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Backup Documents 12/10-11/2013 Item #16D11ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP1 6 p 11 C ( ';TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO , T BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE mink per. Attach to original dojaprop-riate ument. Original documents should be hand delivered to the Board Office. The completed routing slip and original leddo`c% c. ents are to bT arded o he Bd O ce only after the Board has taken action on the item.) ��\J �ROUTING SLIP Complete routmg Imes # 1 through 4 as for additional signatures, dates, and/or information needed. If the document is already complete with the exception of the Chairman's signature drawn line, thrnnoh rnntina .nes {f 1 9... a Rn . .... Route Route to Addressee(s) vim, 1.vLL1 IIDLV U16 GLOGK1151, an Office lorwaru to Sue Hiso Initials (Ime vs). Date List in routingorder Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Initial) eESM Applicable) Elly Soto McKuen, Operations Analyst Housing, Human, Veterans Services ESM 12/10/13 Approved by the BCC Department 2. Jennifer A. Belpedio, ACA Office located within Housing, Human, Number of Original 1 original each Attached Veterans Services Department 1� 12 /91 r!) 3. County Attorney's Office County Attorney's Office 2. All handwritten strike -through and revisions have been initialed by the County Attorney's Office and N/A 4. BCC Office Board of County Commissioners 5. Minutes and Records Clerk of Court's Office ESM the final ne otiated contract date whichever is applicable. PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Elly Soto McKuen, Operations Analyst Phone Number 239-252-2664 Contact Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Initial) eESM Applicable) Agenda Date Item was 12/10/13 Agenda Item Number 16.D.11 Approved by the BCC County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the Type of Document Resolution and HUD Certifications Number of Original 1 original each Attached 6-o l 3 — Documents Attached 1NCTRII("TIf11VC .Q, d-urg-wr rem I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 amatter_number»/«document number» Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is appropriate. Yes N/A (Not 1. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Initial) eESM Applicable) Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and possibly State Officials.) 2. All handwritten strike -through and revisions have been initialed by the County Attorney's Office and N/A all other parties except the BCC Chairman and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date of BCC approval of the document or ESM the final ne otiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and ESM initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip should be ESM provided to the BCC office within 24 hours of BCC approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of our deadlines! 6. The document was approved by the BCC on 12/10/13 and all changes made during th ES (� meeting have been incorporated in the attached document. The County Attorney's Office as reviewed the changes, if applicable. I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 amatter_number»/«document number» MEMORANDUM Date: December 13, 2013 To: Elly Soto McKuen, Operations Analyst Housing, Human & Veteran Services Department From: Teresa Cannon, Deputy Clerk Minutes and Records Department Re: Resolution 2013-273/HUD Certifications Attached is a certified Resolution and original certifications of the document referenced above (Item #16D11) approved by the Board of County Commissioners on Tuesday, December 10, 2013. If you need anything further please contact me at 252-8411. Thank you. Attachments (2) 16D11 RESOLUTION NO. 2013 -273 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, APPROVING FISCAL YEAR 2012-2013 CONSOLIDATED ANNUAL PERFORMANCE AND APPRAISAL REPORT (CAPER) FOR THE COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG), HOME INVESTMENT PARTNERSHIP (HOME) AND EMERGENCY SOLUTIONS GRANT (ESG) PROGRAMS AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), AND AUTHORIZING THE CHAIRMAN OF THE BOARD OF COUNTY COMMISSIONERS TO CERTIFY THE CAPER FOR SUBMISSION TO HUD. WHEREAS, HUD requires all entitlement communities to prepare a Consolidated Annual Performance and Evaluation Report (CAPER) annually to determine whether the recipient of HUD funds is in compliance with federal statutes and has the capacity to implement and administer these programs; and WHEREAS, the CAPER provides a comprehensive review of the progress being made toward meeting overall goals and objectives identified in the Five -Year Consolidated Plan and One -Year Action Plan; and WHEREAS, the purpose of the CAPER is to demonstrate how federal funds are being expended within very low to moderate -income communities; NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that based upon representations from staff that the information contained in the CAPER is accurate and reflects the activities actually accomplished during the reporting period, the Board of County Commissioners of Collier County approves the Fiscal 2012-2013 Consolidated Annual Performance and Appraisal Report (CAPER) for the Community Development Block Grant (CDBG), HOME Investment Partnership (HOME) and Emergency Solutions Grant (ESG) programs. BE IT FURTHER RESOLVED that the Chairman of the Board of County Commissioners is authorized to certify the CAPER for submission to HUD on behalf of the County. 