READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — May 17, 2016 — Unexecuted Agreement — reading text
Part 2 of 7. These parts divide the reading text for browsing; they are not the source document's page numbers.
Unexecuted Agreement — extracted reading text
Machine-extracted OCR text · Review label: Known limitations
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
with funds for voter
education.
Funds in this account must be used only for the activities for which the funds were received.
Funds shall remain in the account to be used for the same purposes for subsequent years or
until such funds are expended.
Please note that separate public depository requirements apply under chapter 280, Florida
Statutes, but are outside the scope of enforcement of this agreement. The Supervisor will
be required to execute and retain in the official records a Public Deposit Identification and
Acknowledgment Form (DFS-Jl-1295) and to submit a Public Depositor Annual Report to
the Chief Financial Officer (DFS-Jl-1009) to the Public Deposits Program, Florida
Department of Financial Services. Refer to The Department of Financial Services Collateral
Management for Governmental Units page for more information, or contact the Program
Administrator at 850-413-3360.
The Supervisor shall maintain separate accounting records for each of the funding sources
identified under its plan submitted pursuant to this agreement.
F. Restrictions. Funds will be used to support election activities related only to federal elections
(that is, elections in which a federal candidate is on the ballot). If any of these funds are used
for an election in which a federal candidate is not on the ballot, the cost must be pro-rated
for the portion of the expenditure that is allocable to a federal election.
Funds may not be used to support state or federal lobbying activities but this does not affect
the right, or that of any other organization to petition Congress, or any other level of
Government, through the use of other resources.
MOA # 2015-2016-0001
-2-
Ill. DISBURSEMENT
The Department shall distribute to each eligible county supervisor of elections upon request an
amount equal to the funding level per voter multiplied by the number of active registered voters
in the county for the 2014 General Election. The Supervisor shall receive a sum certain as outlined
in Attachment C.
A. Submissions. Prior to receipt of FY 2015-2016 funds under this agreement, the Supervisor
must additionally submit to the Department:
• A Federal Election Activities Plan (OS-DE 126, Revised 6/4/2014} that contains a detailed
description of the programs that will be implemented. Boxes should be marked for federal
election administration activities that will be used as well as for all sources of funding that
apply, i.e. include the source of funds (federal, county matching funds, interest earned
and other county funds (local) being used for each federal election activity set forth in the
plan. This form is attached hereto as Attachment B. Please provide SAMPLES of all voter
education printed documents and transcripts of audio and video recordings or clips.
• A written certification from the county governing body (e.g. Board of County
Commissioners) (DS-DE 127, Revised 6/4/2013) that matching funds will be provided in
an amount equal to fifteen percent {15%) of the amount to be received from the state.
This form is attached hereto as Attachment 0. If the county governing body fails to
appropriate the matching funds, the Supervisor must return or repay to the State the
portion of the funds for which the matching funds applied.
• A completed ED Form GCAS-009 (6/88), entitled "Certification Regarding Debarment,
Suspension, Ineligibility, and Voluntary Exclusion Lower Tier Covered Transactions", and
attached hereto as Attachment E. [Executive Order 12549, Debarment and Suspension,
45 CFR 1183.35, prohibits the disbursement of federal funds to the intended recipient of
such funds or to any sub-recipient thereunder unless such recipient and each sub-
recipient, if any, certify that they are not excluded or disqualified from receiving federal
funds by any federal department or agency.]
• A completed "Certificate of Equipment for Casting and Counting Ballots" (DS-DE 135,
Effective 7/10/13), attached hereto as Attachment F. This is required if the request, in
part or in full, is to use HAVA funds for the purpose of purchasing emerging or enhancing
software and hardware technology.
IV. Electronic Payments
The Supervisor may choose to use electronic funds transfer (EFT) to receive grant payments. All
Supervisors wishing to receive their award through electronic funds transfer must submit a
Direct Deposit Authorization form to the Florida Department of Financial Services. If EFT has
already been set up for your organization, you do not need to submit another authorization
MOA # 2015-2016-0001
-3-
form unless you have changed bank accounts. To download this form visit
http://www.myfloridacfo.com/Division/AA/Forms/DFS-Al-26E.pdf. This page also includes
tools and information that allow you to check on payments.
V. MONITORING, AUDITS, AND REPORTS
The administration and use of funds are subject to monitoring, audits, and reports as follows:
A. Monitoring.
In addition to reviews of audits conducted in accordance with 2 CFR 2 §200.328, as revised, and
Section 215.97, F.S., (see Attachment G) monitoring procedures may include, but not be limited
to, on-site visits by Department staff, limited scope audits as defined by 2 CFR 2 §200.328, as
revised, and/or other procedures. By entering into this agreement, the Recipient agrees to
comply and cooperate with any monitoring procedures/processes the Department deems
appropriate.
