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May 2, 2014 Paul Lux, Okaloosa County Supervisor of Elections
The Honorable Kelly Windes
Chairman of the Okaloosa County Board of County Commissioners
May 20, 2014 Board Meeting
RE: FY 2013-2014 Federal Election Activities Plan - Certificate Regarding Matching Funds
Mr. Chairman,
The 2013 Florida Legislature appropriated funding specifically for federal election activities. Funds
received pursuant to this agreement may be spent for any of the following purposes relating to federal
election activities:
e Voter education;
e Poll worker training;
e Standardizing election results reporting;
e Other federal election administration activities, as approved by the Department of
State, such as implementing and maintaining the provisions of the Military and Overseas
Voter Empowerment (MOVE) Act and the Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA); or
e Any software or hardware technology that enhances or facilitates the delivery of
absentee ballots, the casting and counting of valid votes, voting system audits or
recount processes, and the certification of accurate and complete official election
results.
Okaloosa County’s amount of funding is $21,595.47. County matching funds are required in the amount
of (15%) $3,239.32. These funds are in the current budget, and no additional funds are required.
The Chairman of the Board of County Commissioners will be required to certify that the county will
match the state funds with a 15% county match. Attached is the document awaiting your signature.
Sincerely,
Paul Lux Your Vote Counts!
Okaloosa County Supervisor of Elections www.govote-okaloosa.com
302 Wilson St N, Ste 102 Crestview, FL 32536-3440 Ph: 850.689.5600 Fx: 850.689.5644
1804 Lewis Turner Blvd, Ste 404 Fort Walton Beach, FL 32547-1285 Ph: 850.651.7272 Fx: 850.651.7275
Email: plux@co.okaloosafl.us
Yote, »
Paul Lux, Okaloosa County Supervisor of Elections
May 5, 2014
Chairman, Board of County Commissioners
SUBJECT: May 20, 2014 BCC Agenda Request
FY 2013-14 Federal Election Activities Funds
BACKGROUND: The 2013 Florida Legislature appropriated funding specifically for federal election
activities. Funds received pursuant to this agreement may be spent for any of the following purposes
relating to federal election activities:
e Voter education;
e Poll worker training;
e Standardizing election results reporting;
e Other federal election administration activities, as approved by the Department of
State, such as implementing and maintaining the provisions of the Military and Overseas
Voter Empowerment (MOVE) Act and the Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA); or
e Any software or hardware technology that enhances or facilitates the delivery of
absentee ballots, the casting and counting of valid votes, voting system audits or
recount processes, and the certification of accurate and complete official election
results.
Okaloosa County’s amount of funding is $21,595.47. County matching funds are required in the amount
of (15%) $3,239.32. These funds are in the current budget, and no additional funds are required.
RECOMMENDATION: Request the Board of County Commissioners authorize the Chairman to review,
approve and sign the attached Certification of Matching Funds and all/any future Board related grant
documentation during the term of the grant.
Thank you for your consideration.
Paul Lux
Supervisor of Elections Your Vote Counts!
www.govote-okaloosa.com
302 Wilson St N, Ste 102 Crestview, FL 32536-3440 Ph: 850.689.5600 Fx: 850.689.5644
1804 Lewis Turner Blvd, Ste 404 Fort Walton Beach, FL 32547-1285 Ph: 850.651.7272 Fx: 850.651.7275
Email: plux@co.okaloosafl.us
wy ¥
5 at ee
DEPARTMENT Of STATE
awethireeo les oti
RICK SCOTT KEN DETZNER
Governor Secretary of State
MEMORANDUM
To: Supervisors of Elections
From: Maria Matthews, Esq s
Director, Division 6 ons
Date: January 15, 2014
Subject: FY 2013-14 Federal Election Activities Funds
MOA #2013-2014-0001-R
The Florida Department of Financial Management has required the Department of State to reword the
FY2013-14 Federal Election Activities Memorandum of Agreement (MOA) and Attachment A to the
MOA. They want the deliverables, minimum performance standards and the financial consequences to be
very specific. We have made changes to the agreement and Attachment A which are enclosed. We have
also enclosed the other attachments since the agreement number has changed. Please use this version of
the agreement instead of the one that was mailed to you several months ago. We apologize for any
inconvenience this may cause.
The following information was previously provided to you on July 18, 2013 with the original
memorandum of agreement and still applies to the revised agreement.
The 2013 Legislature appropriated $2,000,000 from the Help America Vote Act funds. These funds are
allocated and will be distributed to the Supervisors of Elections based on a formula using the number of
active registered voters in each county as of the 2012 General Election’s book closing.
These funds can only be spent for any of the following federal election activities:
e =Voter education;
e Poll worker training;
e Standardizing election results reporting;
¢ Other federal election administration activities, as approved by the Department of State, such as
implementing and maintaining the provisions of the Military and Overseas Voter Empowerment
(MOVE) Act and the Uniformed and Overseas Citizens Absentee Voting Act (UOCAVA); or
e Any software or hardware technology, including but not limited to any emerging technology, that
enhances or facilitates the delivery of absentee ballots, the casting and counting of valid votes,
voting system audits or recount processes, and the certification of accurate and complete official
election results. Such technology or any pilot program that uses such technology must first be
certified or approved, whichever is applicable, by the Department of State. Additionally, before
the Supervisor can receive and use funds to purchase emerging or enhancing technology in this
Division of Elections
4 R.A. Gray Bldg., Rm. 316 * 500 S Bronough St. « Tallahassee, Florida 32399-0250 Ml
Telephone: (850) 245-6200 * Facsimile: (850) 245-6217 elections.myflorida.com
Commemorating 500 years of Florida histo .f1a500.
