Okaloosa County BOCC — May 17, 2013 — Request & Documents with Certificate of Matching Funds — reading text

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OApIA pue olpne jo s}diosuel} 9 s}uawinoop pajund uoneonps JO}0A [12 JO SATdINVS OplAoid aseajd +000-€ 102-2 L02 VOI 93 L-v qusWYysenYy EL0?-2L0d APSA [EDSIF B}EIS VSOO1VHO JINVN ALNNOD ue|d SeHIANOY UONDey [eEIapay *pepuadxa Jo pesingsip [gun junoooe Bureagq 1S9J3}U] Ue Ul Pfay 3q [JIM Spung ATTACHMENT A-2 of MOA 2012-2013-0001 Certificate Regarding Matching Funds , , Chairman of the Board of County Commissioners of Okaloosa County, Florida, do hereby certify that the Board of County Commissioners will provide matching funds for the Federal Election Activities grant in county FY 2012-2013 to the Supervisor of Elections in an amount equal to at least 15% of the amount to be received from the state, which for Okaloosa County is $4,834.29. | understand that if the Board fails to appropriate the required matching funds, all funds received from the state for this grant during the 2012-2013 state fiscal year will be required to be returned to the Department of State. Chairman, Board of County Commissioners Date DS-DE 127 Revised 7/5/2011 Attachment A-3 to MOA 2012-2013-0001 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 45 CFR 1183.35, Participants' responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations may be obtained by contacting the person to which this proposal is submitted. (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Boal Louw So pevvisorr Of Evectnons Name and Title of Authbrized Representative pai LF 4- Zo 1B. ED Form GCS-009, 6/88 INSTRUCTIONS FOR CERTIFICATION 1, By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. . The terms “covered transaction,” “debarred,” “suspended,” “ineligible,” “lower tier covered transaction,” 39 66. 29 66. 39 66. “participant,” “person,” “primary covered transaction,” “principal,” “proposal,” and “voluntarily excluded,” as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 33 66 The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled “Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions,” without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List (Telephone Number). Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntary excluded from participation in this transaction, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. ED Form GCS-009, 6/88 ATTACHMENT B to MOA 2012-2013-0001 DEPARTMENT OF STATE DIVISION OF ELECTIONS FEDERAL ELECTION ACTIVITIES FY 2012-2013 2012 Presidential Federal Election County Preference Activities Matching Primary Funding Funds County Registered Voters Per County 15% Alachua 150,951| $ 40,285.64 | $ 6,042.85 Baker 13,801| $ 3,683.20 | $ 552.48 Bay 104,508] $ 27,890.98 | $ 4,183.65 Bradford 15,762| $ 4,206.55 | $ 630.98 Brevard 359,546] $ 95,955.25 | $ 14,393.29 Broward 1,076,716] $ 287 352.82 | $ 43,102.92 Calhoun 8,488] $ 2,265.27 | $ 339.79 Charlotte 109,954] $ 29,344.41 | $ 4,401.66 Citrus 96,084] $ 25,642.80 | $ 3,846.42 Clay 127,514} $ 34,030.80 | $ 5,104.62 Collier 170,798] $ 45,582.39 | $ 6,837.36 Columbia 32,844] $ 8,765.37 | $ 1,314.81 DeSoto 16,267| $ 4,341.32 | $ 651.20 Dixie 10,176) $ 2,715.76 | $ 407.36 Duval 516,319| $ 137,794.67 | $ 20,669.20 Escambia 198,291} $ 52,919.69 | $ 7,937.95 Flagler 66,186} $ 17,663.65 | $ 2,649.55 Franklin 7,262} $ 1,938.07 | $ 290.71 Gadsden 28,570] $ 7,624.73 | $ 1,143.71 Gilchrist 10,717| $ 2,860.14 | $ 429.02 Glades 6,631] $ 1,769.67 | $ 265.45 Gulf 9,383] $ 2,504.13 | $ 375.62 Hamilton 7,782| $ 2,076.85 | $ 311.53 Hardee 12,037| $ 3,212.42 | $ 481,86 Hendry 16,537} $ 4,413.38 | $ 662.01 Hernando 119,474| $ 31,885.09 | $ 4,782.76 Highlands 60,147] $ 16,051.97 | $ 2,407.80 Hillsborough 686,215] $ 183,136.33 | $ 27,470.45 Holmes 11,159] $ 2,978.10 | $ 446.72 Indian River 90,153] $ 24,059.94 | $ 3,608.99 Jackson 28,167] $ 7,517.18 | $ 1,127.58 Jefferson 9,242| $ 2,466.50 | $ 369.97 Lafayette 4,442| $ 1,185.48 | $ 177.82 Lake 190,888] $ 50,943.99 | $ 7,641.60 Lee 363,445] $ 96,995.81 | $ 14,549.37 Leon 175,298| $ 46,783.34 | $ 7,017.50 Levy 24,516} $ 6,542.80 | $ 981.42 Liberty 4,265] $ 1,138.24 | $ 170.74 Madison 11,572| $ 3,088.32 1 $ 463.25 Manatee 202,437| $ 54,026.17 | $ 8,103.93 Marion 213,970] $ 57,104.09 | $ 8,565.61 Martin 100,827| $ 26,908.60 | $ 4,036.29 Miami-Dade 1,214,351] $ 324,084.70 | $ 48,612.71 Federal Election Activities Funds FY 2012-2013 - FINAL 6/26/2012 DEPARTMENT OF STATE DIVISION OF ELECTIONS FEDERAL ELECTION ACTIVITIES FY 2012-2013 2012 Presidential Federal Election County Preference Activities Matching Primary Funding Funds County Registered Voters Per County 15% Monroe 50,8541 $ 13,571.86 | $ 2,035.78 Nassau 50,704| $ 13,531.83 | $ 2,029.77 Okaloosa 120,761| $ 32,228.57 | $ 4,834.29 Okeechobee 18,516] $ 4,941.53 | $ 741.23 Orange 623,409] $ 166,374.73 | $ 24,956.21 Osceola 144,004] $ 38,431.63 | $ 5,764.75 Palm Beach 826,909] $ 220,684.59 | $ 33,102.69 Pasco 296,984] $ 79,258.77 | $ 11,888.82 Pinellas 601,314] $ 160,478.04 | $ 24,071.71 Polk 331,671} $ 88,516.00 | $ 13,277.40 Putnam 43,429} $ 11,590.29 | $ 1,738.54 St. Johns 145,173] $ 38,743.62 | $ 5,811.54 St. Lucie 168,088] $ 44,859.15 | $ 6,728.87 Santa Rosa 110,809 $ 29,572.59 | $ 4,435.89 Sarasota 271,332| $ 72,412.80 | $ 10,861.92 Seminole 257,858} $ 68,816.87 | $ 10,322.53 Sumter 69,331} $ 18,502.98 | $ 2,775.45 Suwannee 24,454} $ 6,526.26 | $ 978.94 Taylor 12,677| $ 3,383.22 | $ 507.48 Union 6,950] $ 1,854.81 | $ 278.22 Volusia 312,599} $ 83,426.09 | $ 12,513.91 Wakulla 17,584} $ 4,692.80 | $ 703.92 Walton 38,056] $ 10,156.34 1 $