HomeMy WebLinkAboutDEP Grant AgreementDEP AGREEMENT NO. CM320
STATE OF FLORIDA
COASTAL ZONE MANAGEMENT PROGRAM GRANT AGREEMENT
PURSUANT TO THE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION COOPERATIVE AWARD
THIS COASTAL ZONE MANAGEMENT PROGRAM GRANT AGREEMENT (hereinafter "Agreement") is
entered into between the STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION, whose
address is 3900 Commonwealth Boulevard, Tallahassee, Florida 32399-3000 (hereinafter "the Department" or "DEP")
and the CITY OF SEBASTIAN, whose address is 1225 Main Street, Sebastian, Florida 32958 (hereinafter "the
Grantee" or "Recipient"), the Florida Coastal Office, to provide federal funding for SEBASTIAN WORKING
WATERFRONT — HISTORIC EXHIBIT/MUSEUM.
WHEREAS, the Department is the recipient of federal financial assistance from the National Oceanic and
Atmospheric Administration (NOAA), awarded on July 1, 2012, pursuant to cooperative annual award
#NA 12NOS4190093 and, as the result of this Agreement, the Grantee has been determined to be a subrecipient of
federal financial assistance from NOAA; and,
WHEREAS, the Grantee is responsible for complying with the appropriate federal guidelines in the
performance of its activities pursuant to this Agreement.
NOW, THEREFORE, in consideration of the premises and the mutual benefits to be derived herefrom, the
Department and the Grantee do hereby agree as follows:
1. TERMS OF AGREEMENT
A. The Grantee agrees to perform in accordance with the terms and conditions set forth in this Agreement,
Attachment A, Project Work Plan, and all attachments and exhibits named herein, which are attached
hereto and made a part hereof. For purposes of this Agreement, the terms "Contract" and "Agreement"
and the terms "Grantee" and "Recipient" are used interchangeably.
B. The Grantee shall comply with all applicable federal, state and local rules and regulations in performing
under this Agreement. The Grantee acknowledges that this requirement includes, but is not limited to,
compliance with all applicable federal, state and local health and safety rules and regulations. The Grantee
further agrees to include this provision in all subcontracts issued as a result of this Agreement.
C. The State of Florida's performance and obligation to pay under this Agreement is contingent upon an
annual appropriation by the Legislature. Additionally, the State of Florida's performance and obligation to
pay under this Agreement is contingent upon receipt of funding from NOAA. The parties hereto
understand that this Agreement is not a commitment of future appropriations.
D. The Grantee acknowledges that receipt of this grant does not imply that the project qualifies for any
applicable state permit or approval.
2. PERIOD OF AGREEMENT
This Agreement shall begin upon execution by both parties and end no later than June 30, 2015 inclusive. The
Grantee shall be eligible for reimbursement for work performed on or after July 1, 2012.
3. FUNDING/CONSIDERATION
A. As consideration for the services rendered by the Grantee under the terms of this Agreement, the
Department shall pay the Grantee on a cost reimbursement basis an amount not to exceed $10,000 for al l
eligible project costs, upon the completion, submittal and approval of the deliverables identified in
Attachment A, Project Workplan. The parties hereto understand and agree that this Agreement requires
a cost sharing or match on the part of the Grantee in the amount of $10,000 in cash, in-kind, or third party
in-kind, towards the work funded under this Agreement. All cost sharing/match shall meet the federal
DEP Agreement No. CM320, Page 1 of 11
requirements established in 48CFR Part 31, 15 CFR Part 14.23, 15 CFR 24.24 and OMB Circulars A-87
(2 CFR 225), A-122 (2 CFR 230) and A-21 (2 CFR 220).
B. Prior written approval from the Department's Grant Manager shall be required for changes within
approved task budget categories of up to 10% of the total FCMP task budget amount. The Department
Grant Manager will transmit a copy of the written approval and revised budget to the Department
Contracts Disbursements Office for inclusion in the Agreement file. Changes greater than 10% of the total
FCMP task budget will require a formal change order to the Agreement. Changes that transfer funds from
one task to another or that increase or decrease the total funding amount will require a formal amendment
to the Agreement.
C. The Grantee shall submit a properly completed Attachment C, Payment Request Form, upon the
completion, submittal and acceptance by the Department, of each deliverable identified in Attachment A.
In addition to the Payment Request Form, the Grantee must provide a completed Exhibit 1, Schedule of
Expenditures: Exhibit 11, Schedule of Match; copies of cancelled checks; copies of invoices; Copies of
Travel Reimbursements; and FLAIR Report or other comparable accounting reports. All bills for amounts
due under this Agreement shall be submitted in detail sufficient for a proper pre -audit and post -audit
thereof. All requests for reimbursement of travel expenses shall be in accordance with Section 112.061,
Florida Statutes (hereinafter "F.S."). Failure to provide Attachment B, Quarterly Progress Report shall
result in a delay in processing the payment until the appropriate information is provided to the
Department. A final payment request must be submitted to the Department no later than September 15,
2015, to assure the availability of funds for payment. The final payment will not be processed until the
match requirement has been met. Failure to comply with these reporting requirements will result in non-
payment or termination of this Agreement. To be eligible for reimbursement, costs must be in accordance
with the requirements of 15 CFR Parts 14 and 24, as applicable.
D. In addition to the invoicing requirements contained in paragraph 3.C., the Department will periodically
request, as it deems appropriate in its sole discretion, proof of a transaction (invoice, payroll register or
similar item) to evaluate the appropriateness of costs to the Agreement pursuant to State and Federal
guidelines (including cost allocation guidelines). This information, when requested, must be provided
within thirty (30) calendar days of such request. The Grantee may also be required to submit a cost
allocation plan to the Department in support of its multipliers (overhead, indirect, general administrative
costs and fringe benefits). State guidelines for allowable costs can be found in the Department of
Financial Services' Reference Guide for State Expenditures at
hqp://www.fldfs.com/aadir/reference%5Fauide; allowable costs for Federal Programs can be found under
48 CFR Part 31 and Appendix E of 45 CFR Part 74, at ham://www.access.ppo.gov/nara/cfr/cfr-table-
search.html and OMB Circular A-87 (2 CFR 225), A-122 (2 CFR 230), A-21 (2 CFR 220); and
administrative requirements can be found in OMB Circulars A-102 and A-110 (2 CFR 215) at
http://www.whitehouse.gov/omb/circulars/index.html#numerical.
E. Only project deliverable costs incurred during the Agreement period identified in paragraph 2 of this
Agreement, as shown by project invoices, are eligible for reimbursement. In order to be reimbursed, costs
under this Agreement must be obligated and all work completed by the Grantee by the end of the
Agreement period identified in paragraph 2. Ten percent (10%) of the funds eligible for reimbursement
under this Agreement may be withheld pending receipt and approval of all work projects and deliverables
as identified in Attachment A, Project Work Plan.
F. Allowable costs will be determined in accordance with the cost principles applicable to the organization
incurring the costs. For purposes of this Agreement, the following cost principles are incorporated by
reference.
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DEP Agreement No. CM320, Page 2 of 11
Organization Type
Applicable Cost Principles
State, local or Indian tribal government.
OMB Circular A-87 (2 CFR 225)
Private non-profit organization other than (1) an
OMB Circular A-122 (2 CFR 230)
institution of higher education, (2) hospital, or
(3) organization named in OMB Circular A-122
as not subject to that circular.
Education Institutions
OMB Circular A-21 (2 CFR 220
For-profit organization other than a hospital and
48 CFR Part 3l, Contract Cost Principles and
an organization named in OMB A-122 as not
Procedures, or uniform cost accounting standards
subject to that circular.
that comply with cost principles acceptable to the
federal agency.
G. 1. The accounting systems for all Grantees must ensure that these funds are not commingled with funds
from other agencies. Funds from each agency must be accounted for separately. Grantees are
prohibited from commingling funds on either a program -by -program or a project -by -project basis.
Funds specifically budgeted and/or received for one project may not be used to support another
project. Where a Grantee's or subrecipient's accounting system cannot comply with this requirement,
the Grantee, or subrecipient, shall establish a system to provide adequate fund accountability for each
project it has been awarded.
2. If the Department finds that these funds have been commingled, the Department shall have the right to
demand a refund, either in whole or in part, of the funds provided to the Grantee under this
Agreement for non-compliance with the material terms of this Agreement. The Grantee, upon such
written notification from the Department shall refund, and shall forthwith pay to the Department, the
amount of money demanded by the Department. Interest on any refund shall be calculated based on
the prevailing rate used by the State Board of Administration. Interest shall be calculated from the
date(s) the original payment(s) are received from the Department by the Grantee to the date
repayment is made by the Grantee to the Department.
3. In the event that the Grantee recovers costs incurred under this Agreement and reimbursed by the
Department from another source(s), the Grantee shall reimburse the Department for all recovered
funds originally provided under this Agreement. Interest on any refund shall be calculated based on
the prevailing rate used by the State Board of Administration. Interest shall be calculated from the
date(s) the payment(s) are recovered by the Grantee to the date repayment is made to the Department
by the Grantee.
H. Costs of the Grantee resulting from obligations incurred by the Grantee during a suspension or after
termination of the Agreement are not allowable unless the Department expressly authorizes them in the
notice of suspension or termination. If expressly authorized, such Grantee costs incurred during
suspension or after termination are only allowable if necessary and not reasonably avoidable, and are
allowable only if both of the following apply:
The costs result from obligations which were property incurred by the Grantee before the effective
date of suspension or termination, are not in anticipation of it, and in the case of termination, are non-
cancelable; and
2. The cost would be allowable if the Agreement were not suspended or expired normally at the end of
the funding period in which the termination takes place.
4. REPORTS
The Grantee shall submit a Progress Report Form, attached hereto and incorporated herein as Attachment B
on a quarterly basis. Quarterly reports shall be submitted to the Department's Grant Manager no later than five
(5) days following the completion of the quarterly reporting period. The term "quarterly" shall reflect the
calendar quarters ending March 31, June 30, September 30 and December 31. In addition to the final quarterly
progress report, the Grantee shall submit a Final Project Report Form, attached hereto and made a part hereof
as Attachment D. A draft shall be submitted electronically to the Department's Grant Manager for approval.
DEP Agreement No. CM320, Page 3 of 11
After approval by the FCMP, a hard copy and an electronic copy of the Final Report shall be submitted to the
Department's Grant Manager. Final payment will be held until receipt and approval of the Final Project
Report.
5. INDEMNIFICATION/LIMITS OF LIABILITY
Each party hereto agrees that it shall be solely responsible for the negligent or wrongful acts of its employees
and agents. However, nothing contained herein shall constitute a waiver by either party of its sovereign
immunity or the provisions of Section 768.28, F.S.
6. DEFAULT/TERMINATION
A. This Agreement shall be executed within ninety (90) days from NOAA approval unless mutually waived
by the Department and the Grantee. Failure of timely execution of this Agreement by the Grantee may
result in these funds being reallocated to other FCMP needs.
