Okaloosa County BOCC — October 21, 2014 — Final Payment-Emerald Coast CAC — reading text

CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT pate; 10/07/2014 COMPLETED BY DEPARTMENT VENDOR NAME; Emerald Coast CAC vENDOR#: Add0A ILA CONTRACT/LEASE#; ©14-2132-JUD TASK COUNTY/FEMA VENDOR BUDGET INVOICE # ORDER # PROJECT # DEPARTMENT #| SCCOUNT# AMOUNT $ (if Applicable} (If Applicable) September, 2014 AE 701493 534900 $ 1,663.74 TOTAL $ 1,663.74 CONTRACTOR'S ENGINEER/ARCHITECT/PROJEGI\AMANAGER: COUNTY SUPERVISOR/PROJEC DEPARTMENT. DIRECTOR: ant, PS bir. CONTRACTS & GRANT MANAGER: Dinos WII APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date) COUNTY ADMINISTRATOR: (Payments>$25, 000.) DATE: pate: 10/07/2014 DATE: “c) DATE: OSES DATE: V4, FINAL PAYMENT FINAL PAYMENT ved ¥ lol _| Of "Yes", forward to Purchasing Services Coordinator for Close-Out lof | DATE: 3), DATE: Le Lo. DATE: able PURCHASING DIRECTOR: (Per Initial Agreement) CONTRACTS & GRANTS MANAGER: (All Contracts) COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) DATE: BOARD APPROVAL: (Per Initial Agreement) COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWD BY: AMENDED CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: October 7, 2014 TO: Contracis & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C14-2132-JUD MANAGING DEPARTMENT: Court Administration j CONTRACTOR'S NAME: Emerald Coast Children's Advocacy Center PROJECT TITLE: Mental Health Program The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice DX LJ 2. Completed Contract/Lease Payment Approval Form x 3. Close-Out Documents Yes No N/A a. Signed Release of Lien [| L] b. Proof of Completion Advertisement L] LJ xX c. Certificate of Insurance [| [| d. Consent of Surety to Final Payment [| L] e. Proof of Performance/Payment Bond LJ LJ x Continuation 12 Months Following Final Payment Yes No 4, Agenda Request DX L] 5. Remarks 10 -4-14 meee Coddmetor DATE OKALOOSA COUNTY BOARD OF COMMISSIONERS -AGENDA REQUEST- TO: HONORABLE BOARD OF COUNTY COMMISSIONERS FROM: CATHERINE WHITE, DRUG COURT MANAGER DATE: OCTOBER 21, 2014 SUBJECT: FINAL PAYMENT REQUEST TO EMERALD COAST CHILDREN’S ADVOCACY CENTER DISTRICT: ALL BACKGROUND: On January 21, 2014, Okaloosa County Board of County Commissioners entered into Contract No. C14-2132-JUD with the Emerald Coast Children’s Advocacy Center to perform services associated with providing mental health counseling for crime victims. The grant period is coming to an end, all required services have been completed, and the Emerald Coast Children’s Advocacy Center is ready for final payment. Exhibits: A) Final Payment Request from Emerald Coast Children’s Advocacy Center RECOMMENDATION: Approve final payment to Emerald Coast Children’s Advocacy Center in the amount of $1,663.74 for services associated with providing mental health counseling for crime victims. RECOMMENDED BY: Obici Catierine A. White Drug Court Manager EMERALD