Backup Documents 12/10/2019 Item #16D14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 1 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Hilary Halford Community and Human j j 4f 12/09/2019
Services
2. Jennifer Belpedio County Attorney Office aAIIIc1
3. BCC Office Board of County
Commissioners V /v/' \``\ZK\�
4. Minutes and Records Clerk of Court's Office
12-(t2(i9 2=2t psi
PRIMARY CONTACT INFORMATION
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,may need to contact staff for additional or missing information.
Name of Primary Staff Hilary Halford/CHS Phone Number 252-2670
Contact/ Department
Agenda Date Item was 12/10/2019 / Agenda Item Number I /12 17. / �f
Approved by the BCC T
Type of Document FTA Section 5310 SFY 2019/2020 Gra Number of Original ✓J.
Attached AWARD Contract Documents Attached 2 Originals
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? df2 6�1 ( HH
2. Does the document need to be sent to another agency for additional signatures? If yes, HH
provide the Contact Information(Name; Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be HH
signed by the Chairman,with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the HH
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where t Chairman's HH
signature and initials are required.
7. In most cases(some contracts are an exception),the original docume and this routing slip HH NA
should be provided to the County Attorney Office at the time the ite is input into SIRE.
Some documents are time sensitive and require forwarding to Tall assee within a certain
time frame or the BCC's actions are nullified. Be aware of your eadlines!
8. The document was approved by the BCC on 12/10/2019 an 11 changes made during HH $t snot
the meeting have been incorporated in the attached document. The County `N ,01 0y
Attorney's Office has reviewed the changes,if applicable. • thx •
s ��
9. Initials of attorney verifying that the attached document is the version approved by the HH 7"'•
BCC, all changes directed by the BCC have been made,and the document is ready for the (� �t:alp �'R ,•:
Chairman's signature. al
(JLJ17 i ',
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16014
TRANSMITTAL REQUEST
Date: December 9, 2019
To: County Clerk's Office
Meeting & Records Recording
From: Hilary Halford
Community & Human Services Division
RE: Transmittal of FTA Section 5310 SFY 2019/2020 Grant Award Contract
Please send both attached executed originals via USPS to the following address:
Charlene Ross
Transit Project Coordinator
FDOT, District One, Modal Development Office/Public Transit
801 North Broadway Avenue
Bartow, FL 33830
Thank you for your assistance.
Crystal K. Kinzel
��G`�cU�T" 'R'�� Collier County 1 6 D 1 4
��,04
Clerk of the Circuit Court and Comptroller
0 3315 Tamiami Trail East, Suite 102
Naples, Florida 34112-5324
<�F couNrr(.ego
December 13, 2019
Charlene Ross, Transit Project Coordinator
FDOT District One Modal Development Office/
Public Transit
801 N. Broadway Avenue
Bartow, FL 33830
Re: Transmittal of FTA Section 5310 SFY 2019/2020 Grant Award Contract
Ms. Ross,
Attached for further processing are two (2) original copies of the contract referenced above,
approved by the Collier County Board of County Commissioners December 10, 2019.
After the agreements are signed by the appropriate parties, please return one of the original
contracts to the Collier County Minutes and Records Department that serves as Clerk to the
Board, thereby providing a fully executed document for the Board's Official Record.
If your office requires further information, please feel free to contact me at 239-252-8406.
Thank you,
CRYSTAL KINZEL, CLERK
r
Ann Jennejohn,
Deputy Clerk
Attachments (2)
Phone-(239)252-2646 Fax-(239)252-2755
Website-www.CollierClerk.com Email- CollierClerk@collierclerk.com
16014
F D
Florida Department of Transportation
RON DESANTIS 801 N. Broadway Avenue KEVIN J.THIBAULT,P.E.