B. The Department may terminate this Agreement at any time in the event of the failure of the Grantee to
fulfill any of its obligations under this Agreement. Prior to termination, the Department shall provide
thirty (30) calendar days written notice of its intent to terminate and shall provide the Grantee an
opportunity to inquire with the Department regarding the reason(s) for termination.
C. The Department may terminate this Agreement if the work described herein has not commenced within
sixty (60) calendar days of the date of execution of this Agreement. Prior to termination, the Department
shall provide thirty (30) calendar days written notice of its intent to terminate and shall provide the
Grantee an opportunity to inquire with the Department regarding the reason(s) for termination.
D. The Department may unilaterally terminate this Agreement for convenience by providing the Grantee with
thirty (30) calendar day's written notice.
E. Records made or received in conjunction with this Agreement are public records. Such records may also
be subject to the Freedom of Information Act. This Agreement may be unilaterally canceled by the
Department for refusal by the Grantee to allow public access to all documents, papers, letters, or other
material made or received by the Grantee in conjunction with this Agreement, unless the records are
exempt from Section 24(a) of Article I of the State Constitution and Chapter 119, F.S.
F. The Department will decline reimbursement to the Grantee for services provided under the terms of this
Agreement if the Grantee does not submit payment requests and quarterly reports in accordance with the
provisions of paragraphs 3 and 4 of this Agreement. Quarterly Progress Reports received by the
Department after the 5 1 calendar day following the completion of any quarterly reporting period will be
considered late -filed and render Grantee in default under the terms of this Agreement.
G. If the Grantee fails to perform in accordance with the terms and conditions set forth in this Agreement,
Attachment A, Project Work Plan, and all attachments and exhibits, the Grantee shall be ineligible to be
considered for funding under the Coastal Partnership Initiative (CPI) program for two (2) consecutive
funding cycles. The Department shall notify the Grantee of ineligibility within thirty (30) days of the
Agreement end date.
H. Any dispute arising under this Agreement shall be settled by the Coastal Program Administrator and the
Grantee's Director.
REMEDIES
If the Grantee materially fails to comply with the terms and conditions of this Agreement, including any
federal or state statutes, rules or regulations applicable to this Agreement, the Department may take one or
more of the following actions, as appropriate for the circumstances:
A. Temporarily withhold cash payments pending correction of the deficiency by the Grantee.
DEP Agreement No. CM320, Page 4 of 11
B. Disallow (that is, deny both use of funds and any applicable matching credit for) all or part of the cost of
the activity or action not in compliance.
C. Request refund of previously disbursed payments.
D. Wholly or partly suspend or terminate this Agreement.
E. Withhold further awards for the project of program.
F. Take other remedies that may be legally available.
G. Propose Grantee for Debarment and Suspension in accordance with Executive Orders 12549 and 12689.
8. RECORD KEEPING/AUDIT
A. The Grantee shall maintain books, records and documents directly pertinent to performance under this
Agreement in accordance with generally accepted accounting principles consistently applied. NOAA, the
Department, the State of Florida, or their authorized representatives shall have access to such records for
audit purposes during the term of this Agreement and for five (5) years following Agreement completion.
In the event any work is subcontracted, the Grantee shall similarly require each subcontractor to maintain
and allow access to such records for audit proposes.
B. The Grantee agrees that if any litigation, claim, or audit is started before the expiration of the record
retention period established above, the records shall be retained until all litigation, claims or audit findings
involving the records have been resolve and final action taken.
C. Records for real property and equipment acquired with Federal funds shall be retained for five (5) years
following final disposition.
D. The federal funds awarded under this Agreement must comply with the Federal Funding Accountability
and Transparency Act (FFATA) of 2006. The intent of the FFATA is to empower every American with
the ability to hold the government accountable for each spending decision. The result is to reduce wasteful
spending in the government. The FFATA legislation requires that information on federal awards (federal
financial assistance and expenditures) be made available to the public via s single, searchable website,
which is www.USASpending.gov. Grant recipients awarded a new Federal grant greater than or equal to
$25,000 awarded on or after October 1, 2010 are subject to the FFATA. The Grantee agrees to provide the
information necessary, over the life of this Agreement, for the Department to comply with this
requirement.
9. SPECIAL AUDIT REQUIREMENTS
A. In addition to the requirements of the preceding paragraph, the Grantee shall comply with the applicable
provisions contained in Attachment E, Special Audit Requirements, attached hereto and made a part
thereof. Exhibit 1 to Attachment E summarizes the funding sources supporting the Agreement for
purposes of assisting the Grantee in complying with the requirements of Attachment E. A revised copy
of Exhibit 1 must be provided to the Grantee for each amendment that authorizes a funding increase or
decrease. If the Grantee fails to receive a revised copy Exhibit 1, the Grantee shall notify the
Department's Grant Manager to request a copy of the updated information.
B. The Grantee is hereby advised that the Federal and/or Florida Single Audit Act Requirement may further
apply to lower tier transactions that may be a result of this Agreement. The Grantee shall consider the
type of financial assistance (Federal and/or state) identified in Attachment E, Exhibit 1, when making its
determination. For Federal financial assistance, the Grantee shall utilize the guidance provided under
OMB Circular A-133, Subpart B, Section — .210 for determining whether the relationship represents that
of a subrecipient or vendor. For state financial assistance, the Grantee shall utilize the form entitled
"Checklist for Nonstate Organizations Recipient/Subrecipient vs. Vendor Determination" (form #DFS -A2 -
NS), accessible at https://apps.fldfs.com/fsaa/documents/nonstate.doc. The Grantee should confer with its
DEP Agreement No. CM320, Page 5 of I t
chief financial officer, audit director or contact the Department for assistance with questions pertaining to
the applicability of these requirements.
C. In addition, the Grantee agrees to complete and submit the Attachment F, Certification of Applicability
to Single Audit Act Reporting, attached hereto and made a part hereof, within four (4) months following
the end of the Grantee's fiscal year. Attachment F should be submitted to the Department's Grants
Development and Review Manager at 3900 Commonwealth Blvd., MS 93, Tallahassee, FL 32399-3000.
The Grants Development and Review Manager is available to answer any questions at (850) 245-2361.
10. SUBCONTRACTS
A. The Grantee may subcontract work under this Agreement without the prior written consent of the
Department's Grant Manager. The Grantee agrees to comply with the procurement requirements
contained in 15 CFR 24.36 and 15 CFR 14.44, as applicable. The payment terms of subcontracts (other
than construction and the purchase of commodities) shall comply with the terms of this Agreement (for
example, if payment under this Agreement is being made on a cost reimbursement basis, then the
subcontract should also be cost reimbursement). The Grantee shall submit a copy of the executed
subcontract to the Department's Grant Manager within ten (10) days after execution. The Grantee agrees
to be responsible for the fulfillment of all work elements included in any subcontract and agrees to be
responsible for the payment of all monies due under any subcontract. It is understood and agreed by the
Grantee that the Department shall not be liable to any subcontractor for any expenses or liabilities incurred
under the subcontract and that the Grantee shall be solely liable to the subcontractor for all expenses and
liabilities incurred under the subcontract.
B. The Department of Environmental Protection supports diversity in its procurement program and requests
that all subcontracting opportunities afforded by this Agreement embrace diversity enthusiastically. The
award of subcontracts should reflect the full diversity of the citizens of the State of Florida. A list of
minority-owned firms that could be offered subcontracting opportunities may be obtained by contacting
the Office of Supplier Diversity at (850) 487-0915.
H. LOBBYING PROHIBITION
A. In accordance with Section 216.347, F.S., the Grantee is hereby prohibited from using funds provided by
this Agreement for the purpose of lobbying the Legislature, the judicial branch or a state agency.
B. Pursuant to the terms and conditions of the Federal award supporting this Agreement, no funds used for
the payment of membership dues to any entity are to be used by that entity to engage in lobbying
activities, as provided in OMB circulars No. A-87 (2 CFR 225), A-21 (2 CFR 220), A-122 (2 CFR 230),
A-102 and A-110 (2 CFR 215) and other relevant law and regulation.
12. CONTACTS
A. Any notices between the parties shall be considered delivered when posted by Certified Mail, return
receipt requested, overnight courier service, or delivered in person to the Grant Managers at the addresses
below.
B. The Department's Grant Manager (who may also be referred to as the Department's Project Manager) for
this Agreement is identified below:
Toni R. Clanton Government Operations Consultant II
Department of Environmental Protection
Florida Coastal Management Program
3900 Commonwealth Boulevard, Mail Station 9235
Tallahassee, Florida 32399-3000
Telephone No.: (850) 245-2184
Fax No.: (850) 245-2189
E-mail Address: Toni.R.ClantonAdep.state.fl.us
DEP Agreement No. CM320, Page 6 of 11
C. The Grantee's Grant Manager (who may also be referred to as the Grantee's Project Manager or Point of
Contact) for this Agreement is identified below:
Frank Watanabe
City of Sebastian
1225 Main Street
Sebastian, Florida 32958
Telephone No.:
(772) 388-8228
Fax No.:
(772) 388-8248
E-mail Address:
fwatanabeacitvofsebastian.org
C. The Grantee's Fiscal Agent for this Agreement is identified below:
Nancy Veidt
City of Sebastian
1225 Main Street
Tallahassee, Florida 32958
Telephone No.: (772) 388-8231
Fax No.: (772) 388-8249
E-mail Address: nveidt(lcitvofsebastian.ore
13. INSURANCE
A. To the extent required by law, the Grantee will be self-insured against, or will secure and maintain during
the life of this Agreement, Workers' Compensation Insurance for all of the Grantee's employees
connected with the work of this project and, in case any work is subcontracted, the Grantee shall require
the subcontractor similarly to provide Workers' Compensation Insurance for all of the latter's employees
unless such employees are covered by the protection afforded by the Grantee. Such self-insurance
program or insurance coverage shall comply fully with the Florida Workers' Compensation law. In case
any class of employees engaged in hazardous work under this Agreement is not protected under Workers'
Compensation statutes, the Grantee shall provide, and cause each subcontractor to provide, adequate
insurance satisfactory to the Department, for the protection of the Grantee's employees not otherwise
protected.
B. The Grantee warrants and represents that it is self-funded for liability insurance, appropriate and allowable
under Florida law, and that such self-insurance offers protection applicable to the Grantee's officers,
employees, servants and agents while acting within the scope of their employment with the Grantee.
14. CONFLICT OF INTEREST
The Grantee covenants that it presently has no interest and shall not acquire any interest that would conflict in
any manner or degree with the performance of services required.
15. EQUIPMENT
The purchase of non -expendable equipment costing $1,000 or more is not authorized under the terms of this
Agreement.
16. CHANGE ORDERS
The Department may at any time, by written order designated to be a change order, make any change in the
Grant Manager information or task timelines within the current authorized Agreement period. All change
orders are subject to the mutual agreement of both parties as evidence in writing. Any change, which causes an
increase or decrease in the Grantee's cost or time, shall require formal amendment to this Agreement.
