HomeMy Public PortalAbout2018 Federal Financial Assistance Agreement.pdfADAM H. PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Division of Administration
FDACS CONTRACT #
FEDERAL FINANCIAL ASSISTANCE
SUBRECIPIENT AGREEMENT .0 2 5 8 6
This Federal Financial Assistance Subrecipient Agreement
("AGREEMENT") made and entered into this aC day
of Jto. ,k,a, , 20 le by and between the FLORIDA DEPARTMENT OF
AGRICULTURE AND CONSUMER SERVICES, ("RECIPIENT"), and Village of Key
Biscayne, ("SUBRECIPIENT"). The SUBRECIPIENT shall perform the
Scope of Work contained in Attachment A of the agreement.
The Department of Management Services' designated United Nations
Standard Products and Services Code (UNSPSC) is:83101902(Energy Use
Reduction Measures).
A. SUBAWARD AMOUNT
1. The total award amount for satisfactorily completing the Scope
of Work is $70,547.00. In no event shall the RECIPIENT be
liable for payment of any amount, which exceeds the total award
amount.
B. EFFECTIVE DATE/TERM
1. The effective date of this AGREEMENT shall commence on execution
and, unless sooner terminated or canceled, shall end on the
31st day of October of 2020. All installation work must be
completed by Ocotber 31, 2019 ("Term").
2. No -cost extensions require the prior written approval of the
RECIPIENT and must be submitted not less than sixty (60) days
prior to the end of the Term. Extension requests, which exceed
the federal agency award period, will not be granted.
C. UNIVERSAL IDENTIFIER AND SYSTEM OF AWARD MANAGEMENT
1. The SUBRECIPIENT shall comply with 2 CFR, Part 25, "Financial
Assistance Use of Universal Identifier and System of Award
Management" (SAM). The SUBRECIPIENT must register and maintain
a registration in SAM until submittal of the final financial
report. A data universal numbering system (DUNS) number is
required for registration in SAM.
2. Compliance with 2 CFR, Part 25 is not required for individuals.
D. FINANCIAL AND PROGRAM MANAGEMENT
1. Statutory and National Policy Requirements
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a All expenditures of federal financial assistance under the
AGREEMENT shall be in compliance with all applicable laws
rules and regulations applicable to expenditures of federal
funds
b The SUBRECIPIENT shall implement applicable National Policy
Requirements
2 Deliverables
a The SUBRECIPIENT must provide quantifiable measureable and
verifiable units of Deliverables (Deliverables) which must be
received and accepted in writing by the RECIPIENT before
payment Deliverables must be directly related to the Scope
of Work specify minimum levels of service to be performed
and contain criteria for evaluating the successful completion
of each Deliverable The Deliverables are set forth in the
Scope of Work contained in Attachment A Scope of Work
3 Financial Management
a The SUBRECIPIENT shall maintain an accounting system and a
set of accounting records which allow for the identification
of revenues and expenditures related to this AGREEMENT
b The SUBRECIPIENT shall comply with 2 CFR Part 200 and adhere
to the accounting principles and procedures required therein
use adequate internal controls and maintain necessary source
documentation for all costs incurred
4 Reimbursement Requests
a The allowability of costs shall be in accordance with the
federal financial assistance cost principles applicable to
the SUBRECIPIENT and terms of this AGREEMENT
b The SUBRECIPIENT shall submit the payment request packet to
the RECIPIENT s grant manager not more often than monthly
but not less often than quarterly To be eligible for
reimbursement costs shall be allowable necessary and
reasonable and must be submitted by budget category
consistent with the budget plan outlined in the Attachment A
Scope of Work
c All reimbursement requests must be submitted using the
RECIPIENT s standard payment request packet and provide
supporting documentation for each cost An authorized
SUBRECIPIENT representative shall sign the certifications on
the payment request packet submitted
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d The payment request packet is downloadable from
http //forms freshfromflorida com/02019 pdf
e A SUBRECIPIENT whose federal financial assistance grant
provides an online reimbursement system for reporting
reimbursement details shall use the online reimbursement
system instead of the payment request packet
f Bills for any authorized travel expenses shall be submitted
and paid in accordance with the rates specified in Section
112 061 Florida Statutes governing payments by the State
for travel expenses Any travel expenses must be specified
in the Budget Plan and Scope of Work
5 Payment of Reimbursement Requests
a Payment for allowable necessary and reasonable costs shall
be made within thirty (30) days after acceptance by the
RECIPIENT Payment request packets returned to the
SUBRECIPIENT due to omissions or preparation errors will
result in a payment delay
b Payment requests for a percentage of work completed on each
task deliverable are allowed
c Payment is contingent upon the availability of funding from
the federal agency and SUBRECIPIENT'S compliance with the
terms and conditions of this AGREEMENT
d The final payment under this AGREEMENT shall be made upon
completion of the Scope of Work including all deliverables
and the receipt and approval of all reports required
hereunder
e Disallowance or adjustments due to audit findings may require
the SUBRECIPIENT to return funds to the RECIPIENT The
SUBRECIPIENT is solely responsible for reimbursing the
RECIPIENT for amounts incorrectly paid to the SUBRECIPIENT
6 Program Income
a Program income includes but is not limited to income from
fees for services performed the use or rental of real or
personal property acquired under federal awards the sale of
commodities or items fabricated under a federal award
license fees and royalties on patents and copyrights and
principal and interest on loans made with federal award
funds 2 CFR 200 80
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b. The SUBRECIPIENT must report to the RECIPIENT any program
income received or anticipated from the activities performed
under this AGREEMENT.
7. Revision of Budget Plan
a. The Budget Plan contained in Attachment "A," Scope of Work
lists costs and budget categories to fund the SUBRECIPIENT's
performance of the Scope of Work, including the completion of
Deliverables.
b. SUBRECIPIENT is required to report any transfers from one
approved budget category to another approved budget category.
If the cumulative budget transfers meet or exceed ten percent
(10%), prior approval, evidenced by contract amendment, is
required.
c. Prior approval, evidenced by contract amendment, is required
for:
(1) any transfers from an approved budget category to an
unapproved budget category. An unapproved budget
category is defined as having no funds allocated in the
original Budget Plan.
(2) any equipment purchases not noted in the original Budget
Plan and/or Scope of Work.
(3) any subawarding or contracting out of any work not noted
in the original Budget Plan and/or Scope of Work.
8. Revision of Scope of Work
a. The SUBRECIPIENT shall report any changes to the Scope of
Work including but not limited to changes in the objectives,
changes in key personnel, reduction of work effort by key
personnel and delays in completion of the work.
9. Acknowledgements
a. The SUBRECIPIENT shall have an acknowledgement of the United
States Department of Energy support placed on any publication
written or published or audiovisual produced with grant
support and, if feasible, on any publication reporting the
results of, or describing, a grant -supported activity, or
audiovisuals produced with grant support. This requirement
does not apply to audiovisuals produced as research
instruments or for documenting experimentations or findings
and not intended for presentation or distribution to the
public.
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b. Publication means a published book, periodical, pamphlet,
brochure, flier, or similar item.
c. Audiovisual means a product containing visual imagery or
sound or both.
d. The SUBRECIPIENT acknowledgement must contain a disclaimer
that says: "Any opinions, findings, conclusions, or
recommendations expressed in this publication or audiovisual
are those of the author(s) and do not necessarily reflect the
view of the United States Department of Energy".
e. Language shall read:
The work upon which this (insert publication or
audiovisual or both) is based was funded, in whole or in
part through a subrecipient grant awarded by the United
States Department of Energy through the Florida Department
of Agriculture and Consumer Services. The contents do not
necessarily reflect the views or policies of the United
States Department of Energy nor does mention of trade
names, commercial productions, services or organization
imply endorsement by the U.S. Government.
