Okaloosa County BOCC — January 18, 2013 — Fed Funded Public Assistance Agreement - Isaac — reading text

the inspection results for each structure to indicate: safety hazards present; health hazards present; and/or hazardous materials present. e.) Provide supervision over contractors or employees employed by Subgrantee to remove asbestos and lead from demolished or otherwise applicable structures. f.) Leave the demolished site clean, level and free of debris. g.) Notify the Grantee promptly of any unusual existing condition which hampers the contractors work. h.) Obtain all required permits. i.) Provide addresses and marked maps for each site where water wells and septic tanks are to be closed along with the number of wells and septic tanks located on each site, and provide documentation of such closures. j.) Comply with mandatory standards and policies relating to energy efficiency which are contained in the State energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Public Law 94-163), k.) Comply with all applicable standards, orders, or requirements issued under Section 112 and 306 of the Clean Air Act (42 U.S.C. 1857 (h), Section 508 of the Clean Water Act (33 U.S. 1368), Executive Order 11738, and the U.S. Environmental Protection Agency regulations (40 CFR Part 15 and 61). This clause shall be added to any subcontracts. [.) Provide documentation of public notices for demolition activities. 32. It will comply, and all its contractors will comply, with the non-discrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 USC 3789(d), or Victims of Crime Act (as appropriate); Title VI of the Civil Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Subtitle A, Title Il of the Americans with Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; Department of Justice Non- Discrimination Regulations, 28 CFR Part 42, Subparts C,D,E, and G; and Department of Justice regulations on disability discrimination, 28 CFR Part 35 and Part 39. 33. It will require the facility to be designed to comply with the "American Standard Specifications for Making Buildings and Facilities Accessible to, and Usable by the Physically Handicapped," Number A117.1- 1961, as modified (41 CFR 101-17-7031). The subgrantee will be responsible for conducting inspections to insure compliance with these specifications by the contractor. 34. it agrees to comply with Section 311, P.L. 93-288 and with Title V1 of the Civil Rights Act of 1964 (P.L. 83-352) and in accordance with Title VI of the Act, no person in the United Grantees shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the subgrantee receives Federal financial assistance and will immediately take any measures necessary to effectuate this agreement. If any real property or structure is provided or improved with the aid of Federal financial assistance extended to the subgrantee, this assurance shall obligate the subgrantee, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. 35. It agrees to comply with Executive Order 11246 as amended by Executive Orders 11375 and 12086, and the regulations issued pursuant thereto, which provide that no person shall be discriminated against on the basis of race, color, religion, sex or national origin in all phases of employment during the performance of federal or federally assisted construction contracts; affirmative action to insure fair treatment in employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff/termination, rates of pay or other forms of compensation; and election for training and apprenticeship. 36. It will comply with Title IX of the Education Amendments of 1972, as amended (20 U.S.C.: 1681-1683 and 1685 - 1686) which prohibits discrimination on the basis of sex. 37. It will comply with the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, (42 U.S.C. 4521-45-94) relating to nondiscrimination on the basis of alcohol abuse or alcoholism. 38. It will comply with 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records. 39. In the event a Federal or State court or Federal or State administrative agency makes a finding of discrimination after a due process hearing on the Grounds of race, color, religion, national origin, sex, or disability against a recipient of funds, the recipient will forward a copy of the finding to the Office for Civil Rights, Office of Justice Programs. 40. It will provide an Equal Employment Opportunity Program if required to maintain one, where the application is for $500,000 or more. 41. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620. ATTACHMENT “B” Public Assistance Quarterly Report Available for Each Subgrantee on www.FloridaPA.org Suartesy Repost Te Cee was eae Soess : HRW RE? Saris ha aa ees Seeker f Eeted veo Sar ini Yas: Types Tighe oikeerek Wark Deliivac, Barer Ankipned Praikeaire: Cepurded Te fearar WesttunereC angie DaskeuratCangerke Gores CaagesyeeL Sakae Porlees Srexieews Quar yanigees. gagenas AEBS. Es ens Bote & Carksura fee PVG ade Saag Ravieune fee CA Gets Dburates PGs Caresara har Ey CaoaterrVaei Sater tel ah gees Sas Seardesyas Rinaetyara, OTE ig your Rec. x Ye: Shde Tee Dettoaks ae @hie groeciay paveaar § tants Sedivk Preface Chance: Attachment “C” Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Subcontractor Covered Transactions: 1. The prospective subcontractor of the Subgrantee certifies, by submission of this document, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. 2. Where the Subgrantee’s subcontractor is unable to certify to the above statement, the prospective subcontractor shall attach an explanation to this form. SUBCONTRACTOR: Name of Company Street Address City, State, Zip Federal Employer Identification Number (FEIN) By: Signature Date Subegrantee’s Name Grantee Agreement Number Attachment “D” DESIGNATION OF SUBGRANTEE’S AGENT FEMA/GRANTEE PUBLIC ASSISTANCE PROGRAM Florida Division of Emergency Management Subgrantee Okaloosa County Primary Agent Secondary Agent Agent's Name Brenda L. Bailey Ageni’s Name Gary J. Stanford ede SY KO Organization / Official Position —~S Contracts & Grants Manager ona ot Had Poskion Finance Director Mailing Address 1804 Lewis Turner Blvd., Suite 206 Mailing Address 302 N. Wilson Street City, State, Zip Fort Walton Beach. Florida 32547 City, State, Zip Crestview, Florida 32536 Daytime Telephone (850) 651-7200, ext 4381 Daytime Telephone (850) 689-5000, ext 3411 Facsimile Number (850) 609-5029 Facsimile Number (850) 689-5882 E-mail Address bbailey@clerkofcourts.cc E-mail Address gstanford@clerkofcourts.cc The above Primary and Secondary Agents are hereby authorized to execute and file Application for Public Assistance on behalf of the Subgrantee for the purpose of obtaining certain Grantee and federal financial assistance under the Robert T. Stafford Disaster Relief & Emergency Assistance Act, (Public Law 93-288 as amended) or otherwise available. These agents are authorized to represent and act for the Subgrantee in all dealings with the Grantee of Florida, Grantee for all matters pertaining to such disaster assistance required by the agreements and assurances printed on page 2 hereof. Additional authorized contacts may be registered on the Grantee’s PA Website (www_floridapa.org) for full or read only access by the above authorized Agents. Chief Financial Officer Subgrantee’s Authority/Board/Commission Name Gary J. Stanford Official’s Name Don R. Amunds hor, n Signature v Organizatiody Offtcial Position” Finance Director Organization / Official Position Chairman Mailing Address 302 N. Wilson Sireet Mailing Address 1804 Lewis Turner Gity, State, Zip Crestview, Florida 32536 City, State, Zip Fort Walton Beach, Florida 32547 Daytime Telephone (850) 689-5000, ext 3411 Daytime Telephone (850) 651-7105 Facsimile Number (850) 689-5882 Facsimile Number (850) 651-7142 E-mail Address gstanford@clerkofcourts.cc E-mail Address damunds@co.okaloosa.fl.us Subgrantee’s Grantee Cognizant Agency for Single Audit purposes: Florida Division of Emergency Management Subgrantee’s Fiscal Year (FY) Start Month: October Day: 1st Subgrantee's Federal Employer's Identification Number (EIN) 59 = 6000765 Subgrantee’s FIPS Number (If Known) 091 - 99091 = 00 Subgrantee Authority/Board/Commission Signature Date: Page 4 Attachment E JUSTIFICATION OF ADVANCE PAYMENT RECIPIENT: If you are requesting an advance, indicate same by checking the box below. [ ] ADVANCE REQUESTED Advance payment of $ is requested. Balance of payments will be made on a reimbursement basis. These funds are needed to pay staff, award benefits to clients, duplicate forms and purchase start-up supplies and equipment. We would not be able to operate the program without this advance. If you are requesting an advance, complete the following chart and line item justification below. ESTIMATED EXPENSES BUDGET CATEGORY/LINE ITEMS 20. —--20_—s Anticipated Expenditures for First Three Months of (list applicable line items) Contract For example ADMINISTRATIVE COSTS (Include Secondary Administration.) For example PROGRAM EXPENSES TOTAL EXPENSES LINE ITEM JUSTIFICATION (for each line item, provide a detailed justification explaining the need for the cash advance. The justification must include supporting documentation that clearly shows the advance will be expended within the first ninety (90) days of the contract term. Support documentation should include quotes for purchases, delivery timelines, salary and expense projections, etc. to provide the Division reasonable and necessary support that the advance will be expended within the first ninety (90) days of the contract term. Any advance funds not expended within the first ninety (90) days of the contract term shall be returned to the Division Cashier, 2555 Shumard Oak Boulevard, Tallahassee, Florida 32399, within thirty 30) days of receipt, along with any interest earned on the advance)