Okaloosa County BOCC — July 15, 2014 — Subagreement-Judge Ben Gordon Visitation Center — reading text

Standards outlined by the FCSC's Model Court Subcommittee and approved by the Florida Supreme Court. The Center’s purpose is to protect children by enforcing child abuse and neglect laws, including laws protecting against child sexual abuse, and promoting programs designed to prevent child abuse and neglect. 6. It is of the upmost importance for the safety and well-being of child victim’s in Okaloosa County that the Center be utilized for supervised visitations and/or monitored exchanges. The Center provides a safe and nurturing site for children to visit without fear of re-victimization. The Center has conducted more than 8,000 monitored exchanges and scheduled over 14,500 supervised visits without one serious incident. 7, The Center is not excluded or debarred and was not involved in the development of the procurement of funding. FOLE JAG Grant Application Package Sole Source Form Page 3 of 3 Rule Reference 11D-9.006 OCJG-011 (Rev. May 2012) } CERTIFICATION FORM Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements Please read carefully the Instructions (see below) and then complete Section A or Section B or Section C, not all three. Recipient’s Name; Okaloosa County Board of County Commissioners | DUNS Number:(¢13977G649 Address: 1840 Lewis Turner Boulevard, Fort Walton Beach, Florida 32547 Grant Title: Children Exposed to Crime Prevention | Grant Number: 2014-JAGC-2229 | Award Amount: $10,097 Name and Title of Contact Person: Catherine A. White, Drug Court Manager Section B Declaration Claiming Exemption from the EEOP Submission Requirement and Contitying Telephone Number: _ (850) 595-3055 E-Mail Address: Cathy. White @flcourts1 gov Section A—Declaration Claiming: Complete Exemption from the EEOP Requirement, Please heck alt the following boxes, that apply: - x . . ent} Qo Recipient is an indian tribe, co) Recipient isa medi : 0 Recipient is a nonprofit iy eer Recipient isan educational institution. a Recipient is eoeiving an award less than 1825, 000! hoo 7 ‘s i __ (responsibie “official: certify that _. a . [recipient] is not required to prepare'an EEOP for the reason) checked above, pursuant to 38 CER § 42. 302, I further certify. that.:. (récipient] will comply with applicable federal civil rights laws that prohibit discrimination | in Sapte and in 1 the delivery of. services. & Print or Bie Namie and Tide’ Signature: a¢ That an EEOP Is on File for Review Ifa recipient agency has fifty or more employees and is receiving a single award or subaward of $25,000 or more, but less than $500,000, then the recipient agency does not have to submit an EEOP to the OCR jor review as long as it certifies the following (42 C.F-R. § 42.305): L, Don Amunds [responsible official], certify that Okaloosa Gounty Board of County Commissioners _ [recipient], which has fifty or more employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. E. 1 further certify that within the last twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as required by applicable federal law, it is available for review by the public, employees, the appropriate state planning agency, and the Office for Civil Rights, Office of Justice Programs, U.S. Department of, Justice. The EEOP is on file at the following office: Okaloosa County Human Resources ‘ [organization], 501-B Pearl Stree fe rt grid; ° 4 [address]. Don Amunds, Chairman / peicrs ; } July &, wo Ce" Date Print or Type Name and Title a recipient ag agen has. fi ity ijiy 01 or more employes and is recéiving a single award or subaward wf 5500, 000 0 or more, then the recipe agency must send a EBOP, Shots Fe ora to the OCR for review. i" f . : “ [responsible official], . : _ : 4 ‘ . 2 : [recipient), which ‘has fifty fT more employees and i is receiving a single award of F $500, 060 or more, has- formulated an ‘BEOP in accordance with 28 CFR pt. 42, subpt: “E, and sent it for review ‘on . : [date] to the Offic ice for Civil iI Rights, Office of Justice Prograins, US, -Pepartment of Justice. Date Print or 7 Bie Nine and Title. ‘Sipsanee OMB Control No, 1121-0340 onan Date: Tsala014 © . CERTIFICATION FORM Compliance with the Equal Employment Opportunity Plan (SEOP) Requirements Please read carefully the Instructions (see below) and then complete Section A or Section B or Section C, not all three. Recipient’s Name: Court Administration, First Judicial Circuit, State of Florida | DUNS Number: 1.290 7357 4 Address; 100 West Maxwell Street, Pensacola, Florida 32507 Grant Title Children Exposod to Grime Prevention Project | Grant Number: 2014-JAGC-2229 | Awatd Amount: $10,097 Name and Title of Contact Person; Catherine A. White, Drug Court Manager Telephone Number: (850) 595-3055 E-Mail Address: Cathy. White@ficourts1 gov Section A—Dedl ‘ation Claiming Complete'Exem ption, from. the EEO? Ri quirement * He | Indian tri o Resp ie : Recipient is an educational institution: 0 Recipient . a . a . wb ansible official, . [recipient) is services. Print or Type | ame and Tith “Sifraure Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an EEOP Is on File for Review {fa recipient agency nas fifty or more employees and is receiving a single award or subaward of $25,000 or more, but less than $500,000, then the recipient agency does not have to submit an EEOP io the OCR jor review as long.as it certifies the following (42 CER. § 42.3051 L Robin M. Wright {responsible official, certify that _ Court Administration, First Judicial Circuit, State of Florida [recipient], which has fifly or more employees and is receiving a single award or subaward for $25,000 or more, but Jess than $500,006, has ‘formulated an EEOP in accordance with 28 CFR pt. 42, subpt, E. | further certify that within the last twenty-four months, the proper authority has formulated and signed into effect the EEOP and, as required by applicable federal law, it is available for review by the public, employees, the appropriate state planning agency, and the Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice. The EEOP is on file at the following office: Human Resources [organization], 501-8 Pearl Street, Crestview, Florida 32536 [address]. Robin M. Wright, Court Administrator Loun mules, ie duly J 2013 Print or Type Nante aud Title Signature” Date Print; ar Dype Name and Fite : — 4 » £0 Signature ~: OMB Control No. TPT reer Dae 05/31/2014 Application for Funding Assistance Florida Department of Law Enforcement Justice Assistance Grant - County-wide In witness whereof, the parties affirm they each have read and agree to the conditions set forth in thls agreement, have read and understand the agreement in its entirety and have executed this agreement by their duty authorized officers on the date, month and year set out below. Corrections on this page, including Strikeovers, whiteout, etc. are not acceptable. Signature: Petriga)T. Herring, Administrator Typed Name and Title: pate: Jott H2zaZ Typed Name of Subgrant Recipient: Okaloosa County Board of County. Commissioners Demacdr Signature: Typed Name and Title: Don R. Amunds, Chairman Date: September 27 , 2013 Typed Name of Implementing Agency: Court Administration, First Circuit Signature: f /¥N Merle Typed Name and Title: Robin M. Wright, Court Administrator Date: September Q7 , 2013 Application Ref# — 2014-JAGC-2229 Section #6 Page 4 of 1 Contract —2014-JAGC-OKAL-6-E5- Rule Reference 11D-9.006 OC.JG-005 (rev. October 2005) EXHIBIT B Invoice Date I, Sharon Rogers, Executive Director of the J udge Ben Gordon, Jr. Family Visitation Center, certify that the Invoice is correct and that it does not duplicate reimbursement of costs or services received from other sources. In addition, I certify that reimbursement is requested only for expenditures on items approved by the terms and conditions of the agreement with the County. Signature Date