VIVA FLORIDA’. ig S00 years of ™y weenie com VIVA FLORIDA
FY 2013-2014 Federal Election Activities Funds
January 15, 2014
Page 2 of 3
category, the county supervisor of elections and the chairperson of the county governing body
must certify that the county has purchased and made available sufficient equipment for casting
and counting ballots to meet the needs of the county electors including reducing the wait time at
the polls during the early voting period and on election day for the next regularly scheduled
general election.
In order to receive and use these funds, you must execute the following documents which are attached:
Memorandum of Agreement, Receipt and Use of HAVA Funds for Federal Election
Administration Activities, MOA #2013-2014-0001-R (Supervisor of Elections must sign)
Attachment A, Compliance Requirements
Attachment A-1, Federal Election Activities Plan, form DS-DE 126 (Supervisor of Elections must
complete and return)
o Simply place an X in the box for the programs that you plan to carry out this fiscal year, and
place an X in the box for the topics that apply to each activity. Please also put an X in the
appropriate boxes indicating which funds will be used for each activity. There is no need to
enter specific dollar amounts on the plan. The dollar amounts will be addressed when you
submit your annual financial report due December 31 of every year until all of the funds are
expended. If you need to make any changes to your original plan, the revised plan must be
submitted in advance of the purchase, in writing and approved by the Department of State.
Attachment A-2,Certificate Regarding Matching Funds, form DS-DE 127
o The Chairperson of the Board of County Commissioners must certify in writing that the
county will match the state funds with a 15% county match. If the county governing body
fails to appropriate the matching funds, the Supervisor must return or repay to the State a
portion of the funds for which the matching funds applied. Both the federal funds and the
county matching funds must be held in a separate interest bearing account to be used solely
for federal election activities purposes.
Attachment A-3, Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion Lower Tier Covered Transactions, ED form GCS-009 (Supervisor of Elections must
sign)
Attachment A-4, Certificate of Equipment for Casting and Counting Ballots, form DS-DE 135 (if
applicable, the Supervisor of Elections and the Chairperson of the Board of County
Commissioners must sign)
Attachment B, FY 2013-14 Federal Election Activities Funds Spreadsheet.
Please return all of these documents to the Division of Elections. You will be provided a copy of the
agreement upon execution by the Division.
If you have any questions, please don’t hesitate to contact me or the HAVA team.
MM/jd
Enclosures
RECEIPT AND Use OF HAVA Funps
FOR FEDERAL ELECTION ADMINISTRATION ACTIVITIES
This agreement is between the State of Florida, Department of State, Division of Elections
(“Department”), R.A. Gray Building, 500 South Bronough Street, Tallahassee, FL 32399-0250
and The Honorable Paul A. Lux, Supervisor of Elections (“Supervisor”), on behalf of Okaloosa
County, 302 Wilson Street North - Suite 102, Crestview, Florida 32536-3440. This agreement is
effective as of the date fully executed by the parties.
I. GOVERNING LAW
The Department is authorized pursuant to specific appropriation 3106 of the 2013-2014
General Appropriations Act (see section 6, chapter 2013-040, Laws of Florida), to disburse a
total of $2,000,000 from the Federal Grants Trust Fund (HAVA Account # 261011) to the county
supervisors of elections for the fiscal year 2013-2014 (“FY 2013-2014 funds”). Therefore, funds
are made available through section 251 of the Help America Vote Act of 2002 (HAVA) and the
Catalog of Federal Domestic Assistance (CFDA) 90.401, Help America Vote Act Requirements
Payments for improving the administration of federal elections.
Il. SCOPE OF USE AND RESTRICTIONS
The funds granted shall be used for federal election administration scope of work as more
specifically set forth in paragraph 1 of Attachment A, which is hereby incorporated by
reference. In addition, the FY 2013-2014 funds shall:
e Be used to support election activities related only to federal elections (that is, elections in
which a federal candidate is on the ballot). If any of these funds are used for an election
in which a federal candidate is not on the ballot, the cost must be pro-rated for the
portion of the expenditure that is allocable to a federal election.
e Not be used to support state or federal lobbying activities but this does not affect the
right, or that of any other organization to petition Congress, or any other level of
Government, through the use of other resources.
e Not be distributed until the Supervisor first submits in accordance with paragraph 2 of
Attachment A: 1) A Federal Election Activities plan (DS-DE 126, Revised 6/4/2013] that
details the planned use of the funds; 2) Certification from the county governing body to
provide matching funds equal to 15% of the HAVA funds received, [DS-DE 127, Revised
6/4/2013; 3) Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion Lower Tier Covered Transactions form; and 4) if applicable, Certificate of
Equipment for Casting and Counting Ballots (DS-DE 135, Effective 7/10/13). Any change,
modification or deviation from the activities or expenses initially provided in the plan for
use of the funds must be reviewed and approved by the Department prior to expenditure.
MOA # 2013-2014-0001-R
e Be placed in a separate interest bearing account in a qualified public depository as set out
in section 280.03, Florida Statutes, and in accordance with accounting requirements as set
forth in paragraphs 3 and 4 of Attachment A.
e Be reported timely and accounted for in accordance with this agreement and specifically
paragraphs 5 and 6 of Attachment A, including any request for supplemental clarification
or documentation.
II. DISBURSEMENT
The Department shall distribute to each eligible county supervisor of elections an amount equal
to the funding level per voter multiplied by the number of active registered voters in the county
for the 2012 General Election. The Supervisor shall receive a sum certain as outlined in
Attachment B, incorporated by reference.
IV. MONITORING, AUDITS, AND REPORTING
The administration of resources awarded to the Supervisor is subject to the following
monitoring, audits, and reporting:
A. Monitoring
In addition to reviews of audits conducted in accordance with OMB Circular A-133 (as revised),
the Department may provide additional monitoring including on-site visits, and/or other
procedures permitted under federal and state law. The Supervisor shall comply and cooperate
with any monitoring procedures/processes the Department deems appropriate.
The Department shall closely monitor the Supervisors’ annual expenditure reports required by
paragraph 5 of Attachment A to ensure that the Supervisors expend HAVA funds in accordance
with approved plans and will require reimbursement for all expenditures not approved or
otherwise authorized. Also, the Department shall ensure that Supervisors report the
expenditures made with HAVA funds separately from expenditures made with county funds.
B. Audits
1. Federal audit/OMB Circular A-133 (as revised)
If the Supervisor expends $500,000 ($300,000 for fiscal years ending before December 31, 2003)
or more in federal awards in its fiscal year, a single or program-specific audit must be
conducted in accordance with the provisions of OMB Circular A-133 (as revised). This may be
satisfied by an audit of the Supervisor of Elections conducted by the Auditor General in
accordance with OMB Circular A-133 (as revised). In determining the federal awards expended
in its fiscal year, the Supervisor shall consider all sources of federal awards. Attachment A
indicates federal resources are being awarded under this Agreement. The determination of
amounts of federal awards expended shall be in accordance with the guidelines established by
OMB Circular A-133 (as revised). In connection with an audit herein, the Supervisor shall fulfill
MOA # 2013-2014-0001-R
the requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular
A-133 (as revised).
If the Supervisor expends less than $500,000 ($300,000 for fiscal years ending before December
31, 2003) in federal awards in its fiscal year, an audit pursuant to OMB Circular A-133 (as
revised), is optional. If the Supervisor elects to have an audit conducted in accordance with the
provisions of OMB Circular A-133 (as revised), the cost of the audit must be paid from non-
federal resources (i.e., from sources other than federal entities).
2. Other audits
The Department may conduct a limited scope audit of federal funds as defined by OMB Circular
A-133 (as revised) or other financial analysis or review of federal funds as permitted by federal
law. In the event the Department determines that such audit analysis, or review is appropriate,
the Supervisor agrees to comply with any additional instructions provided by Department staff
to the Supervisor regarding such process. If the Department determines that federal funds
received under this Agreement were used for any unauthorized purpose or that the Supervisor
did not comply with this agreement or state or federal requirements for receipt, expenditure,
or accounting, the Supervisor must return or repay these federal funds in an amount sufficient
to ensure or obtain compliance, including expenses for any corrective or remedial action.
Additionally, the Department may withhold funds, otherwise due, in an amount sufficient to
cover any costs associated with the limited scope audit or financial analysis or review to
determine or ensure compliance.
The Supervisor further agrees to comply and cooperate with any inspections, reviews,
investigations, or audits of federal funds deemed necessary by the Department of State, Chief
Financial Officer (CFO) or Auditor General.
For additional guidance to state and federal monitoring and auditing requirements, refer to:
http://election.dos.state.fl.us/hava/index.shtm! and http://www.eac.gov.
C. Reporting
Copies of financial reporting packages as described in section .320(c), OMB A-133 (as revised)
for audits conducted by or on behalf of the Supervisor pursuant to Section IV.B.1 of this
agreement, shall be submitted as required by sections .320(d) of such circular to:
Department of State Department of State Auditor General's Office Federal Audit Clearinghouse
Division of Elections Office of Inspector General Room 401, Pepper Bldg Bureau of the Census
R.A. Gray Building, Ste 316 R.A. Gray Bldg., Rm 406 111 West Madison St. 1201 East 10" St.
500 S. Bronough Street 500 S. Bronough Street Tallahassee, FL Jeffersonville, IN 47132
Tallahassee, FL 32399-0250 Tallahassee, FL 32399-0250 32399-1450
Other Federal agencies and pass-through entities in accordance with Sections .320(e) and (f), OMB Circular A-133 (as revised).
Any reports, management letter, or other required information shall be submitted timely in
accordance with OMB Circular A-133 (as revised), the Florida Single Audit Act, and Chapters
10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of
the Auditor General, as applicable. When submitting financial reporting packages to the
MOA # 2013-2014-0001-R
ABie
Department for audits conducted in accordance with the aforementioned circular or Rules of
the Auditor General, the Supervisor shall include within the information the date the Supervisor
received the reporting package.
