HomeMy Public PortalAbout21-9924 Submission of a Grant Application to be used to Develop Community Gardens at Segal and Sherbondy ParkSponsored By: City Manager
RESOLUTION NO. 21-9924
A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA-
LOCKA, FLORIDA, RATIFYING THE SUBMISSION OF A GRANT
APPLICATION TO THE FLORIDA DEPARTMENT OF
AGRICULTURE AND CONSUMER SERVICES BUREAU OF FINANCE
AND ACCOUNTING FOR TWELVE THOUSAND DOLLARS
($12,000.00) TO BE USED TO DEVELOP COMMUNITY GARDENS AT
SEGAL PARK AND SHERBONDY VILLAGE PARK, WITHIN THE
CITY; PROVIDING FOR INCORPORATION OF RECITALS;
PROVIDING FOR AN EFFECTIVE DATE
WHEREAS, due to the growing need of healthy initiatives, community gardens are
needed to supply healthy food to residents and to increase awareness of healthy eating.
Urban farming has the potential to provide residents with fruits and vegetables so they
may enjoy a healthier diet and lifestyle. According to a Johns Hopkins report, urban
farming's most significant benefits center around its ability to increase social capital,
community well-being and civic engagement with the food systems; and
WHEREAS, the City of Opa-Locka ("City") has engaged the firm of RMPK Funding,
Inc. to assist the City's staff in the preparation and submission of grant applications; and
WHEREAS, on August 31, 2021, RMPK Funding, Inc. submitted a grant application,
attached hereto as Exhibit "A", to the Florida Department of Agriculture and Consumer
Services Bureau of Finance and Accounting, which is designed to fund gardening projects
for Twelve Thousand Dollars ($12,000.00) to develop community gardens at Segal Park
and Sherbondy Village Park, within the City; and
WHEREAS, to fund this project, a grant application for Twelve Thousand Dollars
($12,000.00) has been submitted. There is a Twenty -Five percent (25%) cost sharing match
requirement, which can be satisfied by either cash or in -kind services. All design activity
undertaken after the grant has been awarded as well as all construction costs will be
covered by the grant; and
WHEREAS, the City Commission finds it in the best interest of the City and its
residents to ratify the submission of the grant application on the City's behalf, attached
hereto as Exhibit "A", to the Florida Department of Agriculture and Consumer Services
Bureau of Finance and Accounting to develop community gardens at Segal Park and
Sherbondy Village Park.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE CITY COMMISSION OF
THE CITY OF OPA- LOCKA, FLORIDA:
Resolution No. 21-9924
J nna Flores, City Clerk
Burnadette Norri
SECTION 1. The recitals to the preamble herein are incorporated by reference.
SECTION 2. AUTHORIZATION
The City Commission of the City of Opa-Locka, Florida hereby ratifies the submission
of a grant application, attached hereto as Exhibit "A", for Twelve Thousand Dollars
($12,000) to the Florida Department of Agriculture and Consumer Services Bureau of
Finance and Accounting on August 31, 2021, to be used to develop community gardens
at Segal Park and Sherbondy Village Park.
SECTION 3. SCRIVENER'S ERRORS
Sections of this Resolution may be renumbered or re -lettered and corrections of
typographical errors, which do not affect the intent of this Resolution may be authorized
by the City Manager, or the City Manager's designee, without need of public hearing, by
filing a corrected copy of same with the City Clerk.
SECTION 4. EFFECTIVE DATE
This Resolution shall take effect upon the adoption and is subject to the approval of the
Governor or Governor's Designee.
PASSED and ADOPTED this 13th day of October, 2021.
Matthew A. Pigatt, Mayor
ATTEST:
APPROVED AS TO FORM AND
LEGAL SUFFICIENCY:
04 `tea G C, ES -9 K-
eeks, P.A.
Moved by: Commissioner Taylor
Seconded by: Commissioner Davis
2
Resolution No. 21-9924
VOTE: 4-0
Commissioner Bass YES
Commissioner Davis YES
Commissioner Taylor YES
Vice -Mayor Williams ABSENT
Mayor Pigatt YES
3
City of Opa-locka
Agenda Cover Memo
Department
Director:
Delven Patterson
Department
Director
Signature:
City
Manager:
John E. Pate
CM Signature:
Commission
Meeting
Date:
10/13/2021
Item Type:
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Public Safety
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Strategic Plan Obj./Strategy:
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Sponsor
Name
City Manager
Department Parks and Recreation
City Manager
Grant Submission To Develop Community Gardens at Segal and Sherbondy Village Parks
Issue / Recommendation - Staff recommends the City Commission ratify the submission of a grant
application to develop community gardens at Segal and Sherbondy Village Parks.
History - Due to the growing need of healthy initiatives, community gardens are needed to supply healthy
food to residents and to increase awareness of healthy eating. Urban farming has the potential to provide
residents with fruits and vegetables so they may enjoy a healthier diet and lifestyle. According to a johns
Hopkins report, urban farming's most significant benefits center around its ability to increase social capital,
community well-being, and civic engagement with the food systems.
