Okaloosa County BOCC — May 17, 2016 — Unexecuted Agreement — reading text

• Attachment A: General Appropriations Act Proviso Language • Attachment B: Federal Election Activities Plan (Form DS-DE 126, rev. 6/4/2014) • Attachment C: Federal Election Activities-Funds Allocation per County/County Matching Funds • Attachment D: Certificate Regarding Matching Funds (Form DS-DE 127, rev. 6/4/2013). • Attachment E: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions (ED federal form GCS-009, v. 6/88) • Attachment F: Certificate of Equipment for Casting and Counting Ballots (Form DS-DE 145, rev. 07 /10/2013) • Attachment G: Single Audit Act Requirements and Exhibit I VIII. ENTIRETY OF THE AGREEMENT All terms and conditions of this agreement are fully set forth in this document and attachments incorporated by reference and shall be governed by the laws of the State of Florida regardless of any conflict of laws provisions. In any proceeding or action brought under this section, the parties agree that proper venue will be in Leon County, Florida. The Department shall not be liable for attorney fees, interest, late charges or service fees, or costs of collection related to this agreement. IN WITNESS THEREOF, the parties have caused this agreement to be executed by their undersigned officials as duly authorized. County Sup~E~ FL Department of State/Division of Elections ~ ~ By: By: ~a\00$ ~_"1\t\fu~~&bV' - - - - - - - - (print name/title) ~c:::\11\)"s (print name/title) County FE~er: 5"- laocc>T!o5 Witness:~~~ Date: q J\l\"''1 { [, u U Please complete, sign & return this agreement and the required certifications to: Joyce Durbin, HAVA Funds Coordinator, Florida Department of State, Division of Elections, R.A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, Florida 32399-0250 MOA # 2015-2016-0001 -6-  Attach. B to MOA 2015-2016-0001 Funds will be held in an interest bearing account in a "qualified public Please provide SAMPLES of all voter depository" as defined by sec. 280.03, education printed documents & transcripts F.S., until disbursed or expended. of audio and video recordings or clips. Federal Election Activities Plan COUNTY NAME Okaloosa State Fiscal Year 2015-2016 NOTE: Put an X in all boxes of NOTE: Put an X in ALL sources of funding PRIOR YEAR PRIOR YEAR PRIOR YEAR topics that apply to each activity. boxes that apply. FEDERAL ELECTION ACTIVITIES VOTER EDUCATION POLL WORKER TRAINING FY 15-16 FEDERAL ELECTION ACTIVITIES FUNDS ROLL OVER FUNDS ROLL OVER FUNDS ROLL OVER FUNDS Federal County Other Federal County Federal County Federal County HAVA Matching County HAVA Matching HAVA Matching HAVA Matching Activities and Descriptions Funds Funds Funds Interest Funds Funds Interest Funds Funds Interest Funds Funds Interest Voter fdumtlon Mailing or Publishing Sample Ballots: Printing and mailing or publishing sample ballots which must include additional information on voting procedures, voting rights or voting technology. Examples follow: x x x x x x x . ·. * Election day voting procedures ' *Voting locations & hours of operation *Absentee voting deadline * Early voting information * Postage for mailing sample ballots Voter Information Cards: Printing voter information cards which must include additional voter education information on voting procedures, voting rights or voting technology. Examples follow: *Information on how to update voter registration information * Information on what to bring to the polls including a list of acceptable ID's * Absentee ballot information * Early voting information DS-DE 126 (Revised 614/14) ~~~~~~~~~~~~~~~~~~~~~~~~~ .............,,,.............""""'"'  Attach. B to MOA 2015-2016-0001 Funds will be held in an interest bearing account in a "qualified public Please provide SAMPLES of all voter depository" as defined by sec. 280.03, education printed documents & transcripts F.S., until disbursed or expended. of audio and video recordings or clips. Federal Election Activities Plan COUNTY NAME Okaloosa State Fiscal Year 2015-2016 NOTE: Put an X in all boxes of NOTE: Put an X in ALL sources of funding PRIOR YEAR PRIOR YEAR PRIOR YEAR topics that apply to each activity. boxes that apply. FEDERAL ELECTION ACTIVITIES VOTER EDUCATION POLL WORKER TRAINING FY 15-16 FEDERAL ELECTION ACTIVITIES FUNDS ROLL OVER FUNDS ROLL OVER FUNDS ROLL OVER FUNDS Federal County Other Federal County Federal County Federal County HAVA Matching County HAVA Matching HAVA Matching HAVA Matching Activities and Descriptions Funds Funds Funds Interest Funds Funds Interest Funds Funds Interest Funds Funds Interest Advertising or Publications: Examples are Print, Radio or Television Advertising; Banners, Billboards & Public Transportation Ads. Advertisements must include voter education information on voting ,.,, procedures, voting rights or voting technology. Examples follow: ·.(.: .·:,·: ..,:. *Voter registration information .· .·: ?':' *Acceptable forms of ID needed at the polling place * Absentee ballot information * Voter's Rights and Responsibilities * Election day voting procedures * Precinct locations * Early voting information Voting System Demonstrations: List below what funds will be spent on: * Mock ballots * Voter Guides: Printing voter guides which must include voter education information concerning voting procedures, voting rights or voting technology, but shall not contain elected officials' contact information other than the supervisor's contact information. Examples follow: OS-DE 126 (Revised 6/4/14) 2  Attach. B to MOA 2015-2016-0001 Funds will be held in an interest bearing account in a "qualified public Please provide SAMPLES of all voter depository" as defined by sec. 280.03, education printed documents & transcripts F.S., until disbursed or expended. of audio and video recordings or clips. Federal Election Activities Plan COUNTY NAME Okaloosa State Fiscal Year 2015-2016 NOTE: Put an X in all boxes of NOTE: Put an X in ALL sources of funding PRIOR YEAR PRIOR YEAR PRIOR YEAR topics that apply to each activity. boxes that apply. FEDERAL ELECTION ACTIVITIES VOTER EDUCATION POLL WORKER TRAINING FY 15-16 FEDERAL ELECTION ACTIVITIES FUNDS ROLL OVER FUNDS ROLL OVER FUNDS ROLL OVER FUNDS Federal County Other Federal County Federal County Federal County HAVA Matching County HAVA Matching HAVA Matching HAVA Matching Activities and Descriptions Funds Funds Funds Interest Funds Funds Interest Funds Funds Interest Funds Funds Interest * Information for Federal Elections only * How to register to vote *Where to obtain voter registration applications *How to register by mail