Okaloosa County BOCC — May 20, 2014 — State of Florida Department of Revenue Standard Contract CST46 — reading text

that reimbursement by the Department will be made at the new prevailing rate. The Department shall provide written notice of any change in the rate of Federal Financial Participation and the effective date. 3. Modification of Contract due to Statutory Fee Changes — If the statutory fees for service of process and/or execution of writs of bodily attachment change during the term of the contract, the Department shall reimburse at the prevailing rate of Federal Financial Participation based upon the new Statutory fee(s). Changes are effective as of the effective date of the law. 4. Photographic images provided by the Department — Upon completion of service or writ activities any photographic images provided by the Department must be destroyed. ‘Template Revised 2/3/2014 15 Contract Number CST46 Attachment C(4 Regulred Certifications — Non-Attorney i, Charles K. Windes, Jr, Chairman as an authorized representative of the contractor certify that: 41. Statement of No Involvement Nelther | nor any person having interest In this firm has been awarded a contract by the Department of Revenue on a noncompetitive basis to: a develop this solicitation packet; b. perform a feasibility study conceming the scope of work contained in this offer; or G. develop a program similar to what Is contalned In this offer. 2. Agreement to the Contract Terms and Conditions | have authority to execute a binding contract on behalf of the contractor and agree to the conditions and the terms of the contract contained In the solicitation. 3. Contract Cancellation or Fallure to have Contract Renewed Neither | nor the firm has had a contract canceled nor have | nor the firm failed to have a contract renewed by any governmental agency based on substandard or lack of performance. If the prospective contractor is unable to certify to any of these staternents in the certification regarding contract cancellation and renewal, such prospective contractor shall attach an explanation. 4. Child Support Obligations }, .Charles K. Windes, Jr, Chairman ; 88 an authorized representative of the contractor, certify that | and all staff in my firm assigned to this contract are, to the best of my knowledge, current and will remain current with respect to any and all court ordered child support obligations, including medical child support. | further certify that individuals, who are not current with respect to any and all court ordered child support obligations, Including medical child support, will not be hired to work on this contract. 5, Gempllance with State and Federal Tax Laws |, Charles K, Windes, Jr., Chairman , as an authorized representative of the contractor, certify that |, all staff in my firm assigned to this contract, and the firm, are, to the best of my knowledge, in compliance with all state and federal tax laws, and shall remain in compliance throughout the term of this contract. {| further certify that Individuals who are not In compllance with all state and federal tax laws will not be hired to work on this contract. By: _Chairman Date: Template Revised 2/3/2014 16 Contract Number CST46 Attachment Provisio erally Funded Gontrac 1. The contractor shall comply with the provisions of 45 C.F.R., Parts 74 and 76, and/or 45 C.F.R., Part 92, and other Signature applicable regulations as specified in this contract. if this contract le valued at greater than $100,000, the contractor shall cormply with all applicable standards, orders, or regulations Issued under Section 306 of the Clean Alr Act, as amended (42 U.S.C. 1857(h), et aag.), Section 508 of the Clean Water Act, as amended (83 U.S.C. 1368, et seq.), Exeoutlve Order 11738, and Environmental Protection Agency ragulations (40 C.F.R., Part 15). The contractor shall report any violations of the above to the contract manager, If thie or eaern contains federal funding In excess of $100, 000, the ener must, prior to contract execution, complete the Gertlficg ene g 2ension { J § lal Neererert E) ar ne “the Cariification Regarding Lobbying form eRe E. Ifa Disclosura of Lobbying Activities form, Standard Form LLL, Is required, It may be obtained from the contract manager. All disclosure forms as required by the Certification Regarding Lobbying form must be completed and returned to the contract manager. if this contract contains faderal funds, the Catalog of Federal Domestic Assistance (CFDA) number Is 93.863, Pursuant to 45 CFR 95.617(a), the Department shall “have all ownership rights in software or modificatlons thereof and assocjated documentation designed, developed or installed with Federal financial participation.” Pursuant to 45 CFR 95.617(b), the Federal Department of Health and Human Services, Administration for Children and Familles, “reserves a royalty-frea, non-exclusive, and Irrevocable license to reproduce, publish, or otherwise use and to authorize others to use for Federal Government purposes, such software, modifications, and documentation. Pursuant to 45 CFR 95.617(c), proprietary operating/vendor software packages (Including the software procured under this contract), which are provided at established catalog or market prices and sold or leased to the general public shall hot be subject to the ownership provisions in 45 CFR 95.617(a) and (b). At all reasonable times for as long as records are maintained, persons duly authorized by the Department and/or Federal auditors, pursuant to 45 CFR, Section 92.36(1)(10), shall be allowed full access to and the right to examine any of the contractor's contracts and