E. PROPERTY STANDARDS
1. Equipment and Real Property
a. Equipment must be used in the project for which the federal
funds are derived.
b. The federal agency has a vested interest in equipment and/or
real property which, when purchased, exceeds $5,000 in value.
If a title is issued for the equipment and/or real property,
the federal agency must be listed on the title.
c. The SUBRECIPIENT must maintain property records, which
include, but are not limited to, the description, serial
number or other identification number, acquisition date,
cost, location, percentage of federal participation in the
cost of the property, use and condition of the property.
When the property is disposed of, the property records must
be updated with the date of disposal and sale price of the
property.
d. A physical inventory is required at least once every two
years.
e. If the equipment and/or real property are to be sold or used
as a trade-in, approval of the RECIPIENT is required.
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f At the end of the award period the SUBRECIPIENT is required
to request from the RECIPIENT disposal instructions and is
required to notify the RECIPIENT of the fair market value of
the equipment and/or real property
2 Insurance Coverage
a The SUBRECIPIENT will carry sufficient insurance coverage to
protect all assets required under the AGREEMENT from loss due
to theft fraud and/or undue physical damage SUBRECIPIENT
shall carry insurance on its own assets in commercially
reasonable amounts and all statutorily required insurance
including without limitation Workers' Compensation insurance
3 Intellectual Property
a Anything by whatsoever designation it may be known that is
produced by or developed in connection with this AGREEMENT
shall become the exclusive property of the RECIPIENT and may
be copyrighted patented or otherwise restricted as provided
by Florida or federal law Neither the SUBRECIPIENT nor any
individual employed under this AGREEMENT shall have any
proprietary interest in such property
b With respect to each Deliverable that constitutes a work of
authorship within the subject matter and scope of U S
Copyright Law 17 U S C Sections 102-105 such work shall be
a work for hire as defined in 17 U S C Section 101 and all
copyrights subsisting in such work for hire shall be owned
exclusively by the RECIPIENT
c In the event it is determined as a matter of law that any
such work is not a work for hire SUBRECIPIENT shall
immediately assign to the RECIPIENT all copyrights subsisting
therein for the consideration set forth in the AGREEMENT and
with no additional compensation
d The foregoing shall not apply to any preexisting software or
other work of authorship used by SUBRECIPIENT to create a
Deliverable but which exists as work independent of the
Deliverable unless the preexisting software or work was
developed by SUBRECIPIENT pursuant to a previous AGREEMENT
with the RECIPIENT or by a purchase by the RECIPIENT under a
state term contract
F MATCHING OR COST SHARE (IF APPLICABLE)
1 The matching or cost share portion must be tracked using a
unique identifier in the SUBRECIPIENT accounting system
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2 If the matching or cost share portion is not met the RECIPIENT
may disallow costs paid with federal funds in proportion to the
reduction in the matching or cost share amount
3 The matching or cost share portion must be incurred in direct
proportion to the amount of federal funds used
4 The matching or cost share portion must be reported based upon
the Budget Plan submitted with the APPLICATION and Attachment
A Scope of Work
5 Records for in -kind contributions which are based upon
volunteer hours must have timesheets or a sign in/sign out log
and must explicitly state the method for valuation of the
hours The value must be reasonable
6 Records for in -kind contributions which are based upon goods or
services provided must have an invoice if available or must
explicitly state the method for the valuation The value must
be reasonable
7 In -kind contributions must be provided by a third party during
the period for which they are being claimed
8 The matching or cost share portion must not be counted towards
other cost sharing requirements Neither costs nor values of
third party in -kind contributions may count if they have been
used towards other cost sharing requirements
G GENERAL PROCUREMENT STANDARDS
1 The SUBRECIPIENT will follow the same policies and procedures it
uses for procurements from other funding sources
2 The SUBRECIPIENT must have documented procurement procedures
3 The SUBRECIPIENT must have written policies on standards of
conduct covering conflicts of interest No employee officer
or agency may participate in the selection award or
administration of a contract supported by federal funds if he
or she has a real or apparent conflict of interest
H PERFORMANCE MONITORING AND REPORTING
1 The SUBRECIPIENT shall submit detailed quarterly reports using
the format and content shown on the RECIPIENT'S performance
progress report
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2 In the event the AGREEMENT is terminated the SUBRECIPIENT shall
furnish a report detailing progress made under this AGREEMENT
through the date of termination within twenty (20) days of
termination
3 The SUBRECIPIENT shall cooperate in all on -site reviews from the
RECIPIENT its authorized representatives or federal government
personnel
4 The review personnel will be given full and complete access
during normal business hours to all information related to the
performance of this AGREEMENT to ensure compliance with project
activities and statutes regulations and rules
5 The RECIPIENT will give 48 hours of notice of any on site
review
6 The SUBRECIPIENT shall make available all personnel involved in
the performance of work on this AGREEMENT
7 Failure to correct substandard performance within thirty (30)
days after written notice from the RECIPIENT shall result in
suspension and/or termination of the AGREEMENT
I RECORD RETENTION AND ACCESS
1 Retention Requirements for Records
a Upon reasonable notice the RECIPIENT shall have access to
the SUBRECIPIENT'S records during normal business hours
b The SUBRECIPIENT shall maintain all records pertinent to the
activities to be funded under this AGREEMENT for a period of
five (5) years after final payment is received and for such
additional period as may be required until all claims
litigation and appeals pertaining or related to the AGREEMENT
have been completely resolved
2 Public Access to Records
a The SUBRECIPIENT shall comply with all applicable
requirements of Chapter 119 Florida Statutes
IF THE SUBRECIPIENT HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
THE SUBRECIPIENTS'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS
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OFFICE OF GENERAL COUNSEL
407 SOUTH CALHOUN STREET, SUITE 520
TALLAHASSEE, FL 32399
PHONE (850) 245-1000
EMAIL PRCUSTODIAN@FRESHFROMFLORIDA COM
J REMEDIES FOR NONCOMPLIANCE
1 Prior to the exercise of any remedy provided for herein the
RECIPIENT shall provide thirty (30) calendar days written
notice of default and shall provide the SUBRECIPIENT the
opportunity to cure such failure or default within said thirty
(30) day period Upon the failure or inability to cure the
RECIPIENT shall have all rights and remedies provided at law or
in equity including without limitation the following
a Temporarily withhold cash payments pending correction of the
deficiency by the SUBRECIPIENT
b Disallow all or part of the cost of the services not in
compliance
c Wholly or partly suspend or terminate this AGREEMENT
2 Termination
a The RECIPIENT may suspend or terminate this AGREEMENT if the
SUBRECIPIENT
(1) Fails to comply with any applicable rules regulations or
provisions referred to herein or any other applicable
state or federal statutes rules regulations executive
orders federal guidelines policies or directives
(2) Fails to timely fulfill its obligations under the
AGREEMENT
(3) Improperly or illegally uses funds provided under this
AGREEMENT or
(4) Submits reports that are incorrect in any material
respect
b This AGREEMENT may be terminated for convenience by either
party upon giving not less than thirty (30) days advance
written notice to the other party SUBRECIPIENT shall be
paid for all work satisfactorily performed prior to the date
of termination provided SUBRECIPIENT has otherwise complied
with the terms of this AGREEMENT including the submission of
all reports
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K CLOSE OUT
1 Notwithstanding the termination or expiration of this AGREEMENT
the SUBRECIPIENT S obligations to the RECIPIENT shall survive
until all close out requirements are completed Close out
activities shall include but are not limited to completing
and submitting final reports properly disposing of property
accounting for unspent cash advances and program income and
transferring custodianship of records to RECIPIENT or its
designee
2 Post -close Out Adjustments
a Any funds paid in excess of the amount to which the
SUBRECIPIENT is entitled under the AGREEMENT must be refunded
to the RECIPIENT within thirty (30) days after demand
therefore by RECIPIENT
L AUDIT REQUIREMENTS
1 Audit Provisions
a If the SUBRECIPIENT is a state or local government or a