16D11 THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 10th day of December, 2013. ATTEST: BO DWIGHT E. BROCK, CLERK CO L By: ,Deputy Clerk �lttes#,a�.,�'Cbairman's << signaturo*g1J-, F COUNTY%COMMISSIONERS COUNTY, FLORIDA GE,OI,GIA"A"HILLER, ESQ., CHAIR Approved as to form and legality: Jennifer A. Belpedio� Assistant County Atto C) `'Z- �� Item # 16 Agenda �Z O 13 Date Date ' Z IBJ l3 Recd tn. Deputy Clefk 1601i N r o� CPMP Non -State Grantee 4 Certifications Many elements of this document may be completed electronically, however a signature must be manually applied and the document must be submitted in paper form to the Field Office. ❑ This certification does not apply. ® This certification is applicable. NON -STATE GOVERNMENT CERTIFICATIONS In accordance with the applicable statutes and the regulations governing the consolidated plan regulations, the jurisdiction certifies that: Affirmatively Further Fair Housing -- The jurisdiction will affirmatively further fair housing, which means it will conduct an analysis of impediments to fair housing choice within the jurisdiction, take appropriate actions to overcome the effects of any impediments identified through that analysis, and maintain records reflecting that analysis and actions in this regard. Anti -displacement and Relocation Plan -- It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, and implementing regulations at 49 CFR 24; and it has in effect and is following a residential antidisplacement and relocation assistance plan required under section 104(d) of the Housing and Community Development Act of 1974, as amended, in connection with any activity assisted with funding under the CDBG or HOME programs. Drug Free Workplace -- It will or will continue to provide a drug-free workplace by: 1. 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 violation of such prohibition; 2. Establishing an ongoing drug-free awareness program to inform employees about - a. The dangers of drug abuse in the workplace; b. The grantee's policy of maintaining a drug-free workplace; c. Any available drug counseling, rehabilitation, and employee assistance programs; and d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; 3. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph 1; 4. Notifying the employee in the statement required by paragraph 1 that, as a condition of employment under the grant, the employee will - a. Abide by the terms of the statement; and b. 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; 5. Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph 4(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; 6. Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph 4(b), with respect to any employee who is so convicted - a. 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 b. 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; 7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs 1, 2, 3, 4, 5 and 6. CPMP Non -State Grantee Certifications 1 Error! Not a valid link. Anti -Lobbying -- To the best of the jurisdiction's knowledge and belief: 8. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, 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; 9. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; and 10. It will require that the language of paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. Authority of Jurisdiction -- The consolidated plan is authorized under State and local law (as applicable) and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding, in accordance with applicable HUD regulations. Consistency with plan -- The housing activities to be undertaken with CDBG, HOME, ESG, and HOPWA funds are consistent with the strategic plan. Section 3 -- It will comply with section 3 of the Housing and Urban Development Act of 1968, and implementing regulations at 24 CFR Part 135. I I / 1 12/10/13 Sig ture/Authorized Official Date Georgia A. Hiller ES Name Chair Board of County Commissioners Title 3299 Tamiami Trail East Address Naples FL 34112 City/State/Zip 239 252-8602 Telephone Number ATTEST DWI ,11T,F4 K, Clerk Auxt as to Chairman's sigriaure oal. ./-11 Approved as to form and legality A ' tant County Att&ncy CPMP Non -State Grantee Certifications 