The Department shall closely monitor the Supervisors' annual expenditure reports to ensure that
the Supervisors expend HAVA funds in accordance with approved plans and will require
reimbursement for all expenditures not approved or otherwise authorized. Also, the Department
shall ensure that Supervisors report the expenditures made with HAVA funds separately from
expenditures made with county funds.
For additional guidance to state and federal monitoring and auditing requirements, refer to:
http://election.dos.state.f/.us/hava/index.shtml and http://www.eac.gov.
B. Financial reports. The Supervisor shall submit the following written financial reports to the
Department:
• Expenditure report. This report is due every year in which HAVA funds remain and/or
are expended. If expenses are made at any time from the date of initial receipt of the
FY 2015-2016 Federal Election Activities grant funds through September 30 of the year
received, the first report is due on December 31 of that year. Thereafter, an
expenditure report is only due on December 31 of every year in which expenditures
were made and/or funds remain to cover the preceding October pt through September
30th period until all funds are fully expended. The Supervisor shall indicate on the report
if the funds are fully expended during the expenditure period being reported.
The report shall be filed using Form DS-DE 128 (rev. 11-15-13) provided by the
Department. The report must include documentation (such as appropriation statement,
committee meeting minutes approving appropriation, or account statement) that the
county governing body appropriated matching funds as certified in Section Ill.
Disbursements, Section A. Submissions, Bullet number 2. Failure to appropriate the
county matching funds or reversion of those funds back to the county for any reason must
be reported to the Department.
MOA # 2015-2016-0001
-4-
I
Each financial report shall include the billing or itemized receipts in support of the
expenditures for the services or products used. The voter education publications must
provide voter education concerning voting procedures, voting rights or voting
technology. If deemed necessary after review of a financial report, you may be asked
and will be required to provide any requested supplemental documentation. For
products, documentation may include a copy of or the actual product or publication
and an indication of how many individual items were produced or printed. For services,
documentation may include a copy of or the actual newspaper article, audio recording,
or video clip and/or template or transcript thereof, and an indication of how many
times it was published, aired, or accessed, or a copy of the graphics template and
content layout for a special created webpage.
• Annual remaining balance report. Supervisors of Elections shall report to the Department
of State any unspent funds remaining on June 30 of each fiscal year. The report form (DS-
DE 129, Revised 7/5/11) will be provided by the Department. This report is due on or
before July 31 of every year until such funds are fully expended.
C. Reporting Requirements
Copies of financial reporting packages as described in section .320(c), 2 CFR 2 §200.328 (as
revised) for audits conducted by or on behalf of the Recipient pursuant to Attachment G of this
agreement, shall be submitted as required to:
Department of State Department of State Auditor General's Office Federal Audit
Division of Elections Office of Inspector General Room 401, Pepper Bldg Clearinghouse
R.A. Gray Building, Ste 316 R.A. Gray Bldg., Rm. 114-A 111 West Madison St. Bureau of the Census
500 S. Bronaugh St. 500 S. Bronaugh Street Tallahassee, FL 1201 East 10th St.
Tallahassee, FL Tallahassee, FL 32399-1450 Jeffersonville, IN
32399-0250 32399-0250 47132
Other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (f}, 2
CFR 2 §200.328 (as revised).
Any reports, management letter, or other information required to be submitted to the
Department pursuant to this agreement shall be submitted timely and in accordance with 2 CFR
2 §200.328, the Florida Statutes, and Chapter 10.550 (local governmental entities) of the Rules
of the Auditor General, whichever is applicable
(http://www.myflorida.com/audgen/pages/localgovt.htm). The correspondence accompanying
the financial reporting package forwarded to the Department must include the date the
Recipient received the reporting package.
VI. RECORD RETENTION
The Supervisor shall keep and maintain accurate and detailed records (e.g., invoices, receipts,
and other documentation) sufficient to identify how and whether expenditures were used for
authorized purposes, to support financial reporting, and to conduct audits as may be required or
requested. In accordance with Attachment A, these records must be retained for five fiscal years
MOA # 2015-2016-0001
-5-
after the last report that all funds have been fully expended or funds are returned by the county,
or three years after the date an audit report is issued, whichever is earlier. The Supervisor shall
allow the Department or its designee, CFO, or Auditor General access to such records, including
the audit working papers upon request. Failure to provide adequate documentation shall result
in a request to return the funds to the Department.
VII, INCORPORATED DOCUMENTS
This agreement incorporates by reference the following documents:
