Backup Documents 10/22/2019 Item #16J 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP1 " 1
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.
2.
3. County Attorney Office County Attorney Office JAK 2/10/19
4. BCC Office Board of County
Commissioners ZI I
ko q
1
5. Minutes and Records Clerk of Court's Office
i'VtA) a-114WD
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 Lori Sams,Sheriff's Department Phone Number 252-0842
Contact/Department
Agenda Date Item was 10/22/19 ✓ Agenda Item Number 16-J-1
Approved by the BCC
Type of Document Equitable Sharing Agreement Number of Original 1
Attached Documents Attached
PO number or account n/a
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 JAK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAK
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 JAK
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 JAK
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 JAK
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAK
should be provided to the County Attorney Office at the time the item is input into SIRE.
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 your deadlines!
8. The document was approved by the BCC on 10/22/19 and all changes made during JAK N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. �--�,tl ' line.
9. Initials of attorney verifying that the attached document is the version approved by K N/A 's not
BCC,all changes directed by the BCC have been made,and the document is ready f r the an option for
Chairman's signature. _ e.
[04-COA-01081/1344830/1 jI: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
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MEMORANDUM
Date: February 10, 2020
To: Lori Sams,
Collier County Sheriff's Office
From: Martha Vergara, Senior Deputy Clerk
Board Minutes & Records Department
Re: Equitable Sharing Agreement and Certification
Attached for your reference is an original as referenced above, (Item #16J1)
approved by the Collier County Board of County Commissioners on Tuesday,
October 22, 2019.
If our office can be of any further assistance, feel free to call 239-252-7240.
Thank you.
Attachment
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OMB Number 1123-0011
Expires December 31.2021
ititEquitable Sharing Agreement and Certification i,,taro
NCIC/ORI/Tracking Number: FLO110000
Agency Name: Collier County Shenffs Office Type: Sheriffs Office
Mailing Address: 3319 E. Tamiami Trail
Naples, FL 34112
Agency Finance Contact
Name: Sams, Lori
Phone: 239-252-0842 Email:Loh.Sams@colliersheriff.org
Jurisdiction Finance Contact
Name: Driscoll, Stephanie
Phone:239-252-0843 Email:Stephanie.Driscoll@colliersheriff.org
ESAC Preparer
Name: Ruiz, Manen
Phone:2392520852 Email:marten.ruiz@colliersheriff.org
FY End Date: 09/30/2019 Agency FY 2020 Budget: $197.691,900.00
Annual Certification Report
Summary of Equitable Sharing Activity Justice Funds/ Treasury Funds 2
1 Beginning Equitable Sharing Fund Balance $250.789.68 $444,698.77
2 Equitable Sharing Funds Received $0.00 50.00
3 Equitable Sharing Funds Received from Other Law Enforcement $0.00 $0.00
Agencies and Task Force
4 Other Income $0.00 $0.00
5 Interest Income $2.673 78 $5.357 65
6 Total Equitable Sharing Funds Received(total of lines t-si $253.463.46 $450.056.42
7 Equitable Sharing Funds Spent(MIA of Ines a-n) $60,479.97 $0.00
8 Ending Equitable Shanng Funds Balance $192.983.49 $450 056 42
(diterencc between ane 7 and ane ti, ,
11)epartmeni of Justice Asset 1 orfeiture Program participants are FBI.DEA,ATF,USPIS,USDA.DCIS.DSS.and IDA
fiepartment of the Treasury Asset Forfeiture Program participants are:IRS.ICE.CBP and USSS.
