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Okaloosa County BOCC — January 21, 2014 — Judge Ben Gordon Jr Family Visitation Center Subagreement — reading text
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children and abuse victims. This is accomplished by providing a secure, child-friendly
setting and a strictly enforced staggered schedule of times for the delivery and pickup of children.
The monitored exchanges have proven to meet a critical need in the Court’s efforts to protect
children from witnessing conflict, which would often turn violent.
2. The Center has been operating in Shalimar for 14 years. The Center has conducted more
than 8,000 monitored exchanges and scheduled over 14,500 supervised visits without one serious
incident. The Center meets and exceeds the Minimum Standards outlined by the FCSC's Model
Court Subcommittee and approved by the Florida Supreme Court. The Center is a member of the
Supervised Visitation Network, with the Executive Director serving as a member of the Board of
Directors, The Center is also active in the Florida Chapter of the Supervised Visitation Network,
with the Executive Director serving as current board member and past president. The ultimate
goal of the Center is to provide a safe and nurturing site for children to visit without fear of re-
victimization.
A market survey was not conducted due fact that the services provided by the Ben
Gordon, Jr. Family Visitation Center are unique and one-of-a-kind. There are no other
businesses in the area which provides these services
FDLE JAG Grant Application Package Sole Source Form
Page 2 of 3
Rule Reference 11D-9.006 OCJG-011 (Rev, May 2072)
SOLE SOURCE JUSTIFICATION FOR SERVICES AND EQUIPMENT REQUEST
FOR APPROVAL FORM
Florida Department of Law Enforcement
Edward Byrne Memorial Justice Assistance Grant Program
(Continuation Page 3)
3, The contract period will be from October 1, 2012 to September 30, 2013. The Center has
always been timely with filing the appropriate Financial and Performance Reports, Should the
Center 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 Center cannot carry out the services of this
grant, the grant funding will be transferred to the ECCAC to provide counseling services to child
victims of abuse and/or neglect.
4. There services provided by the Center are unique and one-of-a-kind. There are no other
businesses in the area which provides these services
5. The Center serves all children of Okaloosa County who are exposed to family violence
from infants to 18 years old and all victims of domestic violence without regard to age or gender.
The Center meets and exceeds the Minimum 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.
FDLE JAG Grant Application Package Sole Source Form
Rule Reference 11D-9.008 Page 3 of 3
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: AT TTOYF
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
Telephone Number: (850) 595-3055 E-Mail Address: Cathy. White@ficourts1.qo’
Section A—Declaration Claiming: Complete Exemption from fl the EEOP Requirement,
Please check all ihe 2 following boxe. ha appl
o Reeipient is an Indian tribe . DRecipient is'a 4 modiga
a Recipient is'an educational institution, Recipient j is reoeiving an award ess than $ 25, 000°
nn . . on . : : __ [responsible off cially
certify that” : ae : ~__ [recipient] is
not required to prepare’ ‘an 1 EEOP for the son) checked above, pursuant to 38 CBR § 42. 308 .
I further certify that: = [recipient]
will comply with applicable federal civil rights laws that prohibit serimination 1 in saploien and | in the delivery of. ,
services, : . . .
BO
&
Print o or "Die Narne and Tile
Sigatire =
Section B—Declaration Claiming Exemption from the EKOP Submission Requirement and "Certifying
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 for review as long as it certifies the following (42 CFR. § 42.305):
1, Don 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. 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. partment 2 of J lice. The EEOP is on file at the following office:
Okaloosa County Human Resources S [organization],
1 [address].
Don Amunds, Chairman /. ) July %
\ pn EM Faaetengt, ‘
Print or Type Name and Title Ce jenn pt : Date
Ya recipient agency has fi Ai iy or or more amployées ‘and i is recéiving a single award or subaward of $506, 000 or more, then the recipient agency anust
send an EEOP. Short Fe ‘arm fo the OCR for review. we : .
[responsible official],
4 : 4 : 3 : : [recipient],
which has fifty: or more employees and is receiving a single award of 3500; 090 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, US, Department of Justice,
Fino or Type Name and Tile 7
Signature a no : Date
OMB Control No. 1121-0340 Expiration Date: 05/31/2014
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully ihe Instructions (see below) and then complete Section A or Section B or Seetion C, not all three.
Recipient’s Name: Court Administration, First Judicial Circuit, State of Florida | DUNS Number: [294° F3574
Address: 100 West Maxwell Street, Pensacola, Florida 32507
Grant Title:Chiidren Exposed to Crime Prevention Project | Grant Number: 2014-JAGC-2229 | Award Amount: $10,097
Name and Title of Contact Person: Catherine A, White, Drug Court Manager
Telephone Number: —_ (850) 585-3055 E-Mail Address: Cathy. White@flcourts1 gov
Section A~Deél ‘ation Claiming Complete’ ‘Exemption; from the EOP. Reg i¥ément *
certify tha : wot
not required to prepare an n FEOF for ‘the reasoii
frecipiont] i is
% [recipient}
Ley of
Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for Review
fa vecipient agency has fifiv or more employees and is receiving a single award or subaward of $25,000 or mare, but less than $500,000, then the
recipient agency does not have to submit an EEOP to the OCR for review as long.as it certifies the following (42 CFR. § 42.305):
L Robin M. Wright {responsible official],
certify that __ Court Administration, First Judicial Circult, State of Florida. ___—.... 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:
Human Resources [organization],
501-B Pearl Street, Crestview, Florida 32536 [address].
Rabin M. Wright, Court Administrator Ritu mwas, hd July 12 2013
Print or Type Name and Title Signature * Date
Section ‘C—Declar on: Stating that" an EEOP Short Form Has Been Submitted:
Rights for- Revi Ww
Office for Civil
é of ficial}
“ Trecigient,
sformulated.an EROP in
[daie} do the
Print or Type Name and Tile
Date
OMB Contel No. Tar 0340 Tater 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 and year set
out below.
Corrections on this page, including Strikeovers,
whiteout, etc, are not acceptable.
Signature: } Okey oT Hee |
Petrina)t. Herring, Administrator
Typed Name and Title:
Date: Lot: f exh CAA
Typed Name of Subgrant Recipient’ Okaloosa County Board of County Commissioners |
Signature: COLk ab
Typed Name and Title: Don R. Amunds, Chairman
Date: September £7 , 2013
Typed Name of Implementing Agency: Court Administration, First Circuit
Signature: d MLL a
Typed Name and Title: Robin M. Wright, Court Administrator
Date: September AT , 2013
Application Ref # — 2014-JAGC-2229 Section #6 Page 1 of 1
Contract 2014-JAGC-OKAL-6-E5-
Rule Reference 11D-9.006 OCJG-005 (rev. October 2005)
EXHIBIT B
Invoice Date
I, Sharon Rogers, Executive Director of the Judge 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