Vv. RECORD RETENTION
The Supervisor shall keep and maintain accurate and detailed records (e.g., invoices, receipts,
and other documentation) sufficient to identify how and whether expenditures were used for
authorized purposes, to support financial reporting, and to conduct audits as may be required
or requested. The Supervisor shall retain in accordance with the guidelines of the Department
of Financial Services and the Office of the Auditor General these records for five fiscal years
after the last report that all funds have been fully expended or funds are returned by the
county, or three years after the date an audit report is issued, whichever is earlier. The
Supervisor shall allow the Department or its designee, CFO, or Auditor General access to such
records, including the audit working papers upon request. Failure to provide adequate
documentation shall result in a request to return the funds to the Department.
VI. ENTIRETY OF THE AGREEMENT ;
All terms and conditions of this agreement are fully set forth in this
document and attachments incorporated by reference and shall be governed by the laws of the
State of Florida regardless of any conflict of laws provisions. In any proceeding or action
brought under this section, the parties agree that the prevailing party will be entitled to its
reasonable attorney's fees from the other party. The parties agree that proper venue will be in
Leon County, Florida.
IN WITNESS THEREOF, the parties have caused this Agreement to be executed by their
undersigned officials as duly authorized.
County Supervisor of Elections: Department of State, Division of Elections
By: By:
Poul Livy Oko \v0s4 Co DOUEVILoK
Printed name and title OF © ONS Printed name and title
Witness Witness
Date: Date:
59= ob0OF 10S
County FEID Number
Please complete, sign & return this Agreement and the required certifications to:
Joyce Durbin, HAVA Funds Coordinator, Florida Department of State, Division of Elections,
R.A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, Florida 32399-0250
MOA # 2013-2014-0001-R
Funds will be held in an interest
bearing account until disbursed
or expended.
Federal Election Activities Plan
COUNTY NAME Okaloosa
State Fiscal Year 2013-2014
Attachment A-1 to MOA 2013-2014-0001-R
Please provide SAMPLES of all voter
education printed documents & transcripts
of audio and video recordings or clips.
NOTE: Put an X in all boxes of
topics that apply to each activity.
NOTE: Put an X in ALL sources of funding
boxes that apply.
FY 13-14 FEDERAL ELECTION ACTIVITIES FUNDS
PRIOR YEAR
FEDERAL ELECTION ACTIVITIES
ROLL OVER FUNDS
VOTER EDUCATION
ROLL OVER FUNDS
PRIOR YEAR
PRIOR YEAR
POLL WORKER TRAINING
ROLL OVER FUNDS
Activities and Descriptions
Other
County
Funds
Federal
HAVA
Funds
County
Matching
Funds
Interest
Federal
HAVA
Funds
County
Matching
Funds
Interest
Federal
HAVA
Funds
County
Matching
Funds
Federal County
HAVA Matching
Funds Funds
Interest Interest
Poll Worker Training Stipends: Pay poll
workers for their time to attend training
classes
Poll Worker Training Materials: Print
tests and handouts for poll worker
training classes. Examples of handouts
may include the following. Additional
topics may be added below.
* Duties of the poll worker
* Procedures to follow on election day
* Disability and sensitivity training
Mailing or Publishing Sample Ballots:
Mail and/or publish sample ballots in
local newspapers which include
additional voter education information
on voting procedures, voting rights or
voting technology. Examples may include
the following: Additional topics may be
added below.
* Election day voting procedures
* Voting locations and hours of operation
* Absentee voting deadline
* Early voting information
* Postage for mailing sample ballots
Attach A-1 FEA Plan FORM - FY 13-14 FINAL-R.xls
DS-DE 126 (Revised 6/4/13)
Attachment A-1 to MOA 2013-2014-0001-R
Funds will be held in an interest Please provide SAMPLES of all voter
bearing account until disbursed education printed documents & transcripts
or expended. of audio and video recordings or clips.
Federal Election Activities Plan
COUNTY NAME Okaloosa
State Fiscal Year 2013-2014
NOTE: Put an X in all boxes of NOTE: Put an X in ALL sources of funding PRIOR YEAR PRIOR YEAR PRIOR YEAR
topics that apply to each activity. boxes that apply. FEDERAL ELECTION ACTIVITIES VOTER EDUCATION POLL WORKER TRAINING
FY 13-14 FEDERAL ELECTION ACTIVITIES FUNDS ROLL OVER FUNDS ROLL OVER FUNDS ROLL OVER FUNDS
Federal County Other Federal County Federal County Federal
HAVA Matching |] County HAVA Matching HAVA Matching HAVA
Activities and Descriptions Funds Funds Funds Interest Funds Funds Interest Funds Funds Interest Funds Interest
Voting System Demonstrations: List
what funds will be spent on:
* Mock ballots
¥
Voter Guide: Print voter guides which
must include information concerning
voting procedures, voting rights or voting
technology, but shall not contain elected
officials’ contact information other than
the supervisor's contact information.
Examples of information in the voter
guide may include the following:
Additional topics may be added below.
* Information for Federal Elections only.
* How to register to vote
* Where to obtain voter registration
applications
* How to register by mail
* How to update voter registration
information
* Dates for upcoming elections
* Registration deadlines for the next
primary and general election
* How to obtain, vote and return an
absentee ballot
Attach A-1 FEA Plan FORM - FY 13-14 FINAL-R.xIs
DS-DE 126 (Revised 6/4/13) 2
Funds will be held in an interest
bearing account until disbursed
or expended.
Federal Election Activities Plan
COUNTY NAME Okaloosa
State Fiscal Year 2013-2014
Attachment A-1 to MOA 2013-2014-0001-R
Please provide SAMPLES of all voter
education printed documents & transcripts
of audio and video recordings or clips.