Current Activity - Staff has been working extensively with the City's grant writing firm, RMPK Funding
approved by the Commission in January 2021. Consequently, there are a series of proposed grant applications
in the pipeline, including one to build community gardens. The grant application was submitted on August 31,
2021, under the Florida Department of Agriculture and Consumer Services Bureau of Finance and Accounting,
which is designed to fund gardening projects. Many municipalities and private organizations have been
awarded this grant.
To fund this project, a grant application for no more than $12,000 has been submitted. There is a 25% cost
sharing match requirement, which can be satisfied by either cash or in -kind services. All design activity
undertaken after the grant has been awarded and all construction costs will be covered by the grant.
Notification as to whether the City has been awarded this grant is anticipated to be around September, 2021.
financial Impact
The only expense associated with this grant application is for the grant writing services ($2,500). The contract
for these services involved establishing a $25,000 budget in the Non -Department Division, Other Professional
Services. Results have been excellent so far with the one grant application prepared and submitted so far, at a
cost of $3,000, has resulted in receipt of a grant for up to $150,000 for improvement of the Ingram Park trail,
with the City required to fund 20% of the project cost.
Account
Description
Available
Project
Remaining
Balance
19-519312
Other Professional Services
*
$2,5000
NA
* This account has a budget of $144,350, including $25,000 for grant writing services, of which $10,000 has
been used thus far. However, other unanticipated pressing needs arose which were approved by the State and
charged to this account, but for which there hasn't been time yet to submit a budget amendment to cover these
additional needs. Consequently, currently there are insufficient available funds in this account for this expense.
This will be corrected in the forthcoming Budget Amendment #4.
Staff recommends the City Commission ratify the submission of a grant application on
August 31, 2021 to the Florida Department of Agriculture and Consumer Services Bureau of Finance and
Accounting Program for $12,000 to build community gardens inside two City parks.
1. Resolution
Florida Department of Agriculture and Consumer Services
Florida Urban and Community Farming Pilot Program
21-DE-F0A-0000052-C
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
APPLICATION FOR FEDERAL FINANCIAL ASSISTANCE SUBAWARD
2 CFR 200
Instructions for Application Packet - Coversheet
*Each field of the coversheet must be completed.
*If a field does not apply, indicate N/A in the field.
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Amount of funds requested for this project - List the total amount of funds required to complete the scope of work.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must match
the name listed in SAM.
4. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
5. Subrecipient DUNS Number - Record the applicant's DUNS number received from Dun and Bradstreet Data Universal
Numbering System (DUNS).
6. Subrecipient Registered in SAM - All applicants must be registered in the System of Award Management (SAM) to obtain
federal financial assistance. Individuals are not required to register in SAM.
7. Street Address - Record the street address as recognized by the U.S. Postal Service. Do not record a P.O. Box.
8. City - Record the city.
9. State - Record the state.
10. Zip Code plus 4 - Record the nine -digit U.S. Postal Code.
11. Mailing address (if different from above) - Record a different mailing address.
12. Phone Number - Record a 10 digit (xxx-xxx-xxxx) daytime phone number.
13. Fax Number - Record a 10 digit (xxx-xxx-)oxx) fax number.
14. Is the subrecipient delinquent on any federal debt? Record yes or no. The question applies to the applicant. Categories
of federal debt include, but are not limited to, delinquent loans, tax, and audit disallowances. If yes, provide an explanation.
15. Cost Sharing (Match) - Record the value of cost share to be provided.
16. Congressional District - Record the applicant's congressional district.
17. Name and contact information for matters involving this application.
18. Subrecipient Type - Circle the type of subrecipient.
19. Descriptive title of Subrecipient Project - Record a brief descriptive title of the project.
20. Funding Period - Enter the dates, within the award period, as to when the project will begin and finish.
21. Location of Proposed Program/Project - Record the physical address of where the scope of work will be completed.
22. Total # of full-time employees - Record the number of full-time employees. A full-time employee works 40 hours per
week.
23. Total # of part-time employees - Record the number of part-time employees. A part-time employee works less than 40
hours per week.
24. Is your organization a 501(c)(3) tax exempt organization? Record yes or no.
25. Has your organization previously received federal financial assistance from FDACS? Record yes or no. Please answer yes
if the funding has been received within the last three years.