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DEP Agreement No. CM320, Page 7 of 11
17. QUALITY ASSURANCE
If the Grantee's project involves environmentally related measurements or data generation, the Grantee shall
develop and implement quality assurance practices consisting of policies, procedures, specifications, standards,
and documentation sufficient to produce data of quality adequate to meet project objectives and to minimize
loss of data due to out -of -control conditions or malfunctions. All sampling and analyses performed under this
Agreement must conform to the requirements set forth in Chapter 62-160, Florida Administrative Code, and
the Quality Assurance Requirements for Department Agreements, Attachment 1, Quality Assurance
Requirements, attached hereto and made a part hereof if applicable.
18.
A. An entity or affiliate who has been placed on the discriminatory vendor list may not submit a bid on a
contract to provide goods or services to a public entity, may not submit a bid on a contract with a public
entity for the construction or repair of a public building or public work, may not submit bids on leases of
real property to a public entity, may not award or perform work as a contractor, supplier, subcontractor, or
consultant under contract with any public entity, and may not transact business with any public entity.
The Florida Department of Management Services (DMS) is responsible for maintaining the discriminatory
vendor list and intends to post the list on its website. Questions regarding the discriminatory vendor list
may be directed to DMS' Office of Supplier Diversity at (850) 487-0915.
B. The Grantee agrees to comply with the provisions of 15 CFR Part 8 "Nondiscrimination in Federally
Assisted Programs." No person, on the grounds of race, creed, color, national origin, age, sex or
disability, shall be excluded from participation in; be denied the proceeds or benefits of; or be otherwise
subjected to discrimination in the performance of this Agreement.
19. DEBARMENT/SUSPENSION
In accordance with Executive Order 12549, Debarment and Suspension (2 CFR 1326), the Grantee shall agree
and certify that neither it, nor its principals, is presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency;
and, that the Grantee shall not knowingly enter into any lower tier contract, or other covered transaction, with a
person who is similarly debarred or suspended from participating in this covered transaction, unless authorized
in writing by NOAA to the Department.
20. COPYRIGHT, PATENT AND TRADEMARK
The U.S. Department of Commerce, NOAA and the Department reserve a royalty -free, nonexclusive, and
irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for federal
government purposes:
A. The copyright in any work developed under a grant or contract under a grant.
B. Any rights or copyright to which a grantee or a contractor purchases ownership with grant support.
C. All patent rights, copyrights and data rights must be in accordance with 15 CFR 14.36 and 15 CFR 24.34,
as applicable.
21. GEOSPATIAL DATA
A. If funds are provided under this Agreement for the collection or production of geospatial data (e.g., GIS
data layers, acquisition of topographic or bathymetric data or other remotely sensed data), the Grantee
shall provide relevant information (e.g., expected dates of data collection, type of collection, flight lines,
etc.) to the Department's Grant Manager as early as practicable before data collection commences.
B. This information will be shared with the NOAA office(s) having an interest in these types of data and the
appropriate NOAA staff will work with the Grantee to ensure the data and the planned acquisition
activities are registered in Geospatial One -Stop (geodata.gov) and comply with OMB Circular A-16,
Coordination of Geographic Information and Related Spatial Data Activities at:
http://www.whitehouse.gov/omb/circulars a016 rev.
DEP Agreement No. CM320, Page 8 of 11
C. The Grantee shall document all new geospatial data it collects or produces using the metadata standards
developed by the Federal Geospatial Data Committee (FGDC), and make that standardized documentation
electronically accessible to NOAA, if requested. These standards can be found at
hqp://www.(gdc.gov/metadata/esdpm.
22. PUBLICATIONS PHOTOGRAPHS. AUDIOVISUALS & SIGNS
Before publishing or printing a final draft of any publication pertaining to this Agreement, such draft shall be
sent to the Department's Grant Manager for review and approval. This does not apply to the required quarterly
reports referred to in paragraph 4 of this Agreement.
A. Publications, printed reports (other than the scientific, technical, or professional publications as identified
in paragraph 22.B. below), videos, websites or other materials must include the NOAA logo (logos can be
found at the FCMP website at http-Hwww.dei).state.fl.us/cmp/jzrants/lopos/index.htm or contact the
Department's Grant Manager to get a copy) and the following statement on the cover of the first page:
"This (report/video/website/publication) was funded in part, through a grant agreement from the Florida
Department of Environmental Protection, Florida Coastal Management Program, by a grant provided by
the Office of Ocean and Coastal Resource Management under the Coastal Zone Management Act of 1972,
as amended, National Oceanic and Atmospheric Administration Award No. NA 12NOS4190093. The
views, statements, findings, conclusions and recommendations expressed herein are those of the author(s)
and do not necessarily reflect the views of the State of Florida, NOAA or any of their subagencies."
The next printed line shall identify the month and year of the publication.
B. Publication of the results of research projects in appropriate professional journals is encouraged as an
important method of recording and reporting scientific information. The Grantee is required to submit a
copy to the Department when releasing information related to a funded project, which includes a statement
that the project or effort undertaken was or is sponsored by the U.S. Department of Commerce. The
Grantee is also responsible for assuring that every publication of material (including internet sites) based
on or developed under an award, except scientific articles or papers appearing in scientific, technical or
professional journals, contains the statement shown in paragraph 22.A. above.
C. Grantees must complete a signed Attachment 3, Photographer Release Form and/or Model Release
Form, to be submitted with project photos sent to the Department.
D. Audiovisuals: Grantees must acknowledge NOAA support on any audiovisual (e.g., website, video,
slides, etc.) which is produced with this Agreement. Unless required under special terms of this
Agreement, this requirement does not apply to audiovisuals produced as research instruments or for
documenting experimentation or findings and which are not intended for presentation to the general
public. The acknowledgment must not represent or suggest in any way that the views expressed are those
of NOAA and must include the statement shown in paragraph 22.A. above.
The Grantee must receive approval in writing from the Department's Grant Manager before beginning
production and distribution of any audiovisual (e.g., video, slides, etc.) funded under this Agreement. The
Grantee must apply for approval at least thirty (30) calendar days in advance. The Grantee must also
provide the Department's Grant Manager with shooting scripts and provide two (2) copies of the
audiovisual (e.g., video, slides, etc.) upon completion.
E. Sign Requirements for Construction Projects: The Grantee shall erect a sign at the site of any construction
project, maintain it during construction and the sign must remain at the site permanently. This
requirement shall survive the completion date of the Agreement as established in paragraph 2. The sign
must be at least 2'x 3' in size and include the language shown below, and the NOAA, DEP and FCMP
logos, which may be found at http7//www.dep.state.fl.us/cmp/grants/logos/index.htm. Sign colors should
complement the surrounding area. The following language is recommended:
DEP Agreement No. CM320, Page 9 of l I
"The Florida Coastal Management Program funded this project with a grant from the NOAA Office of
Ocean and Coastal Resource Management awarded under the Coastal Zone Management Act."
The next printed line shall identify the completion month and year of the project.
F. Acknowledgment Requirement for Interpretive Signs & Banners: Interpretive signs and banners may
include only the NOAA and FCMP logos.
23. CONTRACT PROVISIONS
The Grantee agrees to comply with, and include in subcontracts and subgrants, the provisions contained in
Attachment K, Contract Provisions, attached hereto and made a part hereof. In addition, the Grantee
acknowledges that the applicable regulations listed in Attachment L, Regulations, attached hereto and made a
part hereof, shall apply to this Agreement.
24. LAND ACQUISITION
Land acquisition is not authorized under the terms of this Agreement.
25. SEVERABILITY CLAUSE
If a court deems any provision of the Agreement void or unenforceable, that provision shall be enforced only to
the extent that it is not in violation of law or is not otherwise unenforceable and all other provisions shall
remain in full force and effect.
26. ENTIRE AGREEMENT
This Agreement represents the entire agreement of the parties. Any alteration, variations, changes,
modification or waivers of provision of this Agreement shall only be valid when they have been reduced to
writing, duly signed by each of the parties hereto, and attached to the original of this Agreement, unless
otherwise provided herein.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No. CM320, Page 10 of 11
IN WITNESS WHEREOF, the parties have caused this Agreement to be duly executed, the day and year last
written below.
(13E9,ASMAtJ
CITY 017 -*13A- - STATE OF FLORIDA DEPARTMENT OF
By: ✓ 3�drf
Joe Griffin, City Manager
Date: u
wWilT• �r%
Ap ed as to form and legality:
GRANTEE Attorney 9
pb9
;0i4
INDIAN RIVER COUNTY
HISTORICAL SOCIETY
R& A S*�N 1/n ,;k1 <
0c -Iy Jh,yw -..
FEID No.: 59-6007353
DUNS No.: 809396690
CFDA No.: 11.419
CFDA Title: Coastal Zone Administration Awards
ENVIRONMENTAL PROTECTION
By:
Becky Prado, De4j Director
Florida Coastal Office
Date: 31 ae ) l
Tr
W
Toni R. Clanton
DEP Grant Manager
Approved as to form and legality:
DEP Program Attorney
*For Agreements with governmental boards/commissions: If a person other than the Chairman signs this Agreement, a
resolution, statement or other document authorizing that person to sign the Agreement on behalf of the governmental
board/commission must accompany the Agreement.
List of attachments/exhibits included as part of this Agreement:
Specify Type Letter/Number Description (include number of pages)
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
Attachment
A
B
C
D
E
F-
G
H
1
J
K
L
DEP Agreement No. CM320, Page l I of 11
Project Work Plan (6 Pages)
Progress Report Form (2 Pages)
Disclosure of Lobbying Activities - INTENTIONALLY EXCLUDED
Property Reporting Form Not applicable - intentional excluded
Quality Assurance Reouirements Not applicable- intentionally excluded
Photographer Release Form & Model Release Form (2 Pages)
Contract Provisions (4 Pages)
Regulations(I Page)
ATTACHMENT A
PROJECT WORK PLAN
DEP Agreement # CM320
Proiect Title: Sebastian Working Waterfront — Historic Exhibit/Museum
Grantee
Organization Name: City of Sebastian
Chief Elected Official or Agency Head: Joe Griffin
Title: City Manager
Address: 1225 Main Street
City: Sebastian
Zip Code: 32958
Area Code and Telephone Number: 772-388-8200
Area Code and Facsimile Machine Telephone Number: 772-388-8248
E -Mail Address: ieriffin(tr7citvofsebastian.org
Project Manager
Organization Name: City of Sebastian
Name: Frank Watanabe
Address: 1225 Main Street
City: Sebastian
Zip Code: 32958
Area Code and Telephone Number: 772-388-8228
Area Code and Facsimile Machine Telephone Number: 772-388-8248
E -Mail Address: fwatanabc@citvofsebastian.ore
Fiscal Agent
Organization Name: City of Sebastian
Name: Nancy Veidt
Address: 1225 Main Street
City: Sebastian
Zip Code: 32958
Area Code and Telephone Number: 772-388-8231
Area Code and Facsimile Machine Telephone Number: 772-388-8249
E -Mail Address: nveidtgeityofsebastian.ore
DEP Agreement No. CM320, Attachment A, Page 1 of 6
Partners
Organization Name: Memorandum of Understanding with Indian River County Historical Society
Contact Person: Ruth Stanbridge
Address: P.O. Box 2192
City: Vero Beach
Zip Code: 32961
Area Code and Telephone Number: 772-778-3435
Area Code and Facsimile Machine Telephone Number:
E -Mail Address: indianriverhisto@abellsouth.net
Mailing Address for Warrant (if other than the Grantee address):
FED No.: 59-6000427
DUNS No.: 087757977
Project Location: Identify the location of the project and include the county/counties involved in the project area.