NOTE: Put an X in all boxes of
topics that apply to each activity.
NOTE: Put an X in ALL sources of funding
boxes that apply.
PRIOR YEAR
FEDERAL ELECTION ACTIVITIES
FY 13-14 FEDERAL ELECTION ACTIVITIES FUNDS
ROLL OVER FUNDS
VOTER EDUCATION
ROLL OVER FUNDS
PRIOR YEAR
PRIOR YEAR
POLL WORKER TRAINING
ROLL OVER FUNDS
Activities and Descriptions
Other
County
Funds
Federal
HAVA
Funds
County
Matching
Funds
Interest
Federal County
HAVA Matching
Funds Funds Interest
Federal
HAVA
Funds
County
Matching
Funds
Federal
HAVA
Funds
Interest
Interest
* Polling place information including the
hours that polls are open
* What to bring to the polls including a
list of acceptable ID's
* What to expect at the polls
* Instructions on the county's voting
system
Advertising or Publications: Examples
are Print, Radio or Television Advertising
to Voters (Includes Banners, Billboards &
Public Transportation). Advertisements
must include voter education information
on voting procedures, voting rights or
voting technology. Voter education
topics may include the following:
Additional topics may be added below.
* Voter registration information
* Acceptable forms of ID needed at the
polling place
* Absentee ballot information
* Voter's Rights and Responsibilities
* Election day voting procedures
* Precinct locations
* Early voting information
Attach A-1 FEA Plan FORM - FY 13-14 FINAL-R.xIs
DS-DE 126 (Revised 6/4/13)
Funds will be held in an interest
bearing account until disbursed
or expended.
Federal Election Activities Plan
COUNTY NAME Okaloosa
State Fiscal Year 2013-2014
Attachment A-1 to MOA 2013-2014-0001-R
Please provide SAMPLES of all voter
education printed documents & transcripts
of audio and video recordings or clips.
NOTE: Put an X in all boxes of
topics that apply to each activity.
NOTE: Put an X in ALL sources of funding
boxes that apply.
PRIOR YEAR
FEDERAL ELECTION ACTIVITIES
FY 13-14 FEDERAL ELECTION ACTIVITIES FUNDS
ROLL OVER FUNDS
VOTER EDUCATION
ROLL OVER FUNDS
PRIOR YEAR
PRIOR YEAR
POLL WORKER TRAINING
ROLL OVER FUNDS
Activities and Descriptions
Other
County
Funds
Federal
HAVA
Funds
County
Matching
Funds
Interest
Federal County
HAVA Matching
Funds Funds Interest
Federal
HAVA
Funds
County
Matching
Funds
Federal County
HAVA Matching
Funds Funds
Interest Interest
Voter Information Cards: Print voter
information cards which include
additional voter education information
on voting procedures, voting rights or
voting technology. Examples may include
the following: Additional items may be
added below.
* Information on how to update voter
registration information
* Information on what to bring to the
polls including a list of acceptable ID's
* Absentee ballot information
* Early voting information
MOVE Act Implementation and
Maintenance: Maintaining online or web:
based absentee ballot request and ballot
tracking and precinct-finder system as
relates to use in federal elections and for
the costs for upgrades and future license
fees and maintenance fees for the MOVE
Act and other UOCAVA expenditures.
Attach A-1 FEA Plan FORM - FY 13-14 FINAL-R.xis
DS-DE 126 (Revised 6/4/13)
Attachment A-1 to MOA 2013-2014-0001-R
Funds will be held in an interest
bearing account until disbursed
or expended.
Please provide SAMPLES of all voter
education printed documents & transcripts
of audio and video recordings or clips.
Federal Election Activities Plan
COUNTY NAME Okaloosa
State Fiscal Year 2013-2014
NOTE: Put an X in all boxes of NOTE: Put an X in ALL sources of funding PRIOR YEAR PRIOR YEAR PRIOR YEAR
topics that apply to each activity. boxes that apply. FEDERAL ELECTION ACTIVITIES VOTER EDUCATION POLL WORKER TRAINING
FY 13-14 FEDERAL ELECTION ACTIVITIES FUNDS ROLL OVER FUNDS ROLL OVER FUNDS ROLL OVER FUNDS
Federal County Other Federal County Federal County Federal County
HAVA Matching || County HAVA Matching HAVA Matching HAVA Matching
Activities and Descriptions Funds Funds Funds Interest Funds Funds Interest Funds Funds Interest Funds Funds Interest
Software or Hardware Technology:
Any software or hardware technology,
including but not limited to any emerging
technology, that enhances or facilitates
the items listed below. NOTE: Such
technology or any pilot program that uses
such technology must first be certified or
approved, whichever is applicable, by the
Department of State. Please indicate
below which items are part of your plan.
* delivery of absentee ballots
* the casting and counting of valid votes
* voting system audits or recount
processes
* the certification of accurate and
complete official election results.
