Agenda 02/10/2009 Item #16D 9
Agenda !tem No. 1609
February 10,2009
Page 1 of 25
EXECUTIVE SUMMARY
Recommendation for the Board of County Commissioners to approve and authorize the
Chairman to sign an application and Memorandnm of Understanding for a Safe Havens:
Supervised Visitation and Safe Exchange Grant in the amount of $350,000 from the United
States Department of Jnstice, and if awarded, to serve as the Fiscal Agent and to authorize
staff to negotiate a sub-recipient agreement with Child Advocacy Council (db a Child
Protection Team).
OBJECTIVE: For the Board of County Commissioners to approve and authorize the Chairman
to sign an application and Memorandum of Understanding for Safe Havens: Supervised
Visitation and Safe Exchange Grant from the United States Department of Justice, Office on
Violence Against Women for Child Advocacy Council to expand domestic violence family
assessments, case management, supervised visitation and monitored exchanges for children
whose parents have been court ordered for these services.
CONSIDERATIONS: The County was recently approached by staff from the Collier County
Child Advocacy Council (dba Child Protection Team) asking Collier County to serve as the
applicant for a Safe Havens: Supcrvised Visitation and Safe Exchange Grant. By statute, this
grant may only be awarded to states, Indian Tribal governments and units of local government
that propose to enter into or expand the scope of existing contracts and cooperative agreements
with public or private nonprofit entities to provide supervised visitation and safe visitation
exchange of children by and betwcen parents in situations involving domestic violence, child
abuse, sexual assault or stalking.
As the only not for profit agency in Collier County that provides supervised visitation and safe
exchanges for victims of domestic violence and their children, the Collier County Child
Advocacy Council is the only nonprofit eligible to carry out the programmatic end of the
program if the grant is awarded. The program provides a domcstic violence family assessment
for the court that considers the safety of the children and adult victim. Because the agency has
the expertise in child abuse and neglect, tl1e courts frequently refer the most severe cases to this
agency.
The County has been a recipient of Safe Havens funding sinee 2005. The Housing and Hun1an
Services Department cunently administers the Safe Havcns grant which expires in August 2009.
In 2008, this program served 204 childrcn and adult victims of domestic violence. Families
receive services for an average of six months to a year. There are three full time staff; two case
managers and a program director. An off-duly Naples police officer is employed for eight hours
per week on Sunday to provide security.
If the grant is awarded, funding will be used to improve supcrvised visitation services, enhance
security and expand center services. The goals are to keep children and adult victims safe, to
provide a positive environment for visitation and exchanges and to assist families through their
crisis with case management, suppOli to victims and their children and with community refenals.
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This is a collaboralive grant through the United States Department of Juslice, Office on Violence
Against Women, which would involve a joint commitmcnt from Collier County Govemment
which would scrve as the fiscal entily for the project, the 20tl1 Judicial Circuit Court, which
would continue to provide referrals for the supervised visitation services, and the Collier County
Child Advocacy Council, which would provide thc direct services for the supervised visitation.
Additional partners will include the Shelter for Abused Women and Children who would provide
training to visitation staff and local law enforcement and to court representatives regarding
domestic violence issues and supervised visitation. The local court will continue to provide
referrals to the 'visitation center of the Inost severe cases and those requiring security. A..s the
Family Visitation Center is a program of the local Children's Advocacy Center (CAe), thcy will
provide training for the partners on child ahuse and neglect.
Collier County Sheriffs Office is the principal law enforcement agency in Collier County. Their
goal is to keep Collier County safe and enforce the laws regarding domestic violence and to
investigate domestic violence crimes. The agency also employs victim advocates that assist
crime victims with victim's compensation for injuries as well as providing crisis intervention,
support and advocacy.
David Lawrence Community Mental Hcalth Center will provide comprehensive prevention,
intervention and treatment services including crisis stabilization, substance abuse treatment, case
management, outpatient counseling and psychiatric care.
If awarded, the grant agrecment and sub-rccipient agreement will bc brought back to the Board
of County Commissioners for approval and signature. As Fiscal Entity for the grant. Collier
County will be responsible for ensuring compliance with the programmatic and financial
reporting requirements of the Office on Violence Against Womcn and will be required to assume
a level of monitoring responsibility to ensure the Child Advocacy Council is in compliance with
all grant requircments. If the requirements are not met, Collicr Counly will bc responsible for
carrying out the program, will be required to return thc grant or will be subject to other
requirements set forth by the Office on Violence Against Women.
FISCAL IMPACT: The grant application is for $350,000. Collier Counly will serve as the
fiscal entity for the administration of this projcct which will require minimal staff involvement.
Administrative expenses and travel associated with lhe grant will be included in the application
resulting in no further fiscal impact. The project does not rcquire matching funds.
GROWTH MANAGEMENT IMPACT: There is no growth management impact due to this
request.
LEGAL CONSIDERA nONS: This item has been rcviewed and approved by the County
Attomey's Office. This itcm is not quasi judicial, and as such ex pmie disclosure is not
required. This item requires majority vote only. This item is legally sutlicient for Board action.-
CMG
RECOMMENDA nON: That the Board of County Commissioners:
,~'93\lda its-IT r'~'J. 16D9
February ~!O. 2009
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1. Approve submittal of an application for the Safe Havens: Supervised Visitation and Safe
Exchange Grant for $350,000,
2. Approve the Memorandum of Understanding and authorize the Chairman to sign,
3. Approve the Certification of Non-supplanting and authorize the Chairman to sign, and
4. Designate the Public Services Administrator, or designee, to he the signing authority to
complete the online application, standard assurances and certifications and all other
electronic application documents on behalf of Collier County.