26. The application must be signed and dated by an authorized representative of the applicant organization.
FDACS-02032 06/16
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Page 1
Florida Department of Agriculture and Consumer Services
Division of Administration
APPLICATION FOR FEDERAL FINANCIAL ASSISTANCE SUBAWARD
2 CFR 200
NICOLE' N(KW'FRIED
COMMISSIONER
L Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
2. Amount of funds requested for this project:
$12,000
3. Subredpient Legal Name:
City of Opa-Locka
4. Subredpient FEIN:
59-6000394
S. Subredpient DUNS Number.
831118230
6. Subredpient Registered in SAM :
Yes
7. Street Address:
780 Fisherman Street
8. City:
Opa-Locka
9. State:
FL
10. Zip Code plus 4:
33054-3596
11. Mailing address (If different from above):
N/A
12. Phone Number:305-953-2868
13. Fax Number:305-953-2870
14. Is the subrecipient delinquent on any federal debt?
No
15. Costing Sharing (Match):
$3,000
16. Congressional District:
24
17. Name and contact information of person to be contacted on matters involving this application:
Name: Delven Patterson
Phone Number. 305-953-2868 Email: dpattmson@lopalockatl.gov
18. Subredplent Type: (Cirde one)
Indian Tribal Government Individual institution of Higher Education
Organization State Government Other
'L~ocal Government Non -Profit
19. Descriptive Title of Subredplent Project:
Community Urban Fanning Initiative
20. Funding Period:
Start Date
10/01/2021
End Date
08/30/2022
21. Location of Proposed Program/ Project:
215 N. Perviz Ave, Opa-Locke, FL 33054
22. Total 11 of full-time employees: 8
23. Total it of part-time employees: 4
24. Is your organization a 501(c)(3) tax exempt organization? yes
25. Has your organization previously received federal finandal assistance from FDACS? No
26. By signing this application, I certify that the statements herein are true, complete and accurate to the best of my
knowledge. 1 have also provided the required attachments and assurances. I agree to comply with all terms and
conditions if I accept an award.
Authorized Representative Name:
John Pate
Title:
City Manager & Director of Public Safety
Phone Number: 305-953-2821
Email: jpateta'�opalockafl.gov
Signature of Authorized Representative: %
Date Signed:
FDACS-02032 06116
Page 2 of 25
Page 2
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
KEY CONTACT FORM
2 CFR 200
Instructions for Application Packet - Key Contact Form
*Each field of the key contact form must be completed.
*If a field does not apply, indicate N/A in the field.
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must
match the name listed in SAM.
4. Contact Project Role: Authorized Representative - Record requested information.
5. Contact Project Role: Grant Manager - Record requested information.
6. Contact Project Role: Fiscal Contact - Record requested information.
7. Contact Project Role: Principal Investigator - Record requested information.
FDACS-02032 06/16
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Page 3
Florida Department of Agriculture and Consumer Services
Division of Administration
KEY CONTACT FORM
2 CFR 200
NICOLE "NIKKI" FRIED
COMMISSIONER
Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
Subrecipient FEIN:
59-6000394
Subrecipient Legal Name:
City of Opa-Locka
Contact Project Role: Authorized Representative
Name:
John Pate
Title:
City Manager
Phone Number:
305-953-2821
N/A
Fax Number:
Street Address:
780 Fisherman Street, Fourth Floor
City:
Opa-Locka
State:
FL
Zip Code plus 4:
33054-3596
Mailing address (If different from above):
N/A
Contact Project Role: Grant Manager
Name:
Delven Patterson
Title:
Parks and Recreation Director
Phone Number:
305-953-2868
N/A
Fax Number:
Street Address:
215 N Perviz Ave
City:
Opa-Locka
State:
FL
Zip Code plus 4:
33054-3387
Mailing address (If different from above):
N/A
Contact Project Role: Fiscal Contact
Name:
Robert Anathan
Title:
Budget Administrator
Phone Number:
305-953-2868
N/A
Fax Number:
Street Address:
780 Fisherman Street
City:
Opa-Locka
State:
FL
Zip Code plus 4:
33054
Mailing address (If different from above):
N/A
FDACS-02032 06/16
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Page 4
Contact Project Role: Principal Investigator
Name:
N/A
Title:
N/A
Phone Number:
N/A
Fax Number:
N/A
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
FDACS-02032 06/16
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Page 5
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
PROJECT NARRATIVE
2 CFR 200
Instructions for Application Packet - Project Narrative
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding Opportunity.
2. Amount of funds requested for this project - List the total amount of funds required to complete the scope of work.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must match
the name listed in SAM. Please note section XII Public Records in the Notice of Federal Financial Assistance Funding
Opportunity before including any proprietary or confidential information.
4. The header section of each page of the project narrative must have the funding opportunity number, subrecipient federal
identification number and subrecipient legal name.
5. The project narrative must not exceed (insert #) 8%2" by 11" single sided pages. Additional pages beyond the page limitation
will not be considered.
6. The project narrative must include, but is not limited to:
• A statement of need for the federal financial assistance and how the project will address the need.
• A description of the expected project outcomes. The measurable objectives and specific targets of the expected
project outcomes should be specified.
• A plan of action to achieve the projected outcomes and how the plan of action will be accomplished.
• A timeline of activities or implementation schedule.
• Collaboration details, if any.