GOVERNOR Bartow, FL 33830 SECRETARY
NOTICE OF FTA SECTION 5310 GRANT AWARD
FL-16-0044 / SFY 2019/2020
Based on the Agency's Application for Federal Assistance under 49 U.S.C. Section 5310, "Enhanced Mobility of
Seniors and Individuals with Disabilities" program, which was due to the Florida Department of Transportation
(FDOT), District One Modal Development Office (Department) on or before January 2, 2019 and is on file at the
FDOT, District One, 801 North Broadway Avenue, Bartow, Florida 33830 offices, the Department hereby makes
the following federal grant award under the 49 U.S.C. Section 5310 Program to:
Collier County Board of County Commissioners (Subrecipient)
Bonita Springs UZA
3299 Tamiami Trail East, Suite 103, Naples, FL 34112
Estimated Estimated Estimated Estimated
Description Total Federal State Local
100% 80% 10% 10%
(6) Cutaways $474,708.00 $379,766.00 $47,471.00 $47,471.00
(6) Mobile Radios/Tablets $23,700.00 $18,960.00 $2,370.00 $2,370.00
TOTAL $498,408.00 $398,726.00 $49,841.00 $49,841.00
Financial Management Number: 435210-1-93-16
Federal Award Identification Number(FAIN): Temp. No. 1001-2019-2 * Perm No.
Agency's DUNS Number
Agency's Federal Employee Identification No. (FEIN)
Agency's Fiscal Year (month to month)
*Permanent FAIN number will be assigned to this award after its execution and will be copied to Subrecipient.
ACCEPTANCE OF GRANT AWARD
The undersigned accepts the above-described award and:
a) The Subrecipient reaffirms its assurances to Federal Transit Administration (FTA) and FDOT as stated in
Exhibits I, L, and M of its application.
b) The Subrecipient agrees to use and maintain the grant awarded equipment in accordance with the federal and
state program requirements, and for the services described, in its approved application.
c) The Subrecipient agrees to comply with all applicable civil rights statutes and implementing regulations.
d) The Subrecipient agrees to contact the FDOT Contractor, Lazara Stinnette, at the Center for Urban
Transportation Research (CUTR), Florida Transit Research Inspection and Procurement Services (TRIPS) at
813-974-0695 to arrange purchase of the above items.This purchase will follow the Department's Guidelines
for Acquiring Vehicles and Equipment.
e) The Subrecipient must do the following PRIOR to the purchase of EQUIPMENT:
1) Follow FDOT Procurement Guidance for Transit Agencies manual, as amended, and complete the
appropriate Third-Party Checklist in accordance with the procurement threshold, as outlined in the
Introduction, and submit to your FDOT Transit Projects Coordinator for review.
2) Once the Agency has received an approved Third-Party Procurement Checklist from their FDOT Transit
Projects Coordinator,they can purchase equipment.
3) For reimbursement from the Department, provide a Reimbursement Invoice, an Agency Invoice, approved
Third-Party Procurement Checklist and proof of purchase and payment(such as merchant receipt)to your
FDOT Transit Projects Coordinator.
www.fdot.gov 044')
16014
4) Send all documents to your FDOT Transit Projects Coordinator on or before April 15th, for review,
approval, and signature. The FDOT Transit Projects Coordinator will then forward approval to Lazara with
CUTR to request reimbursement.
f) The Subrecipient MUST request purchase of the VEHICLES on or before April 15, 2020.
g) The Subrecipient agrees to submit the local matching funds when requested to do so.
h) The Subrecipient, if it is not a Community Transportation Coordinator (CTC), agrees to submit its Annual
Operating Report(AOR) data to the CTC as requested.
i) The Subrecipient will forward a copy of its maintenance plan as outlined in their Transportation Operating Plan
(TOP) or System Safety Program Plan (SSPP) to Ms. Dale Hanson within 30 days of receiving the vehicle, if
you have not already done so.
j) The Subrecipient is required to insure the vehicles. The Department shall be named as "certificate holder"on
the insurance policy throughout the time period the Department is the only lien holder. The Subrecipient shall
be required to submit proof of insurance showing minimum coverage and the Department listed as"certificate
holder"within 30 days of receiving the vehicle and provide proof of insurance yearly.
SPECIAL CONSIDERATIONS:
E-Verify-Vendors/Contractors:
1. Shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the Vendor/Contractor during the term of the contract; and
2. Shall expressly require any subcontractors performing work or providing services pursuant to the state
contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the
employment eligibility of all new employees hired by the subcontractor during the contract term.