related records and decuments, which directly relate to the provision of commodities and services provided under this contract, regardless of the form In which kept. The State of Florida's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Florida Legislature with matching funds made available by the Federal government. Ed If checked, the following also applies: > The CFDA number(s) is: 93.563, > The CFDA title Is: Child Support Enforcement. >» The Federal Agency from which the Department receives these funds and passes them to the Provider is; the Department of Health and Human Services, Age z The Provider Is considered a sub-recipient of federal program funds and will be eubject to audit requiraments as required by OMB Circular A-133 and other state and federal laws and regulations. The Provider Is required to give the above Information to thelr independent auditor at the end of each fiscal year while the auditor is collecting the information for completing the required financial records review. Based on the audit requirements in OMB Circular A-133, the Department requires the following actions by the Provider: 41. Each year, after the close of the Provider's fiscal year, the Provider will provide a hard copy or electronic copy or a fink (URL) to their most recently audited financial records. This information will be send to the Department's Contract Manager for this contract. 2. The due date for #1 above is no later than 9 months after the close of the Provider's fiscal year, unless additional time has bean granted by the Federal clearing house or other appropriate entity. If additlonal time has been granted, the report is due within 30 days after the end of the additional time. By signing below, the Provider agrees to adhere to the above requirements. Name Printed Charles K. Windes, Jr., Chairman Date Toniplate Revised 2/3/2014 17 Contract Number CST46 Attachment E Pursuant to 45 C.F.R., Part 76, thls certification is required by federal requlations. 1. (1) By: Each contractor whose contract/subcontract contains federal monies must sign this certification prior to execution of each contract/subcontract. Additionally, contractors who audit federal programs must also sign, regardless of the contract amount. This certification Is a materlal representation of fact upon which rellance Is placed when this contract/subcontract Is antered into. If it Is later determined that the signer knowingly rendered an erroneous certification, the Federal Government may pursue available remedies, Including suspension and/or debarment. The contractor shall provide Immediate written notice to the contract manager at any time the contractor learns that Its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. The terms "debarred," “suspended,” “ineligible,” “person,” "principal," and "voluntarily excluded," as used in this certificatlon, have the meanings set out In the Definitlons and Coverage sectlons of rules Implementing Executlve Order 12549, (52 Fed. Rag., pp. 20360-20369). You may contact the contract manager for assistance in obtaining a copy of those regulations. The contractor agrees that by submitting this certification it shall not knowingly enter Into any subcontract with a person who Is debarred, suspended, declared Ineligible, or voluntarily excluded from participation In this contract/subcontract unless authorized by the Federal Government. The contractor further agrees by submittlng this certification that it will require each subcontractor of this contract/subcontract, whose payment contains federal monies, to submit a signed copy of this certification. The Department may rely upon a certification of a contractor that It le not debarred, suspended, Ineligible, or voluntarily excluded from contracting/subcontracting unless it knows that the certification is erraneous. This signed certification must be kept In the contract manager's contract file. Subcontractor's certifications must be kept at the contractor's business location. Fl N The contractor certifies, by signing this certification, that neither the contractor and the contractor's principals: (A) ls not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this contract/subeontract by any federal Department or agency: (B) Have not within a three-year perlod praceding thls proposal been convicted of or had a civil Judgment rendered against them for commission of fraud or a criminal offense in connection with obtalning, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false stataments, or receiving stolen property; (C) Are not prasenily indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local with commission of any of the offenses enumerated In paragraph B of this certification; and, (D) Have not within a three-year perlod preceding this application/proposal had one or more public transactlons (Federal, State or local) terminated for cause or default. Where the contractor Is unable to certify to any of the statements In this certification, such contractor shall attach an explanation to this certification. , Chairman Date: Teniplate Revised 2/3/2014 18 Contract Number CST46 Attachment F Certification Regareiing Lobbying For Contracts. Grants, Loans and Cooperative Agreements The undersigned certifies, fo the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting fo influence an officer or an employee of any agency, a member of congress, an officer or employee of congress, of an employee of a member of congress in conneciion with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any ccoperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any fumds other than federal appropriated funds