2 valid link. y Error! Not a valid link. 16oii ❑ This certification does not apply. ® This certification is applicable. Specific CDBG Certifications The Entitlement Community certifies that: Citizen Participation -- It is in full compliance and following a detailed citizen participation plan that satisfies the requirements of 24 CFR 91.105. Community Development Plan -- Its consolidated housing and community development plan identifies community development and housing needs and specifies both short-term and long-term community development objectives that provide decent housing, expand economic opportunities primarily for persons of low and moderate income. (See CFR 24 570.2 and CFR 24 part 570) Following a Plan -- It is following a current consolidated plan (or Comprehensive Housing Affordability Strategy) that has been approved by HUD. Use of Funds -- It has complied with the following criteria: 11. Maximum Feasible Priority - With respect to activities expected to be assisted with CDBG funds, it certifies that it has developed its Action Plan so as to give maximum feasible priority to activities which benefit low and moderate income families or aid in the prevention or elimination of slums or blight. The Action Plan may also include activities which the grantee certifies are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available); 12. Overall Benefit - The aggregate use of CDBG funds including section 108 guaranteed loans during program year(s) 2011, 2012, 2013, (a period specified by the grantee consisting of one, two, or three specific consecutive program years), shall principally benefit persons of low and moderate income in a manner that ensures that at least 70 percent of the amount is expended for activities that benefit such persons during the designated period; 13. Special Assessments - It will not attempt to recover any capital costs of public improvements assisted with CDBG funds including Section 108 loan guaranteed funds by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements. However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the capital costs of public improvements (assisted in part with CDBG funds) financed from other revenue sources, an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. The jurisdiction will not attempt to recover any capital costs of public improvements assisted with CDBG funds, including Section 108, unless CDBG funds are used to pay the proportion of fee or assessment attributable to the capital costs of public improvements financed from other revenue sources. In this case, an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. Also, in the case of properties owned and occupied by moderate -income (not low-income) families, an assessment or charge may be made against the property for public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment. Excessive Force -- It has adopted and is enforcing: 14. A policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and CPMP Non -State Grantee Certifications 3 valid link. G Error! Not a valid link. 16011 15. A policy of enforcing applicable State and local laws against physically barring entrance to or exit from a facility or location which is the subject of such non-violent civil rights demonstrations within its jurisdiction; Compliance With Anti -discrimination laws -- The grant will be conducted and administered in conformity with title VI of the Civil Rights Act of 1964 (42 USC 2000d), the Fair Housing Act (42 USC 3601-3619), and implementing regulations. Lead -Based Paint -- Its activities concerning lead-based paint will comply with the requirements of part 35, subparts A, B, 1, K and R, of title 24; Compliance with Laws -- It will comply with applicable laws. l r .i i� ` ✓ 12/10/13 Signature/Authorized Official Date Geor is A. Hiller ESQ. Name Chair Board of County Commissioners Title 3299 Tamiami Trail East Address Naples FL 34112 City/State/Zi p (239)252-8602 Telephone Number ATTEST DW HT E. 8R Clerk Attest as to haintan s- ; gi natur@@ onl' ��>,�ti,`. Aroved as to fonfr and Legality ,knistant County ttorney CPMP Non -State Grantee Certifications 4 valid link. 9 Error! Not a valid link. ® This certification does not apply. ❑ This certification is applicable. 