Single Audit Information
1. Please note this award is for a passenger vehicle(s) and/or other capital equipment/costs. The value of the
federal award should be considered as non-cash assistance. A non-Federal entity as defined by OMB Circular
A-133, for fiscal years beginning before December 26, 2014, and 2 CFR Part 200, thereafter, as a recipient of
this Federal award, may be subject to the audit requirements established by OMB Circular A-133, for fiscal
years beginning before December 26, 2014, and 2 CFR Part 200, thereafter. In determining Federal awards
expended in a fiscal year, the non-Federal entity must consider all sources of Federal awards, including non-
cash contributions.
To be signed by the Subrecipient and returned to the FDOT District One Office
I
AGENCY: ,� i I. . •' '
(Name)
0...Alifil( II
Accepted by: AC_ ���� Date 1 i! ;L /`L
(Signature)
Typed Name and Title: \+, i �.I(L(i-,t'\ L. i 1 \�- �t,tl-il r,• 1 ; )k-- 1 L.-0 .-1.11.--x, Qn
FLORIDA DEPARTMENT OF TRANSPORTATION
•
Award Approved by: Federal Award Date:
•Typed Name and Title: Paul A. Simmons ;; �
District Modal Development Administrator a '�
Approved as to form and legality `' . '` s'KyC4H
www.fdot.gov A1ES " _ .
.,fi
0,,..5?2,c)
(� CRYSTAL K. KIN7..EL.CLERK Page 2 of 5 N's.'::ssistant Cou torncy �()-S'� \� � g ��� OHO
��\' tfest as Attest n' c...?
1 6D 14
EXHIBIT 1
Federal Financial Assistance
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
CFDA No. 20.513
CFDA Title Enhanced Mobility of Seniors and Individuals with Disabilities
CFDA Program Site www.cfda.gov
Awarding Agency Florida Department of Transportation
Award Amount REFER TO THE VEHICLE/EQUIPMENT DELIVERY NOTICE
PACKAGE FOR ACTUAL PURCHASE PRICE
Research & Development Not Applicable
Indirect Cost Rate Not Applicable
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE SUBJECT TO THE
FOLLOWING AUDIT REQUIREMENTS:
2 CFR Part 200 — Uniform Administrative Requirements, Cost Principles &Audit Requirements for
Federal Awards
www.ecfr.gov
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT MAY ALSO BE SUBJECT
TO THE FOLLOWING:
49 USC 5310: Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities
http://uscode.house.qov/view.xhtml?req=granuleid:USC-prelim-title49-
section5310&num=0&edition=prelim
FTA Circular 9070.1G: Enhanced Mobility of Seniors and Individuals with Disabilities Program Guidance
and Application Instructions
www.fta.dot.gov/legislation law/12349.html
Federal Funding Accountability and Transparency Act (FFATA) Sub-award Reporting System (FSRS)
www.fsrs.gov
www.fdot.gov
Page 3 of 5
•
160 14
EXHIBIT 2
Single Audit Requirements
The administration of resources awarded through the Department to the Subrecipient by this
Agreement may be subject to audits and/or monitoring by the Department. The following requirements
do not limit the authority of the Department to conduct or arrange for the conduct of additional audits or
evaluations of Federal awards or limit the authority of any State agency inspector general, the State of
Florida Auditor General or any other State official. The Subrecipient shall comply with all audit and audit
reporting requirements as specified below.
a. In addition to reviews of audits conducted in accordance with 2 CFR Part 200, Subpart F — Audit
Requirements, monitoring procedures may include but not be limited to on-site visits by Department
staff and/or other procedures including, reviewing any required performance and financial reports,
following up, ensuring corrective action, and issuing management decisions on weaknesses found
through audits when those findings pertain to Federal awards provided through the Department by
this Agreement. By entering into this Agreement, the Subrecipient agrees to comply and cooperate
fully with any monitoring procedures/processes deemed appropriate by the Department. The
Subrecipient further agrees to comply and cooperate with any inspections, reviews, investigations
or audits deemed necessary by the Department, State of Florida Chief Financial Officer (CFO) or
State of Florida Auditor General.