Prepared by: Terri Daniels, Accounting Supervisor, Housing and Human Services
Page 1 of 1
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~ Februarv 10, 2009
Page 4 of 25
COLLIER COUNTY
SOARD OF COUNTY COMMISSIONERS
Item Number:
1609
Meeting Date:
Recommendation to approve application and Memorandum of Understanding for a Safe
Havens: Supervised Visitation and Safe Exchange Grant in the amount of $350,000 from the
United States Department of Justice and, if awarded, to serve as the Fiscal Agent and to
authorize staff to negotiate a sub-recipient agreement with Child Advocacy Council (dba
Child Protection Team)
2/10/20099:00:00 Arv1
Item Summary:
Prepared By
Terri A. Daniels
Grants Coordinator
Date
Public Services
Housing & Human Services
1125/20098:27:08 PM
Approved By
Marcy Krumbine
Public Services
Director
Date
Housing & Human Services
1127f2009 3:53 PM
Approved By
Marla Ramsey
Public Services Administrator
Date
Public Services
Pubfic Services Admin.
1/28/200911:24 AM
Approved B)'
Marlene J. Foord
Grants Coordinator
Date
Administrative Services
Administrative Services Admin.
1 i28tZQQS 12:23 PM
Approved By
OMS Coordinator
OMB Coordinator
Date
County Manager's Office
Office cf Management & Budget
1/28120092:12 PM
Approved By
Colleen Greene
Assistant County Attorner
Date
County Attorney
County Attorney Office
1/30120098:27 AM
Approved By
Jeff Klatzkow
Assistant County Attorney
County Attorney Office
Date
County Attorney
212/20091 :32 PM
Approved By
Sherry Pryor
County Manager's Office
Management & Budget Analyst
Date
Office of Management & Budget
2f2/2009 4:17 PM
A,pproved By
James V. Mudd
Coun~y Manag;}r
Date
Board of COUnty
Commissioners
County Manager's Office
2!3f2009 2:26 PM
file:lIC:\AgcndaTest\ExDort\ 123-Februarv%20 1 0.'V0202009\ 16.%20CONSENT%20AGEND d' 2/4/2009
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COLLIER COUNTY
HOUSING AND HUMAN SERVICES DEPARTMENT
DIVISION OF PUBLIC SERVICES
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Affordable Housing . Federal Grants . RSVP . Services for Seniors
. Social Services .
Memorandum of Understanding
WHEREAS, the Board of County Commissioners of County Collier ('"Collier County"') with the
Collier County Child Advocacy Council, the Shelter for Abused Women and Children, the 20th
Judicial Circuit Court, the Collier County Sheriffs Office, and the David Lawrence Center have
come together to collaborate to make an application for the Safe Havens Supervised Visitation
and Safe Exchange Grant Program; and
WHEREAS, the partners have agreed to enter into a collaborative agreement in which Collier
County will be the lead agency and named applicant and the othcr agcncics will be partncrs in
the application; and
WHEREAS, the partners herein desire to enter into a Memorandum of Understanding setting
forth the services to be provided by the collaborative; and
WHEREAS, thc application prepared and approved by the collaborative through the partners is
to be submitted to the Officc on Violence Against Women on or before February 19,2009.
I. Description of the Partner Agencies
Collier County has bcen the lead applicant for the past two grant cycles and served as the fiscal
agent providing the oversight of the grant program, convening the partners for regular
collaboration meetings and submitting required program and financial rcports. The County
supports the efforts of the collaborative and agencies in seeking funds to sustain programs
designed to assist victims of domestic violence, dating violence, sexual assault and/or stalking.
The mission of the Shelter for Abused Women and Children is to help adult and child victims
and survivors of domestic violcnce through safety, intervcntion, and support; to educate thc
public anout domestic violence; and to advocate for social change against domestic violence.
This is the only certified domestic violence program in Collier County. They provide shelter as
well as extensive outreach services.
The Collier County Child Advocacy Council has provided supervised visitation and exchange
services for the past twelve years, The mission of the agcncy is to minimize trauma to victims of
abuse (md to help familics crcate a safc environment utilizing a multidisciplinary tcam approach.
The primary goal of the visitation program is [0 keep battered women und thcir children safe
while assisting famiiies in accessing needed services,
ColLier County Safe Havens: Supervised Visitation and Safe Exchange. Program 2009
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The Collier County Sherifrs Office is the principal law enforcement agency in Collier County.
Their goal is to keep Collier COlUlty safe and enforce the laws regarding domcstic violence and
to investigate domestic violence crimes. The agency also employs victim advocates that assist
crime victims with victim's compcnsation for injuries as well providing crisis intcrvcntion,
support and advocacy.
The Dal'id Lawrence Community Mental Health Center provides comprehensive prevention,
intervention and treatment services including crisis stabilization, substance abuse treatment. case
management, outpatient counseling and psychiatric care. The center is the only non-profit
certified provider of the batterer's intervcntion program in Collier County.
The Twentieth .Judicial Circuit of Florida administers the court programs for Collier County in
addition to four other counties in the region. Each of the circuit courts has a court administrator
who is responsible for the supervision of court staff, budget planning, assignment and
distribution of cases and implementation of court policy. Referrals for the visitation services are
made by the family and domestic violence court judges.
II. History of the Relationship
The Shelter for Abused Women and Children began collaborating with the local supervised
visitation agency in 1997. The respective CEO's have communicated rcgarding the provision of
visitation services to battered women and their children on a regular basis. Throughout this
relationship, the Shelter provided training for visitation center staff in the following areas:
recognizing signs of domestic violence, methods and strategies for working with victims of
domestic violence, risk assessment, and domestic violence potential impacts on battered women
and their children. The Shelter assists their clients in seeking supervised visitation services. The
visitation center refers clients identified to the Shelter for crisis intervention, fotlow-up, and
advocacy. Additionatly, the directors and staff continue to develop a comprehensive plan for
building a larger cutlaborative effort on supporting domestic violence response and the
utilization of supervised visitation and safe exchange services. Shelter representatives paliicipate
in the local collaborative partnership meetings and have attended several national level training
opportunities through the Safe Havens funding.
