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Backup Documents 11/14/2017 Item #16J 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL P TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO J 2 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA 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 '0 11/14/17 4. BCC Office Board of County Commissioners N Nc‘c / 1l\lc\11 5. Minutes and Records Clerk of Court's Office 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 11/14/17 Agenda Item Number 16-J-2 Approved by the BCC Type of Document Equitable Sharing Agreement and Number of Original One Attached Certification 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 STAMP OK 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 MinuteTraq. 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 11/14/17 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. • line. 9. Initials of attorney verifying that the attached document is the version approved by the . RZk /A,'s not BCC,all changes directed by the BCC have been made,and the document is ready for k e otion for Chairman's signature. \11\lef.. this:ine. [04-COA-01081/1344830/1]I: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 1 6 J 2 OMB Numbur 1123 0011 01,, .,, ,,„, Expires January 31 2018 ( Equitable Sharing Agreement and Certification NCIC/ORI/Tracking Number: FL0110000 Agency Name: Collier County Sheriffs Office Type: Sheriffs Office Mailing Address: 3319 E Tamiami Trail Naples, FL 34112 Finance Contact Name: Sams, Lori Phone:2392520842 Email:Lod Sams@colliershenff org ESAC Preparer Name: Sams, Lori Phone:2392520842 Email:Lori Sams@colliersheriff org FY End Date: 09/30/2017 Agency FY 2018 Budget: $174,720,200 00 Annual Certification Report Summary of Equitable Sharing Activity Justice Funds 1 Treasury Funds 2 1 Begining Equitable Sharing Fund Balance $434,619.41 5439 026 64 (Must match Ending Balance from prior FYI 2 Equitable Sharing Funds Received $0.00 $0 00 3 Equitable Sharing Funds Received from Other Law $0.00 $0 00 Enforcement Aoencies and Task Force 1.omo,ete Table B 4 Other Income $0.00 $0 00 5 Interest Income $1,803.68 $1,998 86 6 Total Equitable Sharing Funds Received(total of,nes 1 5, $436,423.09 $441,025 50 7 Equitable Sharing Funds Spent(total or lines a-n below) $143,622 54 $0.00 8 Ending Equitable Sharing Funds Balance $292,800 55 $441,025.50 (difference between line 7 and line 6) ',Department of Justice Asset Forfeiture Program participants are FBI DEA ATF,USPIS USDA DCIS DSS,and FDA 2Department of the Treasury Asset Forfeiture Program participants are IRS,ICE CEP 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 $143,622 54 $0 00 e Joint law enforcement/public safety operations $0 00 $0 00 f Contracting 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(Complete rave c) $0 00 $0.00 k Transfers to other participating law enforcement 50 00 $0.00 aaencies 1Comniele Table Dl _ I Support of community-based programs(complete Table El SO 00 m Non-categorized expenditures(Complete Table F) S0 00 $0.00 n Salaries(complete Table 31 50 00 $0.00 Total $143,622 54 $0.00 Date Printed: 10/14/2017 Page 1 of 4 February 2016 `:'.rir_n32 1 6 J Table B: Equitable Sharing Funds Received From Other Agencies Transferring Agency Name Justice Funds Treasury Funds Table C: Matching Grants Matching Grant Name Justice Funds Treasury Funds Table D:Transfers to Other Participating Law Enforcement Agencies Receiving Agency Name Justice Funds Treasury Funds Table E: Support of Community-based Programs Recipient Justice Funds Table F: Non-categorized expenditures in (a) -(n)Above Description Justice Funds Treasury Funds Table G: 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. If 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 1400 New York Avenue, N,W., Washington, DC 20005. Did your agency purchase any controlled equipment? ❑ YES ® NO Date Printed:1011412017 Page 2 of 4 February 2016 Version 3 2 16J2 Affidavit Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is in compliance with the applicable nondiscrimination requirements of the following laws and their 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 above-stated law enforcement agency ("Agency"), and (3)the governing body, sets forth the requirements for participation in the federal Equitable Sharing Program and the restrictions upon the use of federally forfeited cash, property, proceeds, and any interest earned thereon, which are equitably shared with participating law enforcement agencies. By submission of this form, the Agency agrees that it will be bound by the statutes and guidelines that regulate shared assets and the following requirements for participation in the Department of Justice and Department of the Treasury Equitable Sharing Programs. Receipt of the signed Equitable Sharing Agreement and Certification (this"Document") is a prerequisite to receiving any equitably shared cash, property, or proceeds. 