Attach A-1 FEA Plan FORM - FY 13-14 FINAL-R.xls
DS-DE 126 (Revised 6/4/13) 5
ATTACHMENT A to MOA # 2013-2014-0001-R
Federal Program: Federal Help America Vote Act—Catalog of Federal Domestic
Assistance (CFDA) § 90.401 Help America Vote Act Requirements Payments
Compliance requirements applicable to the federal resources awarded under this agreement
are as follows:
1. The Supervisor shall only use the FY 2013-2014 Funds (amount specified in Attachment B)
for one or more of the following federal election administration scope of work:
Voter education;
Poll worker training;
Standardizing election results reporting;
Other federal election administration activities, as approved by the Department of
State, such as implementing and maintaining the provisions of the Military and Overseas
Voter Empowerment (MOVE) Act and the Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA); or
Any software or hardware technology, including but not limited to any emerging
technology, that enhances or facilitates the delivery of absentee ballots, the casting and
counting of valid votes, voting system audits or recount processes, and the certification
of accurate and complete official election results. Such technology or any pilot program
that uses such technology must first be certified or approved, whichever is applicable,
by the Department of State. Additionally, before the Supervisor can receive and use
these funds to purchase emerging or enhancing technology in this category, the county
supervisor of elections and the chairperson of the county governing body must certify
that the county has purchased and made available sufficient equipment for casting and
counting ballots to meet the needs of the county electors including reducing the wait
time at the polls during the early voting period and on election day for the next regularly
scheduled general election. See Certificate of Equipment for Casting and Counting
Ballots as set forth in the last bullet point in paragraph 2 of this attachment.
A. The Supervisor shall only use the FY 2013-2014 Funds for one or more of the following
deliverables:
e Printing and mailing or publishing sample ballots which must include additional
information on voting procedures, voting rights or voting technology;
¢ Printing voter information cards which must include additional voter education
information on voting procedures, voting rights or voting technology,
e Advertising or publications outlining voting procedures, voting rights or voting
technology;
e Voting System demonstrations;
e Poll worker training stipends;
¢ Training materials for poll workers;
Page 1 of 4
¢ Printing voter guides which must include voter education information concerning
voting procedures, voting rights, or voting technology but shall not contain elected
officials’ contact information other than the supervisor’s contact information; or
e Maintaining online or web-based absentee ballot request and ballot tracking and
precinct-finder system as relates to use in federal elections and for the costs for
upgrades and future license fees and maintenance fees for the MOVE Act and other
UOCAVA expenditures.
e Purchasing any software or hardware technology, including but not limited to any
emerging technology, that enhances or facilitates the delivery of absentee ballots, the
casting and counting of valid votes, voting system audits or recount processes, and the
certification of accurate and complete official election results.
B. Minimum Performance Standards
The Supervisor will submit an annual report (DS-DE 128, Revised 11-15-13) on December
31 of every year until the funds are expended to show the deliverables have been
achieved. Attached to the annual reports are billing or itemized receipts in support of
the expenditures for the services or products used to provide voter education
concerning voting procedures voting rights or voting technology.
2. Prior to receipt of FY 2013-2014 funds under this Agreement, the Supervisor must
additionally submit to the Department:
e A Federal Election Activities Plan (DS-DE 126, Revised 6/4/2013) that contains a detailed
description of the Supervisor’s plan to use the funds for federal election administration
activities and include the source of funds (federal, county matching funds and other
county funds (local) being used for each federal election activity set forth in the plan.
This form is attached hereto as Attachment A-1. Please provide SAMPLES of all voter
education printed documents and transcripts of audio and video recordings or clips.
eA written certification from the county governing body (e.g. Board of County
Commissioners) (DS-DE 127, Revised 6/4/2013) that the county will provide matching
funds in the amount of 15%. This form is attached hereto as Attachment A-2. If the
county governing body fails to appropriate the matching funds, the Supervisor must
return or repay to the State the portion of the funds for which the matching funds
applied.
eA completed ED Form GCAS-009 (6/88), entitled “Certification Regarding Debarment,
Suspension, Ineligibility, and Voluntary Exclusion Lower Tier Covered Transactions”, and
attached hereto as Attachment A-3. [Executive Order 12549, Debarment and
Suspension, 45 CFR 1183.35, prohibits the disbursement of federal funds to the
intended recipient of such funds or to any sub-recipient thereunder unless such
recipient and each sub-recipient, if any, certify that they are not excluded or disqualified
from receiving federal funds by any federal department or agency.]
eA completed “Certificate of Equipment for Casting and Counting Ballots”, attached
hereto as Attachment A-4 (DS-DE 135, Effective 7/10/13). This is required if the request,
Page 2 of 4
in part or in full, is to use HAVA funds for the purpose of purchasing emerging or
enhancing software and hardware technology in the last bullet under paragraph 1.
3. The Supervisor must establish and maintain the FY 2013-2014 funds in an interest bearing
account in a “qualified public depository” as required by section 280.03, Florida Statutes. The
Supervisor must segregate funds for federal election administration activities and required
county matching dollars in a separate account established to hold only those funds. Any funds
remaining at the end of the fiscal year shall remain in the account to be used for the same
purposes for subsequent years or until such funds are fully expended.
Please note that separate public depository requirements apply under chapter 280, Florida
Statutes, but are outside the scope of enforcement of this agreement. You will be required to
execute and retain in your records a “Public Deposit Identification and Acknowledgment Form”
(DFS-JI-11295) and to submit a Public Depositor Annual Report (DFS-J1-2009) to the Public
Deposits Program, Florida Department of Financial Services. Refer to
http://www.fltreasury.org/ for forms; and for more information, contact the program
administrator at: 850-413-3383 or 850-413-3324.