Summary of Shared Funds Spent Justice Funds Treasury Funds
a Law Enforcement Operations and Investigations $0.00 $0.00
b Training and Education $0.00 $0.00
c Law Enforcement. Public Safety, and Detention Facilities $0.00 $0.00
d Law Enforcement Equipment $60,479.97 $0.00
e Joint Law Enforcement/Public Safety Equipment and Operations $0.00 $0 00
I Contracts for Services $0.00 $0.00
g Law Enforcement Travel and Per Diem $0.00 $0.00
h Law Enforcement Awards and Memorials $0.00 $0.00
i Drug. Gang, and Other Education or Awareness Programs $0.00 $0.00
j Matching Grants $0.00 $0.00
k Transfers to Other Participating Law Enforcement Agencies $0.00 $0.00
I Support of Community-Based Programs $0.00
m Non-Categorized Expenditures $0.00 $0.00
n Salaries $0.00 $0.00
Total $60.479.97 $0.00
Date Printed 10/08/2019 Page 1 of 5
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Equitable Sharing Funds Received From Other Agencies
Transferring Agency Name Justice Funds Treasury Funds
Other Income
Other Income Type Justice Funds Treasury Funds
Matching Grants
Matching Grant Name Justice Funds Treasury Funds
Transfers to Other Participating Law Enforcement Agencies
Receiving Agency Name Justice Funds Treasury Funds
Support of Community-Based Programs
Recipient Justice Funds
Non-Categorized Expenditures
Description Justice Funds Treasury Funds
Salaries
Salary Type Justice Funds Treasury Funds
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a
valid OMB control number. We try to create accurate and easily understood forms that impose the least possible burden on
you to complete. The estimated average time to complete this form is 30 minutes tf you have comments regarding the
accuracy of this estimate, or suggestions for making this form simpler, please write to the Asset Forfeiture and Money
Laundering Section at 1400 New York Avenue, N.W.. Washington, DC 20005.
Privacy Act Notice
The Department of Justice is collecting this information for the purpose of reviewing your equitable sharing expenditures.
Providing this information is voluntary, however, the information is necessary for your agency to maintain Program compliance.
Information collected is covered by Department of Justice System of Records Notice. 71 Fed. Reg. 29170(May 19. 2006)
JMD-022 Department of Justice Consolidated Asset Tracking System (CATS). This information may be disclosed to contractors
when necessary to accomplish an agency function, to law enforcement when there is a violation or potential violation of law or it
accordance with other published routine uses. For a complete list of routine uses, see the System of Records Notice as
amended by subsequent publications.
Single Audit Information
Independent Auditor
Name: Martin Redovan
Company: Clifton Larson Allen LLP
Phone: 239-226-9900 Email: martin.redovan@daconnect.com
Date Printed 10/08/2019 Page 2 of 5
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Were equitable sharing expenditures included on your Jurisdiction's prior fiscal years Schedule of Expenditures of
Federal Awards(SEFA)?
YES NO
Prior year Single Audit Number Assigned by Harvester Database:
Date Printed 10/08/2019 Page 3 of 5
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Affidavit
Under penalty of perjury. the undersigned officials certify that they have read and understand their obligations under the
Guide to Equitable Sharing for State, Local, and Tribal Law Enforcement Agencies(Guide)and all subsequent updates, this
Equitable Shanng Agreement, and the applicable sections of the Code of Federal Regulations. The undersigned officials
certify that the information submitted on the Equitable Sharing Agreement and Certification form (ESAC)is an accurate
accounting of funds received and spent by the Agency.
The undersigned certify that the Agency is in compliance with the applicable nondiscrimination requirements of the following
laws and their Department of Justice implementing regulations- Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et
seq.), Title IX of the Education Amendments of 1972(20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973
(29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. §6101 et seq.), which prohibit discrimination on the
basis of race. color. national origin disability. or age in any federally assisted program or activity or on the basis of sex in any
federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations
permitting federal investigators access to records and any other sources of information as may be necessary to determine
compliance with civil rights and other applicable statutes and regulations.
Equitable Sharing Agreement
This Federal Equitable Sharing Agreement. entered into among (1)the Federal Government. (2)the Agency. and(3)the
Agency's governing body, sets forth the requirements for participation in the federal Equitable Sharing Program and the
restrictions upon the use of federally forfeited funds property, and any interest earned thereon which are equitably shared
with participating law enforcement agencies. By submitting this form. the Agency agrees that it will be bound by the Guide and
all subsequent updates, this Equitable Sharing Agreement, and the applicable sections of the Code of Federal Regulations.
Submission of the ESAC is a prerequisite to receiving any funds or property through the Equitable Sharing Program.
1. Submission.The ESAC must be signed and electronically submitted within 60 days of the end of the Agency's fiscal year
Electronic submission constitutes submission to the Department of Justice and the Department of the Treasury.
2.Signatories. The ESAC must be signed by the head of the Agency and the head of the governing body. Examples of
Agency heads include police chief, sheriff. director, commissioner, superintendent, administrator. county attorney, district
attorney. prosecuting attorney, state attorney. commonwealth attorney, and attorney general. The governing body head is the
head of the agency that appropriates funding to the Agency. Examples of governing body heads include city manager, mayor
city council chairperson, county executive. county council chairperson, administrator, commissioner, and governor. The
governing body head cannot be an official or employee of the Agency and must be from a separate entity
3. Uses. Shared assets must be used for law enforcement purposes in accordance with the Guide and all subsequent
updates. this Equitable Sharing Agreement. and the applicable sections of the Code of Federal Regulations.