COAST CHILDREN'S ADVOCACY CENTER MONTHLY INVOICE 9/1 - 9/30/2014 : ae AMOUNT" : Contractual Services-Personnel $7,097.00 $217.55 Expenses - training $3,000.00 $1,663.74 $1,663.74 | $ 1,336.26 TOTAL $ 10,097.00 | $ 1,663.74 | $ 8,543.19 | $ 1,553.81 2Oct4 JULIE HURST DATE TYPED NAME OF AUTHORIZED SIGNATURE AUAHORIZED SIGNATURE Please make checR-payable‘to: Emerald Coast Children's Advocacy Center, Inc. P. O. Box 1237 Niceville, FL 32588 septt4invrev2 10/2/2014 preventing child abuse @protecting children. restoring lives post office box 1237 C\ mera ‘al de coas 4 niceville florida 32588-1237 ® "-50,833.9237 Chj ld rE Ns 5 50,833,938 fax havdency Center : wwweccac.org September 30, 2014 I, Julie Hurst, CEO of the Emerald Coast Children’s Advocacy Center, certify that the September 2014 invoice is correct and that is does not duplicate reimbursement of costs or services received from other sources. In addition, I certify that reimbursement is requested only for expenditures on a ENG "nD conditions of the agreement with the County.” rol.) Date Emerald Coast Children's Advocacy Center Subrecipient Agreement from Okaloosa County under FDLE Byrne JAG grant Cost Calculation for the month of September 2014 (Sal/Ins) (SS/Medi) Compensation Benefits Training Materials Supplies Debbie Hollis n/a R Leggett nfa Vida Brinson n/a Training § 1,663.74 Total per cost category S - $ - $1,663.74 $ - $ - Grand Total S 1,663.74 Orlando — Florida Network of Children’s Advocacy Centers — July 30 — August 1, 2014 Attended by: Debbie Hollis and Jacqui Broadus, mental health therapists: Registration: $275 perperson= $550.00 Hotel per person: $447.00X2= $894.00 Rental Car: $219.74 Total: $1663.74 Receipts attached.. **Hotel rate ... was conference rate for attendees** 1 Cr Vier | ca Compas “ay MENT NUMBER TAL AGRE VEMICUE we RMA T ICN Taare Sunk 66 68 4 a tamer Name y BROADUS, TACQUT oO 6 Worldwide Diga « EME ALD COAST CHILDREN'S ADVOC Flate Number n Tx node OF Payment o9 Vise KTS G Veh Geo Charged ¢ Fildes pach og Pall Sis Ven Gro Mer Veh Deaceiption a WHI FORD SEQN FWE Total Driven 4 713 M1 Odameter Ina 8428 Mis Fuel Gauge Reading: Fil a RENTAL - “Lap TD fTime 2 JUL BG, Bui4e@oss ae? 21a PM Au Luscark ia ROAD GS NE RM . Return DatesTime : AUG O1, cabduay oa b?OL ST : 1?OL STATE ROAD SS NORTH aa basen hay EGLIN AFB IN & YOUR OFT TONAL PRODUCTS 7 29 HRS Max da DAY TIME AND MILEAGE na pro 3.75 /D + 24 /DY + OO /DY : + O28 /DY + SOLE: «BO /DY ob ion Recavery Fae aa WD ELD. 7M @h Users Ch 9. B9O/ Gal e Tt to services . “Rena “AGREEMENT NUMBER SRATPIIEG RESERVAT HON WURBER 251 14842-UG—4 i astoner Name ° ¢ BROADUS, JACGUT Avis Car Number ) 1668623990 “| Bpivers Lic Wisner £ USFLEXKNIOXRN7H60 Plate Number og TH DFZ7G29 “Avis Horldaide Disc : EMERALD COAST CHILDREN'S ADVIC Veh Description s WHT FORD FUSTON FHD Fethods of Payment + VIEA ; XFS? : ‘Odometer Dub +7707 Nis Femi Gauge Reading: Full " 2° Pichu Date/Time s JUL 25, 2014009:84 FH Return Date/Time : AUG 01,2014809:00 PH ° “Pickup Location . 