4. The Supervisor shall maintain separate accounting records for each of the funding sources
identified under its plan submitted pursuant to paragraph 2.
5. The Supervisor shall submit the following written financial reports to the Department:
e An expenditure report is due every year in which HAVA funds remain and/or are expended.
If expenses are made at any time from the date of initial receipt of the FY2013-14 Federal
Election Activities grant funds through September 30 of the year received, the first report is
due on December 31 of that year. Thereafter, an expenditure report is only due on
December 31 of every year in which expenses were made or funds remain to cover the
preceding October 1* through September 30" period until all funds are fully expended. The
report shall be filed using Form DS-DE 128 (rev. 11-15-13).The report must include
documentation (such as appropriation statement, committee meeting minutes approving
appropriation, or account statement) that the county governing body appropriated
matching funds as certified under paragraph 2. Failure to appropriate the county matching
funds or reversion of those funds back to the county for any reason must be reported to the
Department.
e Report forms will be provided by the Department (DS-DE 128, Revised 11-15-13). The
report must include documentation (such as appropriation statement, committee meeting
minutes approving appropriation, or account statement) that the county governing body
appropriated matching funds as certified under paragraph 2. Failure to appropriate the
matching funds must be reported to the Department.
Page 3 of 4
Each financial report shall include the billing or itemized receipts in support of the
expenditures for the services or products used to provide voter education concerning
voting procedures voting rights or voting technology. If deemed necessary after review
of a financial report, you may be asked and will be required to provide any requested
supplemental documentation. For products, that may include a copy of or the actual
product or publication and an indication of how many individual items were produced or
printed, or for services, that may include a copy of or the actual newspaper article, audio
recording, or video clip and/or template or transcript thereof, and an indication of how
many times it was published, aired, or accessed, or a copy of the graphics template and
content layout for a special created webpage.
e Annual remaining balance report for unspent HAVA funds remaining on June 30 of each
year being reported. The report form will be provided by the Department (DS-DE 129,
Revised 7/5/11). This report is due on or before July 31 of every year until such funds are
fully expended.
6. Copies of any reports or other submissions required by paragraphs 2 and 5 of this Attachment
shall be submitted by or on behalf of the Supervisor directly to: Department of State, Division of
Elections, R.A. Gray Building, 500 S. Bronough Street, Tallahassee, Florida 32399-0250.
State Resources Awarded to the Supervisor Under this Agreement Consist of the Following:
N/A
Matching Resources for Federal Programs: N/A
Subject to section 215.97, Florida Statutes (Florida Single Audit Act): N/A
Compliance requirements applicable to state resources awarded pursuant to this Agreement are
as follows: N/A
Page 4 of 4
ATTACHMENT A-2 of MOA 2013-2014-0001-R
Certificate Regarding Matching Funds
|, Charles K. Windes, Jr. , Chairman of the Board of County Commissioners of
Okaloosa County, Florida, do hereby certify that the Board of County Commissioners will
provide matching funds for the Federal Election Activities grant in county FY 2013-2014 to the
Supervisor of Elections in an amount equal to at least 15% of the amount to be received from
the state, which for Okaloosa County is $3,239.32. | understand that if the Board fails to
appropriate the matching funds, all funds received from the state for this grant during the
2013-2014 state fiscal year will be required to be returned to the Department of State.
Chairman, Board of County Commissioners
Date
DS-DE 127
Revised 6/4/13
ATTACHMENT B to MOA 2013-2014-0001-R
DEPARTMENT OF STATE
DIVISION OF ELECTIONS
FEDERAL ELECTION ACTIVITIES
FY 2013-2014
Attach B - FEA Funds FY 2013-2014 - FINAL-R
2012 Federal Election County
General Activities Matching
Election Funding Funds
County Registered Voters Per County 15%
Alachua 164,912 | $ 27,636.31 | $ 4,145.45
Baker 14,006 | $ 2,347.16 | $ 352.07
Bay 112,915 | $ 18,922.54 | § 2,838.38
Bradford 15,491 | $ 2,596.01 | $ 389.40
Brevard 380,469 | $ 63,759.81 | $ 9,563.97
Broward 1,140,454 | $ 191,119.72 | $ 28,667.96
Calhoun 8,278 | $ 1,387.24 | $ 208.09
Charlotte 115,050 | $ 19,280.33 | $ 2,892.05
Citrus 98,639 | $ 16,530.13 | $ 2,479.52
Clay 132,585 | $ 22,218.88 | S 3,332.83
Collier 180,560 | $ 30,258.63 | S 4,538.79
Columbia 35,539 | $ 5,955.70 | $ 893.36
DeSoto 16,376 | $ 2,744.33 | $ 411.65
Dixie 10,229 | $ 1,714.20 | $ 257.13
Duval 557,282 | $ 93,390.51 | $ 14,008.58
