Backup Documents 11/12/2013 Item #16J 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SEN
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SI
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwar ed o 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 J\A�.fi C.-\ 11/14/13
4. BCC Office Board of County N\ VN
Commissioners as CRA _,�`
_
/s/ �\�°l\ �J
5. Minutes and Records Clerk of Court's Office
-PC- q MI5 NY
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 Andrea Marsh,Finance Director, Sheriff's Phone Number 252-0841
Contact/ Department Dept. PLEA E RETURN TO ANDREA
_ WHEN DO MENT IS READY
Agenda Date Item was 11/12/13 Agenda Item Number 16-J-4
_Approved by the BCC
Type of Document Equitable Sharing Agreement and Number of Original One
_Attached Certification Documents Attached
PO number or account
number if document is N/A
_to be recorded
INSTRUCTIONS & CHECKLIST
r Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
I. 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.
1 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 11/12/13 and all changes made during JAK
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
—
9. Initials of attorney verifying that the attached document is the version approved by the JA
BCC,all changes directed by the BCC have been made,and the document is ready for th (
Chairman's signature. L ;
Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.2475-;-Revised 11/30/12
16J4
MEMORANDUM
Date: November 21, 2013
To: Andrea Marsh, Finance Director
Collier County Sheriff's Office
From: Ann Jennejohn, Deputy Clerk
Board Minutes & Records Department
Re: US Department of Justice and Treasury combined
Equitable Sharing Agreement and Certification
Attached for further processing is the original document referenced above (Item #16J4),
approved by the Board of County Commissioners on November 12, 2013.
A copy will be held on file in the Board's Minutes and Record's Department for
the Official Record.
If you have any questions please call me at 252-8406.
Thank you.
Attachment
16J4
NT_ OMB Number 1123-0011
"t'� Expires 9-30-2014
Equitable Sharing y�
Agreement and ,�'
4 Certification
0 Police Department 0 Sheriffs Office 0 Task Force(Complete Table A)
0 Prosecutor's Office 0 National Guard Counterdrug Unit 0 Other
Please fill each required field. Hover mouse over any tillable field for pop-up instructions."
Agency Name:Collier County Sheriffs Office
NCIC/ORI/Tracking Number: F L 0 1 1 0 0 0 0
Mailing Address: 3319 E. Tamiami Trail
City: Naples State: FL Zip: 34112
Finance Contact: First:Lori Last: Sams
Phone:239-252-0842 E-mail: Lori.Sams @colliersheriff.org
Preparer: First: Lori Last: Sams
®
Same as
Finance Contact Phone: 239-252-0842 E-mail: Lori.Sams @colliersheriff.org
Independent Public Accountant: E-mail: Julie.Fowler @claconnect.com
Last FY End Date: 09/30/2013 Agency Current FY Budget: $133,545,600.00
0 New Participant: Read the Equitable Sharing Agreement and sign the Affidavit.
0 Existing Participant: Complete the Annual Certification Report,read the Equitable Sharing Agreement,and sign
the Affidavit.
O Amended Form• Revise the Annual Certification Report,read the Equitable Sharing Agreement,and sign
• the Affidavit.
Annual Certification Report
Summary of Equitable Sharing Activity Justice Funds' Treasury Funds'
1 Beginning Equitable Sharing Fund Balance(must match
Ending Equitable Sharing Fund Balance from prior FY) $619,328.43 $362,553.70
2 Federal Sharing Funds Received $74,367.21 $50,008.83
3 Federal Sharing Funds Received from Other Law Enforcement
Agencies and Task Forces(To populate,complete Table B)
4 Other Income
5 Interest Income Accrued Non Interest Bearing
Interest Bearing ® $1,583.53 $970.83
6 Total Equitable Sharing Funds(total of lines 1 -5) $695,279.17 $413,533.36
7 Federal Sharing Funds Spent(total of lines a-m below) $38,600.50 $27,656.00
8 Ending Balance(difference between line 7 and line 6) $656,678.67 $385,877.36
1
Justice Agencies are:FBI,DEA,ATF,USPIS,USDA,DCIS,DSS,and FDA.
2 Treasury Agencies are:IRS,ICE,CBP,TTB,USSS,and USCG.
Page 1 of 5 October 2012
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16J4
Summary of Shared Funds Spent Justice Funds Treasury Funds
a Total spent on salaries under permitted salary exceptions
b Total spent on overtime
c Total spent on informants,"buy money",and rewards
d Total spent on travel and training
e Total spent on communications and computers $38,600.50
f Total spent on weapons and protective gear
g Total spent on electronic surveillance equipment $27,656.00
h Total spent on buildings and improvements
Total transfers to other participating state and local law
enforcement agencies(To populate,complete Table C)
Total spent on other law enforcement expenses(To populate,
complete Table D)
k Total Expenditures in Support of Community-Based Programs
(To populate,complete Table E)
I Total Windfall Transfers(To populate,complete Table F)
Total spent on matching grants(To populate,complete
m Table G)
n Total $38,600.50 $27,656.00
o Did your agency receive non-cash assets? 0 Yes ®i No If yes,complete Table H.