4.Transfers. Before the Agency transfers funds to other state or local law enforcement agencies. it must obtain written
approval from the Department of Justice or Department of the Treasury. Transfers of tangible property are not permitted.
Agencies that transfer or receive equitable sharing funds must perform sub-recipient monitoring in accordance with the Code
of Federal Regulations.
5.Internal Controls. The Agency agrees to account separately for federal equitable sharing funds received from the
Department of Justice and the Department of the Treasury, funds from state and local forfeitures,joint law enforcement
operations funds, and any other sources must not be commingled with federal equitable sharing funds.
The Agency certifies that equitable sharing funds are maintained by the entity that maintains the Agency's appropriated or
general funds and agrees that the funds will be subject to the standard accounting requirements and practices employed by
the Agency's jurisdiction in accordance with the requirements set forth in the Guide, any subsequent updates. and the Code
of Federal Regulations. including the requirement to maintain relevant documents and records for five years.
The misuse or misapplication of equitably shared funds or assets or supplantation of existing resources with shared funds or
assets is prohibited. The Agency must follow its jurisdiction's procurement policies when expending equitably shared funds.
Failure to comply with any provision of the Guide. any subsequent updates. and the Code of Federal Regulations may subject
the Agency to sanctions.
6.Single Audit Report and Other Reviews.Audits shall be conducted as provided by the Single Audit Act Amendments of
1996 and OMB Uniform Administrative Requirements, Costs Principles, and Audit Requirements for Federal Awards. The
Agency must report its equitable sharing expenditures on the Schedule of Expenditures of Federal Awards(SEFA)under
Catalog of Federal Domestic Assistance number 16.922 for Department of Justice and 21.016 for Department of the
Treasury. The Department of Justice and the Department of the Treasury reserve the right to conduct audits or reviews.
Date Printed 10/08/2019 Page 4 of 5
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7. Freedom of Information Act(FOIA). Information provided in this Document is subject to the FOIA requirements of the
Department of Justice and the Department of the Treasury.Agencies must follow local release of information policies.
8.Waste, Fraud,or Abuse.An Agency or governing body is required to immediately notify the Money Laundenng and Asset
Recovery Section of the Department of Justice and the Executive Office for Asset Forfeiture of the Department of the
Treasury of any allegations or theft. fraud. waste, or abuse involving federal equitable sharing funds.
Civil Rights Cases
During the past fiscal year: (1) has any court or administrative agency issued any finding,
judgment, or determination that the Agency discriminated against any person or group in
violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered
into any settlement agreement with respect to any complaint filed with a court or administrative
agency alleging that the Agency discriminated against any person or group in violation of any of
the federal civil rights statutes listed above?
❑ Yes ® No
Agency Head
Name Rambosk. Kevin J.
Title Sheriff
Email hq@colliersheriff net
4411._______,_
Signature' Date: /0 —/t—//
To the best of my knowlief.the information provided on this ESAC is true and accurate and has been reviewed and authorized by the Law
Enforcement Agency Head whose name appears above Entry of the Agency Head name above indicates his/her agreement to abide by the Guide.any
subsequent updates.and the Code of Federal Regulations.inducting ensuring permissibility of expenditures and following all required procurement policies
and procedures.
Governing Body Head
Name -Me9efref.-WH Saunders, Burt L.
Title Chairman
Email -34 McBat i —
Burt.Saunders@CollierCountyFL.Gov
Signature'____1( ..., .oJ — Date' 1 O\7 7\\c‘
To the best of my knowledge and belief,the Agency's current fiscal year budget reported on this ESAC is true and accurate and the Governing Body Head
whose name appears above certifies that the agency's budget has not been supplanted as a result of receiving equitable sharing funds.Entry of the
Governing Body Head name above indicates his/her agreement to abide by the policies and procedures set forth in the Guile.any subsequent updates and
the Code of Federal Regulations.
I certify that I have obtained approval from and I am authorized to submit this form on behalf of the Agency Head and the
Governing Body Headt,ns�p
ATTEST `:' . ••.......
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Date Printed- I(1/osrD,39j . � ;� Jeffrey A. I. kow,County Attorney Page 5 of 5
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