Escambia 198,275 | $ 33,227.35 | $ 4,984.10
Flagler 69,597 | $ 11,663.21 | $ 1,749.48
Franklin 7,174 |$ 1,202.23 | S 180.34
Gadsden 29,625 | $ 4,964.62 | $ 744.69
Gilchrist 11,121 | $ 1,863.68 | $ 279.55
Glades 6,668 | $ 1,117.44 | $ 167.62
Gulf 9,030 | $ 1,513.27 | $ 226.99
Hamilton 7,963 | $ 1,334.46 | $ 200.17
Hardee 12,312 | $ 2,063.27 | $ 309.49
Hendry 17,264 | $ 2,893.14 | $ 433.97
Hernando 123,346 | $ 20,670.59 | $ 3,100.59
Highlands 62,076 | $ 10,402.83 | $ 1,560.42
Hillsborough 747,587 |S 125,282.23 | $ 18,792.33
Holmes 11,560 | $ 1,937.25 | $ 290,59
Indian River 93,569 | $ 15,680.49 | $ 2,352.07
Jackson 29,003 | $ 4,860.38 | S 729.06
Jefferson 9,517 | $ 1,594.88 | $ 239.23
Lafayette 4,568 | $ 765.52 | $ 114.83
Lake 201,652 | $ 33,793.27 | $ 5,068.99
Lee 388,947 | $ 65,180.57 | $ 9,777.09
Leon 190,574 | $ 31,936.80 | $ 4,790.52
Levy 25,053 | $ 4,198.44 | $ 629.77
Liberty 4,410 | $ 739.04 | $ 110.86
Madison 12,001 | $ 2,011.15 | $ 301.67
Manatee 209,468 | $ 35,103.10 | $ 5,265.46
Marion 223,478 | $ 37,450.92 | $ 5,617.64
Martin 101,835 | $ 17,065.73 | $ 2,559.86
Miami-Dade 1,313,850 | $ 220,177.79 | $ 33,026.67
Monroe 51,524 | $ 8,634.50 | $ 1,295.18
Nassau 51,607 | $ 8,648.41 | $ 1,297.26
r Fae ; sere! :
1/13/2014
ATTACHMENT B to MOA 2013-2014-0001-R
DEPARTMENT OF STATE
DIVISION OF ELECTIONS
FEDERAL ELECTION ACTIVITIES
FY 2013-2014
2012 Federal Election County
General Activities Matching
Election Funding Funds
County Registered Voters Per County 15%
Okeechobee 19,185 | $ 3,215.06 | $ 482.26
Orange 690,645 | $ 115,739.77 | $ 17,360.97
Osceola 163,384 | $ 27,380.24 | $ 4,107.04
Palm Beach 870,186 | $ 145,827.63 | $ 21,874.14
Pasco 310,322 | $ 52,004.42 | $ 7,800.66
Pinellas 626,348 | $ 104,964.74 | $ 15,744.71
Polk 351,119 | $ 58,841.27 | $ 8,826.19
Putnam 43,581 | $ 7,303.40 | $ 1,095.51
St. Johns 152,849 | $ 25,614.76 | $ 3,842.21
St. Lucie 175,554 | $ 29,419.71 | $ 4,412.96
Santa Rosa 116,941 | $ 19,597.22 | $ 2,939.58
Sarasota 277,672 | § 46,532.87 | $ 6,979.93
Seminole 277,376 | $ 46,483.26 | $ 6,972.49
Sumter 73,946 | $ 12,392.03 | $ 1,858.80
Suwannee 25,043 |$ 4,196.76 | $ 629.51
Taylor 12,585 | $ 2,109.02 | $ 316.35
Union 7,313 | $ 1,225.53 | $ 183.83
Volusia 332,556 | $ 55,730.45 | $ 8,359.57
Wakulla 18,501 | $ 3,100.44 | $ 465.07
Walton 38,368 | $ 6,429.79 | $ 964.47
Washington 14,668 | $ 2,458.09 | $ 368.71
[TOTAL | 11,934,446] $ 2,000,000.00 | $ 300,000.00 |
FY 2013-2014 APPROPRIATION - FEDERAL ELECTION ACTIVITIES $2,000,000
2012 General Election-Total No. of registered voters in the state 11,934,446
FUNDING LEVEL PER INDIVIDUAL VOTER $0.1676
(Based on FY 2013-2014 appropriation for Federal Election Activities
divided by the total number of registered voters in the state
for the 2012 General Election.)
Attach B - FEA Funds FY 2013-2014 - FINAL-R 2 1/13/2014
Attachment A-3 to MOA 2013-2014-0001-R
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION
LOWER TIER COVERED TRANSACTIONS
This certification is required by the regulations implementing Executive Order 12549, Debarment
and Suspension, 45 CFR 1183.35, Participants’ responsibilities. The regulations were published as
Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations may be
obtained by contacting the person to which this proposal is submitted.
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it
nor its principals are 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 prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
You Luy , Okedoose County Sucervi sov of Llechons
Name and Tille of Authorized Representative
wee c= SMay (Y
ger a / Date
ED Form GCS-009, 6/88
INSTRUCTIONS FOR CERTIFICATION
l.
N
By signing and submitting this proposal, the prospective lower tier participant is providing the certification set
out below.
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 lower tier participant knowingly
rendered an erroneous certification, 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 and/or debarment.
The prospective lower tier participant shall provide immediate written notice to the person to which this
proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
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 proposal is submitted for assistance in
obtaining a copy of those regulations.
29 «6,
. 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.
The prospective lower tier participant further agrees by submitting this proposal that it will include the clause
titled “Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier
Covered Transactions,” without modification, in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant may decide the method and
frequency by which it determines the eligibility of its principals. Each participant may, but is not required to,
check the Nonprocurement List (Telephone Number).
Nothing contained in the 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.
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 voluntary 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 and/or debarment.
ED Form GCS-009, 6/88