Indian River, City of Sebastain
If this project affects water, include the watershed and hydrologic unit code.
"Watershed and hydrologic unit codes information can be found at hilp:I/water.usgs.gov/GIS/huc.htmi
DEP Agreement No. CM320, Attachment A, Page 2 of 6
Prosect Related Tasks and Deliverables:
PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be
submitted and approved prior to payment. Deliverables must be quantifiable, measurable and verifiable.
Each deliverable must be directly related to a task specified in the scope of work and must identify the
minimum level of service to be performed.
Background: Within the Sebastian Community Redevelopment District (CRA), the Working
Waterfront Exhibit/Museum Project is located at 1540 Indian River Drive, Sebastian, Florida. This is a
City owned historic facility, located on the Indian River Lagoon and is part of the Sebastian Working
Waterfront Project locally known as Fisherman's Landing Sebastian. As a historic fishing community,
Sebastian seeks to create a memorial that showcases the impact that Florida commercial fishing has had
on the community. Specifically, this CPI grant proposal seeks funds to develop the exhibit portion of the
Sebastian Working Waterfront concept. The exhibit has four main concepts, which will educate the
public about the:
• Rich history of the Indian River Lagoon (flora and fauna plus habitat, geography, etc.);
• Aquatic influences from the Indians and Spanish that led to relying on the Indian River Lagoon,
mapping and early exploration;
• Early settlers and the impact of commercial fishing in Sebastian;
• Highlight Pelican Island as the first national wildlife refuge and the impact of eco —tourism on the
region; and,
• Environmental stewardship and awareness.
Grant funds will be used to help plan the construction and assembly of exhibits.
DEP Agreement No. CM320, Attachment A, Page 3 of 6
Task 1$10,000: Professional planning to assist in designing and development of exhibits. The city will
purchase museum materials for display cases and artifacts. Special attention is needed to create a kiosk
viewing "theater" where the public can sit and view movies or short productions that educate about the
subject matter. In addition, a television, 3 webcams, and 3 monitors will be purchased so visitors can
watch the fisherman bring in their catch.
Deliverable 1.1$10,000 Dated photos and invoices of all items purchased under this agreement and a
link to web feeds. Dated photos and a signed statement from the museum director that all items purchased
are set up and in working order.
Performance Measures: Deliverables reviewed to ensure specifications in scope have been met
Financial Consequences: No payment for unsatisfactory or incomplete work. In addition, agreement can
be terminated for failure to perform.
Completion Date: June 5, 2014
Budget Information: $10,000 FCMP
Equipment: $7,500.00 — Television, 3 wall display flat screen monitors, 1 touchscreen computer, 3
Webcams, Projector, Exhibit display cases, statues to exhibit clothing, 24 chairs and tables.
Contractual Services: $2,500 — Installation of webcams, monitors, television, Exhibit cases.
Task 2 $10,000: The City will modify and make minor improvements to the facility including the stage
area for presentations, reconstruct walls and ramps for creation of the stage/presentation area, adding
moveable benches and chairs for temporary assembly, replace light fixtures, perform security
improvements and installation of display and wall cases including kiosk and outside display boards. All
of the above stated changes will improve/promote viewing of the educational and artifacts on display.
Some displayed examples will include original photos, documents and fishing equipment. Project
completion will be marked with a grand opening of the Sebastian Working Waterfront Historic Exhibit.
Deliverable 2.1$10,000 Photos and invoices of new materials and of the grand opening, dated photos
and a signed statement from the museum director that all work was preformed, the display cases were
delivered, set up and in working order.
Performance Measures: Deliverables reviewed to ensure specifications in scope have been met.
Financial Consequences: No payment for unsatisfactory or incomplete work. In addition, agreement can
be terminated for failure to perform.
Completion Date: June 5, 2014
Budget Information: $10,000 Match In -Kind salary contributions from City of Sebastian personnel for
maintenance, operation and simple repairs and preparing exhibit/museum area in 1540 Indian River Dr.
Salaries: $7,500.00 City employees will be completing the carpentry work and painting of the exhibit
area. Public Works staff will complete work 375 hours/approximately $20.00/hour, which shall be tracked
by person and invoiced per person for hours actually worked.
Contractual Services: $2,000.00 Supplies: $500.00
DEP Agreement No. CM320, Attachment A, Page 4 of 6
Total Proiect Budget Schedule: Please type the total dollar amounts in all applicable categories and
leave other categories blank. If your grant Agreement requires match, it must equal the FCMP funds
requested, or one hundred percent (100%).
Budget Category
FCMP Funds
MATCH Funds
1. Salaries
$7,500
2. Fringe Benefits
3. Travel
4. Equipment Purchases
$7,500
5. Supplies
$500
6. Contractual Services
$2,500
$2,000
7. Other Expenses
8. Indirect Charges
FCMP Total
$10,000
Match Total
$10,000
NOAA Project Total
Total Project Cost:
$ $20,000
(The total cost of the project should include all costs for the project provided by all funding sources. If
this is a smaller component of a larger project please provide the total cost of the larger project)
DEP Agreement No. CM320, Attachment A, Page 5 of 6
Proiect Budget Narrative: Describe line items for each applicable budget category shown on the budget schedule.
Provide sufficient detail to show cost relationship to project activities. Complete for both FCMP and match items, if
applicable. If in-kind match is being provided by a third party, a letter from that party confirming the amount and
type of that match must be included with this project work plan. Note: Indirect costs are not allowed as match.
FCMP Funds:
Budget Information: $10,000.00
Equipment: $7,500 — Viewing theater of Fish House at the Waterfront and Educational and Environmental
Programs
Contractual Services: $2,500 — Installation of Equipment
Match Funds:
Budget Information: $10,000.00
Salaries: $7,500 — City employees will be completing the carpentry work and painting of the exhibit area. Public
Works staff will complete work 375 hours/approximately $20.00/hour, which shall be tracked by person and
invoiced per person for hours actually worked.
Supplies: $500 - Carpentry supplies; wood, paint, brushes, nails, hangers for photos, light fixtures and maps
Contractual Services: $2,000 — Electrical, security and other contracted services.
DEP Agreement No. CM320, Attachment A, Page 6 of 6
ATTACHMENT B
PROGRESS REPORT FORM
DEP Agreement No.:
Grantee Name:
Grantee Address:
Grantee's Grant Manager: Telephone No.:
Grant Manager's Email Address:
Reporting Period:
Project Title:
Provide a summary of project accomplishments for this reporting period by task. If tasks were not
addressed during the reporting eriod, provide an explanation.
Provide the status of each deliverable. (e.g., Deliverable 1.1: 75% complete, Deliverable 1.2: 25% complete,
Deliverable 2.1, work scheduled to begin after the completion of Deliverable 1.1, Deliverable 2.2, etc.)
Identify below, and attach copies of deliverables being submitted for this reporting period (e.g., Deliverable
1.1: copies of permits, Deliverable 1.2: before photographs, etc.)
Provide an explanation for any anticipated delays or any problems encountered.
DEP Agreement No. CM320, Attachment B, Page 1 of 2
INSTRUCTIONS FOR COMPLETING
ATTACHMENT B
PROGRESS REPORT FORM
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM_
GRANTEE NAME: Enter the name of the grantee's agency.
GRANTEE ADDRESS: Enter the address that is on the first page of the grant agreement.
GRANTEE'S GRANT MANAGER: Enter the person identified as grant manager in the grant agreement.
TELEPHONE NO.: Enter the telephone number where the grant manager can be contacted.
GRANT MANAGER'S EMAIL ADDRESS: Enter the grant manager's email address.
REPORTING PERIOD: This is the beginning and ending date of the reporting period; it can cover more than one
quarter.
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
Provide a summary of project accomplishments this reporting period by task If tasks were not addressed
during the reporting period, provide an explanation(s). This section should show the progress for each task that was
scheduled to begin or be completed in the current reporting period. If there was no progress for a task that was to start
or be completed, please explain the reason.
Provide the status of each deliverable. (e.g., Deliverable 1.1: 75% complete, Deliverable 1.2: 25% complete,
Deliverable 2.1, work scheduled to begin after the completion of Deliverable 1.1, Deliverable 2.2, etc.). This
section should show the status for each deliverable that was scheduled to begin or be completed in the current reporting
period. The status should be reported by the percentage completed. If there was no progress for a deliverable, briefly
state the reason.
Identify below, and attach copies of deliverables being submitted for this reporting period (e.g., Deliverable 1.1:
copies of permits, Deliverable 1.2: before photographs, etc.). Ensure that any deliverables listed in the grant
agreement, as well as those not listed are included. For instance, you may send copies of agendas or minutes of
meetings, photos of displays, or other supporting documentation to show the completion or progress towards a task.
Label the deliverables by task and deliverable number(s) that they are associated with (for example: Deliverable 1.1 for
task 1, deliverable 1).
Provide an explanation for any anticipated delays or any problems encountered. Provide a brief summary of any
anticipated or encountered problems or delays.
Questions regarding completion of Progress Reports should be directed to Dornecia Allen at (850) 245-2184 or
Ton i.R.Clantonnn dep.state.fl.us.
DEP Agreement No. CM320, Attachment B, Page 2 of 2
Grantee:
Mailing Address:
DEP Agreement No.:
Date Of Request:
Total Amount Requested:
ATTACHMENT C
PAYMENT REQUEST FORM
Grantee's Grant Manager:
Payment Request No.:
Performance Period:
Deliverable
No:
GRANT EXPENDITURES SUMMARY SECTION
Wffective bate of Grant through End-nf-Grant Perindl
CATEGORY OF EXPENDITURE
AMOUNT OF
THIS CLAIM
TOTAL
CUMULATIVE
FCMP
CLAIMS
MATCHING
FUNDS
CLAIMED
TOTAL
CUMULATIVE
MATCHING
FUNDS
Salaries
$
$
$
$
Fringe Benefits
$
$
$
$
Travel
$
$
$
$
Equipment Purchases
$
$
$
$
Supplies
$
$
$
$
Contractual Services
$
$
$
$
Other Expenses
$
$
$
$
Indirect
$
$
TOTAL AMOUNT
$
$
$
$
GRANT BUDGETAMOUNT
$
$
Less Total Cumulative Payments of.