nonprofit organization the audit provisions as defined in 2
CFR Part 200 Subpart F are applicable
b If the SUBRECIPIENT is a commercial organization (For -
Profit) the organization will provide the RECIPIENT with its
annual audited financial statement or the annual tax return
provided to the Internal Revenue Service
c Audit provisions are not required for a SUBRECIPIENT who is
an individual
d In the event that the SUBRECIPIENT expends $750 000 or more
in federal awards in its fiscal year the SUBRECIPIENT must
have a single or program -specific audit conducted in
accordance with the 2 CFR Part 200 Subpart F
e If the SUBRECIPIENT expends less than $750 000 in federal
awards in its fiscal year an audit conducted in accordance
with the provisions of 2 CFR Part 200 Subpart F is not
required Records must be available for audit or review if
necessary
f If the SUBRECIPIENT expends less than $750 000 in federal
awards in its fiscal year and elects to have an audit
conducted the cost of the audit must be paid from non-
federal resources
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2 Basis for Determining Federal Awards Expended
a In determining the federal awards expended in its fiscal
year the SUBRECIPIENT shall consider all sources of federal
awards including federal resources received from the
RECIPIENT
b The determination of amounts of federal awards expended
should be in accordance with the guidelines established by 2
CFR Part 200 Subpart F
3 Relation to Other Audit Requirements
a If the SUBRECIPIENT has an audit conducted in relationship to
any other federal regulation or statute the RECIPIENT may
determine upon review if the audit reports meet the needs of
the RECIPIENT If so an additional audit will not be
required
b An audit of the SUBRECIPIENT conducted by the Auditor General
in accordance with provisions of 2 CFR Part 200 Subpart F
will meet these requirements
c These provisions do not limit the authority of the federal
agency Inspector General General Accounting Office (GAO) or
RECIPIENT to conduct or arrange for the conduct of audits or
evaluations of federal financial assistance awards
4 Frequency of Audits
a Audits shall be performed annually to meet this requirement
5 Sanctions
a If the SUBRECIPIENT is unwilling or has a continued inability
to have an audit conducted the provisions for noncompliance
will be enforced
6 Subrecipient Responsibilities
a The SUBRECIPIENT shall arrange for the audit to be conducted
in a timely manner and submitted as required in 2 CFR
200 512
b The SUBRECIPIENT shall prepare the financial statements in
accordance with 2 CFR 200 510
c The SUBRECIPIENT shall promptly follow up and take corrective
action on audit findings
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d The SUBRECIPIENT will provide the auditor with access to
records personnel documentation and other information as
needed by the auditor
7 Audit Findings Follow-up
a At the completion of the audit the SUBRECIPIENT must
prepare in a document separate from the auditor s findings a
corrective action plan to address each audit finding included
in the current year auditor's reports
b The corrective action plan must provide the name(s) of the
contact person(s) responsible for corrective action the
corrective action planned and the anticipated completion
date
c If the SUBRECIPIENT does not agree with the audit findings or
believes corrective action is not required then the
corrective action plan must include an explanation and
specific reasons
d Any deficiencies noted in audit reports must be fully cleared
by the SUBRECIPIENT within thirty (30) days after receipt by
the SUBRECIPIENT
e Failure of the SUBRECIPIENT to comply with the above
requirement will constitute a violation of this AGREEMENT and
may result in the withholding of future payments
8 Report Submission
a The audit must be completed and the data collection form and
reporting package must be submitted within the earlier of
thirty (30) calendar days after receipt of the auditor s
report(s) or nine months after the end of the audit period
If the due date falls on a Saturday Sunday or Federal
holiday the reporting package is due the next business day
b The SUBRECIPIENT must submit required data elements described
in Appendix X to 2 CFR Part 200 - Data Collection Form (SF -
SAC) which states whether the audit was completed in
accordance with this part and provide information about the
SUBRECIPIENT its federal programs and the results of the
audit
c A senior representative of the SUBRECIPIENT must sign a
statement to be included as part of the data collection that
the SUBRECIPIENT has complied with the audit requirements
the data was prepared in accordance with 2 CFR 200 512 the
reporting package does not include protected personally
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identifiable information the information is accurate and
complete and the reporting package and form will be publicly
available on the web
d The SUBRECIPIENT shall also submit to the RECIPIENT's Grant
Manager one copy of the audit report reporting package any
management letter issued by the auditor and data collection
form described in Appendix X to 2 CFR Part 200
e The SUBRECIPIENT is required to use the Internet submission
form on the Federal Audit Clearinghouse (FAC) website The
FAC website is located at http //harvester census gov/fac/
f The SUBRECIPIENT shall ensure that audit working papers are
made available to the RECIPIENT or its designee Chief
Financial Officer or Auditor General upon request for a
period of five (5) years from the date the audit report is
issued unless extended in writing by the RECIPIENT
M GENERAL CONDITIONS
1 Nothing contained in the AGREEMENT is intended to or will
be construed in any manner as creating or establishing
the relationship of principal and agent or employer and
employee between the parties The SUBRECIPIENT will at
all times remain an independent contractor with respect to
the services to be performed under the AGREEMENT
2 Any changes to the AGREEMENT require the written approval
of each party s authorized official
3 The RECIPIENT shall have the right of unilateral
cancellation for refusal by the SUBRECIPIENT to allow
public access to all documents papers letters or other
material made or received by the SUBRECIPIENT in
conjunction with the AGREEMENT unless the records are
confidential or exempt from s 24(a) of Article I of the
State Constitution and s 119 07(1) Florida Statutes
4 The SUBRECIPIENT is informed that a person or affiliate who
has been placed on the convicted vendor list following a
conviction for a public entity crime may not submit a bid
on a contract to provide any 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 be awarded or perform
work as a SUBRECIPIENT supplier subcontractor or
consultant under a contract with any public entity and may
not transact business with any public entity in excess of
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the threshold amount provided in Section 287 017 Florida
Statutes for CATEGORY TWO for a period of 36 months from
the date of being placed on the convicted vendor list
5 The CONTRACTOR shall not discriminate on the basis of race
sex religion color national origin age or disability
and shall comply with all applicable state and federal
laws and regulations related thereto including without
limitation the Americans with Disabilities Act (42 USC
12101 et Seq ) Section 504 of the Rehabilitation Act of
1973 (29 USC 795) and the Age Discrimination Act of 1975
(42 USC 6101-6107
6 The SUBRECIPIENT is informed that the employment of
unauthorized aliens by any SUBRECIPIENT is considered a
violation of Section 274A (e) of the Immigration and
Nationality Act If the SUBRECIPIENT knowingly employs
unauthorized aliens such violation shall be cause for
unilateral cancellation of the AGREEMENT
7 The SUBRECIPIENT is informed that 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 SUBRECIPIENT supplier
subcontractor or consultant under contract with any
public entity and may not transact business with any
public entity
8 This AGREEMENT is contingent upon the availability of
funding from the federal agency The AGREEMENT may be
terminated if funding from the federal agency is reduced
or terminated
9 The SUBRECIPIENT certifies 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 SUBRECIPIENT 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
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10. Any work or services subcontracted by the SUBRECIPIENT
shall be specifically by written contract or agreement,
and such subcontracts shall be subject to each provision
of this AGREEMENT and applicable Federal, State or County
guidelines and regulations. Prior to execution by the
SUBRECIPIENT of any subcontract hereunder, the
SUBRECIPIENT must submit such subcontracts to the
RECIPIENT for its review and approval.
11. The SUBRECIPIENT will, to the extent permitted by law,
hold harmless, defend and indemnify the RECIPIENT from any
and all claims, actions, suits, charges and judgments
whatsoever that arise out of the SUBRECIPIENT's
performance or nonperformance of the services or subject
matter called for in this AGREEMENT. Nothing herein
contained shall be construed or operate as a waiver of
sovereign immunity to the extent sovereign immunity may
otherwise apply.