The goal of this partnership is the protection of battered women and their children in all settings,
As a result, the supervised visitation center and the Shelter have developed an expanded
cotlaboration including child abuse and neglect organizations, law enforcement, courts, legal
advocates, and community groups. They have established an effective method of
communication with the local court system to develop an awareness and understanding among
the potential collaborators of the unique circumstances surrounding supervised visitation in cases
of domestic violence.
The County has had a working relationship with the visitation provider. Collier County Child
Advocacy Council, since 1992 working through the County Department of Housing and Human
Services to pay for medical exams of abused children.
Collier County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
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With the initiation of the Safe Havens funding, the collaborative partners expanded to include the
courts. Although the judges heavily relied upon the services of the visitation center, the
collaborative previously had limited involvement with the judiciary. A circuit court judge joined
the team for training by the National Council of Juvenile and Family Court Judges in February
2008. Although this particular judge did not stay involved, one of the domestic violence court
judges has become very active and has spearheaded the Child Advocacy Council's safety audit
process.
The goals of the collaboration include expanding the safety audit, enhancing the direct services
for battered women and their children, and improving our coordinated community response
through continued outreach and engagement of community agencies and groups,
III. Development of the Application
As this fonnal partnership continues, the applicant, Collier County collaborated with thc
visitation agency, local domestic violence court judge, and Shelter directors to develop a grant
application response, During the first two Safe Havens Grant cyclcs, thc Visitation Program
Director and Memorandum of Understanding partners received training and consultation from
the Office on Violence Against Women, the Clearinghouse on Supervised Visitation. Praxis
International, the family Violence Prevention Fund, and the National Council of Family and
Juvenile Court Judges. Additionally, the partners discussed the recent implementation of this
project and the need for the continuation of these services for rural areas of the county including
Immokalee and for the underserved population, specifically immigrant families. Recent
discussions among the agency directors, county rcprescntatives and local court representatives
have led to the agreement reflected in this Memorandum and the submission of the grant
application.
IV. Roles and Responsibilities
NOW THEREFORE, it is hereby agrecd by and between the partners as follows:
The Shelter for Abused Women and Children
Work with the supervised visitation center to improve cross-agency collaboration among thc
child abuse and neglect organizations, law enforcement, courts, hospitals, legal advocates and
community groups by meeting with key staff on a regular basis and cross training.
Provide up to tpJce domestic violence training sessions per year for the supervised visitation
center staff and collaboration members paid through Safe Havcns grant funds.
Refer all battered women with children in nccd of supervised visitation or exchange services to
the local visitation center and follow-up on the outcome of the rcferrals,
Promote training/education of local law enforcement agencies and court representatives
regarding domestic violence issues and supervised visitation.
Collier County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
OVW-2009-20l4
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With the use of grant funds, provide an advocate to respond to the visitation center as scheduled
for advocacy for all new clients and existing clients as needed.
Collier County Child Advocacy Council
Dedicate two staff (,5 FTE each) and .5 FTE of a program director to provide supervised
visitation and safe exchange services using Safe Havens grant funds.
Provide office space, 2 FTE clerical support staff, and ,2 FTE security staff using in kind and
private funding to implement the program service objectives.
Maintain the confidentiality of individuals and families using the local visitation agency services.
Present programmatic data for partner meetings and provide data to the County for submission to
Office on Violence Against Women
Review all policies and procedures of the visitation services and amend as needed.
Coordinate collaborative training for partners and visitation staff as provided by Safe Havens
Technical assistance training funds.
Submit program evaluation information to local and national evaluators as required by the
grantor. Submit financial documentation for accounting as needed.
Provide training to partners and other community agencies on supervised visitation, mandatory
reporting requirements, overview, dynamics and services for child abuse and sexual assault
victims, and resources for families as approved by the Office on Violence Against Women using
Safe Havens funding.
20th Judicial Circuit Court
Submit referrals and relevant case information to local visitation center and receive follow-up
from the supervised visitation center on the outcome of the referrals.
Provide direction for improving communication between the Court and the supcrvised visitation
provider,
Participate in training for collaboration partners on the legal system and its role in working with
victims of domestic violence, child abuse, sexual assault and stalking using Safe Havens funding
as needed.
Designatc a representative to participate in the collaboration meetings.
4
Collier County Safe Havens: Supervised Visitation aIld Safe Exchange Program 2009
OVW-2009-2014
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Collier County Sheriff's Offiee
Provide direction for improving communication between [he local supervised visitation center
and local law enforcement.
Provide consultation on safety and security issues for the supervised visitation centcL
Participate in training for collaboration partners on the legal system and its role in working with
victims of domestic violence, child abuse, sexual assault and stalking using Safe Havens funding
as needed,
Designate a representative to participate in the collaboration meetings.
David Lawrence Center
Provide training and consultation to the partners on issues, utilizing Safe Havens grant funds,
relating to domestic violence from the perspective of the batterer's intervention program
designed to promote change for the perpetrators,
Provide training and consultation, utilizing Safe Havens grant funds, on issues relating to
substance abuse intervention and treatment.
Participate in training for collaboration partners on domestic violence, child abuse, sexual assault
and stalking through the use of Safe Havens grant funding.
Provide training to the supervised visitation center staff and other partners on the issues related
to mental illness as it relates to domestic violence risk and assisting victims with mental health
issues using Safe Havens grant flmding.
Designate a representative to participate in the collaboration meetings.
Collier County
Identify staff to serve as the project coordinator and as the point of contact with Office on
Violence Against Women and to coordinate site visits and on site technical assistance events.