$
$
REMAINING BUDGET IN GRANT
$
._
$
GRANTEE CERTIFICATION
The undersigned certifies that the amount being requested for reimbursement above
was for items that were charged to and utilized only for the above cited grant activities.
Grantee's Grant Manager's
Signature
Print Name
Telephone Number
Grantee's Fiscal Agent
Print Name
Telephone Number
"PLEASE DO NOT ALTER THIS FORM"
DEP Agreement No. CM320, Attachment C, Page I of 9
DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA COASTAL MANAGEMENT PROGRAM
INSTRUCTIONS FOR COMPLETING
ATTACHMENT C
PAYMENT REQUEST FORM
GRANTEE: Enter the name of the grantee's agency.
MAILING ADDRESS: Enter the address that you want the state warrant sent.
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM
DATE OF REQUEST: This is the date you are submitting the report.
TOTAL AMOUNT REQUESTED: This should match the amount on the "TOTAL AMOUNT" line for the
"AMOUNT OF THIS CLAIM" column.
GRANTEE'S GRANT MANAGER: This is the person identified as grant manager in the grant agreement.
PAYMENT REQUEST NO.: This is the number of your payment request, not the quarter number.
PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period.
DELIVERABLE NO.: Enter the number of the DELIVERABLES) that you are requesting payment for.
GRANT EXPENDITURES SUMMARY SECTION.-
"AMOUNT
ECTION."AMOUNT OF THIS REQUEST" COLUMN: Enter the amount that was paid out for all listed deliverables during
the invoice period for which you are requesting reimbursement. This must be by budget category as in the currently
approved budget in Attachment A (Project Work Plan), or amendment of your grant Agreement. Do not claim expenses
in a budget category that does not have an approved budget. Do not claim items that are not specifically identified in
the current Budget Narrative section of Attachment A. DO NOT ALTER FORM OR COMBINE BUDGET
CATEGORIES. Enter the column total on the "TOTAL AMOUNT" line. Enter the FCMP budget amount on the
"GRANT BUDGET AMOUNT" line. Enter the total cumulative amount of this request and all previous payments on
the "LESS TOTAL CUMULATIVE PAYMENTS OF' line. Deduct the "LESS TOTAL CUMULATIVE PAYMENTS OF'
from the "GRANT BUDGET AMOUNT" for the amount to enter on the "REMAINING BUDGET IN GRANT" line.
"TOTAL CUMULATIVE FCMP CLAIMS" COLUMN: Enter the cumulative amounts that have been claimed to
date for FCMP expenses by budget category. The final report should show the total of all claims, first claim through the
final claim, etc. Enter the column total on the "TOTAL AMOUNT" line. DO NOT ENTER ANYTHING IN THE
SHADED AREAS.
"MATCHING FUNDS CLAIMED" COLUMN: Enter the amount to be claimed as match for the reporting period.
This needs to be shown under specific budget categories according to what is in the currently approved Attachment A,
(Project Work Plan). Enter the total on the "TOTAL AMOUNT' line for this column. Enter the match budget amount
on the "GRANT BUDGET AMOUNT' line for this column. Enter the total cumulative amount of this and any previous
match claimed on the "LESS TOTAL CUMULATIVE PAYMENTS OF' line for this column. Deduct the "LESS TOTAL
CUMULATIVE PAYMENTS OF' from the "GRANT BUDGETAMOUNT' for the amount to enter on the "REMAINING
BUDGET IN GRANT' line.
"TOTAL CUMULATIVE MATCHING FUNDS" COLUMN: Enter the cumulative amount you have claimed to
date for match by budget category. Put the total of all on the line titled "TOTAL AMOUNT." The final report should
show the total of all claims, first claim through the final claim, etc. DO NOT ENTER ANYTHING IN THE
SHADED AREAS.
GRANTEE CERTIFICATION: Must have the original signature of both the Grantee's Grant Manager and the
Grantee's Fiscal Agent as identified in the grant agreement.
DEP Agreement No. CM320, Attachment C, Page 2 of 9
REQUIRED BACK-UP DOCUMENTATION:
Exhibit I - Schedule of Invoices for Reimbursement for each deliverable.
Exhibit H - Schedule of Match for each deliverable.
Copies of Invoices (Not applicable to state agencies)
Copies of canceled checks (Not applicable to state agencies)
Copies of Travel Reimbursements if applicable
FLAIR Report (State agencies only)
Copies of Volunteer Logs (if applicable)
NOTE: If claiming reimbursement for travel, you must include copies of receipts and a copy of the
travel reimbursement form (available from staff of the Florida Coastal Management Program or use
your affiliation's reimbursement form, provided it has been approved by the Florida Department of
Financial Services).
** PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables
must be submitted and approved prior to payment * *
If you have any questions please do not hesitate to contact Toni R. Clanton at (850) 245-2184.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No. CM320, Attachment C, Page 3 of 9
EXHIBIT -
SCHEDULE OF INVOICES FOR REIMBURSEMENT
DEP AGREEMENT NO.: CM000
PROJECT TITLE:
PERFORMANCE PERIOD: THROUGH
DELIVERABLE NO.:
DELIVERABLE AMOUNT REQUESTED:
INVOICE
NUMBER
INVOICE
DATE
DESCRIPTION OF
GOODS & SERVICES
VENDOR NAME
INVOICE
AMOUNT
DATE
PAID
CHECK
NUMBER/
VOUCHER
NUMBER
CHECK AMOUNT/
TRANSACTION
AMOUNT
AMOUNT
CLAIMED
Salaries
Total Salaries $
Fringe
Benefits
Total Fringe $
Benefits
Travel
Total Travel $
Equipment
DEP Agreement No. CM320, Attachment C, Page 4 of 9
Total Equipment $
Supplies
Total Supplies $
Contractual
Services
Total Contractual $
Services
Other
Expenses
Total Other $
Expenses
Indirect
Charges
Total indirect $
Charges
DEP Agreement No. CM320, Attachment C, Page 5 of 9
DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA COASTAL MANAGEMENT PROGRAM
INSTRUCTIONS FOR COMPLETING
EXHIBIT - I
SCHEDULE OF INVOICES FOR REIMBURSEMENT
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period.
DELIVERABLE NO.: Enter the number of the deliverable that you are requesting payment for.
DELIVERABLE AMOUNT REQUESTED: This is the total amount of expenses from all approved budget categories
for the deliverable.
Salaries: Provide an itemized listing of expenditures for Salaries if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Fringe Benefits: Provide an itemized listing of expenditures for Fringe Benefits if applicable. Include the invoice number,
invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Travel: Provide an itemized listing of expenditures for Travel if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Equipment: Provide an itemized listing of expenditures for Equipment if applicable. Include the invoice number, invoice
date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Supplies: Provide an itemized listing of expenditures for Supplies if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Contractual Services: Provide an itemized listing of expenditures for Contractual Services if applicable. Include the
invoice number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number/voucher number, check amount/transaction number, and amount claimed.
Other Expenses: Provide an itemized listing of expenditures for Other Expenses if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction,
check number/voucher number, check amount/transaction number, and amount claimed.
Indirect Charges: Provide the amount of the indirect to be charged to this Deliverable. Provide percentage or rate used
for calculation.
A SCHEDULE OF INVOICES FORM IS REQUIRED FOR EACH DELIVERABLE.
** PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be submitted and
approved prior to payment **
DEP Agreement No. CM320, Attachment C, Page 6 of 9
EXHIBIT - II
SCHEDULE OF MATCH
DEP AGREEMENT NO.: CM000
PROJECT TITLE:
PERFORMANCE PERIOD: THROUGH
DELIVERABLE NO.:
DELIVERABLE MATCH AMOUNT CLAIMED:
INVOICE
NUMBER
INVOICE
DATE
DESCRIPTION OF
GOODS & SERVICES
VENDOR NAME
INVOICE
AMOUNT
DATE
PAID
CHECK
NUMBER/
VOUCHER
NUMBER
CHECK AMOUNT/
TRANSACTION
AMOUNT
AMOUNT
CLAIMED
Salaries
Total Salaries $
Fringe
Benefits
Total Fringe $
Benefits
Travel
Equipment
DEP Agreement No. CM320, Attachment C, Page 7 of 9
DEP Agreement No. CM320, Attachment C, Page 8 of 9
Total Equipment $
Supplies
Total Supplies $
Contractual
Services
Total Contractual $
Services
Other
Expenses
Total Other $
Expenses
DEP Agreement No. CM320, Attachment C, Page 8 of 9
DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA COASTAL MANAGEMENT PROGRAM
INSTRUCTIONS FOR COMPLETING
EXHIBIT - II
SCHEDULE OF MATCH
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period.
DELIVERABLE NO.: Enter the number of the deliverable that you are requesting payment for.
DELIVERABLE MATCH AMOUNT CLAIMED: This is the total amount of match expenses from all approved
budget categories for the deliverable.
Salaries: Provide an itemized listing of match for Salaries if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Fringe Benefits: Provide an itemized listing of match for Fringe Benefits if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number/voucher number, check amount/transaction number, and amount claimed.
Travel: Provide an itemized listing of match for Travel if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Equipment: Provide an itemized listing of match for Equipment if applicable. Include the invoice number, invoice
date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Supplies: Provide an itemized listing of match for Supplies if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number/voucher number, check amount/transaction number, and amount claimed.
Contractual Services: Provide an itemized listing of match for Contractual Services if applicable. Include the
invoice number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of
the transaction, check number/voucher number, check amount/transaction number, and amount claimed.
Other Expenses: Provide an itemized listing of match for Other Expenses if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number/voucher number, check amount/transaction number, and amount claimed.
A SCHEDULE OF MATCH FORM IS REQUIRED FOR EACH DELIVERABLE.
** PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be submitted
and approved prior to payment * *
DEP Agreement No. CM320, Attachment C, Page 9 of 9
ATTACHMENT D
DEP AGREEMENT NO. CM_
Project Title
Grantee Name
Final Project Report
PNO
This report funded in part, through a grant agreement from the Florida Department of
Environmental Protection, Florida Coastal Management Program, by a grant provided by the
Office of Ocean and Coastal Resource Management under the Coastal Zone Management Act of
1972, as amended, National Oceanic and Atmospheric Administration Award No.
NAI2NOS4190093. The views, statements, findings, conclusions and recommendations
expressed herein are those of the author(s) and do not necessarily reflect the views of the State of
Florida, NOAA or any of their subagencies.
Month & year
DEP Agreement No. CM320, Attachment D, Page 1 of 4
Final Project Report for CM
Project Title
Executive summa
Methodo
DEP Agreement No. CM320, Attachment D, Page 2 of 4
Outcome
Further Recommendations
DEP Agreement No. CM320, Attachment D, Page 3 of 4
INSTRUCTIONS FOR COMPLETING
ATTACHMENT D
FINAL PROJECT REPORT FORM
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM...