b. The Subrecipient, a non-Federal entity as defined by 2 CFR Part 200, Subpart F — Audit
Requirements, as a recipient of a Federal award awarded by the Department through this
Agreement is subject to the following requirements:
i. In the event the Subrecipient expends a total amount of Federal awards equal to or in excess of
the threshold established by 2 CFR Part 200, Subpart F —Audit Requirements, the Subrecipient
must have a Federal single or program-specific audit for such fiscal year conducted in
accordance with the provisions of 2 CFR Part 200, Subpart F —Audit Requirements. Exhibit 1
to this Agreement provides the required Federal award identification information needed by the
Subrecipient to further comply with the requirements of 2 CFR Part 200, Subpart F — Audit
Requirements. In determining Federal awards expended in a fiscal year, the Subrecipient must
consider all sources of Federal awards based on when the activity related to the Federal award
occurs, including the Federal award provided through the Department by this Agreement. The
determination of amounts of Federal awards expended should be in accordance with the
guidelines established by 2 CFR Part 200, Subpart F—Audit Requirements. An audit conducted
by the State of Florida Auditor General in accordance with the provisions of 2 CFR Part 200,
Subpart F —Audit Requirements, will meet the requirements of this part.
ii. In connection with the audit requirements, the Subrecipient shall fulfill the requirements relative
to the auditee responsibilities as provided in 2 CFR Part 200, Subpart F —Audit Requirements.
iii. In the event the Subrecipient expends less than the threshold established by 2 CFR Part 200,
Subpart F — Audit Requirements, in Federal awards, the Subrecipient is exempt from Federal
audit requirements for that fiscal year. However, the Subrecipient must provide a single audit
exemption statement to the Department at FDOTSingleAudit@dot.state.fl.us no later than nine
months after the end of the Subrecipient's audit period for each applicable audit year. In the
event the Subrecipient expends less than the threshold established by 2 CFR Part 200, Subpart
F—Audit Requirements, in Federal awards in a fiscal year and elects to have an audit conducted
in accordance with the provisions of 2 CFR Part 200, Subpart F —Audit Requirements, the cost
of the audit must be paid from non-Federal resources (i.e., the cost of such an audit must be
paid from the Subrecipient's resources obtained from other than Federal entities).
www.fdot.gov
Page 4 of 5
AO
16014
iv. The Subrecipient must electronically submit to the Federal Audit Clearinghouse (FAC) at
https://harvester.census.gov/facweb/the audit reporting package as required by 2 CFR Part 200,
Subpart F — Audit Requirements, within the earlier of 30 calendar days after receipt of the
auditor's report(s) or nine months after the end of the audit period. The FAC is the repository of
record for audits required by 2 CFR Part 200, Subpart F — Audit Requirements, and this
Agreement. However, the Department requires a copy of the audit reporting package also be
submitted to FDOTSingleAudit a(�dot.state.fl.us within the earlier of 30 calendar days after receipt
of the auditor's report(s) or nine months after the end of the audit period as required by 2 CFR
Part 200, Subpart F —Audit Requirements.
v. Within six months of acceptance of the audit report by the FAC, the Department will review
Subrecipient's audit reporting package, including corrective action plans and management
letters, to the extent necessary to determine whether timely and appropriate action on all
deficiencies has been taken pertaining to the Federal award provided through the Department
by this Agreement. If the Subrecipient fails to have an audit conducted in accordance with 2 CFR
Part 200, Subpart F—Audit Requirements, the Department may impose additional conditions to
remedy noncompliance. If the Department determines that noncompliance cannot be remedied
by imposing additional conditions, the Department may take appropriate actions to enforce
compliance, which actions may include but not be limited to the following:
1. Temporarily withhold cash payments pending correction of the deficiency by the Agency or
more severe enforcement action by the Department;
2. Disallow (deny both use of funds and any applicable matching credit for) all or part of the
cost of the activity or action not in compliance;
3. Wholly or partly suspend or terminate the Federal award;
4. Initiate suspension or debarment proceedings as authorized under 2 C.F.R. Part 180 and
Federal awarding agency regulations (or in the case of the Department, recommend such a
proceeding be initiated by the Federal awarding agency);
5. Withhold further Federal awards for the Project or program;
6. Take other remedies that may be legally available.
vi. As a condition of receiving this Federal award, the Subrecipient shall permit the Department, or
its designee, the CFO or State of Florida Auditor General access to the Subrecipient's records
including financial statements, the independent auditor's working papers and project records as
necessary. Records related to unresolved audit findings, appeals or litigation shall be retained
until the action is complete or the dispute is resolved.
