlaaPraar-_ ______Ill III
NJIlIld" pnalIcw.u.. wIWD.. GIIIIIaI PrIad;ll&
or~-QlSY.~
Packet Page -1595-
6/14/2011 Item 16.0.4.
.
.
.
.
.
6/14/2011 Item 16.0.4.
Assurances
NOTE: You must click on the "Accept" button at the bottom of the palJe before closing this window
...'.
.. ,
<< -
"
OMB APPROVAL
NUMBER 1121-0140
STANDARD ASSURANCES
The Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations, policies,
guidelines, and requirements, Including OMS Circulars A-21 , A-67, A-102, A-110, A-122, A-133; Ex. Order 12372
(intergovernmental review of federal programs); and 26 C.F.R. pts. 66 or 70 (administrative requirements for
grants and cooperative agreements). The applicant also specifically assures and certifies that:
1. It has the legal authority to apply for federal assistance and the institutional, managerial, and .
financial capability (Including funds sufficient to pay any required non.federal share of project cost)
to ensure proper planning, management, and completion of the project described In this application.
2. It will establish safeguards to prohibit employees from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict of interest, or personal
gain.
3. It will give the awarding agency or the General Accounting Office, through any authorized
representative, access to and the right to examine all paper or electronic records related to the
financial assistance.
'4. It will comply with all lawful requirements Imposed by the awarding agency, specifically including
any applicable regulations. such as 28 C.F.R. pts. 18,22,23,30,35,38,42.61, and 63. and the
award term in 2 C.F.R,' 175.15(b).
5. It will assist the awarding agency (If necessary) In assuring compliance with section 106 of the
National Historic Preservation Act of 1966 (16 U.S.C. ~ 470), Ex. Order 11593 (Identification and
protection of historic properties), the Archeological and Historical Preservation Act of 1974 (16
U',S,C. ~ 469 a-1 et seq.). and the National Environmental Polley Act of. 1969 (42 U,S.C. ~ 4321).
6. It will comply (and will require any subgrantees or contractors to comply) with any applicable
statutorily-imposed nondiscrimination requirements, which may include the Omnibus Crime Control
and Safe Streets Act of 1968 (42 V.S.C. ~ 3789d); the Victims of Crime Act (42 U.S.C. ~ 10604(e));
The Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. ~ 5672(b)); the Civil Rights
Act of 1964 (42 U.S.C. ~ 2000d); the Rehab/lltation Act of 1973 (29 U.S.C. ~ 7 94); the Americans
with Disabilities Act of 1990 (42 U.S.C. i 12131-34); the Education Amendments of 1972 (20 U.S,C.
gg1661, 1683, 168S-86); and the Age DiscrimInation Act of 1975 (42 U.S.C. ~~ 6101-07); see Ex.
Order 13279 (equal protection of the laws for faith-based and commul1ity organizations),
7; If a governmental entity:
a. it will comply with the requirements of the Uniform Relocation Assistance and Reed Property
Acquisitions Act of 1970 (42 U.S,C. i 4601 et seq.), which govern the treatment of persons
displaced as a result of federal and federally-assisted programs; and
b. It will"comply with requirements of 5 U.S.C. ~i 1501-08 and ii 7324-28, which limit certain
political activities of State or local govemment employees whose princIpal employment Is in
connection with an activity financed in whole or In part by federar assistance.
-
https://grants.ojp. usdoj.gov/gmsexternaVdisplayAssurancesTextAction.st?method=assure... 9/23/2009
Packet Page ~1596-
--- -I
,
i
6/14/2011 Item 16.0.4.
-i
t;emncaUo~
.NOTE: You must click on the "Accept" button at the bottom of the page before closing this window
hl>U.S. DE!='ARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE CHIEF FINANCIAL OFFICER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY
MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS .
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing
this form. Acceptance of this form provides for compliance with certification requirements under 28 CFR Part 69,
"New Restrictions on Lobbying," 2 CFR Part 2B67, "DOJ Implementation of OMB Guidance of Nonprocurement
Debarment and Suspension, ~ and 28 CFR Part B3, "Govemment-wlde Debarment and Suspension, nand
Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a
material representation of fact upon which reliance will be placed when the Department of Justice determines to
award the cOvered transaction, grant, or cooperative agreement.