Serve as the fiscal agent for the Safe Havens grant projcct and offer staff support using Safe
Havens fWlds,
Ensure compliance with the reporting requirements of the Office on Violence Against Women,
Support the collaboration effons of the project by convening partnership meetings aud consulting
committee meetings,
Collier County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
OVW -2009-2014
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Participate in mandatory Office on Violence Against Women meetings and trainings. Ensure that
the grant project is developed and implemented in compliance with the statutory and mandatory
requirements of the Supervised Visitation Grant Program
Assist the partner agencies in developing community block grant applications and other sources
of continuation funding.
V. Time Line
The roles and responsibilities described above are contingent on the grantee, Collier COWlly,
receiving the funds requested for this project in the Office on Violence Against Women granl
application. The beginning and end dates of this collaborative effort would coincide with the
grant period, anticipated to be September I, 2009 through August 30, 2012,
VI. Commitment to Partnership
1) The collaboration service area includes Collier County, Florida including thc rural
community ofImmokalee.
2) The partners agree to collaborate and provide supervised visitation services and
advocacy to victims of domestic violence, dating violence, sexual assault and/or
stalking pursuant to the program narrative of the grant application attached to this
agreement.
3) Compensation for non-lead partners contribution to this project will be provided
as outlined in the attached OVW budget detail worksheet. The paliners agree to
work together to seek fimds to sustain the project once grant funds are no longer
available.
4) We, the undersigned, have read and agree with this Memorandum of
Understanding. Further, we have revicwed the portion of the proposed project
budget pertaining to the collaborative effort described herein, and approve it in its
entirety.
DATE:_
ATTEST:
DWIGHT E. BROCK, Clerk
BOARD OF COUNTY COMMISSIOl\ERS
OF COLLIER COUNTY, FLORIDA
By:
By: _
DONNA FIALA. CHAIRMAN
, Deputy Clerk
DATE:
'Q".
U'J. _.___..__
KEVIN RAMBOSK, Sheriff
Collier COLmty, Florida
6
Collier County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
OVW-2009-2014
DATE:
DATE:
DATE:
DATE:
Approved as to form and
legal sufficiency:
By: (' ~e{J{J.ti..r/l Jill i -
Colleen M. Green€
Assistant County Attorney
Approved as to form and
legal sufficiency:
By:
Legal Counsel
Collier County Sheriff s Office
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By:
By:
By:
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Linda Oberhaus
Chief Executive Otlicer
Shelter for Abused Women and Children
Jacqueline Griffith Stephens
Chief Executive Otlicer
Collier County Child Advocacy Council
David Schimmel
Chief Executive Otficer
David Lawrence Mental Health Center
Richard Callanan
Deputy Court Administrator
Twentieth Judicial Circuit Court
Collier Cowlty Safe Havens: Supervised Visitation and Sate Exchange Prografl1 2009
OYW-2009-2014
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,L,Jsnda ilem No. 16D9
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Page 12 of 25
Safe Havens Abstract IProposal Summary
The Board of County Commissioners of Collier County, Florida ("Collier County") is
applying for the Safe Havens Grant Supervised Visitation and Safe Exchange Grant Program to
further enhance and strengthen existing supervised visitation services and to build capacity for a
coordinated community response to battered women and their children in our community.
Collier County is requesting $350,000 for the three year two-site continuation grant. Collier
County intends to renew the contract with the Collier County Child Advocacy Council, the
only local visitation center, to provide supervised visitation and safe exchanges for battered
women and their children and designate staff to serve as the point of contact with the Office on
Violence Against Women to ensure compliance with the statutory, mandatory and reporting
requirements of the grant.
The overarching goal of the visitation program is to keep battered women and their children
safe by providing a secure, respectful and culturally responsive environment for supervised
visitation and exchanges while understanding the dynamics of domestic violence. The goals of
this proposal focus on increasing access to and enhancing supervised visitation and exchange
services, improving conununication with the courts and implementing services that are
responsive to the needs of battercd women and their children. Each time the center conducts a
supervised visit or monitors a safe exchange, a possible incidence of violence is prevented.
Working with the courts, the visitation agency monitors refen-als to batterers' intervention
programs and to substance abuse treatment facilitics in order to hold batterers accountable for
their actions. The established partnership with the certified domestic violence center, the
visitation agency, the county sheritrs olTice and other victim serving agencies will serve to
Collier County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
OVW-2009-2014
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increase the ability for our community to work collaboratively on behalf of victims of domestic
violence, sexual assault, dating violence. and stalking. With continued funding, the partnership
will be enhanced through opportunities for shared training, agency collaboration and further the
development of the visitation center modeling the Safe Havens Guiding Principles,
Collier County is geographically the largest county in Florida and includes the rural,
predominantly migrant, community of Immokalee. As the job market weakens and housing
values decline, the number of distressed homeowners has escalated. Much of the distress has
manifested in the increased number of foreclosures experienced in Collier County. As a result,
economic stress is impacting the entire county. As of Novcmber 2008, Collier County had a total
of 1,406 foreclosure filings, which equates to one foreclosure filing for every 133 households.
This rate of foreclosures is up 16% from October 2008 and 181 % from the same time last year.
The increase of forcclosures as well as high unemployment has reached a crisis level and has
affected those who previously owned homes and were gainfully employed and therefore did not
need social services. As a result we are seeing an increased need for services by a population
who, previous to this crisis, rarely needed or accessed assistance programs. Of the 584 domestic
violence injunctions filed in Collier County, 114 families were referred to the local visitation
center. With the receipt of continuation funding, it is anticipated that the center will continue to
serve families in need without having to charge a fee or maintain a waiting list. The Safe Havens
Supcrvised Visitation and Safe Exchange Grant Program funding is critical to the safety of the
some of the most vulnerable citizens of our community, including a newer group of previously
not served families, and serves as a vital link in the coordinated community response to the clime
of domestic violence.