1. Submission.This Document must be submitted within 60 days of the end of the Agency's fiscal year. This Document must be signed and submitted electronically. Electronic submission constitutes submission to the Department of Justice and the Department of the Treasury. 2. Signatories. This agreement 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, city attorney, county attorney, district attorney, prosecuting attorney, state attorney, commonwealth attorney, and attorney general.The governing body's 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 from the law enforcement agency and must be from a separate entity. 3. Uses.Any shared asset shall be used for law enforcement purposes in accordance with the statutes and guidelines that govern the Department of Justice and the Department of the Treasury Equitable Sharing Programs as set forth in the current edition of the Guide to Equitable Sharing for State and Local Law Enforcement Agencies(Guide). 4. Transfers. Before the Agency transfers funds to other state or local law enforcement agencies, it must first verify with the Department of Justice that the receiving agency is a compliant Equitable Sharing Program participant. Transfers of tangible property are not permitted. 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 other sources must not be commingled with federal equitable sharing funds. The Agency certifies that funds are maintained by the jurisdiction maintaining appropriated funds and agrees that such accounting 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 current edition of the Guide, including the requirement to maintain relevant documents and records for five years. The misuse or misapplication of shared resources or supplantation of existing resources with shared assets is prohibited. The Agency must follow its jurisdiction's procurement policies when expending shared funds. Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions stipulated in the current edition of the Guide. 6. Audit Report.Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and OMB Super Circular, Date Printed:1011412017 Page 3 of 4 February 2016 Version 3 2 16J2 Uniform Administrative Requirements, Costs Pnnciples, and Audit Requirements for Federal Awards. The Department of Justice and the Department of the Treasury reserve the right to conduct periodic random audits or reviews. 7.Freedom of Information Act. Information provided in this Document is subject to the FOIA requirements of the Department of Justice and the Department of the Treasury 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 o r Signature: fir Date: To the best of my knowledge and be ef.the information provided on this form 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 acceptance of and agreement to abide by the policies and procedures set forth in the Guide to Equitable Shanng for State and Local Law Enforcement Agencies,Including ensuring permissibility of expenditures and following all required procurement policies and procedures Entry of the Agency Head name above also indicates his/her acceptance of and agreement to abide by requirements set forth in this Equitable Sharing Agreement,and any policies or procedures issued by the Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing programs.The Law Enforcement Head also certifies that no items on the Prohibited list as detailed in"Recommendations Pursuant to Executive Order 13688",were purchased with equitable sharing funds on or atter October 1,2015. Governing Body Head DWI" JINIGHT E.BROCK,CLERK Name: Penny Taylor Title: Chairman L Email: PennyTaylorrrci • 'v.net Deputy Signature Date' kAv1 ` To the best of my knowledge and belies the agency's cu t fiscal year budget reported on this form 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 acceptance of and agreement to abide by the poi cies and procedures set forth in the Guide to Equitable Shanng for Stale and Local Law Enforcement Agenr,es this Equitable Sharing Agreement and any policies or procedures issued by the Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing Programs []r I certify that I am authorized to!subr7 't this form on behalf of the Agency Head and the Governing Body Head. Approved asfto_form and legality 4 i � Item# � l3- Jeffrey A. Kr,tik.' ,County Attorney Agenda i t�� Date ` -Al 1 Date `VAit.,,,� Rec'd _l Date Printed:l0/14!2017 't Page 4 of 4 February 2016 version 3 2 Deputy er 11$