GRANTEE NAME: Enter the name of the grantee's agency.
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
NOAA AWARD NUMBER: Enter the NOAA award number as shown on the first page of the grant agreement.
MONTH & YEAR: Enter month and year of publication.
The Final Project Report must contain the following sections: Executive Summary, Methodology, Outcome and
Further Recommendations. The Final Project Report must comply with the publication requirements in the Grant
Agreement. Please limit final project report to no more than five pages. A draft should be submitted electronically
to the Department's Grant Manager for approval. After approval by the Florida Coastal Management Program, one
hard copy and an electronic copy shall be submitted to the Department's Grant Manager. Final payment will be held
until receipt and approval of the Final Project Report.
Questions regarding completion of the Final Project Report should be directed to Dornecia Allen at (850) 245-2184
or Toni.R.Clanton@dep.state.fl.us.
DEP Agreement No. CM320, Attachment D, Page 4 of 4
ATTACHMENT E
SPECIAL AUDIT REQUIREMENTS
The administration of resources awarded by the Department of Environmental Protection (which may be referred to
as the "Department" "DEP", "FDEP" or "Grantor", or other name in the contracdagreement) to the recipient
(which may be referred to as the "Contractor", Grantee" or other name in the contracdagreement) may be subject
to audits and/or monitoring by the Department of Environmental Protection, as described in this attachment.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A-133 and Section 215.97, F.S., as
revised (see "AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by
Department staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By
entering into this Agreement, the recipient agrees to comply and cooperate with any monitoring
procedures/processes deemed appropriate by the Department of Environmental Protection. In the event the
Department of Environmental Protection determines that a limited scope audit of the recipient is appropriate, the
recipient agrees to comply with any additional instructions provided by the Department to the recipient regarding
such audit. The recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or
audits deemed necessary by the Chief Financial Officer or Auditor General.
F.111110J IC.
PART 1: FEDERALLY FUNDED
This part is applicable if the recipient is a State or local government or a non-profit organization as defined in OMB
Circular A-133; as revised.
I. In the event that the recipient expends $500,000 or more in Federal awards in its fiscal year, the recipient
must have a single or program -specific audit conducted in accordance with the provisions of OMB Circular
A-133, as revised. EXHIBIT I to this Agreement indicates Federal funds awarded through the Department
of Environmental Protection by this Agreement. In determining the Federal awards expended in its fiscal
year, the recipient shall consider all sources of Federal awards, including Federal resources received from
the Department of Environmental Protection. The determination of amounts of Federal awards expended
should be in accordance with the guidelines established by OMB Circular A-133, as revised. An audit of
the recipient conducted by the Auditor General in accordance with the provisions of OMB Circular A-133,
as revised, will meet the requirements of this part.
2. In connection with the audit requirements addressed in Part 1, paragraph 1, the recipient shall fulfill the
requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular A-133, as
revised.
3. If the recipient expends less than $500,000 in Federal awards in its fiscal year, an audit conducted in
accordance with the provisions of OMB Circular A-133, as revised, is not required. In the event that the
recipient expends less than 5500,000 in Federal awards in its fiscal year and elects to have an audit
conducted in accordance with the provisions of OMB Circular A-133, as revised, the cost of the audit must
be paid from non -Federal resources (i.e., the cost of such an audit must be paid from recipient resources
obtained from other than Federal entities).
4. The recipient may access information regarding the Catalog of Federal Domestic Assistance
(CFDA) via the internet at hqp-H12.46.245.173/cfda/cfda.html.
DEP Agreement No. CM320, Attachment E, Page I of 5
PART II: STATE FUNDED
This part is applicable if the recipient is a nonstate entity as defined by Section 215.97(2) (m), Florida
Statutes.
In the event that the recipient expends a total amount of state financial assistance equal to or in excess of
$500,000 in any fiscal year of such recipient, the recipient must have a State single or project -specific audit
for such fiscal year in accordance with Section 215.97, Florida Statutes; applicable rules of the Department
of Financial Services; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit
organizations), Rules of the Auditor General. EXHIBIT I to this Agreement indicates state financial
assistance awarded through the Department of Environmental Protection by this Agreement. In
determining the state financial assistance expended in its fiscal year, the recipient shall consider all sources
of state financial assistance, including state financial assistance received from the Department of
Environmental Protection, other state agencies, and other nonstate entities. State financial assistance does
not include Federal direct or pass-through awards and resources received by a nonstate entity for Federal
program matching requirements.
2. In connection with the audit requirements addressed in Part II, paragraph l; the recipient shall ensure that
the audit complies with the requirements of Section 215.97(7), Florida Statutes. This includes submission
of a financial reporting package as defined by Section 215.97(2), Florida Statutes, and Chapters 10.550
(local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor
General.
3. If the recipient expends less than $500,000 in state financial assistance in its fiscal year, an audit conducted
in accordance with the provisions of Section 215.97, Florida Statutes, is not required. In the event that the
recipient expends less than $500,000 in state financial assistance in its fiscal year, and elects to have an
audit conducted in accordance with the provisions of Section 215.97, Florida Statutes, the cost of the audit
must be paid from the non -state entity's resources (i.e., the cost of such an audit must be paid from the
recipient's resources obtained from other than State entities).
4. For information regarding the Florida Catalog of State Financial Assistance (CSFA), a recipient should
access the Florida Single Audit Act website located at httos://apps.fldfs.com/fsaa for assistance. In
addition to the above websites, the following websites may be accessed for information: Legislature's
Website at http://www.leg.state.fl.us/Welcome/index.cfml State of Florida's website at
http://www.mvflorida.com/, Department of Financial Services' Website at http://www.fldfs.com/ and the
Auditor General's Website at http://www.state.n.us/audgen.
PART III: OTHER AUDIT REQUIREMENTS
(NOTE: This part would be used to specify any additional audit requirements imposed by the State awarding entity
that are solely a matter of that State awarding entity's policy (i. e., the audit is not required by Federal or State laws
and is not in conflict with other Federal or State audit requirements). Pursuant to Section 215.97(8), Florida
Statutes, State agencies may conduct or arrange for audits of State financial assistance that are in addition to audits
conducted in accordance with Section 115.97, Florida Statutes. In such an event, the State awarding agency must
arrange for funding the full cost ofsuch additional audits.)
PART IV: REPORT SUBMISSION
Copies of reporting packages for audits conducted in accordance with OMB Circular A-133, as revised, and
required by PART I of this Attachment shall be submitted, when required by Section .320 (d), OMB
Circular A-133, as revised, by or on behalf of the recipient directly to each of the following:
DEP Agreement No. CM320, Attachment E, Page 2 of 5
The Department of Environmental Protection at the following address:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General, MS 40
3900 Commonwealth Boulevard
Tallahassee, Florida 32399-3000
B. The Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of
copies required by Sections .320 (d)(1) and (2), OMB Circular A-133, as revised, should be
submitted to the Federal Audit Clearinghouse), at the following address:
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10th Street
Jeffersonville, IN 47132
Submissions of the Single Audit reporting package for fiscal periods ending on or after January 1,
2008, must be submitted using the Federal Clearinghouse's Internet Data Entry System which can
be found at http://harvester.census. ovg /fac/
C. Other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (f),
OMB Circular A-133, as revised.
2. Pursuant to Section .320(1), OMB Circular A-133, as revised, the recipient shall submit a copy of the
reporting package described in Section .320(c), OMB Circular A-133, as revised, and any management
letters issued by the auditor, to the Department of Environmental Protection at the following address:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General, MS 40
3900 Commonwealth Boulevard
Tallahassee, Florida 32399-3000
3. Copies of financial reporting packages required by PART II of this Attachment shall be submitted by or on
behalf of the recipient directly to each of the following:
A. The Department of Environmental Protection at the following address:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General, MS 40
3900 Commonwealth Boulevard
Tallahassee, Florida 32399-3000
B. The Auditor General's Office at the following address:
State of Florida Auditor General
Room 401, Claude Pepper Building
I I 1 West Madison Street
Tallahassee, Florida 32399-1450
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DEP Agreement No. CM320, Attachment E, Page 3 of 5
4. Copies of reports or management letters required by PART III of this Attachment shall be submitted by or
on behalf of the recipient directly to the Department of Environmental Protection at the following address:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General, MS 40
3900 Commonwealth Boulevard
Tallahassee, Florida 32399-3000
Any reports, management letters, or other information required to be submitted to the Department of
Environmental Protection pursuant to this Agreement shall be submitted timely in accordance with OMB
Circular A-133, Florida Statutes, or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and
for-profit organizations), Rules of the Auditor General, as applicable.
6. Recipients, when submitting financial reporting packages to the Department of Environmental Protection
for audits done in accordance with OMB Circular A-133, or Chapters 10.550 (local governmental entities)
or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General, should indicate the date
that the reporting package was delivered to the recipient in correspondence accompanying the reporting
package.
PART V: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance with the terms of this Agreement for a
period of 5 years from the date the audit report is issued, and shall allow the Department of Environmental
Protection, or its designee, Chief Financial Officer, or Auditor General Access to such records upon request. The
recipient shall ensure that audit working papers are made available to the Department of Environmental Protection,
or its designee, Chief Financial Officer, or Auditor General upon request for a period of 3 years from the date the
audit report is issued, unless extended in writing by the Department of Environmental Protection.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No. CM320, Attachment E, Page 4 of 5
EXHIBIT —1
FUNDS AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:
Federal Resources Awarded to the Reci lent Pursuant to this Agreement Consist of the Following:
Federal
Program
Number
Federal Agency
CFDA
Number
CFDA Title
Funding Amount
State
Appropriation
Category
Original
Agreement
U.S. Department of
Commerce
11.419
Coastal Zone Administration Awards
$20,190
140061
State Resources Awarded to the Recipient Pursuant to this A reement Consist of the Following Matching Resources for Federal Pro rams:
Federal
Program
Number
Federal Agency CFDA CFDA Title
State
Appropriation
Funding Amount Category
CSFA Title State
or Appropriation
Funding Source Description Funding Amount Category
State Resources Awarded to the Recipient Pursuant to this A reement Consist of the Following Resources Subject to Section 215.97, F.S.:
State
Program
Number
Funding Source
State
Fiscal Year
Number
CSFA Title State
or Appropriation
Funding Source Description Funding Amount Category
Total Award 1 $20,190
For each program identified above, the recipient shall comply with the program requirements described in the Catalog of Federal Domestic Assistance (CFDA)
[http://12.46.245.173/cfda/cfda.htmlj and/or the Florida Catalog of State Financial Assistance (CSFA) [https:Happs.fldfs.com/fsaa/searchCatalog.aspx]. The
services/purposes for which the funds are to be used are included in the Contract scope of services/work. Any match required by the recipient is clearly indicated in the
Contract.