12. The SUBRECIPIENT will comply with section 20.055, Florida
Statutes.
This AGREEMENT may be amended at any time provided that such
amendments make specific reference to this AGREEMENT and are
executed in writing and signed by a duly authorized representative
of each party.
In the event that two or more documents combine to form this
AGREEMENT, and in the event that there is any contradictory or
conflicting clause or requirement in these documents, the provisions
of the document(s) prepared by the RECIPIENT shall be controlling.
This AGREEMENT shall be controlled by Florida law, contrary or
conflict of law provisions notwithstanding.
In the event that any clause or requirement of this AGREEMENT is
contradictory to, or conflicts with the requirements of Florida law,
the clause or requirement shall be without force and effect and the
requirements of the Florida Statutes and rules promulgated
thereunder on the same subject shall substitute for that clause or
requirement and be binding on all parties hereto.
Special Conditions: See attachment
A - Scope of Work
B - Monthly/Quarterly Performance Progress Report
C - Exhibit 1
D - Certification Regrading Debarments, Suspension, Ineligibility
and Voluntary Exclusion -Lower Tier Federally Funded Transactions
E - Final Report
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F - Disclosure of Lobbying Activities
G - Property Reporting Form
H - Federal Funding Grantee, Sub -Grantee and Contractor Provisions
This AGREEMENT constitutes the entire AGREEMENT between the
RECIPIENT and the SUBRECIPIENT for the use of the funds received
under this AGREEMENT.
The Grant Manager for the RECIPIENT is Tracy O'Dell and is located
at 600 South Calhoun Street, Tallahassee, Florida 32399-0001.
The Grant Manager for the SUBRECIPIENT is Todd Hofferberth and is
located at 88 West McIntyre Street, Key Biscayne, Florida 33149-
1849.
Federal resources awarded to the SUBRECIPIENT pursuant to this
agreement are from (United States Department of Energy, federal
Grant Number DE-EE0000241 State Energy Program (SEP)) and Catalog of
Federal Domestic Assistance (81.041), United States Department of
Energy.
Signed by parties to this AGREEMENT:
FLORIDA DEPARTMENT OF AGRICULTURE SUBRECIPIENT
AND CONSUMER SERVICES
Director of Administration
Title
Date
(213 /ci/
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Title
'/ t
Date
ADAM H PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT A
GRANT AGREEMENT NO LG011
SCOPE OF WORK
A PROJECT TITLE Key Biscayne Community Center
B PROJECT LOCATION Key Biscayne Community Center (10 Village Green Way Key
Biscayne Florida 33149 1846)
C PROJECT BACKGROUND This funding was allocated to the Flonda Department of
Agriculture and Consumer Services Office of Energy from the U S Department of Energy (USDOE)
The purpose of this grant program is to assist eligible small local government entities (local
municipalities with a population of up to 50 000 and counties with an
unincorporated population of us to 200 000) in reducing their total energy use increase
energy efficiency reduce energy costs through the replacement of inefficient fighting
with energy efficient fighting and evaluate actual energy savings received as a result of
the project This competitive grant program is designed to provide funding to eligible local
governments to make energy efficient upgrades to indoor or outdoor lighting in publicly accessible
community oriented facilities such as libranes museums parks and community centers (examples
given for illustrative purposes only) Energy savings must be tracked by the subrecipient for at least
one year following completion of the project and reported to the department
D PROJECT OBJECTIVES The goal of the SEP is to provide leadership to
maximize the benefits of energy efficiency and renewable energy through
communications and outreach activities technology deployment and accessing new
partnerships and resources The USDOE has established the following objectives that complement
program goals articulated in the SEP Strategic Plan
• Transform energy markets in partnership witli states to accelerate near term
deployment of energy efficiency and renewable technologies
• Promote an integrated portfolio of energy efficiency and renewable energy
solutions to meet US energy security economic vitality and environmental
quality objectives
• Strengthen core state energy programs to develop and adopt leading
market transformation initiatives
E PROJECT DESCRIPTION
• Task I Remove and replace all the existing intenor and extenor lighting fixtures at the Key
Biscayne Community Center and replace it with 609 energy efficient LED lights
• Task 1 a Select a vendor following the procurement procedures of 2 CFR 200 to
provide and install energy efficient LED lighting
• Task lb Complete engineenng and design plans
• Task 1 e Obtain permits if necessary
• Task ld Install lights controls and winng
FDACS 02017
Page 17 of 40
" T a s k l e : S u b m i t a r e p o r t t o t h e O f f i c e o f E n e r g y i n c l u d i n g t h e p r o c u r e m e n t d o c u m e n t s
u s e d t o s e l e c t t h e v e n d o r , t h e c o n t r a c t b e t w e e n t h e G r a n t e e a n d t h e v e n d o r , p h o t o g r a p h s
o f t h e i n s t a l l e d l i g h t i n g , a n d a c o p y o f t h e o p e r a t i o n a n d m a i n t e n a n c e m a n u a l .
" T a s k 2 : C o m p l e t e g r a n t a d m i n i s t r a t i o n / p r o j e c t m a n a g e m e n t
" T a s k 2 a : S e l e c t a v e n d o r f o l l o w i n g t h e p r o c u r e m e n t p r o c e d u r e s o f 2 C F R 2 0 0 , t o
p r o v i d e t e c h n i c a l a s s i s t a n c e i n g r a n t a d m i n i s t r a t i o n / p r o j e c t m a n a g e m e n t .
" T a s k 2 b : S u b m i t a r e p o r t t o t h e O f f i c e o f E n e r g y i n c l u d i n g t h e p r o c u r e m e n t d o c u m e n t s
u s e d t o s e l e c t t h e v e n d o r a n d t h e c o n t r a c t b e t w e e n t h e G r a n t e e a n d t h e v e n d o r .
" T a s k 3 : M o n i t o r E n e r g y u s a g e / s a v i n g s . E n e r g y s a v i n g s / u s a g e w i l l b e t r a c k e d f o r a 1 - y e a r
p e r i o d a f t e r t h e c o m p l e t i o n o f t h e i n s t a l l a t i o n .
F . P R O J E C T M I L E S T O N E S / D E L I V E R A B L E S / O U T P U T S :
T h e t a b l e b e l o w i d e n t i f i e s t h e m o n t h o f t h e p r o j e c t e a c h t a s k w i l l s t a r t a n d b e a c c o m p l i s h e d .
N o .
1
2
3
T a s k / A c t i v i t y
D e s c r i p t i o n
P r o c u r e a n d I n s t a l l
( R e m o v e a n d r e p l a c e a l l
t h e e x i s t i n g i n t e r i o r a n d
e x t e r i o r l i g h t i n g f i x t u r e s
a t t h e K e y B i s c a y n e
C o m m u n i t y C e n t e r a n d
r e p l a c e i t w i t h 6 0 9
e n e r g y e f f i c i e n t L E D
l i g h t s )
G r a n t A d m i n i s t r a t i o n /
P r o j e c t M a n a g e m e n t
M o n i t o r E n e r g y S a v i n g s
G . P R O J E C T B U D G E T :
D e l i v e r a b l e s / O u t p u t s
S u b m i t a r e p o r t t o t h e O f f i c e o f
E n e r g y i n c l u d i n g t h e
p r o c u r e m e n t d o c u m e n t s u s e d t o
s e l e c t t h e v e n d o r , t h e c o n t r a c t
b e t w e e n t h e G r a n t e e a n d t h e
v e n d o r , p h o t o g r a p h s o f t h e
i n s t a l l e d l i g h t i n g , a n d a c o p y o f
t h e o p e r a t i o n a n d m a i n t e n a n c e
m a n u a l .
S u b m i t a r e p o r t t o t h e O f f i c e o f
E n e r g y i n c l u d i n g t h e
p r o c u r e m e n t d o c u m e n t s u s e d t o
s e l e c t t h e v e n d o r a n d t h e
c o n t r a c t b e t w e e n t h e G r a n t e e
a n d t h e v e n d o r .