• Information on key personnel including their background and experience with the project objectives. An indication of
the amount of effort the key personnel will provide to the project.
• Precise location of the project or the area to be served/benefited by the project.
• A statement of whether this project relates to any other project, current or anticipated.
FDACS-02032 06/16
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Page 6
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
PROJECT NARRATIVE
2 CFR 200
1. Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
2. Amount of funds requested for this project:
$12,000
3. Subrecipient Legal Name:
City of Opa-Locka
Please note section XII Public Records in the Notice of Federal Financial Assistance Funding Opportunity before including
any proprietary or confidential information.
Project Narrative:
The City of Opa-Locka is a densely populated urban community located in northern Dade County. The
City of over 18,000 was established in 1926 and has a rich history. Originally developed based on the
Arabian Nights theme with a large collection of Moorish architecture and street names such as Sabur,
Sultan, and Ali Baba, the community has seen many ups and down over the last 95 years. Recently, the
City has stabilized its financial situation and is embarking on a redevelopment effort to impact almost
every aspect of the residents' lives.
Along with addressing critical infrastructure needs such as roads and drainage, the City has made
focusing on sustainability and the health of every resident a priority. This effort includes making park
improvements, developing non -motorized transportation access, and active programming. The City is in
need of federal financial assistance in the amount of $12,000 to further this initiative by developing two
new community gardens at Sherbondy Park and the Helen Miller Community Center. The establishment
of a garden at each of the sites will enable the City to reach two important groups, children and seniors.
While each garden will be open to all members of the community, their locations are important to the
impact each facility will have. Sherbondy Park is an active site with multiple athletic fields and home to
the City's youth activities including the after school and summer camp programs. Locating the garden at
this site will provide easy access for thousands of children throughout the year.
The second garden facility will be developed at the Helen Miller Community Center. The facility is home
to the senior programming the City provides for its older residents. While not the only programming at the
Center, the senior activities will provide an opportunity to remove the barriers of transportation and
access by allowing the hundreds of seniors that visit the facility to use the new garden.
FDACS-02032 06/16
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Page 7
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
PROJECT NARRATIVE
2 CFR 200
1. Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
2. Amount of funds requested for this project:
$12,000
3. Subrecipient Legal Name:
City of Opa-Locka
Please note section XII Public Records in the Notice of Federal Financial Assistance Funding Opportunity before including
any proprietary or confidential information.
Project Narrative:
(continued)
The immediate impact of the project will be to provide residents with the ability to grow their own food
close to home, reducing food insecurities and leading to healthy eating habitats. The project will target the
City's most vulnerable with 85% of the population identified as low to moderate income (LMI). However,
the long-term impacts such as reducing the carbon emissions will also be significant. The following
outcomes are anticipated for the project:
• Provide free access to local and healthy produce at two locations within the community.
• Reduce food insecurity for the community's most vulnerable residents.
• Demonstrate the link between local food production and its effect on public health.
• Increase awareness of the impact local food production plays on sustainability, specifically reducing
energy consumption.
The City does not have sufficient funding to complete the project without federal funding assistance. A
20% cash match will be provided to assist with implementation, and additional resources such as City
personnel will be used to construct the gardens in a cost-effective manner. Preliminary planning has
allowed the City to develop not only the most impactful locations but also the supplies needed for the
gardens to be a success. Each garden will be similar in construction including access and plantings.
With the planning accomplished already, the final layout for each garden will take one month and
procurement of the materials will require another month. With City personnel performing the installation
and residents handling the planting, both facilities can be completed within six months of execution of a
grant agreement.
FDACS-02032 06/16
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Page 8
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
SCOPE OF WORK
2 CFR 200
Instructions for Application Packet - Scope of Work
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must match
the name listed in SAM. Please note section XII Public Records in the Notice of Federal Financial Assistance Funding
Opportunity before including any proprietary or confidential information.
4. The header section of each page of the scope of work must have the funding opportunity number, subrecipient federal
identification number and subrecipient legal name.
5. The scope of work must not exceed (insert #) 8 34" by 11" single sided pages. Additional pages beyond the page limitation
will not be considered.
6. The scope of work must include, but is not limited to:
Describe in detail the activity or work to be conducted. Include project location information.
Describe specific project objectives, tasks, and deliverables and related timelines for each. Include who will perform
the tasks.
Objectives and tasks should relate to the project narrative.
Discuss how the scope of work is feasible and can be completed within the award period.
Provide quantifiable, measureable and verifiable units of deliverables.
Deliverables must be directly related to the scope of work.
FDACS-02032 06/16
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Page 9
Florida Department of Agriculture and Consumer Services
Division of Administration
SCOPE OF WORK
2 CFR 200
NICOLE "NIKKI" FRIED
COMMISSIONER
1. Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
2.Subrecipient FEIN:
59-6000394
3. Subrecipient Legal Name:
City of Opa-Locka
Please note section XII Public Records in the Notice of Federal Financial Assistance Funding Opportunity before including
any proprietary or confidential information.