DEP Agreement No. CM320, Attachment E, Page 5 of 5
ATTACHMENT F
CERTIFICATION OF APPLICABILITY TO SINGLE AUDIT ACT REPORTING
Grantee's Name:
Grantee Fiscal Year Period: FROM: TO:
Total State Financial Assistance Expended during Grantee's most recently completed Fiscal
Year: $
Total Federal Financial Assistance Expended during Grantee's most recently completed Fiscal
Year: $
CERTIFICATION STATEMENT:
CERTIFICATION STATEMENT:
I hereby certify that the above information is correct.
Signature
Print Name and Position Title
DEP Agreemeni No. CM320, Attachment F, Page 1 of 3
Date
INSTRUCTIONS FOR COMPLETING THE ATTACHMENT
Grantee Fiscal Year Period: FROM: Month/Year TO: Month/Year
NOTE: THIS SHOULD BE THE GRANTEE'S FISCAL YEAR FROM (MONTH/YEAR) TO
(MONTH/YEAR).
Total State Financial Assistance Expended during Grantee's most recently completed Fiscal Year:
NOTE: THIS AMOUNT SHOULD BE THE TOTAL STATE FINANCIAL ASSISTANCE
EXPENDED FROM ALL STATE AGENCIES, NOT JUST DEP.
Total Federal Financial Assistance Expended during Grantee's most recently completed Fiscal Year:
NOTE: THIS AMOUNT SHOULD BE THE TOTAL FEDERAL FINANCIAL ASSISTANCE
EXPENDED FROM ALL FEDERAL AGENCIES, NOT JUST THROUGH DEP.
The Certification should be signed by your Chief Financial Officer.
Please print the name and include the title and date of the signature.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No. CM320, Attachment F, Page 2 of 3
CERTIFICATION OF APPLICABILITY TO SINGLE AUDIT ACT REPORTING
FREQUENTLY ASKED QUESTIONS
1. Question: Can I fax the form to you?
Answer: Yes, you can fax the Certification form, the fax number is 850/245-2411.
2. Question: How can I submit the form if our audit is not completed by the due date of this
letter?
Answer: You should be able to complete the form from the information in your accounting
system. This is just to let our Office of the Inspector General know which entities they
should be getting an audit from. If you are under the threshold you do not have to submit
a copy of your audit, only the Certification form.
3. Question: Do you only want what we received from DEP?
Answer: No, the Single Audit is the TOTAL AMOUNT of funds that you expended
towards all state or federal grants that you receive. You should list those that are specific
to DEP on the form.
4. Question: Do I have to submit the completed form and a copy of my audit?
Answer: No, you do not have to submit your audit unless you are over the threshold of
$500,000. If you would prefer to submit your audit (CAFR) instead of the form, that is
fine.
5. Question: Our CAFR will not be ready before your due date and we don't have the
information necessary to complete the certification. Can we get an extension?
Answer: Yes, just send us an Email letting us know when you will have your CAFR
completed and we will place the Email with your letter in our file so that you don't get a
2ad notice.
6. Question: Can I submit my Certification Form or CAFR electronically?
Answer: Yes, you can submit them by Email to Domecia.Allen@dep.state.fl.us
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No. CM320, Attachment F, Page 3 of 3
Photographer:
Address:
City:
ATTACHMENT J
Photographer Release Form
Florida Department of Environmental Protection
(Please Print Name)
Phone Number:
(Area code + number)
Email:
State: Zip Code:
License and Indemnification I certify that I am the photographer and owner of the photograph(s) being submitted and
am 18 years of age or older.
I hereby grant the Florida Department of Environmental Protection the royalty -free and non-exclusive right to
distribute, publish and use the photograph(s) submitted herewith ("the Work") to promote the Florida Department of
Environmental Protection. Uses may include, but are not limited to promotion of the Florida Department of
Environmental Protection, its publications, employees, volunteers, and properties in any way, including on the Internet,
in print publications, as distributed to the media, and in commercial products. The Florida Department of
Environmental Protection reserves the right to use/not use any Work as deemed appropriate by the Florida Department
of Environmental Protection. No Work will be returned once submitted.
I hereby acknowledge that the Florida Department of Environmental Protection shall bear no responsibility whatsoever
for protecting the Work against third party infringement of my copyright interest or other intellectual property rights or
other rights I may hold in such Work, and in no way shall be responsible for any losses I may suffer as a result of any
such infringement; and I hereby represent and warrant that the Work does not infringe the rights of any other individual
or entity.
I hereby unconditionally release, hold harmless and indemnify Florida Department of Environmental Protection, its
employees, volunteers, and representatives of and from all claims, liabilities and losses arising out of or in connection
with the Florida Department of Environmental Protection's use of the Work. This release and indemnification shall be
binding upon me, and my heirs, executors, administrators and assigns. I have read and understand the terms of this
release.
Photographer Signature:
Photo Filename(s):
Location of photo shoot:
Name of Person Accepting Photographs:
DEP Agreement No. CM320, Attachment J, Page 1 of 2
Date:
Model Release Form: PhotoNideo/Audio
This photo release form will be used for all State of Florida—Department of Environmental Protection brochures,
websites, displays, articles, magazines, programs, advertisements or events.
Photo Release for Adults
I, being 18 years or older, hereby consent that the videotapes, photographs and/or motion picture film in which I appear,
and/or audio recordings made of my voice may be used by the Florida Department of Environmental Protection, its
assigns or successors, in whatever way they desire, including television without compensation. Furthermore, I hereby
consent that such photographs, films, negatives and recordings, and the plates and/or tapes from which they are made
shall be their property, and they shall have the right to sell, duplicate, reproduce, and make other lawful uses of such
photographs, films, recordings, places and tapes as they may desire, free and clear of any claim whatever on my part in
perpetuity.
IN WITNESS WHEREOF, I have hereunto set my hand, in the State of Florida,
this day of , 2
Location:
Signature_
Name (Print)
Address
City
State
Zip
Photo Release for Minors
I being Parent/Guardian of , hereby consent that the videotapes, photographs and/or
motion picture film for which he/she posed, and/or audio recordings made of his/her voice may be used by the Florida
Department of Environmental Protection, its assigns or successors, in whatever way they desire, including television
without compensation. Furthermore, I hereby consent that such photographs, films, negatives, and recordings and the
plates and/or tapes or other medium from which they are made shall be their property, and they shall have the right to
sell, duplicate, reproduce and make other uses of such photographs, films, recordings, plates, and tapes as they may
desire free and clear of any claim whatsoever on my part or my child's part, or by anyone who may claim by or through
my child in perpetuity.
IN WITNESS WHEREOF, I have hereunto set my hand, in the State of Florida,
this day of , 2
Signature of parent or guardian
Name of child (print)
Name of parent or guardian (print)
Address
City
DEP Agreement No. CM320, Attachment J, Page 2 of 2
State
Zip
ATTACHMENT K
Contract Provisions
All contracts awarded by a recipient, including small purchases, shall contain the following provisions as applicable:
1. Equal Employment Opportunity - All contracts shall contain a provision requiring compliance with Executive
Order (E.O.) 11246, "Equal Employment Opportunity," as amended by E.O. 11375, "Amending Executive Order
11246 Relating to Equal Employment Opportunity," and as supplemented by regulations at 41 CFR part 60,
"Office of Federal Contract Compliance Programs, Equal Employment Opportunity, and Department of Labor."
2. Copeland "Anti -Kickback" Act (18 U.S.C. 874 and 40 U.S.C. 276c) - All contracts and subgrants in excess of
$2000 for construction or repair awarded by recipients and subrecipients shall include a provision for compliance
with the Copeland "Anti -Kickback" Act (18 U.S.C. 874), as supplemented by Department of Labor regulations
(29 CFR part 3, "Contractors and Sub -contractors on Public Building or Public Work Financed in Whole or in
Part by Loans or Grants from the United States"). The Act provides that each contractor or subrecipient shall be
prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public
work, to give up any part of the compensation to which he is otherwise entitled. The recipient shall report all
suspected or reported violations to the Federal awarding agency.
3. Davis -Bacon Act, as amended (40 U.S.C. 276a to a-7) - When required by Federal program legislation, all
construction contracts awarded by the recipients and subrecipients of more than $2000 shall include a provision
for compliance with the Davis -Bacon Act (40 U.S.C. 276a to a-7) and as supplemented by Department of Labor
regulations (29 CFR part 5, "Labor Standards Provisions Applicable to Contracts Governing Federally Financed
and Assisted Construction"). Under this Act, contractors shall be required to pay wages to laborers and mechanics
at a rate not less than the minimum wages specified in a wage determination made by the Secretary of Labor. In
addition, contractors shall be required to pay wages not less than once a week. The recipient shall place a copy of
the current prevailing wage determination issued by the Department of Labor in each solicitation and the award of
a contract shall be conditioned upon the acceptance of the wage determination. The recipient shall report all
suspected or reported violations to the Federal awarding agency.
4. Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333) - Where applicable, all contracts
awarded by recipients in excess of $2000 for construction contracts and in excess of $2500 for other contracts that
involve the employment of mechanics or laborers shall include a provision for compliance with Sections 102 and
107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), as supplemented by Department
of Labor regulations (29 CFR part 5). Under Section 102 of the Act, each contractor shall be required to compute
the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the
standard work week is permissible provided that the worker is compensated at a rate of not less than 1 '/2 times the
basic rate of pay for all hours worked in excess of 40 hours in the work week. Section 107 of the Act is applicable
to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under
working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the
purchases of supplies or materials or articles ordinarily available on the open market, or contracts for
transportation or transmission of intelligence.
5. Rights to Inventions Made Under a Contract or Agreement - Contracts or agreements for the performance of
experimental, developmental, or research work shall provide for the rights of the Federal Government and the
recipient in any resulting invention in accordance with 37 CFR part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements," and any implementing regulations issued by the awarding agency.
6. Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act, as amended (33 U.S.C.
1251 et seq.) - Contracts and subgrants of amounts in excess of $100,000 shall contain a provision that requires
the recipient to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean
Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 et
seq.). Violations shall be reported to the Federal awarding agency and the Regional Office of the Environmental
Protection Agency (EPA).
7. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352) - Contractors who apply or bid for an award of $100,000 or
more shall file the required certification. Each tier certifies to the tier above that it will not and has not used
Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer
DEP Agreement No. CM320, Attachment K, Page 1 of 4
or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a
member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31
U.S.C. 1352. Each tier shall also disclose any lobbying with non -Federal funds that takes place in connection with
obtaining any Federal award. Such disclosures are forwarded from tier -to -tier up to the recipient.
8. Government wide Debarment and Suspension (NonProcurement) — Recipients shall comply with the
provisions of Subpart C of 2 CFR Part 1326, "Government wide Debarment and Suspension (Nonprocurement),"
published in the Federal Register on December 21, 2006, 71 FR 76573, which generally prohibit entities that have
been debarred, suspended, or voluntarily excluded from participating in Federal nonprocurement transactions
either through primary or lower tier covered transactions.
