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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