S u b m i t e n e r g y s a v i n g s r e p o r t o n
a m o n t h l y b a s i s t o t h e O f f i c e o f
E n e r g y f o r a 1 - y e a r p e r i o d a f t e r
i n s t a l l a t i o n c o m p l e t i o n
1
1
S t a r t
M o n t h
3
2 2
D e a d l i n e
M o n t h
1 0
2 2
T h e b u d g e t b e l o w s u m m a r i z e s t h e p r o j e c t b y F u n d i n g C a t e g o r y . A l l d o l l a r a m o u n t s a r e r o u n d e d t o t h e
n e a r e s t w h o l e d o l l a r v a l u e .
F u n d i n g C a t e g o r y
1 . S a l a r i e s
2 . F r i n g e B e n e f i t s
F D A C S - 0 2 0 1 7
P a g e 1 8 o f 4 0
G r a n t F u n d s
C o s t S h a r e : M a t c h i n g F u n d s a n d
O t h e r I n - K i n d C o n t r i b u t i o n s
F u n d i n g
S o u r c e o f F u n d s
3. Travel (if authorized)
4. Supplies/Other Expenses
5. Equipment
6. Contractual Services
7. Indirect (if authorized)
Total Project Budget
Total Project Cost
Cost Share Percentage*
II. TOTAL BUDGET BY TASK:
$70,547
$70,547
$79,267
12%
$8,720
$8,720
Village Funds
= Grants Funds + Cost Share
= Cost Share / Total Project Cost
The project budget below summarizes the project by Project Task. Project Tasks correspond to the
"Project Description" section. All dollar amounts are rounded to the nearest whole dollar value.
Project Task
Grant Funds
Cost Share: Matching Funds and
Other In -Kind Contributions
Matching Funds
Source
1
Lighting Retrofit
$70,547
$4,720
2
Project Administration
$4,000
3
Monitor Energy
Savings
$0.00
$0.00
Totals:
$70,547
$8,720
Total Project Cost:
$79,267
= Grant Funds + Cost
Share
FDACS-02017
Page 19 of 40
I BUDGET DETAIL
Using the definitions provided below the detailed line item budget clarifies the Budget Summary
shown in Section G Budget Category Sub Totals have been rounded to the nearest whole dollar value
Up to 10% of grant funds may be used for administrative costs excluding the cost of meeting reporting
requirements of the program Administrative costs are defined as allowable reasonable and
allocable Direct and Indirect costs related to overall management of the awarded grant (including
travel) For each budget line item the appropnate column identifies if the cost is 1) Grant or Match
2) a Direct cost used to calculate Indirect Costs (if approved) and 3) whether the cost is Administrative
in nature A descnption of what is required for each budget category is as follows
1 Salaries — Identify the persons to be compensated for work on this project by name (if known)
position and title Show the hourly cost and total hours to be charged for each person or position
Divide annual salanes by 2080 hours and nine month academic salaries by 1560 hours to find the
hourly rate
2 Fr urge Benefits — Multiply the rate by the total salanes to which fringe benefits apply If the rate
is variable explain and show calculations
3 Tr avel — List tnps by their purpose and/or destination Indicate the number of days for each trip
The Department will only reimburse for travel at the appropnate State of Flonda rate (Section
112 061 Florida Statutes) using the forms referenced in Payment Request Packet Summary
Form Be prepared to provide the Department with details on costs utilized to calculate the
Amount Budgeted for each trip
4 Suppkes & Other Expenses — List expendable supplies by category description unit costs and
quantity List other expenses not included in any of the above categories Examples would be
pnnting copying postage communications etc Non expendable equipment valued at less than
$1 000 may be listed also Include only expenses directly related to the project not expenses of a
general nature For Match only list costs related to donated real property such as land (not to
exceed the fair market value of the property)
5 Equipment — List non expendable personal property/equipment valued at $1 000 or more by
description unit cost and quantity Computers and data processing equipment should be
descnbed in detail
6 Contractual Son ices — Subcontractors should provide the same information required by this
budget table with the following exceptions (a) when professional services are provided at a pre
existing approved rate or fee shown on the budget or (b) the subcontract is to be obtained
competitively For either (a) or (b) show an estimated maximum amount
7 Total Budget Category — Show the total of all line items within a Budget Category
8 Total Budget — Show the total of all categones
FDACS 02017
Page 20 of 40
1 Salaries
Salaries (Name/Position)
N/A
2 Fringe Benefits
Name of
Employee
N/A
Hourly Cost
($)
*
*
*
*
Hours/w
k or %
FTE
Sub Totals for Salaries Category
Total Gross
Salary ($)
Grant = G
or
Match =
M
M
M
M
Direct costs
used to
calculate
Indirect
Cost" Y/N
Admin
Cost" Y/N
N
N
N
N
N
N
Amount
Gross
Salary
($)
Approved %
per Work Plan
or enter "N/A"
& provide
break out
Benefit
#1
& Cost
$
$
$
Benefit
#2
& Cost
$
$
$
Benefit
#3
& Cost
$
$
$
Sub Total of Fringe Benefits Category
Total Frmge
Benefits ($)
$
$
$
$1,932 00
3 Travel * Cannot exceed cost hmitations required by Section 112 061, Florida Statutes
Name of
Employee
N/A
Destination
Period of
Trip (# of
days)
Purpose of Trip
Amount
Budgeted
$
$
$
$
Grant = G
or
Match =
M
M
M
M
Direct costs
used to
calculate
Indirect
Cost" Y/N
N
N
N
Adman
Cost Y/N
N
N
N
Grant = G
or
Match =
M
Direct costs
used to
calculate
Indirect
Cost" Y/N
Adnnn
Cost Y/N
Sub Total of Travel Category
FDACS 02017
Page 21 of 40
4. Supplies — Other Expenses
Description
N/A
Unit Cost ($) Quantity
*
5. Equipment
Description
Total Cost
($)
$
Sub -Total of Supplies — Other Expenses Category $
Unit Cost ($)
Quantity
Sub -Total of Equipment Category
6. Contractual Services
Grant = G
or
Match = M
Direct costs
used to
calculate
Indirect
Cost? Y/N
Admin.
Cost Y/N
Total Cost
(5)
Grant = G
or
Match = M
Direct costs
used to
calculate
Indirect Admin.
Cost? Y/N Cost Y/N
Name of Vendor
TBD
Description
Fee/Rate
(5)
*
Quantity
Q
—
Total Cost
(5)
Grant = G
or
Match = M
Direct costs
used to
calculate
Indirect
Cost? Y/N
Admin.
°DACS-02017
Electrical Contractor
services
(Design/install
Lighting Retrofit -
Remove and replace
all the existing
interior and exterior
lighting fixtures at
the Key Biscayne
Community Center
123.59
*
609
=
$75,267
G/M
N
Cost Y/N
N
age 22 of 40
and replace it with
609 energy efficient
LED lights)
TBD
Proj ect
Administration/
Grant Reporting
7. Indirect Cost (if approved)
Budget Category
included in Base of
Indirect Cost
Calculations
Total Direct Costs
for Budget
Category
S
$4,000
1
Sub -Total of Contractual Services Category
$4,000
N
}
$79,267
Approved
Indirect Cost
Rate (%) from
Scope of Work
Total Indirect
Cost for
Budget
Category ($)
Total Indirect
Costs for
Grant
Total Indirect
Costs for
Match
4.
