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Okaloosa County BOCC — January 21, 2014 — Emerald Coast Children's Advocacy Center Subagreement — reading text
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Children Advocacy Centers, The CEO currently serves as President of the Network.
A market survey was not conducted due fact that the services provided by the ECCAC are unique
and one-of-a-kind. There are no other businesses in the area which provides these services.
3. The contract period will be from October 1, 2012 to September 30, 2013. The ECCAC has always
been timely with filing the appropriate Financial and Performance Reports. Should the ECCAC be
delinquent in meeting the due dates, they will be contacted in order to reinforce the need to have their
reports filed, In the event the ECCAC cannot carry out the sefvices of this grant, the grant funding will be
transferred to the Ben Gordon Jr., Family Visitation Center to provide supervised visitation and/or
monitored exchange services to the children and families of Okaloosa County.
4, The ECCAC’s services are unique and one-of-a-kind. There are no other businesses in the area
who can offer the services of the ECCAC, All services are provided in one child-friendly location which
reduces the trauma experienced by child victims,
5. The ECCAC provides services to child victims of physical and sexual abuse from infant to 18
years of age. They are an added value to the children and families of Okaloosa County and have been
providing services to this community for 12 years.
6, It is of the upmost importance for the safety and well-being of child victim’s and their families in
Okaloosa County that the ECCAC be utilized for counseling and referral services, Therapists work with
not only the child victim, but also their siblings, and non-offending caretakers to ensure a safe healthy
home environment for child victims. In an effort to reduce the trauma experienced by child victims, all
services are provided in a child-friendly and safe environment.
7. The ECCAC is not excluded or debarred and was not involved in the development of the
procurement of funding,
FDLE JAG Grant Application Package Sole Source Form
Page 2 of 2
OCJG-011 (Rev. May 2012)
Rule Reference 11D-9.006
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: 613277649
Address; 1840 Lewis Tumer Boulevard, Fort Walton Beach, Florida 32547
Grant Title:Emerad Coast Chidran's Advocacy Canter Mental Heallh [ Grant Number: 2014-JAGG-2226 I Award 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.qov
Section A—Declaration Claiming Complete Exemption from the ELOP Requirement
Please check all the following boxes that apply:
o Recipient has less than fifty employees. 0 Recipient is an Indian tribe. a Recipient is a medical institution.
o Recipient is a nonprofit organization, © Recipient is an educational institution. © Recipient is receiving an award less than $25,000.
I {responsible official},
certify that : [recipient) is
not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R § 42.302,
I further certify that [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
services,
Print or Type Name and Title Signature Date
Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EKOP Is on File for Review
Ufa recipient agency has {ty 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 dees not have to submit an EEOP to the OCR for review as long as it certifies the following (42 CFR. § 42.305):
I, Don R. Amunds [responsible official],
certify that Okaloosa County 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. | 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],
601-B Pearl Street, Cresiview, Florida 32536 [address].
Don R. Amunds, Chairman Co x“p C2 ) September 7 72013
Print or Type Name and Title Signature Date
Section C—Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil
Rights for Review
{fa recipient agency has fifty or more eniployees and is receivin 18.4 single award or subaward of $500,000 or more, then the recipient agency must
send an EEOP Short Form to the OCR far review.
L [responsible official],
certify that [recipient],
which has fifty or more employees and is receiving a single award of $500,000 or more, has formulated an EEOP in
accordance with 28 CFR pt. 42, subpt. E, and sent it for review on [date] to the
Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice,
Print or Type Name and Title Signature Date
OMB Control No. 1121-0340 Expiration Date: 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 this agreement, have read and understand the agreement in its entirety and have
executed this agreement by their duty authorized officers on the date, month arid year set
out below,
Corrections on this page, including Strikeovers,
whiteout, etc. are not acceptable,
Typed Name of Subgrant Recipienh okaloasa County Board of County. Commissioners
Signature:
Typed Name and Title: Don R. Amunds, Chairman
Date: September £7 1 2013
Typed ee tee dy can Administration, First Circuit
Signature: ] mn Udiaghrr
Typed Name and Title: Robin M. Wright, Court Administrator
Date: September {9 2 2013
Application Ref # — 2014-JAGC-2226 Section #6 Page 1 of 1
Contract —2014-JAGC-OKAL-7-E5-
Rule Reference 41D-9.006 OCJG-006 (rev. October 2005)
EXHIBIT B
Invoice Date
I Julie Hurst, CEO of Emerald Coast Children’s Advocacy 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