Collicr County Safe Havens: Supervised Visitation and Safe Exchange Program 2009
OVW-2009-2014
Agenda Item t-Jo. 16D9
February 10, 2009
Page 14 of 25
February 10, 2009
Catherine Pierce, Deputy Director
Office on Violence Against Women
800 K Street, NW, Suite 920
Washington, DC 20530
Dear Ms. Stuart:
Collier County certifies that funds awarded through the Safe Havens: Supervised
Visitation and Safe Exchange Grant Program will be used to supplement existing funds
for program activities and will not replace (supplant) nonfederal funds that have been
appropriated to support supervised visitation and safe exchange of children, by and
between parents, in situations involving domestic violence, child abuse, sexual assault, or
stalking. Collier County understands that supplanting violations can result in a range of
penalties, including suspension of futurc funds under this program, suspension or
debarment from federal grants, recoupment of monies provided under this grant, and civil
and/or criminal penalties.
Sincerely,
Donna Fiala
Chairman
Collier County
Board of County Commissioners
,.
Aaenda item [\io. i 6D9
~ f'ebcuary 10, 2009
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CD Enter a name for the- application in the Application Filing Name field.
. This application can be completed I') Its entirety offlhe; however \>.OU wi!: need to l::lgin 10 t:lE' Gran\s,gov website durng the silbm:sslDn pro:::ess
. You can save I'OUI a;>pllcatior: at any time by cllckll1g the .'Salle" butlOll at the lop of your s:~een
. The "Save 8. Subml!"' button wltl nol be fundional until ail requiled ::lata fIelds In the application are com"leted and you cli:ker:f on the '.Clle:::k Pacrage for Errors" bulton a'ld
confirmed all data required dala fields are completed
(3)
Open and complete all of the documents listed in the ..Mandatory Documents" box. Complete the SF.424 form first.
. IllS recommended 1I1al the SF-424 form be Ihe fl's! form completed for the applt:::iltion paC:~<l-Je Dala enterpd on the SF-424 WII: populate dala fields in olher mandator)! and
o:Jti:ll1ullorms 3rldthe user c.)nnol enterdat<lln thesefleids
. The, fo'rns listed in the "Mandatory Do~uments" b::>x and .'Optional D::>cu.'T'ents" rnay be predefined torms, such as SF424 forms Wrler", a document needs to be attached,
such as the Proje::l ~Jarralive 01 a ccmblnatlon 0: bolh 'lllanda:ory Dccuments" ~jre requ,red far this npplicatlon '.Option.;1 Do::um('nts.':;)~, be used 10 prOV1de a:ldlllonul
support fo' this appiicallcn or may be rpqulred for spe-cik types of grant aClivlly. Reference the appllcalion pad;aye instructions 10! more Intormalion regacding "Opllorlul
Documents.'
. To open and COr:1plele a form Simply cilck on the forfT' s '"1gme Ie 5eL>:ct the Item and t.~~n click or, I:,e "'_'. Oi.J?10n. ThiS will move the ::ocument to the appropriate "DOCUMents
fOI S"bmlsslon" box ar,d the form wi!1 be i:lutoll'1atic.ally added to ye,ur application package lo view lhe form sc.oli dowr, lhe screen Of select the form name and CIICf, on t'1e
"Dpen FClrm" button to begin completmg Ihe required data fields To lema,,€ a furmidocument from thE: '.D8cuments for Si.lbmlss:on.. box, click the document name 10 select It
a~,d !hen c1iL.k the .;~ button This will return the formioocwnenl to the "M,wdatOfl' D8L.umenl~.' or "Ootional DOeU'11€nts" box
AI' O::lcuments listed ~n the '.Ma'ldat8:y DOCl;!llents' ll~x ~'~st ~t' rr,r,vl!:l to t+l'-' '.!,\.:l"da'ory ::loclrwerl\S f:y SubMrS5,on" b0X. \/V1"en you 8::Jen a rE;cluif~'d form, Ihe f'elds whl:h
:l'1:.I5; ~e compieted are hjghl~ghled In ye:low w:lh a red tercer OptlGnil: fleljs and completed t;ei% ale dsp'eyed '.1 wlllte. I~ you enler !n'.al!d or Incomplete Infofmal'Or i" a
field, y:Juw;;1 receive an errormess3ge
o
Click the "Save & Submit" button to submit your application to Grants,go...,
- Once you 'lave prQPecly completed all reJuired coc'-A:11ell!s and alla:hed any requlfed or op:lorJal documenl<ltlOrJ ~ave the comnleted appicaton by c1i:kltlQ un the .'Saw.'
button
. Click on the ":r.ec~ PaCkage ror ::rrocs" button to e'1Sllre that yo" nave completE:d ail reqdired data fleids, Calreel ar;y e-rors 01 if none ar~ fOund save the 3PI.lIiC4lion
o<lcka;Je
- The "Save & Submit'" bi.:t1on wi!; becon'le ;;Jc:l....e, c:ick on tere "Save & Submlf' huticn !o begin th", ;:Jpplic3tron subm'ssior. process
- You will be taken to the api-'I:can! login uaqe to e"~e' "QUT Grantsguv l.;Sernar11e WIO ,,'E!sswo:-d Follow <.ill onscreen i,"struciiOl1s for subr'lISSlon
Application for Federal Assistance SF424
. 1 Type of Submission
o Preapplication
[R] Application
o Changed/Corrected ApplicatlOn
. 2. Type of Applicaton
o New
[RJ Continuation
o Revision
. 3 Date Received:
fcomPleledbY Grants gov upon SUI:!IT'USSIOr>
4 Applicant \de~~~~
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:.a Federal Entity Identifier
. If ReviSion, select appropriate letlerls)
~
. Other (Specify)
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. 5b Federal Award Iden;lfler
I 12007~::W-AX -0007
State Use Only:
6 Date Received tly State C ==:J 17 State Application Identifier I
8. APPLICANT INFORMATION:
. a Legal N<lme Ice) 1 ier County
. b EmployerrTaxpayer Identification Number (EIN/TIN)
159-6000:'58
d. Address:
. $lreel"1
1:.301 Taln:.;;.mi Tra.: 1 Fa.st
IBuild::ng H, 2nd F10cr
iNClP~ es
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e. Organizational Unit:
Department N<:lme.
iH::US;':"'Jg and !-lum<ln Se::-vi ::cs
. c Organizational DUNS.