1. LOBBYING As required by Section 1352. Title 31 of the U.S. Code, and implemented at 2B CFR Part 69, for
persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the
applicant cer;tifies that: .
(a) No Federal appropriated funds have been paid or will be paid. by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with the making of any
Federal grant. the entering into of any cooperative agreement, and the extension, continuation. renewal,
amendment, or modification of any Federal grant or cooperative agreement;
(b) If any funds other than Federal appropriated funds have been paId or will be paid to any person for influencing
or attempting to influence an officer or employee of any agency. a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative
agreement. the undersigned shall complete and submit Standard Form - LLL. -Disclosure. of Lobbying Activities,"
in accordance with its instructions:
(c) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subgrants. contracts under grants and cooperative agreements. and
subcontrac1$) and that all sub-recipients shall certify and disclose accordingly. .
2, DEBARMfNT, SUSPENSION. AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and jmplem~nted at 2 CFR Part 2B67. for
prospective participants in primary covered transactions, as defined at 2 CFR Section 2867.20(a):
A. The appliCant certifies that it and its principals:
,
(a) Me not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of
Federal ben~fits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal
depanrnentoragency;
(b) Have not;within a three-year period preceding this application been convicted of or had ~ clvU 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 a public transaction; violation
of Feeleral ot State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property; .
i - -
Cc) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal,
State, or local) with commission of any of the offenses enumerated in paragraph (1 )(b) of this certifiCation; and
https://grants,ojp. usdoj.gov/gmsextema1ldisplayAssurancesTextAction.st?rnethod=certify._ 9/23/2009
Packet Page -1597-
.
.
.
Certifications
6/14/2011 Item 16.0.4.
(d) Have not within a three-year period preceding this application had one or more public transactions (Federal,
State, or local) tannlnated for cause or default.
B, Where the applicant Is unable to certify to any of the statements in this certification, he or she.sh~1I attach an
explanation to this application.
3, DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Wor1q)lace Act of 1988, and implemented at 28 CFR Part 83, Subpart F, for
grantees, as defined at 28 CFR Sections 83.620 and 83.650: . .
A. The applicant certifies that it will or wDl conti.nue to provide B drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance Is prohibited in the grantee's workplace and specifying the actions
that will be taken against employees for violatio.n ~f such prohibition; .
(b) Establishing an on-going drug-free awareness program to inform employees about
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free wOrXplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and.
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the perfonnance of the grant be given a copy of
the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employmen~ und~r
the grant, the employee will
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than fIVe calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d){2) from
an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must
provide notice, including position title, to: Department of Justice, Office of Justice Programs, AlTN: Control Desk,
810 7th Street, N.W., Washington, D.C. 20531. Notice shall include the identification number{s) of each affected
grant;
(f) Taking one of the following actions, within 30 calendar days of receiving nqtice under subparagraph (d)(2), with
respect to any employee who is so convicted
(1) Taking appropriate personnel action against such an employee,.up to and including termination, consistent
with the requirements of the Rehabilitation Act of 1973, as' amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-free workplace through Implementation of paragraphs
(a), (b), (c), (d), (e), and (f).
https://grants.ojp.usdoj .gov/gmsextema1ldisplayAssurancesTe.xtAction.st?method=c~fy... 9/2312009
Packet Page -1598-
J
L:ertlttcatlons
6/14/2011 Item 16.0.4.
As the duly $ulhorized representative of the applicant, I hereby certify that the applicant will comply with the
above certifit:ations.
..-
.
.
https:llgran~.ojp.usdoj.gov/gmsexternalldisplay AssurancesTextAction.st?method=certify... 9/23/2009
Packet Page -1599-
6/14/2011 Item 16.0.4.
. ATTACHMENT B
Budget Summary
Budget Category Amount
A. Personnel $
B. Fringe Benefits $
C. Travel $
D. Equipment $
E. Supplies $
F. Construction $
G. Consultants I Contracts $319.039*
H. Other $
Total Direct Costs $319.039*
. 1. Indirect Costs $
TOTAL PROJECT COSTS $319.039*
* Budget includes $183,199.56 in costs already reimbursed under previous Agreement and
renewals. Balance of $135,839.44 to be reimbursed under this Agreement.
.
Page 9 of9
Packet Page -1600-