Performance Measures
Deliverable #
Tasks
Task Description
Indicator
Costs per Unit
Outcome Measures
1
1
Site Layout Plans
1
$0.00
Complete final design layout for construction
2
2
Construct Garden
1
$13,500
Garden complete with plantings
3
1
Administration and Report
1
$1,500
Grant Reports and Assessment
Describe in detail the activity or work to be conducted.
The proposed project will consist of constructing two community gardens and making them operational by planting a wide variety of produce suitable for the
South Florida climate. To successfully complete this project and have the greatest impact on the community, the scope of work needed has been divided into
three deliverables with four total tasks. A detailed explanation of each task is below:
Deliverable 1 (Task #1):
Upon execution of a funding agreement, the City's Parks and Recreation Department will prepare final plans consisting of location, connection to existing
water, and access points. The site layout plans will be developed in coordination with the City's Public Works and Planning Department as well as several of
the local community organizations that will partner with the City on programming for the gardens. The work associated with this task will take approximately
one month, and the costs associated will not be part of the grant funding or match.
Deliverable 2 (Task #1):
The second deliverable will result in the installation of each garden and plantings. After this deliverable is complete, the gardens will be fully operational. Two
tasks are needed for this deliverable. Task #1 will be the purchase of the supplies needed to complete the project. The items needed for each garden include
but are not limited to:
• 50 Quart Potting Soil Mixed (Bags)
• 100 ft. Water Hose (Each)
• 4 ft. x 8 ft. x 17.5 in. Original Pine Raised Garden Bed
• 51 in. Garden Hoe
• Garden Bow Wood Handle Rake
• 31 in. Fiber Glass Garden Shovel
• Garden Trowel
• Large NitGarden Gloves
• Water Spray Nozzle
• Irrigation system
• Weed Barrier Landscape Fabric 3 ft. x 50 ft.
In addition to the materials need for the installation of the gardens, the fruit and vegetable seeds needed to bring the garden to life will be purchased. Initially
each garden will start with four plantings. These will include Tomato Plants, Green Bean Seeds, Bell Pepper Plants, and Green Romaine Lettuce Plant.
FDACS-02032 06/16
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Page 10
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
SCOPE OF WORK
2 CFR 200
1. Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
2.Subrecipient FEIN:
59-6000394
3. Subrecipient Legal Name:
City of Opa-Locka
Please note section XII Public Records in the Notice of Federal Financial Assistance Funding Opportunity before including
any proprietary or confidential information.
Performance Measures
Deliverable #
Tasks
Task Description
Indicator
Costs per Unit
Outcome Measures
1
1
Site Layout Plans
1
$0.00
Complete final design layout for construction
2
2
Construct Garden
1
$13,500
Garden complete with plantings
3
1
Administration and Report
1
$1,500
Grant Reports and Assessment
Describe in detail the activity or work to be conducted.
(continued)
Deliverable 2 (Task #2):
The second task for this deliverable will be the installation of the gardens at each location. City personnel will use the materials acquired in
Task #1 to construct the gardens at each site. Each garden will consist of 4 ft. x 8 ft. x 17.5 in. Original Pine Raised Garden Beds. The garden
beds will be placed near a water source on the park for irrigation and watering. Access paths will also be constructed.
Once the garden facilities are installed, the City will coordinate the plantings of the four types of seeds with several local organizations. Both
children and seniors will be engaged as part of a special event at each site to plant the seeds themselves. The anticipated time needed to
complete this task is three months.
Deliverable 3 (Task #1):
The third deliverable will require one task for successful project management and grant administration. City staff will work with an experienced
consultant to meet at all requirements of the City and the grant program. The City has experience in administering federal and state funding.
From the execution of the grant agreement through procurement, commencement of work and ending with grant reporting, the City and its
project team will ensure that the project is completed as identified and that all the grant requirements are met.
The City anticipates the completion of the project within six months of executing the grant agreement. A detailed schedule is below:
Estimated schedule from date of executed Project Agreement:
• Finalize Site Layouts — 1 month
• Procurement Completed — 2 month
• Installation and Planting Complete — 3 months
• Project Reporting and Administration — 6 months and post completion as required by program
FDACS-02032 06/16
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Page 11
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
BUDGET PLAN NARRATIVE
2 CFR 200
Instructions for Application Packet - Budget Plan Narrative
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must match
the name listed in SAM. Please note section XII Public Records in the Notice of Federal Financial Assistance Funding
Opportunity before including any proprietary or confidential information.
4. The header section of each page of the budget plan narrative must have the funding opportunity number, subrecipient
federal identification number and subrecipient legal name.
5. The budget plan narrative must not exceed (insert #) 8 %2" by 11" single sided pages. Additional pages beyond the page
limitation will not be considered.
6. Describe line items for each applicable budget category shown on the budget plan. Provide sufficient detail to clearly
indicate the estimated funding amounts for each project task contained in the scope of work.