I IC76997790
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---"
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urHTCD S":'J,TES
Division Name'
Plef:x
f. Name and contact information of person to be contacted on matters involving this application:
I ~30r\'iCEo5'~------_u
Middle Name
- ---,
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, Fi'st Name [/~i;:=~Y
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2D32
Aqenda item No. cloD9
- February '10.2009
Page 16 of 25
OMS Number 4040-0004
EXpiration Dale 01/31/2'Xl9
Version 02
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.';g2nd3 !!em r'~o. 16D9
:::-'.':'bruary 10. :lO()9
p 30-3 i 7 of 25
Application for Federal Assistance SF-424 Version 02
9. Type of Applicant " Select Applicant Type:
In Count.y. C::y,,'c;:-nriC:1L :::=_= 1
Type of Appir2<;1nl2 Selec: Appil::an~ Type
-----~----- "'-.--.--- ___J
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Type of Appli:ant 3 Select Apph:ant Type
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-
'::::-thc~ (sped'l)
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10, Name of Federal Agency:
Inf" ~'" ot Violence Ag.:'llnst wC:':T::''rl I
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11, Catalog of Federal Domestic Assistance Number:
I"" . ~.2':1 -=:J
Cf-"DA Title:
ISl.pe::-\, i .sed v; si ;.a:JO!l. .so:!;' ].;aver:s fo-;- :hiJ;;::nm ]
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12 Funding Opportunity Number:
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13, Competition Identification Number:
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Title
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14. Areas Affected by Project (Citios, Counties, States, etc.):
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15, Descriptive Title of Applicant's Project:
'----_.~--~- - '--"'_.~ ._-------~--- --_._.,--_.~~_.._.~_._.- .--.-- - - .---.--...,--- "'-,---
L,_ -. - '\C,~ ' '" " : ~;f' (1, ~':1 " ,. ., ". -. -
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.4:cacr.supprri:lg docume'l;S as specified :n agency 1,"1slructrQ"1S
I Add Attachments j I -..,...:;.- .l,.I>' "" .~' :.: !~- I I I
Gr.18 Number 4040-0004
EXpiration Dale 01'31/~009
/'\':lenda Item r'~o. 16D9
~ ::cbruary 10, 2009
Page 18 of 25
OMS Number 4040-0004
ExpHa\ior Date 01/31,'2009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
., Applicant ~~5 1 'b Program/PrOject ~ _J
~.., :)
Attach an additional Itsl of Progra'nlProJect Congressional Districts if needed
I I I Add Attachment' t I [\i::r.:;t\c Alttid')rrwnt I I ':liT"~1 ;iLo;::;!"l'ne(';~ I
17. Proposed Project:
I . a, Start Date 109/01/2009 1 . b, End Dale: r;;;; c /:'. c' 12l
18. Estimated Funding ($):
. a Federal I 3!::O, 000.:181
'b Applicant I o~
" Stale L 0.C01
.ct local I o~~
I -, --, '" o~
" Other 0
'j Program Income i 0, "I
. g. TOTAL I :< ~O, 0""'0 ('-;]
"- "~_I
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
D , This application was made available to the State under the Executive Order 12372 Process for review on 1 ,_._---~._- I
D b Program is subject to E.O. 12372 but has not been selected by the State for review
[8J c. program is not covered by E.Q, 12372.
. 20. Is the Applicant Delinquent On Any Federa! Debt? (If "Yes", provide explanation.)
DYes [8J No I : ".p:t' , -'.iC'[ I
21. *By signing this application, 1 certify (1) to the statements contained in the lisl of certifications*' and (2) that the statements
herein ". true, complete and accurate to the best of my knowledge. j also provide the required assurances*'" and agree to
comply with any resulting tenns if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, ctvil, or administrative penalties. (U.S. Code, Title 218, Section '001)
[8J .. I AGREE
.. T:'e list of certifications and assurances, or an internet site where you may obtain this list, ;s contailled in tIle announcement or agency
spec.ficinstructions
Authorized Representative:
[" - "I F;;~~,~ ._-=~,~=~__ ------ ..-.- -:=J
Prefix . First Narne
L -
Middle Name I
-..-.- ,,,, -..-
. Las: Name EoO ------~===~~~-------'---I
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Suffix r J
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. Telepr.o:;e Number 1..,-,,,, " '" ....- - - l Fax Numb~r i)}~i :~ I
:: ~, ;:! - E 0 ~i '/ " 2::'';7
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W Emall 13@~cllierq:J\' :--,2t I
. S'gna~ure of .A.'Jtr,oriz:ed RepresCf::atlVe rCcm~lclec ~) c;,,,mt:;go; up;,~ ;.I~~rls,;o'1 - ] . D0:1O Signed - .'J
Ie ~"n .'ICled 11\' (3r ~nl~, lJUV ',lpCln su~>rn:SSi(l1
-~,.._._.. -
A~thorized for local Reproduction
Standard For'll 424 (ReViSed 10:20(;5)
P;escr\be~ ::J}' OMS Cm';Jlaf A 102
Ansnda item f~o. 16D9
~ February 10, 2009
Page 19 of 25
DMS NJrnt'er 4040-0004
Explf2ltion Date D1/31.'2009
Application for Federal Assistance SF-424
Version 02
. Applicant Federal Debt Delinquency Explanation
T,'le following field should cor.lain an explanation If the Arpllcan[ organization IS oel:nquent on any Federal Debt Maximum number or
characters thai can be entered is 4,000 Try and avoid extra spaces and camage returns to maximize the availability of space
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.._______.._..J
.Agenda Item No. ~16D9
February 10,2009
Page 20 of 25
Project Narrative File(s)
. Mandatory Project Narrative File Filename: I
I Add Mandatory.Project Narrative File I I D,;II~t;:; .fJl;lr1d~Jtor\' ?mk~ci Nrlr(;:~. \,,::-Fikd I \~.;:\t,.:,':aT1d.,")i"'~ ..F'n:,!flct h:,ln8~r,rB Fii01
To add more Project Narrative File attachments. please use the attachment buttons below.