$
5
$
$
8. Total Project Budget
Budget Category
Salaries
Fringe Benefits
Travel
Supplies
Equipment
Contractual
Sub -Total of Indirect Costs Category
$
Total Costs for Budget Category
Total Grant Costs
$0
Total Match Costs
SO
$0
$0
$0
$0
$o
Total Project Budget
FDACS-02017
Page 23 of 40
$0
$79,267
$0
$70,547
$79,267
$70,547
$0
$0
$0
$o
$0
$8,720
$8,720
J MEASURES OF SUCCESS
The disbursement of cost share funds under this Agreement is contingent on the solicitation and participation of eligible recipients during the
Agreement period The number of recipients participating and energy efficiency measures funded will vary according to interest need and
timmg of implementation Therefore it is not possible to set a mimmum standard for the number of recipients energy efficiency measures
implemented or amount of funds to be disbursed within the Agreement penod The Agreement amount is based on a preliminary assessment of
need but the funds allocated may be less or more than the need anticipated In addition this Agreement provides only an administrative fee to
the Subrecipient to cover the costs of carrying out the tasks/responsibilities identified in section II Therefore the minimum performance
standard for this Agreement is to complete the items listed in that section
In the Final Report the Subrecipient shall address how the project objectives were accomplished
P4*
11115 SPACE INTENTIONAL LY LEFT BLANK
FDACS 02017
Page 24 of 40
ADAM H. PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT B
GRANT AGREEMENT NO. LGO11
MONTHLY/QUARTERLY PROGRESS REPORT FORM
Grant Agreement No.:
Grantee Name:
Grantee Address:
Grantee's Representative:
Monthly Reporting Period:
Project Number and Title:
Telephone No.: 1
A. Provide a summary of project accomplishments to date. (Include a comparison of actual
accomplishments to the objectives established for the period. If goals were not met,
provide reasons why.)
B. Provide an update on the number of jobs created or retained, quantify the reduction of
greenhouse gasses and the energy saved in kWh or BTU.
C. Provide an update on the estimated time for completion of the project and an
explanation for any anticipated delays.
FDACS-02017
Page 25 of 40
D. Provide any additional pertinent information including, when appropriate, analysis and
explanation of cost overruns or high unit costs.
E. Identify below, and attach copies of, any relevant work products being submitted for the
project for this reporting period (e.g., report data sets, links to on-line photographs, etc.).
F. REPORTING
Activities:
Metric Area Description p
Metric Description
Unit of Measure
Emissions Reductions
Criteria air pollutants reduced (tons)
Greenhouse gases reduced (CO2 equivalents)
Energy Cost Savings
Dollars Saved
Energy Savings
Reduction
in natural gas consumption (million cu ft)
Reduction in electricity consumption (megawatt hours)
Reduction in electricity demand (megawatts)
Reduction in fuel oil consumption (gallons)
Reduction in propane consumption (gallons)
G. SUBCONTRACTOR LIST
The Grantee may subcontract work under this Grant Agreement without the prior approval of the Grant Manager,
upon the condition that each Monthly/Quarterly Progress Report must contain a current list of subcontractors.
*Ifgrantee does not have subc•ontractors le �•
p .a. c .,W€( :.ui <-' fle101t•.
Name of
Subcontractor
Address
Current Total Amount
of each Subcontract
Description of Work
Performed
FDACS-02017
Page 26 of 40
LI. MINORITY/WOMAN/SERVICE-DISABLED VETERAN -OWNED BUSINESS LIST
The Grantee is encouraged to use small businesses, including minority, woman and service -disabled veteran -owned
businesses as subcontractors under this Grant Agreement. The Grantee is required to report information concerning
their use of such businesses in each Monthly/Quarterly Progress Report.
*If grantee does not have any subcontracts with minority/woman/service-disabled veteran- owned businesses, please
state 'None' below.
Name of Business
Address
Reporting
Period
Period
(month)
Total Amount
Paid to Business
during this
Reporting
Period
Description of
Goods/Services
provided by
Business
.
Type of Business
(MinSer
woman, Service -
vice -
disabled veteran -
owned)
This report is submitted in accordance with the reporting requirements of Grant Agreement
No. LGO11 and accurately reflects the activities and costs associated with the subject project.
Signature of Grantee's Representative
444
FDACS-02017
Page 27 of 40
Date
ATTACHMENT C (EXHIBIT —1)
FUNDS AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:
Federal Resources Awarded to the Recipient Pursuant to this Agreement Consist of the Following:
Federal Program
Number
Federal Agency
CFDA
Number
CFDA Title
Funding Amount
State
Appropriation
Category
DE-EE000-241
United States Department of Energy
81.041
State Energy Program
$29,333.56
146556-17
DE-EE000-241
United States Department of Energy
81.041
State Energy Program
$41,213.44
146556-18
State Resources Awarded to the Recipient Pursuant to this Agreement Consist of the Following Matching Resources for Federal Programs:
Federal
Program
Number
Federal Agency
CFDA
CFDA Title
Funding Amount
State
Appropriation
Category
State Resources Awarded to the Recipient Pursuant to this Agreement Consist of the Following Resources Subject to Section 215.97, F.S.:
State
Program
Number
Funding Source
State
Fiscal Year
SFA
Number
CSFA Title
or
Funding Source Description
Funding Amount
State
Appropriation
Category
Total Award
$70,547.00
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.]73/cfda/cfda.html] and/or the Florida Catalog of State Financial Assistance (CSFA) [https://apps.fldfs.com/fsaa/catalog.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.
+44
FDACS-02017
Page 28 of 40
ADAM H.
PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT D
CERTIFICATION REGARDING DEBARMENTS, SUSPENSION,
INELIGIBILITY AND VOLUNTARY EXCLUSION -LOWER TIER
FEDERALLY FUNDED TRANSACTIONS
I. The undersigned hereby certifies 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.
?. The undersigned also certifies that it and its principals:
(a) Have not within a three year period preceding this certification 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 anti-trust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements,
or receiving stolen property.
(b) 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 2.(a) of this
Certification; and
(c) Have not within a three-year period preceding this certification had one or more public transactions
(Federal, State or local) terminated for cause or default.
3. Where the undersigned is unable to certify to any of the statements in this certification, an explanation shall be
attached to this certification.
Dated this ac day of Duetµ n , 20 Ik
By
thorized Signature/Recipient
Andrea Agha, ViIIag Manager
Typed Name/Title
Village of_Key Biscayne
Recipient's Firm Name
88 West MCIWegAScdress
Building, Suite Number
Key BiscayetsyRoalp Code
FDACS-02017
Page 29 of 40
(305,}154b5felephone Number
INSTRUCTIONS FOR CERTIFICATION REGARDING DEBARMENT,
SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION -LOWER TIER
FEDERALLY FUNDED TRANSACTIONS
1. By signing and submitting this form, the certifying party is providing the certification 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 certifying party
knowingly rendered an erroneous certification, in addition to other remedies available to the
Federal Government, Florida Department of Agriculture and Consumer Services (Department) or
agencies with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
3. The certifying party shall provide immediate written notice to the person to whom this contract
is submitted if at any time the certifying party 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 contract is
submitted for assistance in obtaining a copy of those regulations.
5. The certifying party agrees by submitting this contract that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier contract, or other
covered transaction with a person who is proposed for debarment under 48 CFR 9, Subpart 9.4,
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 certifying party further agrees by executing this contract that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower
Tier Covered Transaction," without modification, in all contracts or 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 it is not is proposed for debarment under 48 CFR 9,
Subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is en-oneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant
may, but is not required to, check the Nonprocurement List (Telephone No. (202) 501-4740 or
(202) 501-4873.)
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
proposed for debarment under 48 CFR 9, Subpart .4, suspended, debarred, ineligible, or
voluntarily excluded from participation in this transaction, in addition to other remedies available
to the Federal Government, the Department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
444
FDACS-02017
Page 30 of 40
ADAM H. PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT E
GRANT AGREEMENT NO. LG011
FINAL REPORT
Grant Agreement No.:
Grantee Name:
Grantee Address:
Grantee's Representative:
Reporting Period:
Project Number and Title:
I Telephone No.:
A. Provide a summary of project accomplishments to date. (include a comparison of actual
accomplishments to the objectives established for the period. If goals were not met,
provide reasons why.)