91701 STATE ROAD 85 NORTH Return Location : 1704 STATE ROAD 85 NORTH i ~ EGLIN AFB, FL, 98542, US ESLIN AFB, FL 328562, US me Additional Fees May Apply f Changes Are Hade To Your Return Date, Time And/Or Location. YOUR ESTIMATED: VEHICLE CHARBES , YOUR OPTIONAL PRODUCTS/SERVICES > HEN 99 HRS MAX «644 BAY. - Loss Danaqe Waiver 28,.99/Day Teclined RATE CHART TINE AND MILEAGE Personal Accident Insurance 4,00/Bay Declined * ARLY + 49.04 Personal Effects Protection &.95/Day Declined “BLY os BB.00 Additional Liability Josurance 1440/Day Declined 1 ADDY: = 85.40 “ees = 153,60 WK = -193.40= 185,60 By ay initials 7 accepi~oy declina optional services/products at4.40 s as shown above, X EY p is 4 Untinited Ven Estimated Time & Hileages 153.40 Please return the vebdtle i. CUSTOMER FACILITY CHE 3.75 /D 18,75 received it. If ROY RECOVERY FEE = 460 /DY STATE SURCHARGE 2.00 /DY GevURE BATTERY FEE 02 /DY A VEH LICENSE RECOUP 480 /DY Gu do pot, additional fuel fees may applyr000-074 3.00 Mis equals a 15.97 flat rate fea. 075 MIs jand equals 16.00 4495 per MI op =. 890 per Gal. X «10 en eee 4,00 { ABS 207,30 + + + + + + ARS apis MS? 219.3% ith the same = level as you A “AVIS NF Ea on “NOTICER-—-—-—-~-—~- AIG NOTICES c Renter Auth drivers 1, con ; Loss Damage Waiver is optional. i and that I have revieweddegreed to all noticesdterms here and in the rental ache “peter written consent. Tickets, fines and admin fees fo be charged to this rental. X_/ a: If you have questions regarding this rental, call us at 850-451-0819 This vehicle avn "JULIE HURST EMERALD COAST CHILDS ADV Account Number: XXXX-XXXX-XXKX-7758 27392160 ~ 001112 - OCU2 - 0002-7 ~ Transaction Detail Trans Post Date Date Deseription 07/28 07/30 RESERVATIONS WOW 4078284783 FL YFTAVO \ /- $279.37 ? 4416199553284078284783 ARRIVAL: 07-28-14 / Amount 07/28 07/30 RESERVATIONS WOW 4078284783 FL TIR/ON $279.37 4416133463584078284783 ARRIVAL: 07-28-14 07/28 07/30 RESERVATIONS WDW 4078284783 FL V9 avo\ $279.37 441813355388407 8284763 ARRIVAL: 07-28-14 07/28 07/30 RESERVATIONS WDW 4078284783 FLVGA10% $279.37 4416133536784078284783 ARRIVAL: 07-29-44 (07/28 07/30 RESERVATIONS WOW 4078284783 FL 7q alot pays $279.37 ‘ ,441902709729407 8284783 ARRIVAL: 07-28-44, Acq Be , 07/28 07/30" RESERVATIONS WOW 4078284783 FL 1A 2.\0% Cs270.37) 441812941 9484078284783 ARRIVAL: 07-29-14 S Tele Hells SE 7/28 07/30 RESERVATIONS WOW 4078284783 FL 74 AI01 $279:37 4446133526884078284783 ARRIVAL: 07-28-14 ” 07/28 07/30 RESERVATIONS WOW 4078264783 FL T9210} $279.37 444613321598407 8284783 ARRIVAL: 07-28-14 07/28 07/30 RESERVATIONS WOW 4078284783 FL, FS FTGAN oN $279.37 4416133464484078284783 ARRIVAL; 07-29-14 08/01 08/04 DISNEY RESORT-WDW - LAKE BUENA VIFL 772/01 $35.05 44461334180B4078284783 ARRIVAL: 07-27-14 - md 08/01 08/04 AVIS RENT-A-CAR 1 EGLINAFBFL AAV | Rebel Che . 