7. Project costs will be evaluated for reasonableness and necessity. Any travel costs must be in compliance with the State of
Florida travel rules.
8. Indirect costs are at the rate approved by the applicant's cognizant agency. A copy of the approved rate must be attached to
the application. If the applicant has never received a negotiated indirect cost, provide a statement indicating the applicant is
electing to charge a de minimis rate of 10% of modified total direct costs.
FDACS-02032 06/16
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Page 12
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
BUDGET PLAN NARRATIVE
2 CFR 200
Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
Subrecipient FEIN:
59-6000394
Subrecipient Legal Name: City of Opa-Locka
Direct Costs
Personnel Costs
N/A
Example
N/A
Example
N/A
Fringe Benefits
N/A
Travel (if authorized)
N/A
Equipment (if authorized)
N/A
Supplies
$13,500 is needed to purchase the materials and plants needed to implement the project.
Contractual (if authorized)
$1,500 is needed to assist with the cost for contracting, administration, and reporting to meet the requirements
of the program.
Other Expenses
N/A
Indirect Costs
Indirect Charges
N/A
FDACS-02032 06/16
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Page 13
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
BUDGET PLAN
2 CFR 200
Instructions for Application Packet - Budget Plan
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must
match the name listed in SAM.
The header section of the budget plan must have the funding opportunity number, subrecipient federal identification
number and subrecipient legal name.
The applicant shall submit a budget plan for its projected costs to implement the scope of work submitted with the
application. The budget plan shall provide the estimated costs by category in order to carry out the scope of work.
FDACS-02032 06/16
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Page 14
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
BUDGET PLAN
2 CFR 200
Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
Subrecipient FEIN:
59-6000394
Subrecipient Legal Name: City of Opa-Locka
Category
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Total Estimated
Budget
Personnel
Fringe Benefits
Travel (if authorized)
Equipment (if authorized)
Supplies
$13,500
$13,500
Contractual (if authorized)
$1,500
$1,500
Other Expenses
Total Direct Charges
$13,500
$1,500
$15,000
Indirect Charges
Total Amount
$13,500
$1,500
$15,000
FDACS-02032 06/16
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Page 15
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
KEY PERSON / STAFF
2 CFR 200
Instructions for Application Packet - Key Person / Staff
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must
match the name listed in SAM.
The header section of the key person/staff must have the funding opportunity number, subrecipient federal identification
number and subrecipient legal name.
Each application must include descriptions of key personnel and their qualifications to meet the requirements of the notice
of funding opportunity. An individual form will be completed for each key person/staff member. Include an estimate of
the number or hours or percentage of time devoted to the project.
Key personnel are individuals who contribute in a substantive and meaningful way to the execution or development of the
project. Reimbursement of salary costs are not required for an individual to be considered key personnel. Consultants or
contract employees may be included if they meet the definition.
FDACS-02032 06/16
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Page 16
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
KEY PERSON / STAFF
2 CFR 200
An individual form must be completed for each key person/staff member. Include an estimate of the number of hours or
percentage of time devoted to the project.
Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
Subrecipient FEIN:
59-6000394
Subrecipient Legal Name:
City of Opa-Locka
Person Name:
Delven Patterson
Title:
Parks and Recreation Director
Hours or % of time devoted to
the project: 1 0
Phone Number:
305-953-2868
Email Address:
dpatterson@opalockafl.gov
Qualifications:
The development of the project has been led by the City's Parks and Recreation Department in
coordination with the Opa-Locka Community Redevelopment Agency (CRA). While the majority of the
project planning affects the Recreation Department since the project will occur at their sites and
programming will implemented by Department personnel, the CRA has been involved because the project
is seen as part of the redevelopment effort and the locations are located within the state designated CRA
district.
The project will be managed directly by the Parks and Recreation Director. A recent hire, Delven
Patterson became the Director in 2020. Mr. Patterson has over 14 years' experience in developing
recreation facilities and programming. All of this experience was with local municipalities in Dade County.
The years spent with Miami -Dade County Parks and the City of Miami Beach Parks have provided
valuable experience in implementing projects that impact both children and seniors. Currently, Mr.
Patterson is overseeing several park redevelopment projects including one with State grant funding.
Utilizing partnerships will also be critical for the project's implementation and long-term success. Mr.
Patterson and his Department will engage several community organizations to assist with implementation,
community engagement, and operation of each garden. Personnel from these groups have proven they
can work with the City by providing programming and maximizing participation. The anticipated local
partners for the project include:
• Teen Upward Bound
• Opa-Locka Community Redevelopment Association
• Be Strong International
• Learning for Life
FDACS-02032 06/16
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Page 17
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
PERFORMANCE SITE / LOCATIONS
2 CFR 200
Instructions for Application Packet - Performance Site / Locations
1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding
Opportunity.
2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue Service.
3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name must
match the name listed in SAM.