9. Section 508 of the Federal Water Pollution Control Act, as amended (33 U.S.C. 1368) and Section 1424(e)
of the Safe Drinking Water Act (42 U.S.C. 300h -3(e)) - Contracts and subgrants of amounts in excess of
$100,000 shall contain a provision that requires the recipient to agree to comply with all applicable standards,
orders or regulations issued pursuant to Section 508 of the Federal Water Pollution Control Act, as amended (33
U.S.C. 1368) and Section 1424(e) of the Safe Drinking Water Act (42 U.S.C. 300h -3(e)). Violations shall be
reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
10. Compliance with all Federal statutes relating to nondiscrimination - These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352), which prohibits discrimination on the basis of sex; (b)
Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 795), which prohibits discrimination on the
basis of handicaps; (c) the Americans with Disabilities Act of 1990 (42 USC 12101 et. seq.) prohibiting
discrimination on the basis of disability under programs, activities and services provided or made available by
state and local governments or instrumentalities or agencies thereto, as well as public or private entities that
provide public transportation, (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which
prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255),
as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and
drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; (i) EO 13166 (68 FR 14180) to Federal
financial assistance recipients on the Title VI prohibition against national origin discrimination affecting Limited
English Proficient (LEP) persons, 0) Title VII of the Civil Rights Act of 1964, 42 U.S.C. which prohibits
discrimination on the basis of religion, a religious corporation, association, educational institution or society, any
other nondiscrimination provisions in the specific statute(s) made; (k) Title IX of the Education Amendments of
1972 (20 USC 1681 et. seq.) prohibiting discrimination on the basis of sex under Federally assisted education
programs or activities; (l) compliance with Parts II and III of EO 11246 (30 FR 12319, 1965), as amended by EO
11375 (32 FR 14303, 1967) and 12086 (43 FR 46501, 1978), require Federally assisted construction contracts to
include the nondiscrimination provisions of sections 202 and 203 of that EO and Department of Labor regulations
implementing EO 11246 (41 CFR 60-1.4(b), 1991), and the requirements of any other nondiscrimination
statute(s) that may apply.
11. Drug Free Workplace The recipient shall comply with the provisions of the Drug -Free Workplace Act of 1988
(Public Law 100-690, Title V, Sec. 5153, as amended by Public Law 105-85, Div. A, Title VIII, Sec. 809, as
codified at 41 U.S.C. § 702) and DoC Implementing regulations published at 15 CFR Part 29, "Govemmentwide
Requirements for Drug -Free Workplace (Financial Assistance)" published in the Federal Register on November
26, 2003, 68 FR 66534), which require that the recipient take steps to provide a drug-free workplace.
12. Compliance with the requirements of Titles II and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) that provide for fair and equitable treatment of persons
displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements
apply to all interests in real property acquired for project purposes regardless of Federal participation in
purchases.
13. Compliance with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324 — 7328) that limit the
political activities of employees whose principal employment activities are funded in whole or in part with
Federal funds.
DEP Agreement No. CM320, Attachment K, Page 2 of 4
14. Floodplain Management, EO 11988 and, Protection of Wetlands, EO 11990, May 24, 1977 Recipients must
identify proposed actions in Federally defined floodplains and wetlands to enable the agency to make a
determination whether there is an alternative to minimize any potential harm.
15. Compliance, if applicable, with flood insurance purchase requirements of Section 102(x) of the Flood
Disaster Protection Act of 1973 (P.L. 93-234) that requires recipients in a special flood hazard area to
participate in the program and to purchase flood insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
16. Compliance with environmental standards which may be prescribed to the following: (a) institution of
environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order 11514; (b) notification of violating facilities pursuant to E.O. 11738; (c) protection of wetlands
pursuant to E.O. 11990; (d) evaluation of flood hazards in floodplains in accordance with E.O. 11988; (e)
assurance of project consistency with the approved State management program developed under the Coastal Zone
Management Act of 1972 (16 U.S.C. 1451 et seq.); (f) conformity with Federal actions to State (Clean Air)
Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.);
(g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended
(P.L. 93-523); (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L.
93-205), (i) restrictions for actions within a Coastal Barrier Island under the Coastal Barrier Island Resources Act
(16 U.S.C. 3501 et seq.), 0) The Resource Conservation and Recovery Act of 1976, as amended (42 U.S.C. 6901
et seq.) which regulates the generation, transportation, treatment and disposal of hazardous wastes, (k) The
Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended, and the
Superfund Amendments and Reauthorization Act of 1986, and the Community Environmental Response
Facilitation Act of 1992, as amended, (42 U.S.C. 9601 et seq.), and (1) The Environmental Justice in Minority
Populations and Low Income Populations, EO 12898, February It, 1994, which identifies and addresses adverse
human health or environmental effects of programs, policies and activities on low income and minority
populations.
17. Clean Air Act, Clean Water Act, and EO 11738 Recipients must comply with the provisions of the Clean Air
Act (42 U.S.C. §§7401 et seq.), Clean Water Act (33 U.S.C. §§1251 et seg.), and EO 11738, and shall not use a
facility on EPA's List of Violating Facilities in performing any award that is nonexempt under 40 CFR §15.5, and
shall notify the Program Officer in writing if it intends to use a facility that is on the EPA List of Violating
Facilities or knows that the facility has been recommended to be placed on the list.
18. Compliance with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
19. Compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C.
470)9 E.O. 11593 (identification and protection of historic properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
20. Compliance with 15 CFR Part 27 regarding the protection of human subjects involved in research,
development, and related activities supported by this award of assistance.
21. Care and Use of Live Vertebrate Animals. Recipients must comply with the Laboratory Animal Welfare Act
of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the acquisition, care, handling, and use in
projects, and implementing regulations, 9 CFR Parts 1, 2 and 3; the Endangered Species Act (16 U.S.C. 1531 et
seq); Marine Mammal Protection Act (16 U.S.C. 1361 et seq.) taking possession, transport, purchase, sale, export
or import of wildlife and plants, The Nonindigenous Aquatic Nuisance Prevention and Control Act (16 U.S.C.
4701 et seq.) ensure preventive measures are taken or that probable harm of using species in minimal if there is an
escape or release, and all other applicable statutes pertaining to the care, handling, and treatment of warm blooded
animals held for research, teaching, or other activities supported by Federal financial assistance. No research
involving vertebrate animals is permitted under any U.S. Department of Commerce financial assistance award
unless authorized by the Grants Officer.
22. Criminal and Prohibited Activities — Recipients must comply with the Program Fraud Civil Remedies Act (31
U.S.C., §§ 3801-3812), which provides for the imposition of civil penalties against persons who make false,
fictitious, or fraudulent claims to the Federal government for money (including money representing grants, loans
or other benefits).
23. Foreign Travel — Recipients shall comply with the provisions of the Fly America Act (49 USC, § 40118). The
implementing regulations of the Fly America Act are found at 41 CFR§§301-10.131 through 301-10.143.
DEP Agreement No. CM320, Attachment K, Page 3 of 4
24. American Made Equipment and Products — Recipients are hereby notified that they are encouraged, to the
greatest extent practicable, to purchase American-made equipment and products with funding provided under this
Agreement.
25. Preservation of Open Competition and Government Neutrality Towards Government Contractors' Labor
Relations on Federal and Federally Funded Construction Projects — Recipients must comply with EO 13202,
unless project is exempted under section 50 of the order, bid specifications, project agreements, or other
controlling documents for construction contracts awarded under this Agreement.
26. Minority Serving Institutions (MSIs) Initiative — Pursuant to Eos 13256, 13230 and 13270, the Recipient is
strongly encouraged to include meaningful participation of MSIs. Institutions eligible to be considered MSIs are
listed on the Department of Education website.
27. Research Misconduct — Scientific or research misconduct refers to the fabrication, falsification, or plagiarism in
proposing, performing, or reviewing research, or in reporting research results. Funds expended on an activity that
is determined to be invalid or unreliable because of scientific misconduct may result in disallowance of costs for
which the institution may be liable for repayment to the awarding agency.
28. Compliance with Department of Commerce Bureau of Industry and Security Export Administration
Regulations — The Recipient shall comply with the Export Administration Regulations (EAR) (15 CFR 730-774)
and the International Traffic In Arms Regulations (ITAR) (22 CFR 120-130) implemented by the Department of
State, respectively. This includes, but is not limited to, dual -use items, defense articles and any related assistance,
services, software or technical data as defined in the EAR and ITAR. The Recipient shall include this clause in
all lower tier transactions under this Agreement that may involve access to export -controlled information
technology.
29. Trafficking Victim Protection Act of 2000, the following Prohibition Statement must be included in any award
of these funds to a private entity. "You as the recipient, your employees, subrecipients under this Agreement, and
subrecipient's employees may not engage in severe forms of trafficking in persons during the period of time that
this Agreement is in effect; procure a commercial sex act during the period of time that this Agreement is in
effect; or use forced labor in the performance of this Agreement or subawards under this Agreement.
30. Self -Contained Underwater Breathing Apparatus (SCUBA) — For any funds used for SCUBA diving, it is the
responsibility of the Grantee to ensure that SCUBA divers are certified to a level commensurate with the type and
conditions of the diving activity being undertaken. Furthermore, it is the responsibility of the Grantee to ensure
that any SCUBA diving activities using the funds under this Agreement meet, at a minimum, all applicable
Federal, State, and local laws and regulations pertaining to the type of SCUBA diving being undertaken.
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DEP Agreement No. CM320, Attachment K, Page 4 of 4
ATTACHMENT L
REGULATIONS
Formal regulations concerning administrative procedures for U.S. Department of Commerce (DOC)
grants appear in Title 15 of the Code of Federal Regulations. Other DOC regulations also impact grant
programs. The following list contains regulations, and Office of Management and Budget Circulars that
may apply to the work performed under this Agreement.
Subchapter A — General
15 CFR 8
Nondiscrimination in federally assisted programs of the DOC
15 CFR 11
Uniform relocation assistance and real property acquisition for Federal and federally
assisted programs
15 CFR 13
Intergovernmental review of DOC programs and activities
Subchapter B - Grants and Other Federal Assistance
15 CFR 14
Uniform administrative requirements for grants and agreements with institutions of
hi her education, hospitals and other nonprofit organizations
15 CFR 24
Uniform administrative requirements for grants and agreements to state and local
governments.
15 CFR 28
New restrictions on lobbying
15 CFR 29
Drug -Free Workplace Act
Other Federal Regulations
2 CFR 1326 Nonprocurement Suspension and Debarment
48 CFR. 31 Contract Cost Principles and Procedures
Office of Management and Budget Circulars
A-21 (2 CFR 220)
Cost Principles for Educational Institutions
A-87 (2 CFR 225)
Cost Principles for State, Local, and Indian Tribal Governments
A-122 (2 CFR
230)
Cost Principles for Non -Profit Organizations
A-133
I Audit of States, Local Governments and Non -Profit Organizations
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DEP Agreement No. CM320, Attachment L, Page 1 of 1