I Add Optional Project Narrative File 11 :-'<:Hc (':'p!!~ln;:,1 f]r(w~c:' t'.;;;:" "jl'h ;:::,-11 ',i'f'W ~)r"lif) ;;"1: Fr\'ifo':j 1\,!ar!,::iiv." c,:( t
A,genda ;t~m 1'00. 1609
.:::-:-~br...Bry 10.2009
Page 21 of 25
Budget NarratiH File(s)
, MandatoI)' Budget Narrative Filename: I
I Add Mandatory Budget Na!ralive t I !)f1~8(1:- lv1ano2trlt\' 8'.:d-,;et N8;!"1li~"~11
;i."'\; .M3;~""'to~c" "} ";[H'l ;,:!.,rrhiiv" ."
. ,. '. . .,",.. . .' . -.''"'".~ -. '-: .'
To add more Budget Narrativ~ attachments please use the atta~hment buttons below.
I Add Optional Budget Narrative ]1 D%:o::e ()Plt(J,i~.i 8udq.;:; N.;;,:";,;:'-"'" f I ',,'Iev, C'l'~I!:;J~H: [:l(~ ;,,) ~~rm~;:';.I~ f
,i\;;J8nda Item NCJ. 16D9
February 10, 2009
Page 22 of 25
OMB Approval No. 4040-0007
Expiration Date 07/30/2010
ASSURANCES - NON-CONSTRUCTION PROGRAMS
rpUbliC reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
\ instructions, searching eXisting data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information: Send comments regarding the burden estimate or any other aspect of this collection of information, including SUggeStlo,ns for
reducing this burden, to the Office of Management and Budget, Paperwork Reductlon Project (0348~0040), Washington, DC 20503
lPLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
, '
NOTE:
Certain of these assurances may not be applicable to your project or program If you have questions, please contact the
awarding agency Further, certain Federal awarding agencies may require applicants to certify to additional assurances
If such is the case, you will be Ilotified.
As the duly authorized representative of the applicant, I certify that the applicant
1. Has the legal authority to apply for Federal assistance
and the institutional. managerial and financial capability
(including funds sufficient to pay the non-Federal share
of project cost) to enSure proper planning, management
and completion of the project described in this
application
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the award; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives
3 Will establish safeguards to prohibit employees from
using their posIlions for a purpose that constitutes or
presents the appearance of persol1al or organizational
conflict of Interest, or personal gain.
4. Will initiate and compiete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 USC, !i!i4728-4763) relating to preSCribed
standards for merit systems for programs funded under
one of the 19 statutes or regulations specified in
AppendiX A of OPM's Standards for a Merit System of
Personnel Administration t5 CFR 900, Subpart F)
6 Will comply with all Federa! statutes relating to
nondiscrimination These include but are not !Imited to
laJ Title VI of the CIVil Rights Act of 1 964 (P L 88,352)
which prohibits discrimination on the basis of race, color
or national origin: (b) Title lX of the Education
Amendments of 1972, as amended (20 U.S C %1681-
1683. and 1685-1586), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation
Previous Edition Usable
Act of 1973. as amended (29 U S.C. ~794) which
prohibits discnmination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as amended (42 U
S,C. SS6101-6107), which prohibits discrimination on
the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92-255), as amended,
relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiSCrimination on the basis of alcohol abuse or
alcoholism; (g) !i!i523 and 527 of the Public Health
Service Act of 1912 (42 US C. !i~290 dd-3 and 290
ee- 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records: (h) Title VIII of the Civil
Rights ,~ct of 1968 (42 U S.C. !i!i3601 81 seq.), as
amended, relating to nondiscrirrllnation In the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific sta1ute(s)
under which application for Federal assistance is being
made; and, 0) the requirements of any other
nondiscrimination statute(s) which may apply to the
application
7 Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P L. S11-646) which provide for
fair and equitable treatment of persons displaced or
whose property IS acquired as a result of Federal or
federally. assisted programs. These requirements
apply to all Interests In real property acquired for
project purposes regardless of Federal partiCipation In
purchases
8 Will comply, as applicable, with provisions of the
Hatch Act (5 US.C, 851501-1508 and 7324-7328)
which limit the political activities af employees whose
pi;ncipal employment activities are funded in whole
or in part With rederal funas
Authorized for L.ocal Reproduction
Standard Form 4246 (Rev. 7-97)
Prescribed by OMB Circular A-102
9 Will comply, as applicable, with the provisions of the Oavls-
Bacon Act (40 U S C. 88276a to 276a-7), the Copeland Aot
(40 U,SC, S276c and 18 U_SC 5874), and the Contract
Work Hours and Safety Standards Act (40 U_S,C SS327-
333), regarding labor standards for federally-aSSisted
construction subagreemenls
10 VVill COr.lp!y, if applicable. with flood insurance purctl8se
requirements of Section 102(a) of the Fiood Disaster
Protection Act of 1973 (P.L 93-234) which requires
recipients In a speCial flood hazard area to particioate In the
program and to purchase flood Insurance If the tOlal cas! of
Insurable construction and acquisition IS $10,000 or more
11. Will comply With environmental standards which may be
prescribed pursuant to the follOWing: (a) institution of
environmental quality control measures under the National
Environmental Policy .A.c1 of 1969 (PL. 91-190) and
Executive Order (EO) 11514; (b) notification of Violating
facilities pursuant to EO 11738: (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards In
floodplains in accordance wllh EO 11988: (e) assurance of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1972 (16 U.S C. ~81451 et seq), (f) conform'ty of
Federal actions to State (Clean Air) Implementation Plans
under Section 176(c:1 of the Clean Air Act of 1955, as
amended (42 use S37401 et seq), (9) protection of
underground sources of drinking water under the Sefe
Drinking Water Act of 1974, as amended (PL 93-523:1;
and, (Ill protection of ~ndangered species under the
Endangered Species Act of 1973, as amended IP L. 93-
205).