224997886 ‘ wat Finance Charge Summary Nominal Corresponding. Average Monthly Annual Periodic Daily Periodic Percentage Finance Balance. Rate Rate Charge Purchases $0.00 B792% 8.15% $0.00 ANNUAL PERCENTAGE RATE: 8.15% Balance Transfers $0.00 B792% - 8.15% $0.00 Periodic rates may vary Cash Advances $0.00 41,5200% 48.24% $0.00 Number of days in billing cycte: 31 Grace period: To avold an additional FINANCE CHARGE on Purchases, pay the entire New Balance by the Payment Due Date, FINANCE CHARGES accrue on Cash Advances and Balance Transfers daily untl! pad and will be billed In your next. statement. Florida Network of Children’s Advocacy Centers conn oF Children’s Advocacy cenvens 2940 East Park Avenue, Suite A Tallahassee, FL 32301 Phone: 850-671-4791 Fax: 850-671-1224 E-mail: fneac@fncac.org Receipt Payment From: For: Julie Hurst 2014 Florida Krimes Against Kids Conference hurstj@eccac.gccoxmall.com July 30-August 1, 2014 Disney's Yacht Club Resort Emerald Coast Children's Advocacy Center, Inc. Lake Buena Vista, Florida P. 0. Box 1237 Niceville, FL32588 Date Your Order # Our Order # Sales Rep. FOB Ship Via Terms Tax ID 7/22/14 REG-Osceola CAC Quantity . Item “Units ~~ Description ‘Discount %: Taxable” Unit Price Total 13 Registration Registration fee to attend the 2014 $275.00 | $3575.00 Florida Krimes Against Kids Confer- ence on July 30-August 1, 2014 in Lake Buena Vista, FL. for the following: Gail Laskaskie Jennifer Lieb Harold Mason Dustin Cosson Katie Crowell John Lee Peter Normandin Jessica Beattie Julie Hurst <[oebibie Hos> Tori Eakes Kim Quartel ; . C[Tactul.Broadus--, , j : y : Le : i i vi Subtotal | $3575.00 Tax $0.00 Amount | $3575.00 PaldBy — | Visa:J. Hurst Balance | $0.00 ! Page 2 ole JULIE HURST EMERALD COAST CHILDS ADV _ Account Number: XXXX-AXXKKRAXXK-7 759 g 8 2 8 8 i Transaction Detail Trans Post IQ Date Pate Description - Amount 07/28 07/30 RESERVATIONS WOW 4078284783 FL) T AVO \ //- $278.37 + 4416133553284078284783 ARRIVAL: 07-28-14 07/28 07/30 RESERVATIONS WDW 4078284783 FL“? G2/0% { $279.37 4416133463584078284783 ARRIVAL: 07-28-14 > ae 9 07/28 07/30 RESERVATIONS WOW 4078284783 FL “) Aro $279.37 4416133553884078284783 ARRIVAL: 07-28-14 07/28 07/30 RESERVATIONS WDW 4078284763 FL AGALO1 $279.37 444613353678407 8284783 ARRIVAL; 07-29-14 Lorie 07/30 RESERVATIONS WOW 4078264783 FL. $279.37 Cis .4419027097294078284783 07/30 RESERVATIONS WOW 4078284783 FL 14 BION we ARRIVAL: drone ORCL Re NAABVO’ 441613341 8484078284783 ARRIVAL: 07-29-14 S . | 2 ——, 07/28 07/30 RESERVATIONS WDW 4078284783 FL VWGAIOL Leon et lls $279.37 4416133526884078284783 ARRIVAL: 07-29-14 a 07/28 07/30 RESERVATIONS WDW 4078284783 FL T9210\ $279.37 4416133215984076284763 ARRIVAL: 07-29-14 07/28 07/30 RESERVATIONS WOW 4076284783 FL. Fe 1 RrAON $279.37 4416133464484078284783 ARRIVAL: 07-29-14 08/01 08/04 DISNEY RESORT-WDW - LAKE BUENA VI FL 742101 $35.05 4416133418084078284783 ARRIVAL: 07-27-14 - 08/01 08/04 AVIS RENT-A-CAR 1 EGLIN AFB FL 1