vii. The Department's contact information for requirements under this part is as follows:
Office of Comptroller, MS 24
605 Suwannee Street
Tallahassee, Florida 32399-0450
FDOTSingleAuditdot.state.fl.us
c. The Subrecipient shall retain sufficient records demonstrating its compliance with the terms of this
Agreement for a period of five years from the date the audit report is issued and shall allow the
Department, or its designee, the CFO or State of Florida Auditor General access to such records
upon request. The Subrecipient shall ensure that the audit working papers are made available to
the Department, or its designee, the CFO, or State of Florida Auditor General upon request for a
period of five years from the date the audit report is issued unless extended in writing by the
Department.
www.fdot.gov
Page 5 of 5
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Crystal K. Kinzel
G�c"'T c°URT�� Collier County
40 °, Clerk of the Circuit Court and Comptroller 1 6 D 1 4
° 0 3315 Tamiami Trail East, Suite 102
Naples, Florida 34112-5324
e-
co cb
December 13, 2019 btt
Charlene Ross, Transit Project Coordinator
FDOT District One Modal Development Office/
Public Transit
801 N. Broadway Avenue
Bartow, FL 33830
Re: Transmittal of FTA Section 5310 SFY 2019/2020 Grant Award Contract
Ms. Ross,
Attached for further processing are two (2) original copies of the contract referenced above,
approved by the Collier County Board of County Commissioners December 10, 2019.
After the agreements are signed by the appropriate parties, please return one of the original
contracts to the Collier County Minutes and Records Department that serves as Clerk to the
Board, thereby providing a fully executed document for the Board's Official Record.
If your office requires further information, please feel free to contact me at 239-252-8406.
Thank you,
CRYSTAL KINZEL, CLERK
Ann Jennejohn,
Deputy Clerk
Attachments (2)
Phone-(239)252-2646 Fax-(239)252-2755
Website-www.CollierClerk.com Email-CollierClerk@collierclerk.com
160 14
F'DDT
Florida Department of Transportation
RON DESANTIS 801 N. Broadway Avenue KEVIN J.THIBAULT,P.E.
GOVERNORBartow, FL 33830 SECRETARY
NOTICE OF FTA SECTION 5310 GRANT AWARD
FL-16-0044 / SFY 2019/2020
Based on the Agency's Application for Federal Assistance under 49 U.S.C. Section 5310, "Enhanced Mobility of
Seniors and Individuals with Disabilities" program, which was due to the Florida Department of Transportation
(FDOT), District One Modal Development Office (Department) on or before January 2, 2019 and is on file at the
FDOT, District One, 801 North Broadway Avenue, Bartow, Florida 33830 offices, the Department hereby makes
the following federal grant award under the 49 U.S.C. Section 5310 Program to:
Collier County Board of County Commissioners (Subrecipient)
Bonita Springs UZA
3299 Tamiami Trail East, Suite 103, Naples, FL 34112
Estimated Estimated Estimated Estimated
Description Total Federal State Local
100% 80% 10% 10%
(6) Cutaways $474,708.00 $379,766.00 $47,471.00 $47,471.00
(6) Mobile Radios/Tablets $23,700.00 $18,960.00 $2,370.00 $2,370.00
TOTAL $498,408.00 $398,726.00 $49,841.00 $49,841.00
Financial Management Number: 435210-1-93-16
Federal Award Identification Number(FAIN): Temp. No. 1001-2019-2 * Perm No.