6D11 OPTIONAL CERTIFICATION CDBG Submit the following certification only when one or more of the activities in the action plan are designed to meet other community development needs having a particular urgency as specified in 24 CFR 570.208(c): The grantee hereby certifies that the Annual Plan includes one or more specifically identified CDBG-assisted activities, which are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community and other financial resources are not available to meet such needs. n(/A Signature/Authorized Official Georgia A. HIller ESQ. Name Chair Board of County Commissioners Title 3299 Tamiami Trail E Address Naples, FL 34112 City/State/Zip 239 252-8602 Telephone Number 12/10/13 Date ATTEST: DWIGHT E. BROCK, Clerk Approved as to form and legality 42 Aaa�atant County Attorney CPMP Non -State Grantee Certifications 5 valid link. Cq) Error! Not a valid link. ❑ This certification does not apply. ® This certification is applicable. Specific HOME Certifications The HOME participating jurisdiction certifies that: Tenant Based Rental Assistance -- If the participating jurisdiction intends to provide tenant -based rental assistance: The use of HOME funds for tenant -based rental assistance is an essential element of the participating jurisdiction's consolidated plan for expanding the supply, affordability, and availability of decent, safe, sanitary, and affordable housing. Eligible Activities and Costs -- it is using and will use HOME funds for eligible activities and costs, as described in 24 CFR § 92.205 through 92.209 and that it is not using and will not use HOME funds for prohibited activities, as described in § 92.214. Appropriate Financial Assistance -- before committing any funds to a project, it will evaluate the project in accordance with the guidelines that it adopts for this purpose and will not invest any more HOME funds in combination with other Federal assistance than is necessary to provide affordable housing; Signature/Authorized Official Georgia A. Hiller ESQ. Name Chair Board of County Commissioners Title 3299 Tamiami Trail E Address Naples, FL 34112 City/State/Zip 239 252-8602 Telephone Number CPMP Non -State Grantee Certifications 6 valid link. 12/10/13 Date 16D11 �r ATTgSTy MDW RO T E. BCK, Clerk Attest as to Chairman s siqna ul*onJV. Approved as to form and legality Assistant County i Mey ®R! Error! Not a valid link. ® This certification does not apply. ❑ This certification is applicable. HOPWA Certifications The HOPWA grantee certifies that: 16D11 Activities -- Activities funded under the program will meet urgent needs that are not being met by available public and private sources. Building -- Any building or structure assisted under that program shall be operated for the purpose specified in the plan: 1. For at least 10 years in the case of assistance involving new construction, substantial rehabilitation, or acquisition of a facility, 2. For at least 3 years in the case of assistance involving non -substantial rehabilitation or repair of a building or structure. Signature/Authorized Official Georgia A. Hiller ES Name Chair Board of County Commissioners I Title 3299 Tamiami Trail E Address Naples, FL 34112 City/State/Zip 239 252-8602 Telephone Number CPMP Non -State Grantee Certifications valid link. 12/10/13 71 Date Ai i _=;T., DWIGHT E. BROCK, Clerk sy: N I Approved as to form and legality Asstl&& County mey G Error! Not a valid link. 16011 1 ❑ This certification does not apply. ® This certification is applicable. ESG Certifications I, Georgia A. Hiller, ESQ , Chief Executive Officer of certify that the local government will ensure the provision of the matching supplemental funds required by the regulation at 24 CFR 576.51. I have attached to this certification a description of the sources and amounts of such supplemental funds. I further certify that the local government will comply with: 1. The requirements of 24 CFR 576.53 concerning the continued use of buildings for which Emergency Shelter Grants are used for rehabilitation or conversion of buildings for use as emergency shelters for the homeless; or when funds are used solely for operating costs or essential services. 2. The building standards requirement of 24 CFR 576.55. 3. The requirements of 24 CFR 576.56, concerning assurances on services and other assistance to the homeless. 4. The requirements of 24 CFR 576.57, other appropriate provisions of 24 CFR Part 576, and other applicable federal laws concerning nondiscrimination and equal opportunity. 5. The requirements of 24 CFR 576.59(b) concerning the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970. 6. The requirement of 24 CFR 576.59 concerning minimizing the displacement of persons as a result of a project assisted with these funds. 7. The requirements of 24 CFR Part 24 concerning the Drug Free Workplace Act of 1988. 8. The requirements of 24 CFR 576.56(a) and 576.65(b) that grantees develop and implement procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted with ESG funds and that the address or location of any family violence shelter project.will not be made public, except with written authorization of the person or persons responsible for the operation of such shelter. 9. The requirement that recipients involve themselves, to the maximum extent practicable and where appropriate, homeless individuals and families in policymaking, renovating, maintaining, and operating facilities assisted under the ESG program, and in providing services for occupants of these facilities as provided by 24 CFR 76.56. 