Each application must include a list of site(s)/locations(s) where the work will be performed.
The reimbursement of facilities cost will only be allowable for site(s)/location(s) listed on the form. The allocation of
facilities cost must be based upon the square footage used by the project activities.
FDACS-02032 06/16
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Page 18
Florida Department of Agriculture and Consumer Services
Division of Administration
PERFORMANCE SITE / LOCATIONS
2 CFR 200
NICOLE "NIKKI" FRIED
COMMISSIONER
Federal Financial Assistance Funding Opportunity Number:
21-DE-FOA-0000052-C
Subrecipient FEIN:
59-6000394
Subrecipient Legal Name:
City of Opa-Locka
I am submitting an application as an individual, and not on behalf of a company, state, local, or tribal government,
academia, or other type of organization.
Check Box
❑
Project/Performance Site Primary Location
Street Address:
Sherbondy Park, 215 N. Perviz Avenue
City:
Opa-Locka
State:
FL
Zip Code plus 4:
33054
Mailing address (If different from above):
N/A
Phone Number:
305-953-2868
Fax Number:
N/A
County:
Broward
Project/Performance Site Congressional District:
24
Project/Performance Site Location 1
Street Address:
Helen Miller Center, 2331 NW 143rd Street
City:
Opa-Locka
State:
FL
Zip Code plus 4:
33054
Mailing address (If different from above):
N/A
Phone Number:
305-953-2868
Fax Number:
N/A
County:
Broward
Project/Performance Site Congressional District:
24
Project/Performance Site Location 2
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
Project/Performance Site Location 3
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
FDACS-02032 06/16
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Page 19
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
Project/Performance Site Location 4
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
Project/Performance Site Location 5
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
Project/Performance Site Location 6
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
Project/Performance Site Location 7
Street Address:
N/A
City:
N/A
State:
N/A
Zip Code plus 4:
N/A
Mailing address (If different from above):
N/A
Phone Number:
N/A
Fax Number:
N/A
County:
N/A
Project/Performance Site Congressional District:
N/A
FDACS-02032 06/16
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Page 20
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Bureau of Finance and Accounting
FEDERAL ASSURANCE FOR FEDERAL FINANCIAL
ASSISTANCE SUBRECIPIENT AWARD
CFR 200
Federal Financial Assistance Funding Opportunity Number: 21-DE-FOA-0000052-C
Subrecipient Legal Name: City of Opa-Locka
Subrecipient FEIN: 59-6000394
As the duly authorized representative of the Subrecipient, I certify that to the extent applicable, the Subrecipient:
1. Has the legal authority to apply for federal assistance and the institutional, managerial and financial capability (including
funds sufficient to pay the non-federal share of project costs) to ensure proper planning, management and completion of the
project described in this application.
2. Will give the Recipient, the Comptroller General of the United States and, if appropriate, the State, through any authorized
representative, access to and the right to examine all records, books, papers, or documents related to the subrecipient award;
and will establish a proper accounting system in accordance with generally accepted accounting principles or Recipient
directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable time frames after receipt of approval of the Recipient.
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for
a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply 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 race, color or national origin; (b) Title IX of
the Education Amendments of 1972, as amended (20 U.S.C.§§1681- 1683, and 1685-1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination
on the basis of handicaps; (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
nondiscrimination 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) §§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) any other
nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, (j) the
requirements of any other nondiscrimination statute(s) which may apply to the application.
FDACS-02032 06/16
Page 19 of 25
Page 21
7. Will comply, or has already complied, 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) which 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.
8. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political
activities of employees whose principal employment activities are funded in whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40
U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding
labor standards for federally -assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection
Act of 1973 (P.L. 93-234) which 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.
11. Will comply with environmental standards which may be prescribed pursuant 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 (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO
11990; (d) evaluation of flood hazards in floodplains in accordance with EO 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.); (0 conformity of 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); and, (h) protection of endangered species under the Endangered Species Act of
1973, as amended (P.L. 93-205).
12. Will comply 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.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966,
as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and
Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will 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 care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this
award of assistance.
16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -
based paint in construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act
Amendments of 1996 and 2 CFR, Part 200 Uniform Administrative Requirements, Costs Principles and Audit Requirements for
Federal Awards, Subpart F Audit Requirements.
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing
this program.
FDACS-02032 06/16
Page 20 of 25
Page 22
19. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended
(22 U.S.C. 7104) which prohibits grant award recipients or a subrecipient from (1) Engaging in severe forms of trafficking in
persons during the period of time that the award is in effect, (2) Procuring a commercial sex act during the period of time that
the award is in effect or, (3) Using forced labor in the performance of the award or subawards under the award.
20. Will comply with and enforce the requirements for a drug -free workplace as mandated in 2 CFR Part 421, "Requirements
for Drug -Free Workplace".
21. Will comply with 2 CFR 417, Subpart C to ensure that any vendor or subcontractor that carries out the provisions of this
agreement are not debarred or suspended.