Agency's DUNS Number Q'?G;9 Ci 7 7 g o
Agency's Federal Employee Identification No. (FEIN) 5e/ - ( opo 5 5 s
Agency's Fiscal Year 1 J) 1 - y1 3 (month to month)
*Permanent FAIN number will be assigned to this award after its execution and will be copied to Subrecipient.
ACCEPTANCE OF GRANT AWARD
The undersigned accepts the above-described award and:
a) The Subrecipient reaffirms its assurances to Federal Transit Administration (FTA) and FDOT as stated in
Exhibits I, L, and M of its application.
b) The Subrecipient agrees to use and maintain the grant awarded equipment in accordance with the federal and
state program requirements, and for the services described, in its approved application.
c) The Subrecipient agrees to comply with all applicable civil rights statutes and implementing regulations.
d) The Subrecipient agrees to contact the FDOT Contractor, Lazara Stinnette, at the Center for Urban
Transportation Research (CUTR), Florida Transit Research Inspection and Procurement Services (TRIPS) at
813-974-0695 to arrange purchase of the above items.This purchase will follow the Department's Guidelines
for Acquiring Vehicles and Equipment.
e) The Subrecipient must do the following PRIOR to the purchase of EQUIPMENT:
1) Follow FDOT Procurement Guidance for Transit Agencies manual, as amended, and complete the
appropriate Third-Party Checklist in accordance with the procurement threshold, as outlined in the
Introduction, and submit to your FDOT Transit Projects Coordinator for review.
2) Once the Agency has received an approved Third-Party Procurement Checklist from their FDOT Transit
Projects Coordinator, they can purchase equipment.
3) For reimbursement from the Department, provide a Reimbursement Invoice, an Agency Invoice, approved
Third-Party Procurement Checklist and proof of purchase and payment(such as merchant receipt)to your
FDOT Transit Projects Coordinator.
www.fdot.gov
16014
4) Send all documents to your FDOT Transit Projects Coordinator on or before April 15th, for review,
approval, and signature. The FDOT Transit Projects Coordinator will then forward approval to Lazara with
CUTR to request reimbursement.
f) The Subrecipient MUST request purchase of the VEHICLES on or before April 15, 2020.
g) The Subrecipient agrees to submit the local matching funds when requested to do so.
h) The Subrecipient, if it is not a Community Transportation Coordinator (CTC), agrees to submit its Annual
Operating Report(AOR) data to the CTC as requested.
i) The Subrecipient will forward a copy of its maintenance plan as outlined in their Transportation Operating Plan
(TOP) or System Safety Program Plan (SSPP) to Ms. Dale Hanson within 30 days of receiving the vehicle, if
you have not already done so.
j) The Subrecipient is required to insure the vehicles. The Department shall be named as"certificate holder"on
the insurance policy throughout the time period the Department is the only lien holder. The Subrecipient shall
be required to submit proof of insurance showing minimum coverage and the Department listed as"certificate
holder"within 30 days of receiving the vehicle and provide proof of insurance yearly.
SPECIAL CONSIDERATIONS:
E-Verify-Vendors/Contractors:
1. Shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the Vendor/Contractor during the term of the contract; and
2. Shall expressly require any subcontractors performing work or providing services pursuant to the state
contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the
employment eligibility of all new employees hired by the subcontractor during the contract term.
Single Audit Information
1. Please note this award is for a passenger vehicle(s) and/or other capital equipment/costs. The value of the
federal award should be considered as non-cash assistance.A non-Federal entity as defined by OMB Circular
A-133, for fiscal years beginning before December 26, 2014, and 2 CFR Part 200, thereafter, as a recipient of
this Federal award, may be subject to the audit requirements established by OMB Circular A-133, for fiscal
years beginning before December 26, 2014, and 2 CFR Part 200, thereafter. In determining Federal awards
expended in a fiscal year, the non-Federal entity must consider all sources of Federal awards, including non-
cash contributions.
To be signed by the Subrecipient and returned to the FDOT District One Office
^
AGENCY: / ,o r CZ 'oil_ I ,i1NtrYtt, S/ G' YS
(Name) if ,,
c V1
Accepted by: / Date l ` (Q-2D i L
(Sig (re)
•
Typed Name and Title: , • Y\I P.� 1 � y vrmkn
FLORIDA DEPARTMENT OF TRANSPORTATION
Award Approved by: n)--SL.. Federal Award Dates .. /
k IN •
Typed Name and Title: Paul A. Simmons
District Modal Development Administrator a : ` lt
y{y,
t.