B. Provide an update on the number of jobs created or retained, quantify the reduction of
greenhouse gasses and the energy saved in kWh or BTU.
C. Provide an update on the estimated time for completion of the project and an
explanation for any anticipated delays.
FDACS-02017
Page 31 of 40
D. Provide any additional pertinent information including, when appropriate, analysis and
explanation of cost overruns or high unit costs.
E. Identify below, and attach copies of, any relevant work products being submitted for the
project for this reporting period (e.g., report data sets, links to on-line photographs, etc.).
F. REPORTING
Activities:
Metric Area Description
Metric Desc tion
Unit Of
Measure
Emissions Reductions
Criteria air pollutants reduced (tons)
Greenhouse gases reduced (CO2 equivalents)
Energy Cost Savings
Dollars Saved
Energy Savings
Reduction in natural gas consumption (million cu ft)
Reduction in electricity consumption (megawatt hours)
Reduction in electricity demand (megawatts)
Reduction in fuel oil consumption (gallons)
Reduction in propane consumption (gallons)
Reduction in gasoline consumption (gallons)
FDACS-02017
Page 32 of 40
H. SUBCONTRACTOR LIST
The Grantee may subcontract work under this Grant Agreement without the prior approval of the Grant Manager,
upon the condition that each Monthly/Quarterly Progress Report must contain a current list of subcontractors..
*If rantee does not Itrn r .V•uh<vurn-aetors ileac • > •t t N
. s a t> r)rrnn .
Name of
Subcontractor
_o,rc
Address
Current Total Amount
of each Subcontract
Description of Work
Performed
I. MINORITY/WOMAN/SERVICE-DISABLED VETERAN -OWNED BUSINESS LIST
The Grantee is encouraged to use small businesses, including minority, woman and service -disabled veteran -owned
businesses as subcontractors under this Grant Agreement. The Grantee is required to report information concerning
their use of such businesses in each Monthly/Quarterly Progress Report.
*If grantee does not have any subcontracts with minorityhvoman/service-disabled veteran- owned businesses, please
state 'None' below.
Name of Business
Address
Reporting
Period
(month)
Total Amount
Paid to Business
during this
Reporting
Period
lr
Description of
Goods/Services
p Bsiiness by
Type of Business
(Minority,
Woman, Senice-
disatroe ran -
ned)
This report is submitted in accordance with the reporting requirements of Grant Agreement
No. LGO11 and accurately reflects the activities and costs associated with the subject project.
Signature of Grantee's Representative
FDACS-02017
Page 33 of 40
Date
ADAM H. PUTNAM
COMMISSIONER
1. Type of Federal Action:
n
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT F
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f loan insurance
4. Name and Address of Reporting Entity:
0 Prime
2. Status of Federal Action:
n
a. bid/offer/application
b. initial award
c. post -award
3. Report Type:
a. initial filing
b. material change
For Nlaterial Change Only:
year quarter
date of last report
❑ Subawardee
Tier , tfknown..
Congressional District, if known:
6. Federal Depa I t ment/Agency:
5. If Reporting Entity in No. 4 is Subawardee, Enter Name
and Address of Prime:
Congressional District, if known:
8. Federal Action Number, if known:
7. Federal Program Name/Description:
CFDA Number, if applicable:
10. a. Name and Address of Lobbying Entity
(if individual. last name, first name. MI):
9. Award Amount, if known:
b. Individuals Performing Services (including address if
different from No. 10a)
(last name, first name, MI):
(attach Continuation Sheet(s) SF-LLLA, if necessary)
I. Information requested through this form is authorized by tide 31 U.S.C.
section 1352. This disclosure of lobbying activities is a material
representation of fact upon which reliance was placed by the tier above
when this transaction was made or entered into. This disclosure is
required pursuant to 31 U.S.C. 1352. This information will be reported to
Congress semi-annually and will be available for public inspection. Any
person who fails to file the required disclosure shall be subject to a civil
penalty of not less Than 510,000 and not more than S100.000 for each such
failure.
Federal Use Only:
Signature: /f
Print Name: QN (',QQ aQ I/�
1441
�3 Title:
Telephone No. 305.S5(( Date: a •a6•0
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Page 34 of 40
Authorized for Local Reproduction
Standard Fonn - LLL (Rev 7 - 97)
INSTRUCTIONS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity whether subawardee or pnme Federal recipient at the
initiation or receipt of a covered Federal action or a matenal change to a previous filing pursuant to title 31 U S C
section 1352 The filing of a form is required for each payment or agreement to make payment to any lobbying entity
for influencing or attempting to influence an officer or employee of any agency a Member of Congress an officer or
employee of Congress or an employee of a Member of Congress in connection with a covered Federal action
Complete all items that apply for both the initial filing and matenal change report Refer to the implementing guidance
published by the Office of Management and Budget for additional information
1
2
3
4
Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence
the outcome of a covered Federal action
Identify the status of the covered Federal action
Identify the appropriate classification of this report If this is a followup report caused by a matenal change
to the information previously reported enter the year and quarter in which the change occurred Enter the
date of the last previously submitted report by the reporting entity for this covered Federal action
Enter the full name address city state and zip code of the reporting entity Include Congressional Distract if
known Check the appropnate classification of the reporting entity that designates if it is or expects to be a
pnme or subaward recipient Identify the tier of the subawardee e g the first subawardee of the pnme is the
1st tier Subawards include but are not limited to subcontracts subgrants and contract awards under grants
5 If the organization filing the report in item 4 checks Subawardee then enter the full name address city
state and zip code of the pnme Federal recipient Include Congressional Distract, if known
6 Enter the name of the Federal agency making the award or loan commitment Include at least one
organizational level below agency name if known For example Department of Transportation United
States Coast Guard
7 Enter the Federal program name or descnption for the covered Federal action (item 1) If known enter the
full Catalog of Federal Domestic Assistance (CFDA) number for grants cooperative agreements loans and
loan commitments
8 Enter the most appropnate Federal identifying number available for the Federal action identified in item 1
(e g Request for Proposal (RFP) number Invitation for Bid (IFB) number grant announcement number the
contract grant or loan award number the application/proposal control number assigned by the Federal
agency) Include prefixes e g RFP DE 90 001
9 For a covered Federal action where there has been an award or loan commitment
the Federal amount of the award/loan commitment for the pnme entity identified
10 (a) Enter the full name address city state and zip code of the lobbying entity engaged
identified in item 4 to influence the covered Federal action
(b) Enter the full names of the individual(s) performing services and include fill] address if different from 10 (a)
Enter Last Name First Name and Middle Initial (MI)
by the Federal agency enter
in item 4 or 5
by the reporting entity
11 The certifying official shall sign and date the form punt his/her name title and telephone number
According to the Paperwork Reduction Act as amended no per ons ar requ ed to espo d to a collect on of format on
unless it d splays a valid OMB Control Number The valid OMB control number for this nformation collect on is OMB
No 0348 0046 P bl c reporting burd n for this collect on of nformation is estimated to average 30 m nutes per response
including time for reviewing instruct ons search ng ex sting data sources gathering and ma tan g the data needed and
completing and reviewing the collection of nformation Send comments regarding the burden est mate or any otl er aspect
of tl s collection of info mat on including suggestions for reducing this burden to the Off ce of Management a d Budget
Paperwork Reduction Project (0348 0046), Washington, D C 20503
C4$
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ADAM H. PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT G
PROPERTY REPORTING FORM FOR GRANT AGREEMENT NO. LG011
(For Property With Grantee/Recipient Assigned Property Control Numbers)
UNITED STATES DEPARTMENT OF ENERGY AWARDS
GRANTEE: List non -expendable equipment/personal property* costing $1,000 or more purchased under the above Agreement. Also list all upgrades* under this Agreement, costing S1,000 or more, of property
previously purchased under a Department Grant Agreement (identify the property upgraded and the applicable Department Agreement on a separate sheet). Complete the description (including manufacturer & model
no.)/serial no cost, location/address and property control number columns of this form. The Grantee shall establish a unique identifier for tracking all personal property/equipment purchased under this Agreement and
shall report the inventory of said property, on an annual basis. to the Department's Grant Manager. by Grant Agreement number. no later than January 31 for each year this Agreement is in effect.