10. The requirements of 24 CFR 576.57(e) dealing with the provisions of, and regulations and procedures applicable with respect to the environmental review CPMP Non -State Grantee Certifications 8 valid link. G Error! Not a valid link. responsibilities under the National Environmental Policy Act of 1969 and related authorities as specified in 24 CFR Part 58. 11. The requirements of 24 CFR 576.21(a)(4) providing that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services will meet the requirements that: (A) the inability of the family to make the required payments must be the result of a sudden reduction in income; (B) the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; and (D) the assistance must not supplant funding for preexisting homeless prevention activities from any other source. 12. The new requirement of the McKinney-Vento Act (42 USC 11362) to develop and implement, to the maximum extent practicable and where appropriate, policies and protocols for the discharge of persons from publicly funded institutions or systems of care (such as health care facilities, foster care or other youth facilities, or correction programs and institutions) in order to prevent such discharge from immediately resulting in homelessness for such persons. I further understand that state and local governments are primarily responsible for the care of these individuals, and that ESG funds are not to be used to assist such persons in place of state and local resources. 13. HUD's standards for participation in a local Homeless Management Information System (HMIS) and the collection and reporting of client -level information. I further certify that the submission of a completed and approved Consolidated Plan with its certifications, hich act as the application for an Emergency Shelter Grant, Is authorized under stat and/or local law, and that the local government possesses legal auth ty to rry ou, grant activities in accordance with the applicable laws and regu at (�s �th U� S. Department of Housing and Urban Development. 12/10/13 Signature/Authorized Official Date Georgia A. Hiller ES Name Chair Board of County Commissioners I Title 3299 Tamiami Trail E Address Naples, FL 34112 D11 ATTEST °. 0 W T E, BRQC , 018rkc 7 Y: u� Attest as to Chalrp18lk,'s' sivaturP "n'" Approved as to form and legality City/State/Zip 239 252-8602 Assistant County lltmey Telephone Number CPMP Non -State Grantee Certifications 9 valid link. C':1( Error! Not a valid link. 16DII ❑ This certification does not apply. ® This certification is applicable. APPENDIX TO CERTIFICATIONS Instructions Concerning Lobbying and Drug -Free Workplace Requirements Lobbying Certification 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. Drug -Free Workplace Certification 1. By signing and/or submitting this application or grant agreement, the grantee is providing the certification. 2. The certification is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug -Free Workplace Act, HUD, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug -Free Workplace Act. 3. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 4. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio stations). 5. If the workplace identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph three). 6. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, state, zip code) Check if there are workplaces on file that are not identified here. The certification with regard to the drug-free workplace is required by 24 CFR part 21. Place Name Street city County state Zi Housing, Human and Veteran Services 3339 Tamiami Trail Naples FL FL 34112 East Suite 211 7. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15); "Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; "Criminal drug statute" means a Federal or non -Federal CPMP Non -State Grantee Certifications 10 valid link. CAC Error! Not a valid link. 16nii criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant, including: a. All "direct charge" employees; b. all "indirect charge" employees unless their impact or involvement is insignificant to the performance of the grant; and c. temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). Note that by signing these certifications, certain documents must completed, in use, and on file for verification. These documents include: 1. Analysis of Impediments to Fair Housing 2. Citizen Participation Plan 3. Anti -displacement and Relocation Plan - Iq /( /Z Signature/Authorized Official Georgia A. Hiller ES Name Chair Board of County Commissioners I Title 3299 Tamiami Trail E Address Naples, FL 34112 City/State/Zip 239 252-8602 Telephone Number CPMP Non -State Grantee Certifications 11 valid link. 1 012/10/13 Date ATTEST �� ,•, � "" QRT sr 13RO c� Attest Chaim signature bnlr Approved as to form and legality Assistant County ttomey