Approved as to form and legality www.fdot.gov ATTEST f
C
CRYSTAL K.KINZtL,-Crt P9,0`2.:of.5, •
s tstant Count turnry -g'\� By( ( _ y .� ; 'r
16014 •
EXHIBIT 1
Federal Financial Assistance
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
CFDA No. 20.513
CFDA Title Enhanced Mobility of Seniors and Individuals with Disabilities
CFDA Program Site www.cfda.gov
Awarding Agency Florida Department of Transportation
Award Amount REFER TO THE VEHICLE/EQUIPMENT DELIVERY NOTICE
PACKAGE FOR ACTUAL PURCHASE PRICE
Research & Development Not Applicable
Indirect Cost Rate Not Applicable
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE SUBJECT TO THE
FOLLOWING AUDIT REQUIREMENTS:
2 CFR Part 200 — Uniform Administrative Requirements, Cost Principles & Audit Requirements for
Federal Awards
www.ecfr.qov
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT MAY ALSO BE SUBJECT
TO THE FOLLOWING:
49 USC 5310: Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities
http://uscode.house.gov/view.xhtml?req=qranuleid:USC-prelim-title49-
section5310&num=0&edition=prelim
FTA Circular 9070.1G: Enhanced Mobility of Seniors and Individuals with Disabilities Program Guidance
and Application Instructions
www.fta.dot.gov/legislation law/12349.html
Federal Funding Accountability and Transparency Act (FFATA) Sub-award Reporting System (FSRS)
www.fsrs.gov
www.fdot.gov
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EXHIBIT 2
Single Audit.Requirements
The administration of resources awarded through the Department to the Subrecipient by this
Agreement may be subject to audits and/or monitoring by the Department. The following requirements
do not limit the authority of the Department to conduct or arrange for the conduct of additional audits or
evaluations of Federal awards or limit the authority of any State agency inspector general, the State of
Florida Auditor General or any other State official. The Subrecipient shall comply with all audit and audit
reporting requirements as specified below.
a. In addition to reviews of audits conducted in accordance with 2 CFR Part 200, Subpart F — Audit
Requirements, monitoring procedures may include but not be limited to on-site visits by Department
staff and/or other procedures including, reviewing any required performance and financial reports,
following up, ensuring corrective action, and issuing management decisions on weaknesses found
through audits when those findings pertain to Federal awards provided through the Department by
this Agreement. By entering into this Agreement, the Subrecipient agrees to comply and cooperate
fully with any monitoring procedures/processes deemed appropriate by the Department. The
Subrecipient further agrees to comply and cooperate with any inspections, reviews, investigations
or audits deemed necessary by the Department, State of Florida Chief Financial Officer (CFO) or
State of Florida Auditor General.
b. The Subrecipient, a non-Federal entity as defined by 2 CFR Part 200, Subpart F — Audit
Requirements, as a recipient of a Federal award awarded by the Department through this
Agreement is subject to the following requirements:
i. In the event the Subrecipient expends a total amount of Federal awards equal to or in excess of
the threshold established by 2 CFR Part 200, Subpart F—Audit Requirements, the Subrecipient
must have a Federal single or program-specific audit for such fiscal year conducted in
accordance with the provisions of 2 CFR Part 200, Subpart F —Audit Requirements. Exhibit 1
to this Agreement provides the required Federal award identification information needed by the
Subrecipient to further comply with the requirements of 2 CFR Part 200, Subpart F — Audit
Requirements. In determining Federal awards expended in a fiscal year, the Subrecipient must
consider all sources of Federal awards based on when the activity related to the Federal award
occurs, including the Federal award provided through the Department by this Agreement. The
determination of amounts of Federal awards expended should be in accordance with the
guidelines established by 2 CFR Part 200, Subpart F—Audit Requirements. An audit conducted
by the State of Florida Auditor General in accordance with the provisions of 2 CFR Part 200,
Subpart F —Audit Requirements, will meet the requirem ents of this part.