DESCRIPTION
(INCLUDING MANUFACTURER & MODEL NO.)
SERIAL NO./COST**
LOCATION/ADDRESS
GRANTEE/RECIPIENT
ASSIGNED PROPERTY
CONTROL NUMBER
*Not including software. **Attach copy of invoice. bill of sale, or other documentation to support purchase.
Grantee/Recipient:
Grantee's/Recipient's Project Manager:
Date:
GRANT MANAGER:
BELOW FOR DEPARTMENT USE ONLY
MAINTAIN THIS DOCUMENT WITH A COPY OF THE INVOICES SUPPORTING THE COST OF EACH ITEM IDENTIFIED ABOVE IN YOUR
AGREEMENT FILE. IF THE AGREEMENT IS A COST REIMBURSEMENT AGREEMENT, MAKE SURE TO SEND INVOICES SUPPORTING THE COST
OF THE ITEMS TO FINANCE AND ACCOUNTING FOR THE PROCESSING OF THE GRANTEE'S/RECIPIENT'S INVOICE FOR PAYMENT.
Grant Manager Signature: Date:
FINANCE AND ACCOUNTING: No processing required by Finance & Accounting as the Grantee/Recipient is responsible for retaining ownership of the equipment/property upon satisfactory completion of the
Agreement.
41
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Page 36 of 40
ADAM H. PUTNAM
COMMISSIONER
Florida Department of Agriculture and Consumer Services
Office of Energy
ATTACHMENT H
FEDERAL FUNDING GRANTEE, SUBGRANTEE AND
CONTRACTORS PROVISIONS
PURSUANT TO
AMERICAN RECOVERY AND REINVESTMENT ACT
UNITED STATES DEPARTMENT OF ENERGY AWARDS
All subgrants and contracts awarded by the Grantee, including small purchases, shall contain the following provisions
as applicable:
1. Equal Employment Opportunity - All contracts shall contain a provision requiring compliance with 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, 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 $2,000 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 Subcontractors 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 $2,000 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 $2,500 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 10 CFR part 600.325, "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.
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6 Clean Air Act (42 U S C 7401 et seq) and the Federal Water Pollution Control Act (33 U S C 1251 et
seq) as amended 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 appropnated funds to pay any person or organization for influencing or attempting to influence an
officer 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 obtaming any Federal award Such disclosures are forwarded from tier to tier up to the
recipient
8 Debarment and Suspension (E 0 s 12549 and 12689) No contract shall be made to parties listed on the
General Services Administration s List of Parties Excluded from Federal Procurement or Nonprocurement
Programs in accordance with E 0 s 12549 and 12689 Debarment and Suspension This list contains the
names of parties debarred suspended or otherwise excluded by agencies and contractors declared ineligible
under statutory or regulatory authonty other than E 0 12549 Contractors with awards that exceed the small
purchase threshold shall provide the required certification regarding its exclusion status and that of its principal
employees
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 Dnnkmg 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 discnmmation
on the basis of handicaps (c) the Age Discnmmation Act of 1975 as amended (42 U S C 6101 6107) which
prohibits discnmmation on the basis of age (d) the Drug Abuse Office and Treatment Act of 1972 (P L 92
255) as amended relating to nondiscrimination on the basis of drug abuse (e) the Comprehensive Alcohol
Abuse and Alcoholism Prevention Treatment and Rehabilitation Act of 1970 (P L 91 616) as amended
relating to nondiscnmmation on the basis of alcohol abuse or alcoholism (f) 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 (g) Title VIII of the Civil Rights Act of 1968 (42 U 5 C 3601 et
seq) as amended relating to nondiscnmination m the sale rental or fmancmg of housing (h) any other
nondiscrimination provisions in the specific statute(s) made and (i) the requirements of any other
nondiscrimination statute(s) which may apply
11 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) 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
12 Compliance with the provision of the Hatch Act (5 U S C 1501-1508 and 7324 — 7328) which limit the
political activities of employees whose pnncipal employment activities are funded m whole or in part with
Federal funds
13 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 m 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
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14 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 (EO) 11514 (b) notification of violating facilities pursuant to EP 11738 (c) protection of
wetlands pursuant to EO 11990 (d) evaluation of flood hazards m floodplam 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) (f) conformity of Federal actions to State (Clean Atr)
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 Dnnkmg 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)
15 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 nvers system
16 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 )
17 Compliance with P L 93 348 regarding the protection of human subjects involved in research development
and related activities supported by this award of assistance
18 Compliance 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 bloodied animals held for research teaching or
other activities supported by this Agreement
19 Comphance 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
20 Comphance with the mandatory standards and policies relating to energy efficiency which are contained
in the State energy conservation plan issued m accordance with the Energy Policy and Conservation Act
(Pub L 94 163 89 Stat 871)
21 Assist the Commission in complying with the State Energy Conservation Program as described in the
Code of Federal Regulations Title 10 Parts 420 and 450 and guidance issued by the U S Department of
Energy and subsequent guidance issued by the U S Department of Energy the Financial Assistance
Rules described in Title 10 Part 600 as well as those regulations concerning the use of oil overcharge
recovery funds
22 The Commission reserves the right to transfer equipment acquired under this grant as provided in Title
10 Part 600 117 The Recipient can obtain a release of this right upon application containing certain
commitments
23 Compliance with the Buy American Act (41 U S C 10a 10c) By accepting funds under this Agreement the
Grantee agrees to comply with sections 2 through 4 of the Act of March 3 1933 popularly known as the Buy
American Act The Grantee should review the provisions of the Act to ensure that expenditures made under
this Agreement are in accordance with it It is the sense of the Congress that to the greatest extent practicable
all equipment and products purchased with funds made available under this Agreement should be Amencan
made
24 Preservation of open and competition and government neutrality towards contractors labor relations
on federally funded construction projects
a Unless m conflict with State or local laws you must ensure that bid specifications project agreement or
other controlling documents in construction contracts awarded pursuant to this agreement or pursuant to a
subaward to this agreement do not
1 Require or prohibit bidders offerors contractors or subcontractors to enter mto or adhere to
agreements with one or more labor organizations on the same or other related construction project(s) or
2 Otherwise discnminate against bidders offerors contractors or subcontractors for becoming or
refusing to become or remain signatones or otherwise to adhere to agreements with one or more labor
organizations on the same or other related construction project(s)
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b The term construction contract as used in this provision means any contract for the construction
rehabilitation alteration conversion extension or repair of buildmgs highways or other improvements to real
property
c Nothing in this provision prohibits bidders offerors contractors or subcontractors from voluntarily entenng
into agreements with labor organizations
25 Compliance with the provision included in Title XV and Title XVI of Public Law 111 5 the American
Recovery and Reinvestment Act of 2009
26 Segregation of Costs — Recipients must segregate the obligations and expenditures related to funding under
the Recovery Act Financial and accounting systems should be revised as necessary to segregate track and
maintain these funds apart and separate from other revenue streams No part of the funds from the Recovery
Act shall be commingled with any other funds or used for a purpose other than that of making payments for
costs allowable for Recovery Act projects
27 False Claims Act — Recipient and sub recipients shall promptly refer to the DOE or other appropnate
Inspector General any credible evidence that a pnnciple employee agent contractor sub grantee
subcontractor or other person has submitted a false claim under the False Claims Act or has committed a
cnminal or civil violation of laws pertaining to fraud conflict of mterest bnbery gratuity or similar
misconduct involving those funds
4,04
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