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Packet Pg. 74
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
DATE: July 15, 2014
TO: Honorable Chairman and Members of the Board
FROM: Teresa Ward, BCC Deputy Clerk
SUBJECT: Approval of BCC Meetings Minutes
The minutes for the June 3, 2014 Board of County Commission meeting are attached for review.
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BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
DATE: July 15, 2014
TO: Honorable Chairman and Members of the Board
FROM: Rick Owen
SUBJECT: RESTORE Grant Application system
DEPARTMENT: County Administrator
BCC DISTRICT: All
STATEMENT OF ISSUE: The County Administrator’s office is working with the U.S.
Department of the Treasury to coordinate access for Okaloosa County’s designees to participate
in web-based systems for grant application(s) and management of funds received under the
RESTORE Act Program. Designation of the authorizing official and grantee user roles is
required for system access.
BACKGROUND: The first system identified by the Department of Treasury is
GrantSolutions.gov managed by the U.S. Department of Health and Human Services through
which the applications will be submitted and awards will be managed for the RESTORE Act
Program Direct Component and Centers of Excellence grants. User roles will be established for
the Authorizing Official, Program Director/Principal Investigator, Financial Officer, Financial
Officer Support and Support Staff.
OPTIONS: Approve or Disapprove
RECOMMENDATION: The Board approve use of the GrantSolutions.gov system, approval
of electronic submission and delegation of electronic signature authority to the office of
Contracts & Grants, designate the Chairman as the Authorizing Official to approve and execute
the Grantee User Account Request Forms and all future GrantSolutions.gov user access forms as
may be required during the course of the RESTORE Act Program.
RECOMMENDED BY:
APPROVED BY:
Ernie Padgett, County Administrator
Packet Pg. 97
Grantee User Account Request Form
Request Type: New Account Account Change Account Closure
Partner Agency: Department of Health and Human Services Department of State
Department of Agriculture Social Security
Department of Transportation Denali Commission
Other Treasury - RESTORE Act
Role Authority: Authorizing Official Financial Officer
Program Director/Principal Investigator Financial Officer Support
Support Staff
Organization Name: Okaloosa County
Address 1: 1804 Lewis Turner Blvd, Ste 206
Address 2:
City: Fort Walton Beach State: FL ZIP + 4: 32547-1285
Grant Number(s):
This should be a grant number of any grant awarded to your organization that is or has been in
GrantSolutions. This will be used to help confirm organization information.
First Name: Charles K. Last Name: Windes, Jr.
Title: Chairman, Okaloosa County Board of County Commissioners
Phone: (850) 651-7105 Fax: (850) 609-5029
Email Address: grants@clerkofcourts.cc
Person Address 1:
Person Address 2:
City: State: ZIP + 4:
Please complete the Person Address only if it is different from the Organization Address.
Authorized Official Name: Charles K. Windes, Jr.
Title: Chairman
Authorized Official Signature:
Note: Request should be signed by authorized organization business/signing official.
Version 6/2013
Packet Pg. 98
US Government Data Access Request/Security Compliance Statement
As a user granted with Grantee authority, I agree to abide by the following:
I will not disclose data from the GrantSolutions system to anybody except authorized
system users whose roles permit access to that data.
I will not make any unencrypted electronic copies of data from the GrantSolutions
system.
I will take all reasonable steps to ensure I do not violate the privacy and confidentiality of
all data from the GrantSolutions system.
I will ensure the proper disposal of data (in any format) and printed reports.
I will access the GrantSolutions system only to the extent that my duties require such
access.
I will report inappropriate or malicious use of the GrantSolutions system to the
GrantSolutions Help Desk and the ACF CISO/ISSO.
I will immediately notify the GrantSolutions Help Desk of any account changes, including
the need to close my account.
Charles K. Windes, Jr.
User Name (Printed) ___________________________________________________________
User Signature _____________________________________________ Date ______________
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Packet Pg. 99
Grantee User Account Request Form
Request Type: New Account Account Change Account Closure
Partner Agency: Department of Health and Human Services Department of State
Department of Agriculture Social Security
Department of Transportation Denali Commission
Other Treasury - RESTORE Act
Role Authority: Authorizing Official Financial Officer
Program Director/Principal Investigator Financial Officer Support
Support Staff
Organization Name: Okaloosa County
Address 1: 1804 Lewis Turner Blvd, Ste 206
Address 2:
City: Fort Walton Beach State: FL ZIP + 4: 32547-1285
Grant Number(s):
This should be a grant number of any grant awarded to your organization that is or has been in
GrantSolutions. This will be used to help confirm organization information.
First Name: Gary J. Last Name: Stanford
Title: Finance Officer
Phone: (850) 689-5000 ext 3411 Fax: (850) 689-5882
Email Address: gstanford@clerkofcourts.cc
Person Address 1:
Person Address 2:
City: State: ZIP + 4:
Please complete the Person Address only if it is different from the Organization Address.
Authorized Official Name: Charles K. Windes, Jr.
Title: Chairman
Authorized Official Signature:
Note: Request should be signed by authorized organization business/signing official.
Version 6/2013
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Gra ntSolutions.gov
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US Government Data Access Request/Security Compliance Statement
As a user granted with Grantee authority, I agree to abide by the following :
• I will not disclose data from the GrantSolutions system to anybody except authorized
system users whose roles permit access to that data.
• I will not make any unencrypted electronic copies of data from the GrantSolutions
system.
• I will take all reasonable steps to ensure I do not violate the privacy and confidentiality of
all data from the GrantSolutions system .
• I will ensure the proper disposal of data (in any format) and printed reports.
• I will access the GrantSolutions system only to the extent that my duties require such
access.
• I will report inappropriate or malicious use of the GrantSolutions system to the
GrantSolutions Help Desk and the ACF CISO/ISSO.
• I will immediately notify the GrantSolutions Help Desk of any account changes, including
the need to close my account.
User Name (Printed) Gary J· Stanford
User Signature ~ ; . ~ Date 7 /~/ii
Version 6/2013
Packet Pg. 101
Grantee User Account Request Form
Request Type: New Account Account Change Account Closure
Partner Agency: Department of Health and Human Services Department of State
Department of Agriculture Social Security
Department of Transportation Denali Commission
Other Treasury - RESTORE Act
Role Authority: Authorizing Official Financial Officer
Program Director/Principal Investigator Financial Officer Support
Support Staff
Organization Name: Okaloosa County
Address 1: 1804 Lewis Turner Blvd, Ste 206
Address 2:
City: Fort Walton Beach State: FL ZIP + 4: 32547-1285
Grant Number(s):
This should be a grant number of any grant awarded to your organization that is or has been in
GrantSolutions. This will be used to help confirm organization information.
First Name: Marcella B. Last Name: Eubanks
Title: Contracts & Grants Manager
Phone: (850) 651-7200 ext 4381 Fax: (850) 609-5029
Email Address: meubanks@clerkofcourts.cc
Person Address 1:
Person Address 2:
City: State: ZIP + 4:
Please complete the Person Address only if it is different from the Organization Address.
Authorized Official Name: Charles K. Windes, Jr.
Title: Chairman
Authorized Official Signature:
Note: Request should be signed by authorized organization business/signing official.
Version 6/2013
Packet Pg. 102
US Government Data Access Request/Security Compliance
