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MULTI-YEAR JOINT PARTICIPATION AGREEMENT NOTIFICATION OF FUNDING #2 In accordance with the terms of the Joint Participation Agreement between Okaloosa County Board of County Commissioners And the Florida Department of Transportation, Transit Block Grant Identified by project number 42225318401, Contract #AQH65 The Department will encumber and $429,846.00 For use during your fiscal year 10-01-13 through 09-30-14 Upon signature by your agency and receipt of this form by the Department, eligible project costs may be incurred beginning on the first day of your fiscal year noted above. Department Representative Agency Representative Don R. Amunds, Chairman Date Date_october 15, 2013 AUTHORIZING RESOLUTION NO. 13 WHEREAS, the Florida Department of Transportation, hereinafter referred to as the DEPARTMENT, has prepared a Joint Participation Agreement, Notification of Funding #2 to provide Block Grant operating assistance to the Okaloosa County Board of County Commissioners, hereinafter referred to as the AGENCY, and WHEREAS, the DEPARTMENT has been authorized under Chapter 341.052, Florida Statues, to enter in to the Joint Participation Agreement, Notification of Funding #2 and agrees to maximum participation, including contingencies in the project amount of $429,846.00, and WHEREAS, the AGENCY has the authority to enter into the Joint Participation Agreement, Notification of Funding #2 and to undertake the project. The Agency further agrees to the conditions upon which assistance will be provided and the understanding as to the manner in which the project will be undertaken, as outlined in the Joint Participation Agreement, Notification of Funding #2. NOW THEREFORE, the AGENCY authorizes the Chairman to execute the Joint Participation Agreement, Notification of Funding #2. DULY PASSES AND ADOPTED in regular session this 15th day of October, 2013. Okaloosa County Board of County Commissioners Don R. Amunds, Chairman ATTEST CLERK OF CIRCUIT COURT Gary J. Stanford By: Deputy Clerk Standard Lobbying Certification Form The undersigned Okaloosa County Board of County Commissioners certifies, to 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 to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. (Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Contractor, Okaloosa County Board of County Commissioners, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official Don R Amunds, Chairman Name and Title of Contractor's Authorized Official October 15, 2013 Date Contracted Transportation Services Task Order No. 46, Amendment 3 Contractor: Okaloosa County Transit (OCT) Contract No.: C03-0927-GM, Agreement for Operation of Okaloosa County Public Transit Task Order Description Provide public transit service. OCT to provide monthly invoices. [Funding is being provided by the following grant and therefore all terms and conditions apply: Grant Program: Transit Block Grant (See Included FDOT Joint Participation Agreement) Granting Agency: — Florida Department of Transportation Grant No.: AQH65 Financial Proj No.: —422253-1-84-01 CSFA No.: 55.010 Period of Services: | October 1, 2013 through September 30, 2014 Cost of Services: Based on reimbursement of grant eligible expenditures not to excced $429,846. Okaloosa County BCC at its option can designate up to $30,000 of the $429,846 for eligible BCC administrative expenses. Local Match: OCT provides local match through purchase of contract services and other grant eligible operating costs Authorization Okaloosa County Transit (OCT) Okaloosa County Board of County Commissioners OCT has been informed of, understands, (approved in accordance with the Purchasing Policy) and agrees to comply with the applicable compliance requirements of the grant funding. Ruth Lovejoy, CCTM, Executive Director Elliot L. Kampert, Director 66.3 aN 10/7/2013 Signature and Date Signature and Date 10/15/2013 ' Don R. Amunds, Chairman Approved by Name, Title 10/15/2013 Signature and Date Standard Lobbying Certification Form The undersigned Okaloosa County Transit certifies, to 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 to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. (Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Contractor, Okaloosa County Transit, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any. Qs Q ‘; . i Signature of Contractor's Authorized Official Ruth Lovejoy, Executive order Name and Title of Contractor's Authorized Official October 8, 2013 Date

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