Please fill out the following tables,if applicable.
Table A: Members of Task Force
Agency Name NCIC/ORI/Tracking Number
Table B: Equitable Sharing Funds Received from other Agencies
Transferring Agency Name,City,and State Justice Funds Treasury Funds
Agency Name:
NCIC/ORI/Tracking Number:
Table C: Equitable Sharing Funds Transferred to Other Agencies
Receiving Agency Name,City,and State Justice Funds Treasury Funds
Agency Name:
NCIC/ORI/Tracking Number:
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16J4
Table D: Other Law Enforcement Expenses
Description of Expense Justice Funds Treasury Funds
Table E: Expenditures in Support of Community-Based Programs
Recipient Justice Funds
Table F: Windfall Transfers
Recipient Justice Funds Treasury Funds
Table G: Matching Grants
Matching Grant Name Justice Funds Treasury Funds
Table H: Other Non-Cash Assets Received
Source Description of Asset
Justice 0
Treasury O
Table I: Civil Rights Cases
Name of Case Type of Discrimination Alleged
Race 0 Color 0 National Origin 0 Gender
0 Disability 0 Age E Other
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.
Page 3 of 5 October 2012
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16J4 1
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 its signatures,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 federal Equitable Sharing Program. 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 to aca.submit @usdoj.gov within 60 days of the end of the
Agency's fiscal year. This Document must be submitted electronically with the Affidavit/Signature submitted by fax.
This will constitute 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,
chairperson,secretary,city attorney,county attorney,district attorney,prosecuting attorney,state attorney,
commonwealth attorney,and attorney general. The governing body's head is the person who allocates funds or
approves the budget for the Agency. Examples of governing body heads include city manager,mayor,city council
chairperson,county executive,county council chairperson,director,secretary,administrator,commissioner,and
governor.
3.Uses. Any shared asset shall be used for law enforcement purposes in accordance with the statutes and guidelines
that govern the federal Equitable Sharing Program as set forth in the current edition of the Department of Justice's
Guide to Equitable Sharing for State and Local Law Enforcement(Justice Guide),and the Department of the Treasury's
Guide to Equitable Sharing for Foreign Countries and Federal,State,and Local Law Enforcement Agencies (Treasury
Guide).
4.Transfers. Before the Agency transfers cash,property,or proceeds to other state or local law enforcement
agencies, it must first verify with the Department of Justice or the Department of the Treasury,depending on the
source of the funds,that the receiving agency is a current and compliant Equitable Sharing Program participant.
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 and other sources
must not be commingled with federal equitable sharing funds. The Agency shall establish a separate revenue
account or accounting code for state,local,Department of Justice,and Department of the Treasury forfeiture funds.
Interest income generated must be accounted for in the appropriate federal equitable sharing account.
The Agency agrees that such accounting will be subject to the standard accounting requirements and practices
employed for other public funds as supplemented by requirements set forth in the current edition of the Justice Guide
and the Treasury Guide, including the requirement in the Justice Guide to maintain relevant documents and records for
five years.
The misuse or misapplication of shared resources or the supplantation of existing resources with shared assets is
prohibited. Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions
stipulated in the current edition of the Justice or Treasury Guides,depending on the source of the funds/property.
6.Audit Report. Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and OMB
Circular A-133. The Department of Justice and Department of the Treasury reserve the right to conduct periodic
random audits.
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16J4 , „
Affidavit - Existing Participant
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 Justice and/or Treasury Guides during the reporting
period and that the recipient Agency is in compliance with the National Code of Professional Conduct for Asset Forfeiture.
The undersigned certify that the recipient Agency is in compliance with the 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 etseq.),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 etseq.),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.
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? 0 Yes ® No
If you answered yes to the above question,complete Table I
Agency Head Governing god ,ea
Y,
Signature: 47 4: ---7A -1 c.E bin_ Signature: j
Name: Kevin J. Rambosk Name: Get r; aiHiller
Title: Sheriff Title: Chairperson, BCC
Date: r,,/r 7/ /j Date:
E-mail: hq @colliersheriff.net E-mail: GeorgiaHiller @colliergov.net
Subscribe to Equitable Sharing Wire: Lori.Sams @colliersheriff.org
The Equitable Sharing Wire is an electronic newsletter that
Derek.Bell@colliersheriff.org you important,substantive,information regarding g
Equitable Sharing policies,practices,and procedures. Andrea.Marsh @colliersheriff.org
Final Instructions:
Step 1: Click to save for your records Step 3: E-mail the XML file to aca.submit @usdoj.gov
Step 2: Click to save in XML format Step 4: Fax THIS SIGNED PAGE ONLY to (202)616-1344
! YUSEONLY ntered on
O FY End: 09/30/2013 Date Printed: October 16,2013 10:59
® NCIC: FL0110000 Agency: Collier County Sheriffs Office Phone:239-252-0842
State: FL Finance Contact: Lori Sams E-mail: Lori.Sams @colliersheriff.org
ATTEST. .
DWIGHT E.BROCK,CLERK Page 5 of 5 '�PPr'Nei to .• and legality:
\ .VIA October 2012
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