.A~end3 !tem No. 1609
~ Ft:bnjary 10,2009
Page =::' of 25
i2 Will comply with the Wild and Scenic Rivers Act of
1968 (16 U SC. 881271 et seq) related to protecOng
components or potential components of the national
wild and scenic rivers system
13 Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act 011966, as amended (16 U SC. 8470), EO 11593
(Identification and protection of histOriC properties), and
the Archaeological and Historic Preservation Act of
1974 (16 US C. '8469a-1 el seq)
~4 Will comply with P L 93-348 regarding 1he protection of
human subjects Involved in research, development, and
related activities supported by this award of assistance
15 Will comply with the Laboratory Anima) Welfare Act of
1966 (P.L 89-544, as amended, 7 U SC 8S2131 et
seq) pertaining to the care. handling, and treatment of
warm blooded animals held for research, teaching, or
:Jther actiVities supported by thiS award of assistance
16 Will comply With the Lead-Based Paint POisoning
Prevention Act (42 USC, SS4801 et seq,) which
prohibits the use of lead~based paint in construction or
rehabilitation of residence structures
17 Will cause to be performed the reqUired finanCial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMS Circular No A-133,
"Audits of States, Local Governments, and Non.Profit
Ol-ganlzations,"
18 Will comply with all applicable requirements of all other
Federal laws, execullve orders, regulations, and poliCies
governing thiS program.
: - -~~-_._._-------_._..,.--_._-_._-_.._---_._--..._.__._--~._----~------.I
I' SIGNATURE OF AUTHORiZED CERTIFYING OFFICIAL I'TITLE I
[~:~~::~~'~-':'Si~- ',',' "";~-;-;:~~~--~;;--~=~~-L ':-':_~====~=~_~~_-==-:==-:I
I :~fOP~~ANT ~~GA~J1ZA TION_ I' DATE SUBMITTED ,
U~c~~~~___===~=::::~:==::::=_~::~Jll~~I~~_~:'- ..", --=-_-,-,---,-."~:____=) I
Standard Form 4248 (Rev, 7-97) Back
A;i8ilda Item r'~o. 16D9
February 10, 2009
Page 24 of 25
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion - Lower Tier Covered Transactions
ThiS certification is required by the Department 01 Education regulations Implementing Executive Order 12549, Debarment and Suspension,
34 CFR Part 85, for all lower tier transactions meeting the threshold and tier requirements stated at Section as 110
Instructions for Certification
1 By signing and submitting this proposal, the prospective lower tier
participant is providing U'e certification set out below
2 The certification in this clause is a material representation of fact
upon which reliance was placed when this transaction was entered into
If it is later determined that the prospective iower tier participant
knowingly rendered an erroneous certification, in addition to other
remedies available to the Federal Government, the department or
agency with which this transactio" originated may pi.l,sue a'.railable
remedies, including suspension andlor debarment
3, The prospective lower tier participant shall provide immediate written
notice to the person to which this proposal is submitted il at any time
the prospective lower tier participant iearns that its cer1iflcation was
erroneous when submitted or has become erroneous by reason of
changed circumstances,
4. The terms "covered transaction," "debarred," "suspended."
"ineligible," "lower tier covered transaction," "participant," "person."
"primary covered transaction," "principal," "proposal," and "voluntarily
excluded," as used in this clause, have the meanings set out in the
Definitions and Coverage sections of rules implementing Executive
Order 12549. You may contact the person to which this proposai IS
submitted lor assistance in obtaining a copy of those regulations.
5_ The prospective lower tier participant agrees by submitting this
proposal that, should the proposed covered transaction be entered into,
it shall not knowingly enter into any lower tier covered transaction with a
person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction. unless
authorized by the department or agency with which this transaction
originated
6. The prospective lower tier participant further agrees by submitting
this proposal that it will include the clause titled A Certification
Regarding Debarment. Suspension, ineligibility, and Voluntary
ExclUSion-Lower Tier Covered Transactions, and without modification,
in all lower tier covered transactions and in all solicitations for lower tier
covered transactions
7_ A participant in a covered transaction may rely upon a certification of
a prospeciive p<lrticip<H11 in a iower iier covered transaction ihi3tli is not
debarred, suspended, ineligible, or voluntarily excluded trom the
covered transaction, unless it knows that the certification is erroneous.
A participant may decide the method and trequency by which it
determines the eligibility of its principais. Each participant may but is
not required to check the Nonprocurement List.
8, Nothing contained in trle foregoing shall be construed to require
establishment of a system of records in order to render in good faith
the certification required by this clause The knowledge and information
of a participant is not required to exceed that which IS normally
possessed by a prudent person in the ordinary course of business
dealings,
9. Except for transactions authorized under paragraph 5 of these
instructions. if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible. or voiuntariiy excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension andlor
debannent
Certification
(1) The prospective lower tier participant certifies. by submission of this proposal, that neither It :lor its principaiS are presently deb:med,
suspended. proposed for debarment, dedared ineligible, or voluntarily excluded from participation in this transaction by any Federal
dep"r1menl or agency.
(2) \I\fhere the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective pat1icipant shall
attach an explanation to this proposal
. NAME OF APPLICANT
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DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
Approved by OMS
:)348-0046
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