22. Will comply with the Executive Order 13513 entitled "Federal Leadership on Reducing Text Messaging While Driving" by
prohibiting employees, contractors, and subcontractors from texting while driving on official business and or in federally
owned, rented or leased vehicles or privately owned vehicles when on official government business or when performing any
work for or on behalf of or in cooperation with the federal government.
Authorized Representative Name:
John Pate
Title:
City Manager
Signature of : R sentative:
ry
Date Signed:
oat va. •
Applicant 0 : . tion:
City of Opa-Locka
FDACS02032 06/16
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Page 23
NICOLE "NKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
CERTIFICATION REGARDING LOBBYING
2CFR200
Federal Financial Assistance Funding Opportunity Number:21-DE-FOA-0000052-C
Subrecipient Legal Name: City of Opa-Locka
Subrecipient FEIN: 59-6000394
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of an agency, a member of Congress, an officer or employee of
Congress, or an employee of a member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, a
an employee of a member of Congress n connection with this Federal contract, grant. loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities" In accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards
at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section
1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty or not less
than $10,000 and not more than $100,000 for each such failure.
Authorized Representative Name: JO, Pate
:City Manager
Signature of Authorized Represeniire•
CC
Date Signed:
04161 c.,aN
Applicant Organization:
City o Opa-Locka
FDACS-02032 06/16
Page 22 of 25
Page 24
NICOLE "NIKKI" FRIED
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
CERTIFICATION REGARDING DEBARMENTS, SUSPENSION,
INELIGIBILTY AND VOLUNTARY EXCLUSION - LOWER TIER
FEDERALLY FUNDED TRANSACTIONS
2 CFR 200
Federal Financial Assistance Funding Opportunity Number: 21-DE-FOA-0000052-C
Subrecipient Legal Name: City of Opa-Locka
Subrecipient FEIN: 59-6000394
This certification is pursuant to Executive Order 12549, Debarment and Suspension and implemented at 2 CFR parts 180 and
1880.
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certifications set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was
entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous
certification. In addition to other remedies available to the federal government, the department or agency with which this
transaction originated may pursue available remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to whom this proposal is
submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or
has become erroneous by reason of changed circumstances.
4. The terms "covered transaction", "debarred", "suspended", "ineligible", "lower tier covered transaction", "participant",
"person", "primary covered transaction", "principal", "proposal", and "voluntarily excluded", as used in this clause, have the
meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be
entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended,
declared ineligible, or voluntarily excluded from participation in this covered transaction , unless authorized by the
department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions,"
without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows
that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility
of its principals. Each participant may, but is not required to, check the Nonprocurement List.
FDACS-02032 06/16
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Page 25
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render In
good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed
that which is normally possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily
excluded from participating in this transactions, in addition to other remedies available to the Federal Government, the
department or agency with which this transaction originated may pursue available remedies, including suspension and/or
debarment.
Certification
1. The prospective lower tier participant certifies to the best of Its knowledge and belief, that it and its principals;
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from
covered transactions by any Federal department or agency.
b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or
State antitrust statues or commission of embezzlement theft, forgery, bribery, falsification or destruction or records,
making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or
local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and
d. Have not within a three-year period preceding this application/proposal had one or more public transactions
(Federal, State, or local) terminated for cause or default.
2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such
prospective lower tier participant shall attach an explanation to this proposal.
Authorized Representative Name:
John Pate
Title:
City Manager
Signature of Authq�if` tative:
4/
Date Signed:
041\`3, av7\
Applicant Organs .•
City of Opa- ocka
FDACS-02032 06/16
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Page 26
NICOLE "MKKI" FRIED
COMMISSIONER
Florida Departrnent of Agriculture and Consumer Services
Division of Administration
CERTIFICATION STATEMENT
2 CFR 200
Federal Financial Assistance Funding Opportunity Number:21-DE-FOA-0000052-C
Subrecipient Legal Name: City of Opa-Locka
Subrecipient FEIN: 59-6000394
By signing this page, the undersigned certifies that:
A. This application is in all respects fair and submitted in good faith, without collusion or fraud;
B. If selected through this application process, the subrecipient will work in good faith and in partnership with
the Florida Department of Agriculture and Consumer Services to manage its subrecipient agreement in a timely
and accurate manner;
C. Any funds awarded as a result of this application process will not be used to supplant or replace any state or local
funds;
D. Any funds awarded as a result of this application process will not be used as matching funds to apply for or receive
other federal funds;
E. No federal funds will be used as match for funds awarded as a result of this application process.
F. The undersigned has full authority to bind the applicant.
Authorized Representative Name :John Pate
Title Manager
Signature of Authorized Representativ .
-----
Date Signed:
051141";-=o• \
Applicant Organization:
City of pa -Locks
FDACS-02032 06116
Page 25 of 25
Page 27