ii. In connection with the audit requirements, the Subrecipient shall fulfill the requirements relative
to the auditee responsibilities as provided in 2 C FR Part 200, Subpart F —Audit Requirements.
iii. In the event the Subrecipient expends less than the threshold established by 2 CFR Part 200,
Subpart F — Audit Requirements, in Federal awards, the Subrecipient is exempt from Federal
audit requirements for that fiscal year. However, the Subrecipient must provide a single audit
exemption statement to the Department at FDOTSingleAudit@dot.state.fl.us no later than nine
months after the end of the Subrecipient's audit period for each applicable audit year. In the
event the Subrecipient expends less than the threshold established by 2 CFR Part 200, Subpart
F—Audit Requirements, in Federal awards in a fiscal year and elects to have an audit conducted
in accordance with the provisions of 2 CFR Part 200, Subpart F —Audit Requirements, the cost
of the audit must be paid from non-Federal resources (i.e., the cost of such an audit must be
paid from the Subrecipient's resources obtained from other than Federal entities).
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iv. The Subrecipient must electronically submit to the Federal Audit Clearinghouse (FAC) at
https://harvester.census.gov/facweb/the audit reporting package as required by 2 CFR Part 200,
Subpart F — Audit Requirements, within the earlier of 30 calendar days after receipt of the
auditor's report(s) or nine months after the end of the audit period. The FAC is the repository of
record for audits required by 2 CFR Part 200, Subpart F — Audit Requirements, and this
Agreement. However, the Department requires a copy of the audit reporting package also be
submitted to FDOTSingleAudit[a�dot.state.fl.us within the earlier of 30 calendar days after receipt
of the auditor's report(s) or nine months after the end of the audit period as required by 2 CFR
Part 200, Subpart F —Audit Requirements.
v. Within six months of acceptance of the audit report by the FAC, the Department will review
Subrecipient's audit reporting package, including corrective action plans and management
letters, to the extent necessary to determine whether timely and appropriate action on all
deficiencies has been taken pertaining to the Federal award provided through the Department
by this Agreement. If the Subrecipient fails to have an audit conducted in accordance with 2 CFR
Part 200, Subpart F —Audit Requirements, the Department may impose additional conditions to
remedy noncompliance. If the Department determines that noncompliance cannot be remedied
by imposing additional conditions, the Department may take appropriate actions to enforce
compliance, which actions may include but not be limited to the following:
1. Temporarily withhold cash payments pending correction of the deficiency by the Agency or
more severe enforcement action by the Department;
2. Disallow (deny both use of funds and any applicable matching credit for) all or part of the
cost of the activity or action not in compliance;
3. Wholly or partly suspend or terminate the Federal award;
4. Initiate suspension or debarment proceedings as authorized under 2 C.F.R. Part 180 and
Federal awarding agency regulations (or in the case of the Department, recommend such a
proceeding be initiated by the Federal awarding agency);
5. Withhold further Federal awards for the Project or program;
6. Take other remedies that may be legally available.
vi. As a condition of receiving this Federal award, the Subrecipient shall permit the Department, or
its designee, the CFO or State of Florida Auditor General access to the Subrecipient's records
including financial statements, the independent auditor's working papers and project records as
necessary. Records related to unresolved audit findings, appeals or litigation shall be retained
until the action is complete or the dispute is resolved.
vii. The Department's contact information for requirements under this part is as follows:
Office of Comptroller, MS 24
605 Suwannee Street
Tallahassee, Florida 32399-0450
FDOTS ingleAudit(a dot.state.fl.us
c. The Subrecipient shall retain sufficient records demonstrating its compliance with the terms of this
Agreement for a period of five years from the date the audit report is issued and shall allow the
Department, or its designee, the CFO or State of Florida Auditor General access to such records
upon request. The Subrecipient shall ensure that the audit working papers are made available to
the Department, or its designee, the CFO, or State of Florida Auditor General upon request for a
period of five years from the date the audit report is issued unless extended in writing by the
Department.
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